56 results on '"James H. Calandruccio"'
Search Results
2. Scaphoid Fractures in Athletes
- Author
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James H. Calandruccio, Norfleet B. Thompson, Sierra G. Phillips, and William J. Weller
- Subjects
musculoskeletal diseases ,medicine.medical_treatment ,Scaphoid fracture ,Return to sport ,Arthroscopy ,03 medical and health sciences ,Grip strength ,0302 clinical medicine ,medicine ,Humans ,Internal fixation ,Orthopedics and Sports Medicine ,Reduction (orthopedic surgery) ,Scaphoid Bone ,Orthodontics ,030222 orthopedics ,biology ,business.industry ,Athletes ,030229 sport sciences ,medicine.disease ,biology.organism_classification ,Return to Sport ,Joint stiffness ,Athletic Injuries ,medicine.symptom ,business ,Percutaneous screw fixation - Abstract
Scaphoid fractures are common injuries in athletes. Most can be treated with cast immobilization, with an expected rate of union of 90% to 95%. Cast treatment, however, has the disadvantages of longer immobilization time, joint stiffness, reduced grip strength, and longer time to return to manual work or athletics. Closed reduction and percutaneous screw fixation generally are preferred in athletes to allow a quicker return to sport; if closed reduction cannot be obtained, open reduction and internal fixation may be required.
- Published
- 2020
3. Gymnast's Wrist (Distal Radial Physeal Stress Syndrome)
- Author
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Benjamin M. Mauck, Derek M. Kelly, Anna Rambo, James H. Calandruccio, and Benjamin W. Sheffer
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Gymnastics ,Cumulative Trauma Disorders ,business.industry ,030229 sport sciences ,Wrist ,Wrist pain ,Wrist Injuries ,Wrist injury ,Return to play ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,medicine.anatomical_structure ,Physeal arrest ,Quality of life ,medicine ,Humans ,Orthopedics and Sports Medicine ,medicine.symptom ,business ,Physis ,Stress syndrome - Abstract
The distal radial physis is a common site for injury in gymnasts because of the significant amount of load applied during upper extremity weight-bearing. Wrist pain has been reported in up to 88% of gymnasts. The long-term consequences of overuse wrist injuries, such as distal radial physeal arrest, include degenerative conditions that often cause pain and functional limitations. In the more immediate stage of many overuse injuries, early diagnosis can promote quicker care and recovery and thus faster return to play. Less time lost to injury can be very important in maintaining an athlete's quality of life.
- Published
- 2020
4. Office-Based Percutaneous Fasciotomy for Dupuytren Contracture
- Author
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James H. Calandruccio, Taylor Pate, and James Q. Chambers
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Office based ,Percutaneous ,business.industry ,medicine.medical_treatment ,Dupuytren Contracture ,030229 sport sciences ,Fasciotomy ,Surgery ,Skin Tears ,03 medical and health sciences ,Treatment Outcome ,0302 clinical medicine ,medicine ,Humans ,Minimally Invasive Surgical Procedures ,Orthopedics and Sports Medicine ,Interphalangeal Joint ,business - Abstract
Percutaneous fasciotomy is a safe, simple, and inexpensive treatment for mild to moderate Dupuytren contracture. The decrease in extension deficit in the metacarpophalangeal and proximal interphalangeal joints after release correlates with improvement in patient-reported outcomes. Complications are rare and primarily include skin tears, which occur in approximately 4% of patients. Most patients are satisfied with the outcomes of the procedure at 1 year.
- Published
- 2020
5. Hot Topics in Hand and Wrist Surgery
- Author
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Travis A. Doering, James H. Calandruccio, and Benjamin M. Mauck
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Pain, Postoperative ,Flexor tendon ,business.industry ,General surgery ,Scaphoid nonunion ,Hand Injuries ,Wrist surgery ,Hand surgery ,030229 sport sciences ,Locked plating ,Wrist Injuries ,Radial fractures ,Health care delivery ,Analgesics, Opioid ,03 medical and health sciences ,Disability Evaluation ,0302 clinical medicine ,Hot topics ,medicine ,Humans ,Orthopedics and Sports Medicine ,Orthopedic Procedures ,business - Abstract
The field of hand surgery continues to evolve in new and exciting directions. Advances in diagnosis and management for common complaints and complex injuries allow higher-level care, while still being cognizant of the cost of health care delivery. Indications and protocols for past paradigm shifts, such as volar locked plating for distal radial fractures, continue to be honed, and the outcomes seen for modern flexor tendon repairs are impressive. Open questions remain, but promising results for scaphoid nonunion surgery and peripheral nerve reconstruction with processed allograft will continue to shed light on these unsolved problems.
- Published
- 2021
6. Cost, Value, and Patient Satisfaction in Carpal Tunnel Surgery
- Author
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Norfleet B. Thompson, Joseph Ingram, James H. Calandruccio, and Benjamin M. Mauck
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Cost estimate ,business.industry ,General surgery ,Office visits ,Carpal tunnel surgery ,Health Care Costs ,030230 surgery ,medicine.disease ,Carpal Tunnel Syndrome ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Patient Satisfaction ,Outcome Assessment, Health Care ,Ambulatory ,medicine ,Carpal tunnel release ,Humans ,Orthopedic Procedures ,Orthopedics and Sports Medicine ,Carpal tunnel syndrome ,business ,health care economics and organizations - Abstract
The cost of carpal tunnel release (CTR) surgery can be decreased and patient satisfaction increased by a few relatively simple changes. Although cost estimates vary in the literature, most investigators agree that open CTR costs less than endoscopic CTR, and the clinic procedure room or ambulatory surgery center is cheaper than the ambulatory surgery center, which is less than the hospital. Patient satisfaction can be increased by making office visits more patient-centered and improving the quality of dialogue between the surgeon and patient.
