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Nikhil Verma

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https://www.readbyqxmd.com/read/29146167/incidence-and-return-to-play-after-biceps-tenodesis-in-professional-baseball-players
#1
Peter N Chalmers, Brandon J Erickson, Nikhil N Verma, John D'Angelo, Anthony A Romeo
PURPOSE: To determine return to play (RTP) rates after biceps tenodesis (BT) in professional baseball players. METHODS: Major League Baseball has maintained a prospective database containing all major and minor league baseball players who have undergone shoulder surgery since 2010. All players who had undergone BT were included. Minimum follow-up was 24 months, and thus we included data from 2010 to 2013. Using this database we determined the incidence, demographics, prior surgery history, concomitant procedures, RTP rates, and time to RTP...
November 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100771/clinical-outcomes-of-arthroscopic-360%C3%A2-capsular-release-for-idiopathic-adhesive-capsulitis-in-the-lateral-decubitus-position
#2
Gregory L Cvetanovich, Timothy S Leroux, Eamon D Bernardoni, Jason T Hamamoto, Bryan M Saltzman, Nikhil N Verma, Anthony A Romeo
PURPOSE: To report outcomes after arthroscopic 360° capsular release in the lateral decubitus position for idiopathic glenohumeral adhesive capsulitis without manipulation under anesthesia. METHODS: A retrospective case series of patients who underwent arthroscopic capsular release in the lateral decubitus position for idiopathic adhesive capsulitis with minimum 2-year follow-up was conducted. Patient demographics, preoperative range of motion (ROM), postoperative ROM, and the postoperative outcome scores, visual analog scale for pain, Single Assessment Numeric Evaluation, Simple Shoulder Test, and American Shoulder and Elbow Surgeons scores, were recorded...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28958797/patient-compliance-with-electronic-patient-reported-outcomes-following-shoulder-arthroscopy
#3
Eric C Makhni, John D Higgins, Jason T Hamamoto, Brian J Cole, Anthony A Romeo, Nikhil N Verma
PURPOSE: To determine the patient compliance in completing electronically administered patient-reported outcome (PRO) scores following shoulder arthroscopy, and to determine if dedicated research assistants improve patient compliance. METHODS: Patients undergoing arthroscopic shoulder surgery from January 1, 2014, to December 31, 2014, were prospectively enrolled into an electronic data collection system with retrospective review of compliance data. A total of 143 patients were included in this study; 406 patients were excluded (for any or all of the following reasons, such as incomplete follow-up, inaccessibility to the order sets, and inability to complete the order sets)...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28927669/are-the-hamstrings-from-the-drive-leg-or-landing-leg-more-active-in-baseball-pitchers-an-electromyographic-study
#4
Brandon J Erickson, Antonia Zaferiou, Peter N Chalmers, Deana Ruby, Phillip Malloy, Timothy J Luchetti, Nikhil N Verma, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament reconstruction (UCLR) has become a common procedure among baseball players of all levels. There are several graft choices in performing UCLR, one of which is a hamstring (gracilis or semitendinosus) autograft. It is unclear whether the hamstring muscle from a pitcher's drive leg (ipsilateral side of the UCLR) or landing leg (contralateral side of the UCLR) is more active during the pitching motion. We hypothesized that the landing leg semitendinosus will be more electromyographically active than the drive leg...
