Associate Attending Orthopaedic Surgeon
Dr. Bedford is a fellowship trained Orthopedic Surgeon specializing in the sports medicine. Dr Bedford has presented research and instructional lectures at numerous orthopedic conferences. Additionally he has authored research articles in topics related to orthopedics and sports medicine. He currently performs clinical research at the Nicholas Institute for Sports Medicine and Athletic Trauma (NISMAT) and maintains a special interest in the treatment of throwing athletes, including ligament injuries and cartilage defects. Dr Bedford completed a sports medicine fellowship at the American Sports Medicine Institute in Birmingham, Alabama under the direction of James R. Andrews MD.
More info about Dr Bedford from his medical practice at New York Orthopedics…
Research Authored by Dr Bedford
2488608
S56ZU2DB
Bedford
1
apa
50
creator
desc
year
1
1
175
https://nismat.org/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22GXCI8UYA%22%2C%22library%22%3A%7B%22id%22%3A2488608%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Yaari%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BYaari%2C%20L.%20S.%2C%20Nicholas%2C%20S.%20J.%2C%20Bedford%2C%20B.%20B.%2C%20Mendez-Zfass%2C%20M.%20S.%2C%20Hogan%2C%20D.%20E.%2C%20Haviv%2C%20B.%2C%20%26amp%3B%20McHugh%2C%20M.%20P.%20%282023%29.%20Influence%20of%20Pain%20Sensitivity%20on%20Surgical%20Outcomes%20of%20Arthroscopic%20Rotator%20Cuff%20Repair%3A%20A%20Prospective%20Cohort%20Study.%20%26lt%3Bi%26gt%3BThe%20American%20Journal%20of%20Sports%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B51%26lt%3B%5C%2Fi%26gt%3B%2814%29%2C%203802%26%23x2013%3B3809.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F03635465231208113%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F03635465231208113%26lt%3B%5C%2Fa%26gt%3B%20%26lt%3Ba%20title%3D%26%23039%3BCite%20in%20RIS%20Format%26%23039%3B%20class%3D%26%23039%3Bzp-CiteRIS%26%23039%3B%20data-zp-cite%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bitem_key%3DGXCI8UYA%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BCite%26lt%3B%5C%2Fa%26gt%3B%20%20%26lt%3Ba%20title%3D%26%23039%3BDownload%26%23039%3B%20class%3D%26%23039%3Bzp-DownloadURL%20zp-getDownloadURL%26%23039%3B%20data-zp-dl%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bdlkey%3DWV6WF68B%26amp%3Bcontent_type%3Dapplication%5C%2Fpdf%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BDownload%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Influence%20of%20Pain%20Sensitivity%20on%20Surgical%20Outcomes%20of%20Arthroscopic%20Rotator%20Cuff%20Repair%3A%20A%20Prospective%20Cohort%20Study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lee%20Shaul%22%2C%22lastName%22%3A%22Yaari%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephen%20J.%22%2C%22lastName%22%3A%22Nicholas%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20B.%22%2C%22lastName%22%3A%22Bedford%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Matthew%20S.%22%2C%22lastName%22%3A%22Mendez-Zfass%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniel%20E.%22%2C%22lastName%22%3A%22Hogan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Barak%22%2C%22lastName%22%3A%22Haviv%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Malachy%20P.%22%2C%22lastName%22%3A%22McHugh%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20Pain%20Sensitivity%20Questionnaire%20%28PSQ%29%20has%20been%20found%20to%20be%20a%20valid%20tool%2C%20and%20PSQ%20scores%20have%20been%20shown%20to%20be%20predictive%20of%20outcomes%20after%20surgery%20for%20lumbar%20stenosis.%20The%20effect%20of%20pain%20sensitivity%20on%20outcomes%20of%20rotator%20cuff%20repair%20%28RCR%29%20surgery%20has%20not%20been%20examined.%5CnHYPOTHESIS%3A%20PSQ%20scores%20would%20be%20associated%20with%20surgical%20outcomes%20after%20arthroscopic%20RCR%20surgery.%5CnSTUDY%20DESIGN%3A%20Cohort%20study%3B%20Level%20of%20evidence%2C%202.