- Published
- 2018
7. Ulnar Nerve Injury in Pediatric Midshaft Forearm Fractures: A Case Series
- Author
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Andrew E. Federer, Dennis P. Devito, Greg S Slappey, Joshua S. Murphy, James H. Calandruccio, Gary M Lourie, and Scott H. Kozin
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Conservative Treatment ,Pediatrics ,Risk Assessment ,03 medical and health sciences ,Injury Severity Score ,0302 clinical medicine ,Forearm ,Peripheral Nerve Injuries ,Cadaver ,Fracture fixation ,medicine ,Humans ,Orthopedics and Sports Medicine ,Child ,Ulnar nerve ,Ulnar Nerve ,Neurolysis ,Retrospective Studies ,Fracture Healing ,030222 orthopedics ,business.industry ,Dissection ,Forearm Injuries ,Retrospective cohort study ,030229 sport sciences ,General Medicine ,Ulna Fractures ,Surgery ,body regions ,Open Fracture Reduction ,Treatment Outcome ,medicine.anatomical_structure ,Child, Preschool ,Practice Guidelines as Topic ,Female ,Radius Fractures ,business ,Follow-Up Studies - Abstract
Objectives To describe a midshaft forearm fracture pattern that places the ulnar nerve at risk in the pediatric population and provide 7 clinical case examples describing the injury pattern and treatment methods. Design Retrospective observational case series, review of literature, cadaver dissection, and treatment recommendations. Setting Multi-institutional, Southeast United States. Patients Seven pediatric patients (5 male and 2 female) with mean age of 8.7 years (range, 3-14) who sustained a significantly displaced closed, or grade I open, middle to distal one-third both-bone forearm fracture with subsequent ulnar nerve dysfunction. Interventions Manual reduction and casting of both-bone forearm shaft fractures, operative debridement, fracture fixation, nerve exploration, neurolysis, nerve repair, and nerve grafting. Main outcome measurements Radiographic fracture union, clinical ulnar nerve motor and sensory function testing, along with selective electric nerve testing and advanced imaging were monitored throughout follow-up postinjury. Results Five of 7 patients underwent surgical treatment and 2 others were treated with conservative measures. The ulnar nerve was entrapped within the fracture site of one patient with an open fracture along with partial nerve transection, and 4 patients were found to have the nerve encased in hypertrophic scar tissue or bony callus upon surgical exploration at 3-12 months postinjury. Conclusions The ulnar nerve lies in a precarious position in the middle to distal one-third forearm and is bound by anatomic constraints that place the nerve at risk of injury. This article offers a treatment algorithm that includes conservative treatment, acute exploration, early exploration (≤3 months), and late exploration (>3 months). Level of evidence Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
- Published
- 2018
8. Carpal Tunnel Syndrome
- Author
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Norfleet B. Thompson and James H. Calandruccio
- Subjects
musculoskeletal diseases ,030222 orthopedics ,medicine.medical_specialty ,Evidence-based practice ,business.industry ,Wrist ,medicine.disease ,nervous system diseases ,Nonoperative treatment ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Physical therapy ,Medicine ,Initial treatment ,Orthopedics and Sports Medicine ,Risk factor ,business ,Carpal tunnel syndrome ,030217 neurology & neurosurgery - Abstract
Carpal tunnel syndrome (CTS) is one of the most common musculoskeletal disorders of the upper extremity. Comorbidities associated with the development of CTS include diabetes and obesity. Although a high rate of repetitive hand/wrist motions is a risk factor, there is insufficient evidence to implicate computer use in the development of CTS. Initial treatment generally is nonoperative, with the strongest evidence supporting bracing/splinting. Strong evidence supports operative treatment, regardless of technique, as superior to nonoperative treatment. Complications are infrequent and most are minor and transient.
- Published
- 2018
9. Controversies in Fractures of the Proximal Ulna
- Author
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James H. Calandruccio, Christopher M. Hopkins, and Benjamin M. Mauck
- Subjects
musculoskeletal diseases ,030222 orthopedics ,business.industry ,Attachment site ,Elbow ,Soft tissue ,Anatomy ,Ulna Fractures ,Proximal ulna ,Olecranon process ,Fracture Fixation, Internal ,03 medical and health sciences ,Coronoid process ,0302 clinical medicine ,Ulnar fractures ,medicine.anatomical_structure ,Humans ,Medicine ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Olecranon Process ,business ,Sigmoid notch - Abstract
The olecranon process, coronoid process, and greater sigmoid notch are important components of the complex proximal ulna. Along with providing bony stability to the ulnohumeral joint, the proximal ulna serves as the attachment site of many important muscles and ligaments that impart soft tissue stability to the elbow joint. Management of proximal ulnar fractures continues to evolve as advances in imaging and anatomic and biomechanical studies have led to improvements in available implants; however, controversies remain, as shown in the current relevant literature.