September 15, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28856356/patient-preference-before-and-after-arthroscopic-rotator-cuff-repair-which-is-more-important-pain-relief-or-strength-return
#5
Mandeep S Virk, David M Levy, Benjamin D Kuhns, James S Krecher, Billy K Parsley, Stephen S Burkhart, Anthony A Romeo, Nikhil N Verma, Brian J Cole
Our understanding of patients' desired outcomes and expectations of arthroscopic rotator cuff repair (ARCR) is limited, particularly regarding the importance of pain relief and strength return relative to each other. We conducted a study of patient's ratings of the importance of pain relief and strength return after ARCR. Before undergoing surgery, 60 patients completed a shoulder questionnaire on which they assessed severity of symptoms and rated, on a 10-point scale, the importance of postoperative improvements in pain relief and strength return...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856351/biceps-tenodesis-an-evolution-of-treatment
#6
Brandon J Erickson, Akshay Jain, Gregory L Cvetanovich, Gregory P Nicholson, Brian J Cole, Anthony A Romeo, Nikhil N Verma
The long head of the biceps (LHB) tendon is a potential generator of pain within the shoulder. Tenodesis of the LHB is a treatment option for several pathologic shoulder conditions. We conducted a study to determine trends in LHB tenodesis at a subspecialty-focused shoulder orthopedic practice. We hypothesized that the rate of LHB tenodesis would increase significantly over time and that there would be no significant change in the age of patients who underwent LHB tenodesis. Records of 4 fellowship-trained sports or shoulder/elbow orthopedic surgeons were used to identify total number of common arthroscopic shoulder surgeries performed between 2004 and 2014...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856170/factors-influencing-patient-selection-of-an-orthopaedic-sports-medicine-physician
#7
Blaine T Manning, Daniel D Bohl, Bryan M Saltzman, Eric J Cotter, Kevin C Wang, Chad T Epley, Nikhil N Verma, Brian J Cole, Bernard R Bach
BACKGROUND: The rise in consumer-centric health insurance plans has increased the importance of the patient in choosing a provider. There is a paucity of studies that examine how patients select an orthopaedic sports medicine physician. PURPOSE: To evaluate factors that patients consider when choosing an orthopaedic sports medicine physician. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 1077 patients who sought treatment by 3 sports medicine physicians were administered an anonymous questionnaire...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28781974/do-major-league-baseball-team-physicians-harvest-the-semitendinosus-from-the-drive-leg-or-landing-leg-when-performing-ulnar-collateral-ligament-reconstruction-on-elite-baseball-pitchers
#8
Brandon J Erickson, Peter N Chalmers, Jeffrey R Dugas, Bernard R Bach, Gregory P Nicholson, Nikhil N Verma, Christopher S Ahmad, Anthony A Romeo
BACKGROUND: Hamstring autograft is a common graft choice when performing ulnar collateral ligament reconstruction (UCLR). PURPOSE/HYPOTHESIS: The purpose of this study was to survey Major League Baseball (MLB) team physicians and determine whether these physicians harvest the hamstring (semitendinosus or gracilis) from the drive leg (ipsilateral to surgical site) or landing leg (contralateral to surgical site) when performing UCLR on elite-level pitchers. The hypothesis was that the majority of surgeons harvest the hamstring from the drive leg when performing a UCLR...
July 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28749784/concentrations-of-leptin-adiponectin-and-other-metabolic-parameters-in-non-obese-children-with-down-syndrome
#9
Nikhil Tenneti, Devi Dayal, Sheetal Sharda, Inusha Panigrahi, Mohammed Didi, Savita Verma Attri, Naresh Sachdeva, Anil Kumar Bhalla
BACKGROUND: Recent data indicates that adults with Down syndrome (DS) are at increased risk for cardiovascular disease (CVD) that significantly contributes to their morbidity and mortality. Although identification of cardiometabolic risk factors during childhood is desirable to design preventive interventions, the data on such risk factors in children with DS is scarce. The aim of this study was to study the cardiometabolic risk factors such as insulin resistance (IR), leptin and adiponectin concentrations, lipid abnormalities and leptin resistance in non-obese children with DS...
August 28, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/28689309/the-influence-of-gender-on-early-adverse-events-hospital-charges-and-length-of-stay-after-shoulder-arthroplasty
#10
Bryan M Saltzman, Bryce Basques, Timothy Leroux, Rachel M Frank, Gregory P Nicholson, Nikhil N Verma, Anthony A Romeo
PURPOSE: To identify differences in demographics, diagnosis, arthroplasty type, early adverse events, length of stay, and hospital costs between men and women undergoing shoulder arthroplasty. METHODS: We used a nationally representative U.S. population database to determine annual rates of shoulder arthroplasty (SA) in patients (2002-2011). Early adverse events, length-of-stay and hospitalization costs were determined, and compared between patient genders. RESULTS: A cohort of 372,753 patients underwent total-SA (TSA) (59...