%5CnMETHODS%3A%20Patients%2018%20to%2080%20years%20old%20scheduled%20for%20RCR%20were%20consecutively%20enrolled.%20Patients%20with%20glenohumeral%20arthritis%20grade%20%5Cu22652%20or%20RCR%20revision%20surgery%20were%20excluded.%20PSQ%20was%20completed%20preoperatively.%20The%20Disabilities%20of%20the%20Arm%2C%20Shoulder%20and%20Hand%20score%20and%20American%20Shoulder%20and%20Elbow%20Surgeons%20score%20were%20used%20as%20patient-reported%20outcome%20measurements%20%28PROMs%29%2C%20and%20visual%20analog%20scale%20pain%20score%20was%20documented%20as%20well.%20Active%20shoulder%20external%20rotation%20%28ER%29%2C%20internal%20rotation%2C%20and%20anterior%20forward%20elevation%20range%20of%20motion%20%28ROM%29%20were%20recorded.%20PROMs%20and%20ROM%20measurements%20were%20recorded%20preoperatively%20and%20at%203%20months%2C%206%20months%2C%20and%201%20year%20after%20surgery.%20Rotator%20cuff%20tear%20size%2C%20type%20of%20repair%2C%20and%20concomitant%20procedures%20were%20documented.%20Patients%20were%20classified%20as%20having%20high%20or%20normal%20pain%20sensitivity%20based%20on%20PSQ%20scores.%5CnRESULTS%3A%20Of%20100%20enrolled%20patients%2C%2038%20patients%20were%20classified%20as%20having%20high%20pain%20sensitivity.%20Patients%20with%20high%20pain%20sensitivity%20had%20worse%20American%20Shoulder%20and%20Elbow%20Surgeons%20and%20Disabilities%20of%20the%20Arm%2C%20Shoulder%20and%20Hand%20scores%20preoperatively%2C%206%20months%20postoperatively%2C%20and%201%20year%20postoperatively%20%28P%20%26lt%3B%20.01%29.%20From%20the%20preoperative%20assessment%20to%203%20months%20postoperatively%2C%20PROMs%20improved%20more%20in%20patients%20with%20high%20versus%20normal%20pain%20sensitivity.%20However%2C%20for%20patients%20with%20high%20pain%20sensitivity%2C%20PROMs%20plateaued%20after%203%20months%20but%20continued%20to%20improve%20for%20patients%20with%20normal%20pain%20sensitivity%20%28P%20%26lt%3B%20.01%29.%20Visual%20analog%20scale%20pain%20scores%20were%20higher%20at%20all%20time%20points%20for%20patients%20with%20high%20pain%20sensitivity%20%28P%20%26lt%3B%20.05%29.%20Preoperatively%2C%20patients%20with%20high%20pain%20sensitivity%20had%20restricted%20active%20ROM%20compared%20with%20patients%20who%20had%20normal%20pain%20sensitivity%20for%20anterior%20forward%20elevation%2C%20ER%2C%20and%20internal%20rotation%20%28P%20%3D%20.009%2C%20P%20%3D%20.012%2C%20and%20P%20%3D%20.006%2C%20respectively%29.%20By%201%20year%20after%20surgery%2C%20ER%20ROM%20was%20still%20restricted%20in%20patients%20with%20high%20pain%20sensitivity.%5CnCONCLUSION%3A%20Pain%20sensitivity%20is%20an%20important%20factor%20influencing%20RCR%20outcomes.%20Patients%20with%20high%20pain%20sensitivity%20undergoing%20RCR%20showed%20less%20improvement%20in%20active%20ROM%20and%20worse%20PROMs%20after%20surgery%20compared%20with%20patients%20who%20had%20normal%20pain%20sensitivity.%20Preoperative%20PSQ%20may%20predict%20postoperative%20improvements.%22%2C%22date%22%3A%222023-12%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1177%5C%2F03635465231208113%22%2C%22ISSN%22%3A%221552-3365%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22S56ZU2DB%22%5D%2C%22dateModified%22%3A%222023-12-14T19%3A38%3A07Z%22%7D%7D%2C%7B%22key%22%3A%22WSUZHB7M%22%2C%22library%22%3A%7B%22id%22%3A2488608%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Walters%20et%20al.%22%2C%22parsedDate%22%3A%222018%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BWalters%2C%20B.%20L.%2C%20Porter%2C%20D.%20A.%2C%20Hobart%2C%20S.%20J.%2C%20Bedford%2C%20B.%20B.%2C%20Hogan%2C%20D.%20E.%2C%20McHugh%2C%20M.%20M.%2C%20Klein%2C%20D.%20A.%2C%20Harousseau%2C%20K.%2C%20%26amp%3B%20Nicholas%2C%20S.%20J.%20%282018%29.%20Effect%20of%20Intraoperative%20Platelet-Rich%20Plasma%20Treatment%20on%20Postoperative%20Donor%20Site%20Knee%20Pain%20in%20Patellar%20Tendon%20Autograft%20Anterior%20Cruciate%20Ligament%20Reconstruction%3A%20A%20Double-Blind%20Randomized%20Controlled%20Trial.