- Published
- 2017
10. Brachioradialis Tendon Coverage in Volar Distal Radius Plating
- Author
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John W. Karl, James H. Calandruccio, Nicholas B. Jew, Robert J. Strauch, and Evan Trupia
- Subjects
musculoskeletal diseases ,Novel technique ,medicine.medical_specialty ,Palmar Plate ,030230 surgery ,Tendons ,Fracture Fixation, Internal ,03 medical and health sciences ,Fixation (surgical) ,0302 clinical medicine ,Tendon Injuries ,Fracture fixation ,Bone plate ,medicine ,Humans ,Orthopedics and Sports Medicine ,Rupture ,030222 orthopedics ,Flexor tendon ,business.industry ,Patient Selection ,musculoskeletal system ,Surgery ,Tendon ,body regions ,medicine.anatomical_structure ,Brachioradialis tendon ,Radius Fractures ,business ,Bone Plates - Abstract
Volar plate fixation of unstable distal radius fractures has become the preferred technique by most surgeons for the operative treatment of displaced distal radius fractures. Flexor tendon rupture is a rare but serious complication associated with this operation that is thought to be due to irritation of the flexor tendons over the prominent distal edge of the plate. We describe a novel technique of using the brachioradialis tendon to cover the distal edge of the plate to help prevent tendon irritation and rupture.
- Published
- 2016
11. Arthritis of the Thumb Interphalangeal and Finger Distal Interphalangeal Joint
- Author
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William J. Weller, John C. Wu, Peter R. Henning, James H. Calandruccio, and Colin W. Swigler
- Subjects
musculoskeletal diseases ,Adult ,medicine.medical_treatment ,Arthrodesis ,Arthritis ,Thumb ,Distal interphalangeal joint ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Finger Joint ,Osteoarthritis ,medicine ,Humans ,Orthopedics and Sports Medicine ,Aged ,Orthodontics ,Aged, 80 and over ,030222 orthopedics ,business.industry ,Age Factors ,030229 sport sciences ,Middle Aged ,medicine.disease ,Arthroplasty ,Fixation method ,medicine.anatomical_structure ,Treatment Outcome ,Interphalangeal Joint ,business - Abstract
The distal interphalangeal (DIP) joints are subjected to the highest joint forces in the hand, and at least 60% of individuals older than age 60 years have DIP joint arthritis. Debridement of degenerative distal interphalangeal joints with mild to moderate disease can provide satisfactory outcomes; however, those joints with more severe angular and rotation changes are reliably treated with fusions. Regardless of the fixation method, DIP fusions have high success rates, are well tolerated, and are extremely durable.
- Published
- 2019
12. Evaluation and Management of Scaphoid-Trapezium-Trapezoid Joint Arthritis
- Author
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John C. Wu and James H. Calandruccio
- Subjects
Weakness ,medicine.medical_specialty ,medicine.medical_treatment ,Arthrodesis ,Arthritis ,Wrist ,03 medical and health sciences ,Grip strength ,0302 clinical medicine ,Degenerative disease ,Osteoarthritis ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Orthopedic Procedures ,Reduction (orthopedic surgery) ,Aged, 80 and over ,Scaphoid Bone ,030222 orthopedics ,Incidental Findings ,Carpal Joints ,business.industry ,Disease Management ,030229 sport sciences ,medicine.disease ,Arthroplasty ,Surgery ,medicine.anatomical_structure ,Trapezium Bone ,Treatment Outcome ,Trapezoid Bone ,medicine.symptom ,business - Abstract
Degenerative arthritis at the articulation of the scaphoid, trapezium, and trapezoid (STT or triscaphe joint) is a common degenerative disease of the wrist. Pain and weakness with grip strength reduction and functional limitations when performing routine daily tasks are common complaints of patients with STT arthritis. Initial conservative treatments for STT arthritis include splinting, bracing, activity modification, anti-inflammatory medication, and steroid injections for pain relief. Failure of conservative treatment is the main indication for surgery, which may include distal scaphoid excision, with or without filling of the void after excision, trapeziectomy, STT arthrodesis, or STT implant arthroplasty.
- Published
- 2019
13. Open Treatment of Medial Epicondylitis
- Author
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James H. Calandruccio and Murphy M. Steiner
- Subjects
medicine.medical_specialty ,business.industry ,Epicondylitis ,medicine ,Open treatment ,medicine.disease ,business ,Surgery - Published
- 2019
14. Contributors
- Author
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Adham A. Abdelfattah, Julie E. Adams, Christopher S. Ahmad, Raj M. Amin, James R. Andrews, John M. Apostolakos, Robert A. Arciero, April D. Armstrong, Robert M. Baltera, Mark E. Baratz, Jonathan Barlow, Louis U. Bigliani, Julie Bishop, Pascal Boileau, Aydin Budeyri, Wayne Z. Burkhead, Paul J. Cagle, James H. Calandruccio, Jake Calcei, R. Bruce Canham, Jue Cao, Neal C. Chen, Kaitlyn Christmas, Tyson Cobb, Mark S. Cohen, Edward V. Craig, Lynn A. Crosby, Alexander B. Dagum, Allen Deutsch, Christopher C. Dodson, Edward Donley, Jason D. Doppelt, Christopher J. Dy, George S.M. Dyer, Benton A. Emblom, Vahid Entezari, Brandon J. Erickson, John M. Erickson, Evan L. Flatow, Christina Freibott, Matthew J. Furey, Leesa M. Galatz, Andrew Green, Jeffrey A. Greenberg, Alicia K. Harrison, Robert U. Hartzler, Taku Hatta, Joseph P. Iannotti, Oduche R. Igboechi, John V. Ingari, Eiji Itoi, Kristopher J. Jones, Jesse B. Jupiter, Nami Kazemi, W. Ben Kibler, Graham J.W. King, Toshio Kitamura, Steven M. Koehler, Zinon T. Kokkalis, Marc S. Kowalsky, Sumant G. Krishnan, John E. Kuhn, Donald