Publications by authors named "Suleiman Sudah"
» Patients with diabetes mellitus (DM) undergoing shoulder arthroplasty (SA) have a unique risk profile, which must be considered by clinicians.» The presence of DM as a comorbidity is associated with longer length of stay following SA, greater likelihood of nonhome discharge, and a higher rate of 90-day readmission.» Though the incidence is low, patients with DM are at an increased risk of serious postoperative cardiovascular complications, such as pulmonary embolism, venous thromboembolism, and myocardial infarction.
View Article and Find Full Text PDFIntroduction: Shoulder and elbow surgery fellowships in the United States are recognized for their academic emphasis, yet the correlation between an applicant's research productivity and fellowship match results remains unclear. This study (1) analyzed temporal trends in research productivity among matched fellowship applicants, (2) evaluated the influence of quantity of publications and first authorships on match positions, and (3) investigated program variations in research productivity.
Methods: This is a retrospective analysis of data from the San Francisco (SF) Match Database for shoulder and elbow surgery applicants matched between 2017 and 2024.
Background: Acromioclavicular (AC) joint injury management has historically been guided by the severity and grade of the injury. However, recent debates have emerged regarding the role of surgical intervention for these injuries. Insurance-based disparities in surgical treatment have been well-documented across various orthopedic conditions.
View Article and Find Full Text PDFBackground: Despite the established importance of the United States Medical License Exam (USMLE) and Alpha Omega Alpha (AOA) status in orthopedic residency selection, their significance in the fellowship match remains unknown. This study evaluates the influence of USMLE scores and AOA status on interview invitation rates and match positions for shoulder and elbow surgery fellowship applicants.
Methods: This is a retrospective analysis of data from the San Francisco Match database from 2018 to 2023.
Introduction: International medical graduates (IMGs) continue to play an important role in the US health care system, but little is known about their trends of matching into highly competitive residencies such as orthopedic surgery. The purpose of this study was to analyze temporal trends of IMG applicants matching into US orthopedic residency programs between 2008 and 2024 and compare them with US allopathic (MD) and osteopathic (DO) graduates.
Methods: Orthopedic residency specific data for years 2008 to 2024 was obtained from the National Resident Match Program and Electronic Residency Application Service.
Article Synopsis
- The AAOS guidelines indicate that early and delayed rehabilitation after arthroscopic rotator cuff repairs have similar healing outcomes, supported by "strong" evidence.
- A study analyzed randomized controlled trials (RCTs) with non-significant tendon re-tear rates to calculate the reverse fragility index (RFI) and reverse fragility quotient (RFQ), revealing that these studies are statistically weak.
- The findings suggest that the evidence supporting the equivalency of both rehabilitation strategies is fragile, as small changes in patient outcomes can significantly affect results; thus, RFI should be routinely reported in clinical guidelines.
Article Synopsis
- Individual maximum joint and segment angular velocities in high school pitchers positively impact throwing arm kinetics and ball velocity, as demonstrated through a study involving 55 pitchers throwing fastballs while tracked with advanced motion capture technology.
- The study found that specific velocities, particularly lead knee extension and pelvis rotation, led to significantly higher elbow torque measures and increased elbow distractive force compared to the general population of pitchers.
- Additionally, the "overall fast" group, which was older and achieved higher ball velocities, displayed significantly greater elbow and shoulder torque, indicating a correlation between age, speed, and joint mechanics in pitching performance.
Background: Kinematic parameters predictive of pitch velocity have been evaluated in adolescent and collegiate baseball pitchers; however, they have not been established for high school or professional pitchers.
Purpose: To create multiregression models using anthropometric and kinematics features most predictive for pitch velocity in high school and professional pitchers and compare them with prior multiregression models evaluating other playing levels.
Study Design: Descriptive laboratory study.
Article Synopsis
- The study aimed to assess how well experienced reviewers can differentiate between AI-generated and original research abstracts in shoulder and elbow surgery, alongside evaluating an AI detection tool's performance.
- Out of 50 abstracts evaluated by eight peer reviewers, only 62% of AI-generated ones were correctly identified; however, 38% of original abstracts were mistakenly classified as AI-generated.
- Reviewers found unrealistic data helped identify AI-created abstracts, while misclassifications of original work often resulted from similarities in writing style.
Article Synopsis
- Improper sequencing of maximal joint and segment velocities is a key factor in predicting throwing arm performance and ball velocity in pitchers.
- This study analyzed 59 high school and 338 professional pitchers to assess variations in segment velocities during fastball pitches using 3D motion capture.
- Results showed that both HS and PRO pitchers with low variance in specific segment velocities exhibited significantly lower maximal joint velocities and forces compared to their respective populations.
Introduction: A pitcher's ability to achieve pitch location precision after a complex series of motions is of paramount importance. Kinematics have been used in analyzing performance benefits like ball velocity, as well as injury risk profile; however, prior utilization of such data for pitch location metrics is limited.
Objective: To develop a pitch classifier model utilizing machine learning algorithms to explore the potential relationships between kinematic variables and a pitcher's ability to throw a strike or ball.
Article Synopsis
- Strong research output during various training periods (before, during residency, and during fellowship) positively correlates with higher publication rates as attending surgeons, but does not significantly impact H-indices, which measure overall research impact.
- The study analyzed 149 shoulder and elbow fellowship faculty members across 34 programs and collected data on their publication counts and career statistics to assess academic productivity.
- Findings suggest that while earlier research productivity enhances future publishing rates, it does not necessarily translate into a higher academic impact score (H-index) for these surgeons.