%20%26lt%3Bi%26gt%3BThe%20American%20Journal%20of%20Sports%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B46%26lt%3B%5C%2Fi%26gt%3B%288%29%2C%201827%26%23x2013%3B1835.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F0363546518769295%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F0363546518769295%26lt%3B%5C%2Fa%26gt%3B%20%26lt%3Ba%20title%3D%26%23039%3BCite%20in%20RIS%20Format%26%23039%3B%20class%3D%26%23039%3Bzp-CiteRIS%26%23039%3B%20data-zp-cite%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bitem_key%3DWSUZHB7M%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BCite%26lt%3B%5C%2Fa%26gt%3B%20%20%26lt%3Ba%20title%3D%26%23039%3BDownload%26%23039%3B%20class%3D%26%23039%3Bzp-DownloadURL%20zp-getDownloadURL%26%23039%3B%20data-zp-dl%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bdlkey%3DRP9SJWKQ%26amp%3Bcontent_type%3Dapplication%5C%2Fpdf%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BDownload%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Effect%20of%20Intraoperative%20Platelet-Rich%20Plasma%20Treatment%20on%20Postoperative%20Donor%20Site%20Knee%20Pain%20in%20Patellar%20Tendon%20Autograft%20Anterior%20Cruciate%20Ligament%20Reconstruction%3A%20A%20Double-Blind%20Randomized%20Controlled%20Trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brian%20L.%22%2C%22lastName%22%3A%22Walters%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20A.%22%2C%22lastName%22%3A%22Porter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%20J.%22%2C%22lastName%22%3A%22Hobart%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20B.%22%2C%22lastName%22%3A%22Bedford%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniel%20E.%22%2C%22lastName%22%3A%22Hogan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Malachy%20M.%22%2C%22lastName%22%3A%22McHugh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Devon%20A.%22%2C%22lastName%22%3A%22Klein%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kendall%22%2C%22lastName%22%3A%22Harousseau%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephen%20J.%22%2C%22lastName%22%3A%22Nicholas%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Donor%20site%20morbidity%20in%20the%20form%20of%20anterior%20knee%20pain%20is%20a%20frequent%20complication%20after%20bone-patellar%20tendon-bone%20%28BPTB%29%20autograft%20anterior%20cruciate%20ligament%20%28ACL%29%20reconstruction.%20Hypothesis%5C%2FPurpose%3A%20The%20purpose%20was%20to%20examine%20the%20effect%20of%20the%20intraoperative%20administration%20of%20platelet-rich%20plasma%20%28PRP%29%20on%20postoperative%20kneeling%20pain.%20It%20was%20hypothesized%20that%20PRP%20treatment%20would%20reduce%20knee%20pain.%5CnSTUDY%20DESIGN%3A%20Randomized%20controlled%20trial%3B%20Level%20of%20evidence%2C%202.%5CnMETHODS%3A%20Fifty%20patients%20%28mean%20%5Cu00b1%20SD%20age%2C%2030%20%5Cu00b1%2012%20years%29%20undergoing%20BPTB%20ACL%20autograft%20reconstruction%20were%20randomized%20to%20the%20PRP%20%28n%20%3D%2027%29%20or%20sham%20%28n%20%3D%2023%29%20treatment.%20In%20either%20case%2C%2010%20mL%20of%20venous%20blood%20was%20drawn%20before%20the%20induction%20of%20anesthesia%20and%20either%20discarded%20%28sham%29%20or%20processed%20%28PRP%29%20for%20preparation%20of%20a%20PRP%20gel%20to%20be%20later%20mixed%20with%20donor%20site%20bone%20chips%20and%20inserted%20into%20the%20patellar%20defect.%20At%2012%20weeks%2C%206%20months%2C%201%20year%2C%20and%202%20years%20after%20surgery%2C%20patients%20completed%20International%20Knee%20Documentation%20Committee%20%28IKDC%29%20forms%20and%20visual%20analog%20scale%20pain%20scores%20for%20activities%20of%20daily%20living%20and%20kneeling.%20Healing%20indices%20at%20the%20donor%20site%20were%20assessed%20by%20routine%20noncontrast%20magnetic%20resonance%20imaging%20%28MRI%29%20at%206%20months.%20Mixed-model%20analysis%20of%20variance%20was%20used%20to%20assess%20the%20effect%20of%20PRP%20on%20patient%20symptoms%20and%20MRI%20indices%20of%20donor%20site%20healing%2C%20as%20measured%20by%20the%20width%20of%20the%20donor%20site%20defect.