H. Lee, William N. Levine, Eddie Y. Lo, Lauren M. MacCormick, Leonard C. Macrina, Chad J. Marion, Jed I. Maslow, Augustus D. Mazzocca, Jesse Alan McCarron, George M. McCluskey, Patrick J. McMahon, Steven W. Meisterling, Mark A. Mighell, Anthony Miniaci, Anand M. Murthi, Surena Namdari, Thomas Naslund, Andrew S. Neviaser, Robert J. Neviaser, Michael J. O’Brien, Stephen J. O’Brien, Jason Old, Victor A. Olujimi, A. Lee Osterman, Georgios N. Panagopoulos, Rick F. Papandrea, Loukia K. Papatheodorou, Ryan A. Paul, William Thomas Payne, Christine C. Piper, Matthew L. Ramsey, Lee M. Reichel, Herbert Resch, Eric T. Ricchetti, David Ring, Chris Roche, Anthony A. Romeo, Melvin Paul Rosenwasser, David S. Ruch, Vikram M. Sampath, Javier E. Sanchez, Michael G. Saper, Felix H. Savoie, Andrew Schannen, Bradley S. Schoch, Robert J. Schoderbek, Aaron Sciascia, William H. Seitz, Jon K. Sekiya, Anup A. Shah, Evan J. Smith, Mia Smucny, David H. Sonnabend, Dean G. Sotereanos, John W. Sperling, Murphy M. Steiner, Scott P. Steinmann, Laura Stoll, Robert J. Strauch, Mark Tauber, Samuel A. Taylor, Richard J. Tosti, Katie B. Vadasdi, Danica D. Vance, Peter S. Vezeridis, Russell F. Warren, Jeffry T. Watson, Neil J. White, Gerald R. Williams, Megan R. Wolf, Scott W. Wolfe, Nobuyuki Yamamoto, Allan A. Young, Bertram Zarins, and Helen Zitkovsky
- Published
- 2019
15. Thumb Ligament Injuries in the Athlete
- Author
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F. Patterson Owings, James H. Calandruccio, and Benjamin M. Mauck
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Thumb ,Metacarpophalangeal Joint ,03 medical and health sciences ,0302 clinical medicine ,Carpometacarpal joint ,Intervention (counseling) ,medicine ,Humans ,Orthopedics and Sports Medicine ,030222 orthopedics ,Rehabilitation ,business.industry ,Incidence ,Hand Injuries ,Collateral Ligaments ,030229 sport sciences ,Metacarpophalangeal joint ,United States ,body regions ,Splints ,medicine.anatomical_structure ,Falling (accident) ,Athletes ,Athletic Injuries ,Physical therapy ,Ligament ,medicine.symptom ,business ,human activities - Abstract
Hand injuries account for up to 15% of sports injuries and are common in contact sports and in sports with a high risk of falling. Appropriate management requires knowledge of the type of injury, demands of the sport and position, competitive level of the athlete, future athletic demands and expectations, and the role of rehabilitation and protective splints for return to play. Management of the athlete requires aggressive and expedient diagnostic intervention and treatment. This article describes ligamentous injuries to the thumb, including thumb carpometacarpal dislocations, thumb metacarpophalangeal dislocations, collateral ligament injuries and interphalangeal dislocations, their evaluation, treatment and outcomes.
- Published
- 2016
16. A mechanical and histologic comparative study of the effect of saline, steroid, autologous blood, and platelet-rich plasma on collagenase-induced Achilles tendinopathy in a rat model
- Author
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Richard A. Smith, Byron F. Stephens, Andrew J. Wodowski, James H. Calandruccio, and Tyler A. Cannon
- Subjects
medicine.medical_specialty ,Pathology ,business.industry ,medicine.medical_treatment ,Autologous blood ,Rat model ,General Medicine ,medicine.disease ,Surgery ,Steroid ,Platelet-rich plasma ,Collagenase ,Medicine ,Tendinopathy ,business ,Saline ,medicine.drug - Published
- 2015
17. Hand Surgery in the Ambulatory Surgery Center
- Author
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Norfleet B. Thompson and James H. Calandruccio
- Subjects
030222 orthopedics ,Inadequate pain control ,medicine.medical_specialty ,business.industry ,Outpatient surgery ,Hand surgery ,030230 surgery ,Wrist ,Hand ,Ambulatory Care Facilities ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Ambulatory Surgical Procedures ,Ambulatory ,medicine ,Humans ,Orthopedics and Sports Medicine ,Robotic surgery ,Orthopedic Procedures ,medicine.symptom ,Complication ,business ,Postoperative nausea and vomiting - Abstract
Outpatient surgery, especially in free-standing ambulatory surgery centers (ASC), provides a safe, cost-effective option for a variety of surgical procedures and has become the preferred choice over inpatient and hospital-based outpatient surgery for most hand and wrist procedures. Complication rates after ASC hand surgery are low (0.2%-2.5%). Patient dissatisfaction with ASC surgery is primarily associated with postoperative nausea and vomiting and inadequate pain control.
- Published
- 2017
18. Use of Wide-awake Local Anesthesia No Tourniquet in Hand and Wrist Surgery
- Author
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Murphy M. Steiner and James H. Calandruccio
- Subjects
medicine.medical_specialty ,Wrist surgery ,Postoperative recovery ,030230 surgery ,Wrist ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Clinical Protocols ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Local anesthesia ,Orthopedic Procedures ,030222 orthopedics ,Tourniquet ,business.industry ,Hand surgery ,Tourniquets ,Hand ,Surgery ,medicine.anatomical_structure ,Anesthesia ,Hospital admission ,business ,Anesthesia, Local - Abstract
WALANT (wide-awake local anesthesia no tourniquet) appears to be a safe and effective anesthesia technique for many hand and wrist surgeries. Patient satisfaction is high because of the avoidance of preoperative testing and hospital admission. Postoperative recovery is rapid, and procedures can be done in outpatient settings, resulting in substantial savings in time and money.
