Publications by authors named "Shari Liberman"

Article Synopsis
  • Research is crucial for residency and fellowship programs, and an annual research project can enhance productivity, as explored through a review of presentations from a symposium over five years.
  • Out of 98 presentations analyzed, the overall publication rate was 54%, with residents having a higher first-author publication percentage (70%) compared to fellows (54%).
  • Feedback from current residents indicated a strong perceived value of the annual research symposium, supporting its importance in fostering academic development.
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  • Social media, particularly TikTok, serves as a platform to analyze public perceptions and experiences relating to idiopathic scoliosis among young users.
  • The study found that a significant number of TikTok posts about scoliosis had a positive tone and were primarily from female users, highlighting self-image as the most discussed topic.
  • Further research is suggested to explore the implications of this positive representation and the lack of discussion on other aspects like pain and physical therapy.
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  • Basketball players are at a higher risk of thumb collateral ligament injuries, specifically UCL and RCL.
  • A study analyzed NBA players who underwent thumb ligament surgery, focusing on performance stats, recovery times, and career longevity.
  • Results showed that all players returned to the court post-surgery without significant differences in performance or career length compared to their peers, regardless of which thumb was injured.
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  • Patient-reported vaccine reactivity (PRVR) significantly influences hesitancy towards COVID-19 vaccinations.
  • PRVR can be impacted by various factors that either can or cannot be changed, which affect a person's immune response.
  • Gaining insight into these influences can help healthcare providers educate patients better and develop effective public health strategies to boost vaccination rates within communities.
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  • The study analyzed the geographic trends of orthopaedic surgery residency matches before and during the COVID-19 pandemic, focusing on two cohorts: Pre-COVID (2016-2020) and COVID-impacted (2021).
  • Significant differences were found in the 2021 cohort, with more residents matching in the same state as their medical school (39.6%) compared to the Pre-COVID cohort (33.1%), and a higher percentage matching with their affiliated programs (28.0% vs. 21.2%).
  • Additionally, the COVID-impacted cohort showed a trend of matching more frequently to in-state programs and within the same division, indicating a shift in residency patterns likely influenced by the pandemic.
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  • LRTI and SBS are both effective treatments for trapeziometacarpal osteoarthritis, showing similar improvements in patient-reported outcomes and complication rates.
  • A systematic review analyzed 31 studies, including 1,289 thumbs for LRTI and 113 thumbs for SBS, focusing on disability scores and clinical outcomes.
  • Despite comparable short-term improvements in functionality and strength, the studies on SBS had lower quality evidence, indicating the need for larger, higher-quality research to better understand the differences between these two techniques.
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  • The study aimed to explore the relationship between the rankings of medical schools and orthopedic surgery residency programs.
  • Researchers analyzed data from 4,123 orthopedic surgery residents across 187 residency programs, evaluating their medical school tiers.
  • Results showed a strong correlation: over half of Tier 1 orthopedic residents graduated from Tier 1 medical schools, confirming that higher medical school rankings influence residency placement in orthopedic surgery.
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Background: Work relative value units (wRVUs) are part of Resource Based Relative Value Scale system. It is expected that a more difficult and time-consuming procedure would yield higher wRVUs. Brachial plexus nerve decompression surgery is a more time-consuming procedure compared with carpal and cubital tunnel procedures.

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Article Synopsis
  • Pneumatic tourniquets are commonly used in orthopedic surgeries, but can cause complications related to pressure and duration of use.
  • A study involving 44 patients compared the effects of limb occlusion pressure (LOP) versus standard tourniquet pressure (STP) on post-operative pain and opioid usage.
  • Results showed that LOP significantly decreased pain at the tourniquet site and reduced pain medication use in the first week after surgery.
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  • The COVID-19 pandemic shifted orthopaedic surgery residency applications to virtual platforms, leading to changes in social media usage among programs.
  • Instagram emerged as the most popular social media platform for these residency programs, with a significantly higher presence compared to Facebook and Twitter.
  • The data revealed a notable increase in Instagram accounts during 2020, particularly among higher-ranked programs, which also had the highest average follower counts.
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  • N-acetylcysteine (NAC) is a compound commonly used to prevent cellular damage but hasn't been reported as a treatment for liquid nitrogen injuries until now.
  • A case study details a 40-year-old woman who accidentally submerged her hands in liquid nitrogen and required treatment with NAC, antibiotics, and wound care.
  • Six months after the injury, she had fully recovered with no pain or functional limitations, suggesting NAC may effectively treat liquid nitrogen burns when used alongside appropriate care.
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  • The study aimed to compare the effectiveness of percutaneous needle fasciotomy (PNF) against collagenase (CCH) injection for treating Dupuytren's contracture.
  • Five studies involving 503 patients were reviewed, with mixed evidence regarding clinical outcomes; two favored PNF for contracture improvement and satisfaction, while three found no significant differences.
  • CCH was associated with a higher rate of minor complications like pain and swelling, although not all studies reported this finding.