%5CnRESULTS%3A%20Kneeling%20pain%2C%20pain%20with%20activities%20of%20daily%20living%2C%20and%20IKDC%20scores%20were%20not%20different%20between%20treatment%20groups%20at%20any%20of%20the%20time%20intervals%20%28%20P%20%3D%20.08-.83%29.%20Kneeling%20pain%20improved%20from%2012%20weeks%20to%206%20months%20and%20from%201%20to%202%20years%20%28%20P%20%26lt%3B%20.05%29.%20IKDC%20scores%20improved%20substantially%20from%2012%20weeks%20to%206%20months%20%28%20P%20%26lt%3B%20.001%29%20and%20continued%20to%20improve%20to%202%20years%20%28PRP%2C%2086%20%5Cu00b1%2019%3B%20sham%2C%2089%20%5Cu00b1%2010%29.%20MRI%20indices%20of%20donor%20site%20healing%20were%20not%20different%20between%20treatment%20groups%20%28%20P%20%3D%20.53-.90%29.%5CnCONCLUSION%3A%20Whether%20randomized%20to%20receive%20PRP%20in%20their%20patellar%20defect%20or%20not%2C%20patients%20continued%20to%20have%20similar%20levels%20of%20kneeling%20pain%20and%20patellar%20defect%20sizes%20after%20autograft%20BPTB%20ACL%20reconstruction.%20Registration%3A%20NCT01765712%20%28%20ClinicalTrials.gov%20identifier%29.%22%2C%22date%22%3A%2207%202018%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1177%5C%2F0363546518769295%22%2C%22ISSN%22%3A%221552-3365%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22S56ZU2DB%22%5D%2C%22dateModified%22%3A%222020-08-01T00%3A34%3A58Z%22%7D%7D%2C%7B%22key%22%3A%2265UX87RD%22%2C%22library%22%3A%7B%22id%22%3A2488608%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Scillia%20et%20al.%22%2C%22parsedDate%22%3A%222023-02%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BScillia%2C%20A.%20J.%2C%20Fasulo%2C%20S.%20M.%2C%20Kurowicki%2C%20J.%2C%20Varghese%2C%20J.%20J.%2C%20%26amp%3B%20Bedford%2C%20B.%20B.%20%282023%29.%20Tommy%20John%3A%20Elbow%20Ulnar%20Collateral%20Ligament%20Allograft%20Reconstruction%20With%20Internal%20Brace.%20%26lt%3Bi%26gt%3BArthroscopy%20Techniques%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B12%26lt%3B%5C%2Fi%26gt%3B%282%29%2C%20e193%26%23x2013%3Be199.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.eats.2022.10.008%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.eats.2022.10.008%26lt%3B%5C%2Fa%26gt%3B%20%26lt%3Ba%20title%3D%26%23039%3BCite%20in%20RIS%20Format%26%23039%3B%20class%3D%26%23039%3Bzp-CiteRIS%26%23039%3B%20data-zp-cite%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bitem_key%3D65UX87RD%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BCite%26lt%3B%5C%2Fa%26gt%3B%20%20%26lt%3Ba%20title%3D%26%23039%3BDownload%26%23039%3B%20class%3D%26%23039%3Bzp-DownloadURL%20zp-getDownloadURL%26%23039%3B%20data-zp-dl%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bdlkey%3DSP7QP98Q%26amp%3Bcontent_type%3Dapplication%5C%2Fpdf%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BDownload%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Tommy%20John%3A%20Elbow%20Ulnar%20Collateral%20Ligament%20Allograft%20Reconstruction%20With%20Internal%20Brace%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anthony%20J.%22%2C%22lastName%22%3A%22Scillia%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sydney%20M.%22%2C%22lastName%22%3A%22Fasulo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jennifer%22%2C%22lastName%22%3A%22Kurowicki%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jeffrey%20J.%22%2C%22lastName%22%3A%22Varghese%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20B.%22%2C%22lastName%22%3A%22Bedford%22%7D%5D%2C%22abstractNote%22%3A%22Injuries%20of%20the%20medial%20ulnar%20collateral%20ligament%20%28UCL%29%20of%20the%20elbow%20have%20previously%20been%20career%20ending%20for%20overhead%20athletes%2C%20with%20gymnasts%20and%20baseball%20pitchers%20being%20highly%20affected.%20The%20majority%20of%20UCL%20injuries%20in%20this%20population%20are%20chronic%2C%20overuse%20injuries%20and%20may%20be%20amenable%20to%20surgical%20intervention.