- Published
- 2017
19. Controversies in Fracture Care, An Issue of Orthopedic Clinics
- Author
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Frederick M. Azar, James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, John C. Weinlein, Frederick M. Azar, James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, and John C. Weinlein
- Subjects
- Fractures
- Abstract
This issue of Orthopedic Clinics will cover controversies in fracture care. Orthopedic fractures are a common daily acute health issue and this issue will include everything from timing of debridement in open fracture treatment, to use of bone graft substitutes.
- Published
- 2017
20. Biologic Approaches to Problems of the Hand and Wrist
- Author
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James H. Calandruccio and Murphy M. Steiner
- Subjects
medicine.medical_specialty ,Osteoarthritis ,Wrist ,Bone morphogenetic protein ,Radial fractures ,03 medical and health sciences ,0302 clinical medicine ,Kienbock Disease ,medicine ,Humans ,Orthopedics and Sports Medicine ,Tendon healing ,030203 arthritis & rheumatology ,Fracture Healing ,030222 orthopedics ,business.industry ,Platelet-Rich Plasma ,Hand Injuries ,medicine.disease ,Wrist Injuries ,Surgery ,Clinical trial ,Biological Therapy ,medicine.anatomical_structure ,Orthopedics ,Bone Morphogenetic Proteins ,Animal studies ,business - Abstract
Orthobiologics are not used as frequently in the hand and wrist as in other sites. The most frequently reported is the use of bone morphogenetic protein for the treatment of Kienbock disease. Animal studies have described improved tendon healing with the use of platelet-rich plasma (PRP), but no clinical studies have confirmed these results. PRP has been reported to produce improvements in the outcomes of distal radial fractures and osteoarthritis of the trapeziometacarpal in small numbers of patients. The use of orthobiologics in the hand and wrist are promising, but clinical trials are necessary to establish efficacy and safety.
- Published
- 2017
21. Autologous Blood and Platelet-Rich Plasma Injections for Treatment of Lateral Epicondylitis
- Author
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James H. Calandruccio and Murphy M. Steiner
- Subjects
medicine.medical_specialty ,Autologous blood ,Elbow pain ,Conservative Treatment ,Autologous blood injection ,Injections ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Tennis elbow ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Rest (music) ,030222 orthopedics ,Nonsteroidal ,business.industry ,Platelet-Rich Plasma ,Epicondylitis ,Tennis Elbow ,030229 sport sciences ,medicine.disease ,Surgery ,Treatment Outcome ,chemistry ,Platelet-rich plasma ,business - Abstract
Lateral epicondylitis (tennis elbow) is a frequent cause of elbow pain; most patients (80%-90%) are successfully treated with standard nonoperative methods (rest, nonsteroidal anti-inflammatory drugs, bracing, and physical therapy). Autologous blood injections and platelet-rich plasma injections are the two most frequently used orthobiologic techniques in the treatment of lateral epicondylitis. Studies of the effectiveness of autologous blood injections and platelet-rich plasma report varying outcomes, some citing significant clinical relief and others reporting no beneficial effect. More research is needed to determine how to best use orthobiologics in the treatment of lateral epicondylitis.
- Published
- 2017
22. Tenosynovial chondromatosis of the long finger
- Author
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Craig W. Denlinger and James H. Calandruccio
- Subjects
medicine.medical_specialty ,business.industry ,medicine ,Chondromatosis ,General Medicine ,Radiology ,business - Published
- 2014
23. Sports-Related Injuries, An Issue of Orthopedic Clinics
- Author
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James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, John C. Weinlein, James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, and John C. Weinlein
- Abstract
This issue of Orthopedic Clinics will focus on sports-related injuries. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.
- Published
- 2016
24. Orthopedic Urgencies and Emergencies, An Issue of Orthopedic Clinics
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James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, John C. Weinlein, James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, and John C. Weinlein
- Abstract
This issue of Orthopedic Clinics will focus on orthopedic urgencies and emergencies. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.
- Published
- 2016
25. Common Complications in Orthopedics, An Issue of Orthopedic Clinics
- Author
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James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, John C. Weinlein, James H. Calandruccio, Benjamin J. Grear, Benjamin M. Mauck, Jeffrey R. Sawyer, Patrick C. Toy, and John C. Weinlein
- Subjects
- Orthopedic surgery, Arthroplasty, Surgery--Complications
- Abstract
This issue of Orthopedic Clinics will focus on the most common complications that arise in orthopedic surgery. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.