Article Synopsis
- Previous studies indicated that only 40% (1988-2000) and 47% (2001-2013) of randomized controlled trials (RCTs) were considered high quality, prompting this study to evaluate RCTs published between 2014 and 2022 and identify trends.
- A total of 218 RCTs were analyzed using the Detsky score and a modified risk-of-bias assessment, with findings showing 82% of these trials classified as high quality based on a mean Detsky score of 85%.
- The results demonstrated improvements in RCT quality over time, as the mean Detsky score from 2014-2022 was significantly higher than those from previous periods (
Article Synopsis
- The study analyzes NIH funding trends for rotator cuff research from 2011 to 2021, revealing an increase in funding at a rate of 11% compared to 3.4% for overall NIH budget growth.
- Out of 52 grants totaling over $40 million, orthopedic surgeon-scientists received nearly $9.2 million, primarily through R01 and K08 funding mechanisms, with no significant disparities based on PI characteristics like sex or degree.
- The research highlights a low representation of orthopedic surgeons in funding, emphasizing the need for further investigation into barriers they face in obtaining grants.
Background: Throwing arm kinetics differ in pitchers at varying arm slot (AS) positions (frontal-plane arm position at ball release relative to the vertical axis).
Purpose: To determine how kinematic and kinetic values differ between professional and high school pitchers with varying AS positions, and whether these differences are similarly observed in both populations.
Methods: High school (n = 130) and professional (n = 288) pitchers threw 8 to 12 fastballs under 3-dimensional motion capture technology.
Background: The use of online search engines for health information is becoming common practice. We analyzed Google search queries to identify the most frequently asked topics and questions related to lateral epicondylitis ("tennis elbow") and the Web sites provided to address these questions.
Methods: Four search terms for lateral epicondylitis were entered into Google Web Search.
Background: Osteochondral lesions of the talus (OCLT) are common injuries that can be difficult to treat. To date, long-term patient reported outcome measures (PROMs) of patients with particulated juvenile allograft cartilage implantation with or without calcaneal autograft have not been compared.
Methods: Thirteen patients with difficult to treat OCLTs underwent arthroscopic-assisted implantation of particulated juvenile allograft cartilage (DeNovo NT®) with or without autogenous calcaneal bone grafting by a single surgeon.
Massive irreparable rotator cuff tears (RCTs) are a commonly encountered orthopedic condition that can be difficult to treat. Several techniques have been described to manage these tears, with the implantable subacromial balloon spacer being one of the most recent. The device, which has only been approved for clinical use in the United States since 2021, functions by resisting the superior humeral head migration seen in the setting of massive RCTs and restoring normal shoulder biomechanics, as corroborated by cadaveric studies.
View Article and Find Full Text PDFBackground: Despite the rising incidence of anatomic total shoulder arthroplasty (ATSA) and reverse total shoulder arthroplasty (RTSA) among surgeons, little is known about the learning curve associated with these procedures. The purpose of this systematic review was to (1) identify the learning curves associated with ATSA and RTSA, (2) evaluate the effect of the learning curves on clinical outcomes, and (3) determine the number of cases needed to achieve proficiency.
Methods: Four online databases [PubMed (NLM), MEDLINE (OVID), Cochrane Library (Wiley), and Scopus (Elsevier)] were systematically searched and screened according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.
The pathogenesis of primary glenohumeral arthritis (GHOA) is mediated by a complex interaction between osseous anatomy and the surrounding soft tissues. Recently, there has been growing interest in characterizing the association between the anterior shoulder joint capsule and primary GHOA because of the potential for targeted treatment interventions. Emerging evidence has shown substantial synovitis, fibrosis, and mixed inflammatory cell infiltrate in the anterior capsule of osteoarthritic shoulders.
View Article and Find Full Text PDFArticle Synopsis
- This systematic review analyzed the impact of race and ethnicity on the use and outcomes of shoulder arthroplasty, revealing significant disparities in care and outcomes among different racial groups.
- Research showed that Black and Hispanic patients are less likely to undergo shoulder arthroplasty compared to White patients, even as utilization has increased for all groups in recent years.
- Though patient-reported outcomes were similar across racial groups, Black patients faced worse complications and longer hospital stays, while Hispanics had lower revision risk compared to Whites.
Background: The Internet has become a popular source of health information for patients and their families. Healthcare experts recommend that the readability of online education materials be at or below a sixth grade reading level. This translates to a standardized Flesch Reading Ease Score between 81 and 90, which is equivalent to conversational English.
View Article and Find Full Text PDFBackground: The incidence of shoulder arthroplasty has continued to increase over the past decade. In response, commercial payers have implemented strategies to control the medical requirement of these surgeries in attempt to contain the growing costs. For example, most payers require a prolonged trial of conservative management prior to shoulder arthroplasty for patients who may otherwise be surgical candidates.
View Article and Find Full Text PDFBackground: Prospective trial registration has become an important means of improving the transparency and reproducibility of randomized controlled trials (RCTs) and is recommended by the Journal of Shoulder and Elbow Surgery (JSES) per the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Herein, we performed a cross-sectional evaluation of RCTs published in JSES from 2010 to present to determine the prevalence of trial registration and consistency of outcome reporting.
Methods: The electronic database PubMed was searched to identify all RCTs on total shoulder arthroplasty (TSA) published in JSES from 2010 to 2022 using the search terms "randomized controlled trial" AND "shoulder" AND "arthroplasty OR replacement.