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  • This study investigates wrist injuries in Major League Baseball players who had arthroscopic surgery, focusing on their return-to-sport rate, career longevity, and performance changes.
  • Among the 26 players analyzed, 84% returned to play within an average of 5 months post-surgery, but performance metrics like runs scored, batting average, and wins above replacement significantly decreased after surgery.
  • While players’ overall performance post-surgery matched that of controlled players, individual comparisons revealed notable drops in performance compared to pre-surgery statistics.
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  • Renal transplant recipients are at higher risk for rare infections caused by atypical nontuberculous mycobacteria (NTM), including a case of chronic extensor tenosynovitis caused by Mycobacterium marseillense in a 73-year-old male.
  • Treatment involved a surgical procedure and a 6-month course of antibiotics, leading to successful recovery with no complications noted at an 18-month follow-up.
  • The rarity of such infections emphasizes the need for medical professionals to consider them in immunocompromised patients to ensure timely diagnosis and treatment.
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  • Amyloid deposits in soft tissues can contribute to orthopedic issues before affecting the heart, highlighting the importance of early diagnosis for better long-term survival.
  • A systematic review was conducted to explore the connection between amyloid deposition and common orthopedic conditions, analyzing studies that involved the presence of light-chain and transthyretin amyloid in musculoskeletal tissues.
  • The review found that amyloid deposition was linked to several orthopedic problems, particularly in patients over 70, and emphasized the potential to diagnose systemic amyloidosis from these deposits before more severe cardiac symptoms appear.
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Article Synopsis
  • Physician rating websites (PRWs) collect patient experiences to rate physicians, but high ratings don't always indicate quality care or expertise.
  • A study analyzed how factors like years in practice, gender, and geographic location influenced PRW ratings of orthopedic sports medicine surgeons, revealing that female surgeons and those with fewer years of practice received better ratings.
  • Ultimately, the number of ratings and being female were linked to higher PRW scores, while longer practice years correlated with lower ratings; CAQ status and location had no significant impact.
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  • Hamate hook fractures can result from repeated bat contact in baseball, and while excision has excellent outcomes, the best treatment for early edema is unclear.
  • A study reviewed the cases of 4 elite baseball players with hamate bone edema who had no fractures initially but later developed acute fractures, all of whom underwent successful excision.
  • The athletes returned to their pre-injury competition level in an average of 5.3 weeks, suggesting that rest isn't necessary and playing through edema may be beneficial until a fracture occurs.
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  • The study explores female orthopedic surgeons' perceptions of the risks associated with PMMA vapor exposure during pregnancy, highlighting its effect on their beliefs, practices, and career choices.
  • A survey was conducted among members of the Ruth Jackson Orthopaedic Society and a Facebook group, assessing their training, PMMA usage, and willingness to remain in the operating room while pregnant or breastfeeding.
  • Results showed that while some surgeons are willing to stay in the room during PMMA use, a significant portion expressed concerns, indicating a lack of consensus on the associated risks and suggesting a need for reevaluation of current beliefs and educational practices.
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  • Limited data exists on why women choose specific subspecialties in orthopaedics, prompting a survey to investigate these motivations.
  • The survey, sent to various organizations, gathered responses from female orthopaedic surgeons and residents, revealing that hand, pediatrics, and sports medicine were the most popular subspecialties.
  • The main reasons women chose to subspecialize included personal satisfaction, intellectual stimulation, and strong mentorship, while lack of interest was the top reason for not pursuing a subspecialty.
  • The findings emphasize the importance of mentorship in encouraging women to consider diverse subspecialties in orthopaedics.
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Article Synopsis
  • - The study focuses on the treatment of thumb ulnar collateral ligament (UCL) ruptures in elite athletes, particularly how surgical repair and early return to play in a thumb spica cast can help minimize downtime.
  • - A retrospective review of three Division I collegiate linemen showed these athletes experienced adjacent joint dislocations while in thumb spica casts after their surgeries, including three dislocations of the proximal interphalangeal (PIP) joints and one elbow dislocation.
  • - The results indicated that, while thumb spica casting protects the repaired UCL and allows for quicker return to sports, it may also increase stress on nearby joints, leading to additional injuries; thus, clear communication regarding the risks and benefits of this
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  • The study examined how often online physician rating scales directly evaluate physicians compared to other factors like office staff and wait times.
  • The review found 14 websites featuring patient-reported rating scales, with common themes being office staff courtesy and overall satisfaction rather than direct physician evaluation.
  • Overall, only 28% of the questions were about the physicians themselves, highlighting a significant lack of direct assessment in these online ratings.
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  • Thoracic outlet syndrome (TOS) involves issues related to the nerves or blood vessels in the thoracic area, and treatment methods, including first rib resection (FRR), vary in their effectiveness and risks.
  • A study analyzed data from 1853 patients who underwent surgical treatment for TOS, focusing on various procedures like FRR and anterior scalenectomy.
  • The findings revealed that FRR does not increase complication rates; instead, higher complication risks were linked to ASA classification scores of 3 or more and longer surgery durations.
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