- Published
- 2016
26. A COMPARISON OF WORKERS' COMPENSATION PATIENTS AND NONWORKERS' COMPENSATION PATIENTS UNDERGOING ENDOSCOPIC CARPAL TUNNEL RELEASE
- Author
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John R. Crockarell, James H. Calandruccio, Marianne V. Merritt, Scott F.M. Duncan, and Ryosuke Kakinoki
- Subjects
Adult ,Male ,medicine.medical_specialty ,business.industry ,Electrodiagnosis ,Compensation (psychology) ,Significant difference ,Workers' compensation ,General Medicine ,Middle Aged ,Return to work ,Carpal Tunnel Syndrome ,Endoscopic carpal tunnel release ,Surgery ,Arthroscopy ,Young Adult ,Postoperative Complications ,Treatment Outcome ,Patient Satisfaction ,Humans ,Workers' Compensation ,Medicine ,Female ,business ,Aged - Abstract
This study compares results of endoscopic carpal tunnel release using the two-portal technique in two groups of patients based on whether or not they were receiving workers' compensation. There were 50 patients in the worker's compensation group and 63 in the nonworker's compensation group. Mean follow-up was 40.8 months and 44.8 months, respectively. Duration of symptoms before surgery was statistically different in the two groups, 13.6 months in the worker's compensation groups compared to 26.2 months in the nonworker's compensation group. Worker's compensation patients tended to be younger, have shorter duration of symptoms before surgery, report lower postoperative activity levels, have more subsequent surgeries, and have mediocre results when compared to nonworker's compensation patients. There was no statistically significant difference in the rate or timing of return to work. Our series of 113 patients who had endoscopic carpal tunnel release indicates that careful patient selection is necessary to achieve satisfactory outcomes in worker's compensation patients.
- Published
- 2010
27. Autologous blood injections for refractory lateral epicondylitis
- Author
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James H. Calandruccio and Scott G. Edwards
- Subjects
Adult ,Male ,medicine.medical_specialty ,Blood transfusion ,medicine.medical_treatment ,Tendinosis ,Injections ,Autologous blood injection ,Blood Transfusion, Autologous ,medicine ,Tennis elbow ,Humans ,Orthopedics and Sports Medicine ,Prospective Studies ,Prospective cohort study ,Aged ,Pain Measurement ,business.industry ,Epicondylitis ,Tennis Elbow ,Middle Aged ,medicine.disease ,Extensor carpi radialis brevis muscle ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Upper limb ,Female ,business - Abstract
Purpose: Most nonsurgical treatments for lateral epicondylitis have focused on suppressing an inflammatory process that does not actually exist in conditions of tendinosis. An injection of autologous blood might provide the necessary cellular and humoral mediators to induce a healing cascade. The purpose of this study was to evaluate prospectively the results of refractory lateral epicondylitis treated with autologous blood injections. Method: Twenty-eight patients with lateral epicondylitis were injected with 2 mL of autologous blood under the extensor carpi radialis brevis. All patients had failed previous nonsurgical treatments including all or combinations of physical therapy, splinting, nonsteroidal anti-inflammatory medication, and prior steroid injections. Patients kept personal logs and rated their pain (0-10) and categorized themselves according to Nirschl staging (0-7) daily. Results: The average follow-up period was 9.5 months (range, 6-24 mo). After autologous blood injections the average pain score decreased from 7.8 to 2.3. The average Nirschl stage decreased from 6.5 to 2.0. For the 9 patients receiving more than one blood injection the mean pain score and Nirschl stage before injection were 7.2 and 6.6, respectively. After the second blood injection the pain and Nirschl scores were both 0.9. Two patients received a third blood injection that brought both pain and Nirschl scores to 0. Conclusions: After autologous blood injection therapy 22 patients (79%) in whom nonsurgical modalities had failed were relieved completely of pain even during strenuous activity. This study offers encouraging results of an alternative minimally invasive treatment that addresses the pathophysiology of lateral epicondylitis that has failed traditional nonsurgical modalities. (J Hand Surg 2003;28A:272-278. Copyright © 2003 by the American Society for Surgery of the Hand.)
- Published
- 2003
28. Lee Watson Milford, MD June 13, 1922-November 22, 2013
- Author
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James H. Calandruccio
- Subjects
business.industry ,Watson ,Environmental ethics ,History, 20th Century ,Hand ,History, 21st Century ,United States ,Orthopedics ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Surgery ,Theology ,business - Published
- 2014
29. Proximal row carpectomy
- Author
-
James H. Calandruccio
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Fossa ,biology ,business.industry ,Scapholunate ligament ,Wrist ,biology.organism_classification ,medicine.disease ,Watson's test ,Proximal row carpectomy ,Surgery ,body regions ,Lunate ,Grip strength ,medicine.anatomical_structure ,Rheumatoid arthritis ,medicine ,business - Abstract
Excision of the proximal carpal row has proven over the past 60 years to be an effective technique for certain disorders of the wrist, including degenerative sequelae of scapholunate ligament dissociation and scaphoid nonunions, Kienbock disease, Preisser disease, and other fracture-dislocations of the wrist. The durability of this procedure may be due to remodeling of the capitate head to the lunate fossa. Poor results have been noted in patients with rheumatoid arthritis and arthrogrypotic wrist deformities. Preservation of relatively normal cartilage of the capitate head as well as the lunate fossa is critical for success of this procedure. Average outcomes of this procedure include a wrist extension-flexion arc of 75° and grip strength of 60% of the uninvolved wrist. Revision to total wrist arthrodesis is required in 10% of patients. Approximately 90% have pain relief and can return to moderate use activity. Copyright © 2001 by the American Society for Surgery of the Hand
- Published
- 2001
30. Isolated Nondisplaced Capitate Waist Fracture Diagnosed by Magnetic Resonance Imaging
- Author
-
James H. Calandruccio and Scott F.M. Duncan
- Subjects
Adult ,Male ,medicine.medical_specialty ,Waist ,medicine.diagnostic_test ,business.industry ,Radiography ,Magnetic resonance imaging ,Magnetic Resonance Imaging ,Fracture displacement ,Capitate bone ,Surgery ,Fractures, Bone ,medicine.anatomical_structure ,Fracture (geology) ,medicine ,Humans ,Upper limb ,Orthopedics and Sports Medicine ,Plain radiographs ,Radiology ,business ,Carpal Bones - Abstract
Isolated capitate fractures are rare and may be underdiagnosed, especially when fracture displacement is minimal or absent. Our case report of a nondisplaced capitate waist fracture exemplifies the need for careful evaluation because initial plain radiographs were considered normal and appropriate treatment was delayed. This report also documents the use of magnetic resonance imaging in diagnosing such fractures.