July 9, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28688826/biomechanical-analysis-of-latarjet-screw-fixation-comparison-of-screw-types-and-fixation-methods
#11
Jason J Shin, Jason T Hamamoto, Timothy S Leroux, Maristella F Saccomanno, Akshay Jain, Mahmoud M Khair, Christen R Mellano, Elizabeth F Shewman, Gregory P Nicholson, Anthony A Romeo, Brian J Cole, Nikhil N Verma
PURPOSE: To compare the initial fixation stability, failure strength, and mode of failure of 5 different screw types and fixation methods commonly used for the classic Latarjet procedure. METHODS: Thirty-five fresh-frozen cadaveric shoulder specimens were allocated into 5 groups. A 25% anteroinferior glenoid defect was created, and a classic Latarjet coracoid transfer procedure was performed. All grafts were fixed with 2 screws, differing by screw type and/or fixation method...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28680893/return-to-sport-and-performance-after-anterior-cruciate-ligament-reconstruction-in-national-football-league-linemen
#12
Mark E Cinque, Charles P Hannon, Daniel D Bohl, Brandon J Erickson, Nikhil N Verma, Brian J Cole, Bernard R Bach
BACKGROUND: Tears of the anterior cruciate ligament (ACL) are common in the National Football League (NFL). The impact of these injuries on the careers of NFL linemen is unknown. PURPOSE: To define the percentage of NFL linemen who return to sport (RTS) after ACL reconstruction, the mean time to RTS, and the impact on performance compared with matched controls. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data on NFL offensive and defensive linemen who sustained an ACL tear and underwent ACL reconstruction between 1980 and 2015 were analyzed...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28679476/outcome-of-bone-marrow-instillation-at-fracture-site-in-intracapsular-fracture-of-femoral-neck-treated-by-head-preserving-surgery
#13
Nikhil Verma, M P Singh, Rehan Ul-Haq, Rajesh K Rajnish, Rahul Anshuman
PURPOSE: The aim of present study is to evaluate the outcome of bone marrow instillation at the fracture site in fracture of intracapsular neck femur treated by head preserving surgery. METHODS: This study included 32 patients of age group 18-50 years with closed fracture of intracapsular neck femur. Patients were randomized into two groups as per the plan generated via www.randomization.com. The two groups were Group A (control), in which the fracture of intracapsular neck femur was treated by closed reduction and cannulated cancellous screw fixation, and Group B (intervention), in which additional percutaneous autologous bone marrow aspirate instillation at fracture site was done along with cannulated cancellous screw fixation...
August 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28650679/establishing-maximal-medical-improvement-after-arthroscopic-rotator-cuff-repair
#14
William A Zuke, Timothy S Leroux, Bonnie P Gregory, Austin Black, Brian Forsythe, Anthony A Romeo, Nikhil N Verma
BACKGROUND: As health care transitions from a pay-for-service to a pay-for-performance infrastructure, the value of orthopaedic care must be defined accurately. Significant efforts have been made in defining quality and cost in arthroplasty; however, there remains a lag in ambulatory orthopaedic care. PURPOSE: Two-year follow-up has been a general requirement for reporting outcomes after rotator cuff repair. However, this time requirement has not been established scientifically and is of increasing importance in the era of value-based health care...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28619382/does-early-motion-lead-to-a-higher-failure-rate-or-better-outcomes-after-arthroscopic-rotator-cuff-repair-a-systematic-review-of-overlapping-meta-analyses
#15
REVIEW
Bryan M Saltzman, William A Zuke, Beatrice Go, Randy Mascarenhas, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Brian Forsythe
BACKGROUND: The aims of the study were as follows: to perform a systematic review of meta-analyses comparing "early motion" and "delayed motion" after arthroscopic rotator cuff repair; to provide a framework to analyze the best available evidence to develop recommendations; and to identify gaps where suggestions could be made for future investigations. METHODS: Literature searches were performed to identify meta-analyses examining arthroscopic rotator cuff repair with early-motion vs...
