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Nikhil Verma

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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
#1
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
#2
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
#3
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
#4
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...
July 5, 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
#5
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
#6
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...
June 19, 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
#7
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
#8
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...
June 12, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28594535/collaborative-orthopaedic-research-between-and-within-institutions
#9
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
#10
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
#11
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
#12
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°...
March 23, 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
#13
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
https://www.readbyqxmd.com/read/28325273/length-of-time-between-surgery-and-return-to-sport-after-ulnar-collateral-ligament-reconstruction-in-major-league-baseball-pitchers-does-not-predict-need-for-revision-surgery
#14
Brandon J Erickson, Peter N Chalmers, Bernard R Bach, Joshua S Dines, Nikhil N Verma, Charles A Bush-Joseph, Steven B Cohen, Anthony A Romeo
HYPOTHESIS: Pitchers who return to sport (RTS) sooner will have a higher risk of revision ulnar collateral ligament reconstruction (UCLR) than those who return later. METHODS: All professional (major and minor league) baseball pitchers who underwent UCLR between 1974 and 2016 were identified. Date of the index UCLR was recorded. The date of the first game back at any professional level after surgery and the date the pitcher returned to the same level of play (if applicable) were recorded...
April 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28224066/the-use-of-accessory-portals-in-bankart-repair-with-posterior-extension-in-the-lateral-decubitus-position
#15
Gregory L Cvetanovich, Jason T Hamamoto, Kevin J Campbell, Mark McCarthy, John D Higgins, Nikhil N Verma
The Bankart lesion, in which the anteroinferior labrum is detached from the glenoid, is the critical anatomic lesion in the majority of patients with anterior glenohumeral instability. Some patients with anterior glenohumeral instability will have Bankart lesions with posterior extension beyond the 6-o'clock position, and achieving anatomic labral repair in these cases can present a technical challenge. In our experience, the lateral decubitus position and use of accessory portals allow superior visualization of the inferior half of the glenohumeral joint for glenoid and labral preparation, anchor placement, and suture management...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28203598/treatment-of-ulnar-collateral-ligament-tears-of-the-elbow-is-repair-a-viable-option
#16
Brandon J Erickson, Bernard R Bach, Nikhil N Verma, Charles A Bush-Joseph, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament (UCL) tears have become common, and UCL reconstruction (UCLR) is currently the preferred surgical treatment method for treating UCL tears. PURPOSE/HYPOTHESIS: The purpose of this study was to review the literature surrounding UCL repair and determine the viability of new repair techniques for treatment of UCL tears. We hypothesized that UCL repair techniques will provide comparable results to UCLR for treatment of UCL tears...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28130032/publication-rates-of-podium-presentation-abstracts-at-the-arthroscopy-association-of-north-america-annual-meetings-2004-2012
#17
Jason D Lehman, Benedict U Nwachukwu, Richard Ferraro, Brian J Rebolledo, Eric C Makhni, Nikhil N Verma, Lawrence V Gulotta
PURPOSE: To determine the publication rates of podium presentation abstracts at the Arthroscopy Association of North America (AANA) annual scientific meetings from 2004 to 2012. METHODS: A database of podium presentation abstracts at the annual meetings of the AANA was compiled. Abstract presentations that reached manuscript publication were determined by a PubMed search of the MEDLINE database and Google Scholar. The journal and publication date were then recorded for all identified published abstracts...
January 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28117107/optimization-of-anteromedial-portal-femoral-tunnel-drilling-with-flexible-and-straight-reamers-in-anterior-cruciate-ligament-reconstruction-a%C3%A2-cadaveric-3-dimensional-computed-tomography%C3%A2-analysis
#18
Brian Forsythe, Michael J Collins, Thomas A Arns, William A Zuke, Michael Khair, Nikhil N Verma, Brian J Cole, Bernard R Bach, Nozomu Inoue
PURPOSE: To use 3-dimensional custom CAD technology to evaluate how knee flexion angle affects femoral tunnel length and distance to the posterior wall when using curved and straight guides for drilling through the anteromedial portal (AMP). METHODS: Six cadaveric knees were placed in an external fixator at various degrees of flexion (90°, 110°, 125°, and maximum 135° to 140°). Computed tomography scans were obtained at all flexion points for 3-dimensional point-cloud models...
January 20, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28107113/the-relationship-between-pitching-mechanics-and-injury-a-review-of-current-concepts
#19
REVIEW
Peter N Chalmers, Markus A Wimmer, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Gregory L Cvetanovich, Michael L Pearl, Peter N Chalmers, Markus A Wimmer, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Gregory L Cvetanovich, Michael L Pearl
CONTEXT: The overhand pitch is one of the fastest known human motions and places enormous forces and torques on the upper extremity. Shoulder and elbow pain and injury are common in high-level pitchers. A large body of research has been conducted to understand the pitching motion. EVIDENCE ACQUISITION: A comprehensive review of the literature was performed to gain a full understanding of all currently available biomechanical and clinical evidence surrounding pitching motion analysis...
May 2017: Sports Health
https://www.readbyqxmd.com/read/28104094/patient-reported-outcomes-measurement-information-system-promis-in-the-upper-extremity-the-future-of-outcomes-reporting
#20
REVIEW
Eric C Makhni, Molly Meadows, Jason T Hamamoto, John D Higgins, Anthony A Romeo, Nikhil N Verma
Patient reported outcomes (PROs) serve an integral role in clinical research by helping to determine the impact of clinical care as experienced by the patient. With recent initiatives in health care policy and pay for performance, outcome reporting is now recognized as a policy-driven requirement in addition to a clinical research tool. For outcome measures to satisfy these regulatory requirements and provide value in understanding disease outcomes, they must be responsive and efficient. Recent research has uncovered certain concerns regarding traditional PROs in patients with upper extremity disability and injury...
February 2017: Journal of Shoulder and Elbow Surgery
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