- Published
- 1999
31. Arthritic Hand
- Author
-
James H. Calandruccio
- Published
- 2013
32. Carpal Tunnel Syndrome, Ulnar Tunnel Syndrome, and Stenosing Tenosynovitis
- Author
-
James H. Calandruccio
- Subjects
medicine.medical_specialty ,business.industry ,Ulnar tunnel syndrome ,medicine ,Stenosing tenosynovitis ,medicine.disease ,Carpal tunnel syndrome ,business ,Surgery - Published
- 2013
33. Contributors
- Author
-
Mayra Saborio Amiran, James R. Andrews, Danny Arora, Babak Barcohana, Mark T. Bastan, Clive E. Brewster, Andrew A. Brooks, Tom Burton, Adam Cabalo, James H. Calandruccio, Robert Cantu, Erin Carr, Diane Coker, Kyle Coker, Steven L. Cole, Benjamin Cornell, Curtis A. Crimmins, Linda de Haas, Rick B. Delamarter, Robert Donatelli, Daniel A. Farwell, Richard D. Ferkel, Morgan L. Fones, Jonathan E. Fow, Freddie H. Fu, Ralph A. Gambardella, Joshua Gerbert, Mark Ghilarducci, Eric Giza, Patricia A. Gray, Jane Gruber, Carlos A. Guanche, Will Hall, Karen Hambly, Timothy Hartshorn, George F. Rick Hatch, Eric S. Honbo, Chris Izu, Reza Jazayeri, Richard Joreitz, Kelly Akin Kaye, Paul D. Kim, Linda J. Klein, Graham Linck, Kristen G. Lowrance, Jim Magnusson, Bert R. Mandelbaum, Joel M. Matta, Lisa Maxey, Neil McKenna, Kai Mithoefer, Erica V. Pablo, David Pakozdi, Mark R. Phillips, Haideh V. Plock, Luga Podesta, Ben B. Pradhan, Edward Pratt, Christine Prelaz, Brian E. Prell, Michael M. Reinold, Michael D. Ries, Diane R. Schwab, Jessie Scott, Chris A Sebelski, Holly J. Silvers, Paul Slosar, Renee Songer, Jason A. Steffe, Derrick G. Sueki, Steven R. Tippett, Timothy F. Tyler, Kevin E. Wilk, Julie Wong, James Zachazewski, Boris A. Zelle, and Craig Zeman
- Published
- 2013
34. Contributors
- Author
-
William E. Albers, Frederick M. Azar, James H. Beaty, James H. Calandruccio, Francis X. Camillo, S. Terry Canale, David L. Cannon, Kevin B. Cleveland, Andrew H. Crenshaw, John R. Crockarell, Gregory D. Dabov, Raymond J. Gardocki, James L. Guyton, James W. Harkess, Robert K. Heck, Susan N. Ishikawa, Mark T. Jobe, Derek M. Kelly, David G. Lavelle, Santos F. Martinez, Anthony A. Mascioli, Marc J. Mihalko, William W. Mihalko, Robert H. Miller, G. Andrew Murphy, Ashley L. Park, Edward A. Perez, Barry B. Phillips, David R. Richardson, E. Greer Richardson, Matthew I. Rudloff, Jeffrey R. Sawyer, Thomas W. Throckmorton, Patrick C. Toy, William C. Warner, John C. Weinlein, A. Paige Whittle, Keith D. Williams, Dexter H. Witte, and George W. Wood
- Published
- 2013
35. Extensor Brevis Release and Lateral Epicondylectomy
- Author
-
James H. Calandruccio, Kelly Akin Kaye, and Kristen G. Lowrance
- Subjects
business.industry ,Medicine ,business - Published
- 2013
36. Fractures, Dislocations, and Ligamentous Injuries
- Author
-
James H. Calandruccio
- Published
- 2013
37. Orthopedic Urgencies and Emergencies
- Author
-
James H. Calandruccio, Benjamin M. Mauck, Patrick C. Toy, Jeffrey R. Sawyer, Benjamin J. Grear, and John C. Weinlein
- Subjects
medicine.medical_specialty ,business.industry ,Orthopedic surgery ,medicine ,Orthopedics and Sports Medicine ,Medical emergency ,medicine.disease ,business - Published
- 2016
38. Common Complications in Orthopedics
- Author
-
John C. Weinlein, Jeffrey R. Sawyer, Benjamin M. Mauck, Patrick C. Toy, James H. Calandruccio, and Benjamin J. Grear
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,Orthopedic surgery ,Medicine ,Orthopedics and Sports Medicine ,business - Published
- 2016
39. Reoperative Dupuytren Contracture
- Author
-
James H. Calandruccio and Scott E. Hecox
- Subjects
body regions ,medicine.medical_specialty ,Dissection ,Flexor tendon ,business.industry ,Dupuytren Contracture ,Dupuytren disease ,medicine ,Soft tissue ,Adherent scar ,business ,Surgery - Abstract
Dupuytren disease (DD) is a challenging clinical problem even with primary surgical cases. However, in the face of recurrence, the surgeon is frequently left with a more challenging and complex problem. Soft tissues may be more adherent because of scar formation, and the anatomy may be distorted making identification of structures such as the nerves and vessels more problematic. Furthermore, the flexor pulley system can be damaged while trying to remove some of these recurrent cords and adherent scar risking potential bow-stringing of the flexor tendons. This chapter outlines some of the options for reoperation on recurrent DD. This type of surgery takes not only skill, but extreme patience on the part of the surgeon as the dissection can be quite tedious. Fortunately, patients are usually grateful for the improvement in function that is obtained.