September 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28594535/collaborative-orthopaedic-research-between-and-within-institutions
#16
Brian R Wolf, Nikhil N Verma, Kurt P Spindler, Rick W Wright
Collaborative research is common in many medical disciplines; however, the field of orthopaedics has been relatively slow to adopt this type of research approach. Collaborative research efforts can occur between multiple institutions and, in some instances, may benefit from subspecialty society sponsorship. Collaborative research efforts between several research spheres within a single institution also can be advantageous. Collaborative research has many benefits, including a larger number of patients in studies, more power in the research, and better generalizability...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28510477/performance-based-outcomes-after-anterior-cruciate-ligament-reconstruction-in-professional-athletes-differ-between-sports
#17
Harry T Mai, Danielle S Chun, Andrew D Schneider, Brandon J Erickson, Ryan D Freshman, Benjamin Kester, Nikhil N Verma, Wellington K Hsu
BACKGROUND: Excellent outcomes have been reported for anterior cruciate ligament (ACL) reconstruction (ACLR) in professional athletes in a number of different sports. However, no study has directly compared these outcomes between sports. PURPOSE: To determine if differences in performance-based outcomes exist after ACLR between professional athletes of each sport. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: National Football League (NFL), National Basketball Association (NBA), National Hockey League (NHL), and Major League Baseball (MLB) athletes undergoing primary ACLR for an acute rupture were identified through an established protocol of injury reports and public archives...
August 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28451596/how-comprehensive-and-efficient-are-patient-reported-outcomes-for-rotator-cuff-tears
#18
REVIEW
Eric C Makhni, Jason T Hamamoto, John D Higgins, Taylor Patterson, Justin W Griffin, Anthony A Romeo, Nikhil N Verma
BACKGROUND: Increasing emphasis is placed on patient-reported outcomes (PROs) after common orthopaedic procedures as a measure of quality. When considering PRO utilization in patients with rotator cuff tears, several different PROs exist with varying levels of accuracy and utilization. HYPOTHESIS/PURPOSE: Understanding which disease-specific PRO may be most efficiently administered in patients after rotator cuff repair may assist in promoting increased patient and physician adoption of these useful scores...
March 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28343807/dial-test-unrecognized-predictor-of-anterior-cruciate-ligament-deficiency
#19
Brian Forsythe, Bryan M Saltzman, Gregory L Cvetanovich, Michael J Collins, Thomas A Arns, Nikhil N Verma, Brian J Cole, Bernard R Bach
PURPOSE: To evaluate the effect of isolated anterior cruciate ligament (ACL) injury on tibial external rotation as measured by the dial test. METHODS: Twenty-seven consecutive patients scheduled to undergo a primary ACL reconstruction were prospectively evaluated. Physical examination and magnetic resonance imaging findings were analyzed to exclude multiligamentous injury. The dial test was performed with the patient under anesthesia with a goniometer on both the affected and unaffected knees at 30° and 90°...
July 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28336230/the-effect-of-concomitant-biceps-tenodesis-on-reoperation-rates-after-rotator-cuff-repair-a%C3%A2-review-of-a-large-private-payer-database-from-2007-to-2014
#20
Brandon J Erickson, Bryce A Basques, Justin W Griffin, Samuel A Taylor, Stephen J O'Brien, Nikhil N Verma, Anthony A Romeo
PURPOSE: To determine if reoperation rates are higher for patients who underwent isolated rotator cuff repair (RCR) than those who underwent RCR with concomitant biceps tenodesis using a large private-payer database. METHODS: A national insurance database was queried for patients who underwent arthroscopic RCR between the years 2007 and 2014 (PearlDiver, Warsaw, IN). The Current Procedural Terminology (CPT) 29,827 (arthroscopy, shoulder, surgical; with RCR) identified RCR patients who were subdivided into 3 groups-group 1: RCR without biceps tenodesis; group 2: RCR with concomitant arthroscopic biceps tenodesis (CPT 29827 and 29,828); group 3: RCR with concomitant open biceps tenodesis (CPT 29827 and 23,430)...
July 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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