- Published
- 2012
40. Paralytic Hand
- Author
-
James H. Calandruccio and Mark T. Jobe
- Published
- 2008
41. Arthroplasty of the Shoulder and Elbow
- Author
-
James H. Calandruccio and Frederick M. Azar
- Subjects
medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,medicine.medical_treatment ,Elbow ,medicine ,business ,Arthroplasty ,Surgery - Published
- 2008
42. Amputations of the Hand
- Author
-
James H. Calandruccio
- Subjects
business.industry ,Medicine ,business - Published
- 2008
43. Contributors
- Author
-
Frederick M. Azar, James H. Beaty, James H. Calandruccio, Francis X. Camillo, S. Terry Canale, Kevin B. Cleveland, Andrew H. Crenshaw, John R. Crockarell, Patrick M. Curlee, Gregory D. Dabov, Jeffrey A. Dlabach, Barney L. Freeman, Raymond J. Gardocki, James L. Guyton, James W. Harkess, Robert K. Heck, Susan N. Ishikawa, Mark T. Jobe, David G. LaVelle, Santos F. Martinez, Marc J. Mihalko, Robert H. Miller, G. Andrew Murphy, Ashley L. Park, Edward A. Perez, Barry B. Phillips, Robert M. Pickering, David R. Richardson, E. Greer Richardson, Jeffrey R. Sawyer, William C. Warner, A. Paige Whittle, Keith D. Williams, Dexter H. Witte, George W. Wood, and Phillip E. Wright
- Published
- 2008
44. Fractures, Dislocations, and Ligamentous Injuries
- Author
-
Mark T. Jobe and James H. Calandruccio
- Subjects
business.industry ,Medicine ,business - Published
- 2008
45. Tumors and Tumorous Conditions of the Hand
- Author
-
James H. Calandruccio and Mark T. Jobe
- Subjects
business.industry ,Medicine ,business - Published
- 2008
46. Dupuytren Contracture
- Author
-
James H. Calandruccio
- Published
- 2008
47. Hand and Wrist Injuries
- Author
-
Jesse B. Jupiter, S. Brent Brotzman, and James H. Calandruccio
- Subjects
medicine.medical_specialty ,Physical medicine and rehabilitation ,business.industry ,Medicine ,business ,Wrist injury - Published
- 2007
48. Colaboradores
- Author
-
James R. Andrews, David W. Altchek, Bernard R. Bach Jr., Champ L. Baker Jr., Mark Baker, Mark Bohling, Shawn Bonsell, Gae Burchill, Dann C. Byck, and James H. Calandruccio
- Published
- 2005
49. Lesiones de la mano y la muñeca
- Author
-
S. Brent Brotzman, James H. Calandruccio, and Jesse B. Jupiter
- Subjects
business.industry ,Medicine ,business - Published
- 2005
50. MASTERCASES Hand and Wrist Surgery
- Author
-
Thomas Bienz, Randall W. Culp, John C. P. Floyd, Kostas J. Constantine, Allen T. Bishop, Christopher H. Martin, Carole W. Agin, John D. Wyrick, Paul R Greenlaw, Donald M. Lewis, Carrie R. Swigart, Loryn P. Weinstein, Sokratis Varitimidis, Lisa L. Lattanza, Ziv M. Peled, Robert J. Goitz, James H. Calandruccio, Sam Moghtaderi, Thomas R. Kiefhaber, Kevin D. Plancher, Shrika Sharma, James W. Vahey, Kydee K. Sheetz, Steven Z. Glickel, Thomas J. Graham, Philip E. Blazar, Mark R Belsky, Dennis Rodin, Scott H. Kozin, Ann E. Van Heest, James House, Scott Mair, Steven F. Viegas, John Naranja, Dean G. Sotereanos, Richard W. Barth, Jack Abboudi, David S Zelouf, Waldo E. Floyd, Peter M. Waters, Lawrence H. Schneider, Vincent Ruggiero, Stuart H. Kuschner, William B. Geissler, Michael Jablon, Bradley M. Thomas, William K. Feinstein, Lee Osterman, Alexander D. Mih, Andrew E. Caputo, Manuel F. DaSilva, Andrew H. Borom, Earl W. Brien, Shelly M. Sailer, Mark S. Cohen, David B. Siegel, John D. Mahoney, Timothy Luke, David M. Lichtman, Michelle Gerwin Carlson, John M. Olsewski, Leon S. Benson, Andrew L. Haas, Allan E. Peljovich, Joseph F. Slade, John A. Girotto, Benjamin Chang, Rosa L. Dell’Oca, Mark S. Rekant, Amy Ladd, Kirk Watson, Jonathan S. Schreiber, Michael F. Bothwell, Robert M. Szabo, Matthew D. Putman, Eric Freeman, Angela A. Wang, Jerry G. Kaplan, Roberta T. Ciocco, Mark Katz, and Andrew K. Palmer
- Subjects
medicine.medical_specialty ,business.industry ,medicine ,Wrist surgery ,business ,Surgery - Published
- 2004
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