%20The%20original%20reconstruction%20technique%2C%20pioneered%20by%20Dr.%20Frank%20Jobe%20in%201974%2C%20has%20undergone%20many%20modifications%20over%20the%20years.%20Most%20notable%20is%20the%20modified%20Jobe%20technique%20developed%20by%20Dr.%20James%20R.%20Andrews%2C%20which%20has%20resulted%20high%20rates%20of%20return%20to%20play%20and%20increased%20career%20longevity.%20However%2C%20the%20lengthy%20recovery%20time%20is%20still%20problematic.%20As%20a%20way%20to%20address%20the%20lengthy%20recovery%20time%2C%20a%20UCL%20repair%20with%20an%20internal%20brace%20technique%20improved%20the%20time%20to%20return%20to%20play%20but%20has%20limited%20applicability%20to%20the%20young%20patient%20with%20an%20avulsion%20injury%20and%20good%20tissue%20quality.%20Furthermore%2C%20there%20is%20considerable%20variety%20in%20other%20published%20techniques%20including%20surgical%20approach%2C%20repair%2C%20reconstruction%2C%20and%20fixation.%20We%20present%20here%20a%20technique%20for%20a%20muscle%20splitting%2C%20ulnar%20collateral%20ligament%20reconstruction%20with%20allograft%20to%20provide%20collagen%20for%20longevity%20and%20internal%20brace%20for%20immediate%20stability%2C%20early%20rehabilitation%2C%20and%20return%20to%20play.%22%2C%22date%22%3A%222023-02%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.eats.2022.10.008%22%2C%22ISSN%22%3A%222212-6287%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22S56ZU2DB%22%5D%2C%22dateModified%22%3A%222023-06-20T19%3A55%3A27Z%22%7D%7D%2C%7B%22key%22%3A%22LYWLXJMA%22%2C%22library%22%3A%7B%22id%22%3A2488608%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Orishimo%20et%20al.%22%2C%22parsedDate%22%3A%222018-05%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BOrishimo%2C%20K.%20F.%2C%20Schwartz-Balle%2C%20S.%2C%20Tyler%2C%20T.%20F.%2C%20McHugh%2C%20M.%20P.%2C%20Bedford%2C%20B.%20B.%2C%20Lee%2C%20S.%20J.%2C%20%26amp%3B%20Nicholas%2C%20S.%20J.%20%282018%29.%20Can%20Weakness%20in%20End-Range%20Plantar%20Flexion%20After%20Achilles%20Tendon%20Repair%20Be%20Prevented%3F%20%26lt%3Bi%26gt%3BOrthopaedic%20Journal%20of%20Sports%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B6%26lt%3B%5C%2Fi%26gt%3B%285%29%2C%202325967118774031.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F2325967118774031%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F2325967118774031%26lt%3B%5C%2Fa%26gt%3B%20%26lt%3Ba%20title%3D%26%23039%3BCite%20in%20RIS%20Format%26%23039%3B%20class%3D%26%23039%3Bzp-CiteRIS%26%23039%3B%20data-zp-cite%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bitem_key%3DLYWLXJMA%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BCite%26lt%3B%5C%2Fa%26gt%3B%20%20%26lt%3Ba%20title%3D%26%23039%3BDownload%26%23039%3B%20class%3D%26%23039%3Bzp-DownloadURL%20zp-getDownloadURL%26%23039%3B%20data-zp-dl%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bdlkey%3D6A5TJA2D%26amp%3Bcontent_type%3Dapplication%5C%2Fpdf%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BDownload%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Can%20Weakness%20in%20End-Range%20Plantar%20Flexion%20After%20Achilles%20Tendon%20Repair%20Be%20Prevented%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karl%20F.%22%2C%22lastName%22%3A%22Orishimo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sidse%22%2C%22lastName%22%3A%22Schwartz-Balle%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20F.%22%2C%22lastName%22%3A%22Tyler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Malachy%20P.%22%2C%22lastName%22%3A%22McHugh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20B.%22%2C%22lastName%22%3A%22Bedford%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Steven%20J.%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephen%20J.%22%2C%22lastName%22%3A%22Nicholas%22%7D%5D%2C%22abstractNote%22%3A%22Background%3A%20Disproportionate%20end-range%20plantar%20flexion%20weakness%2C%20decreased%20passive%20stiffness%2C%20and%20inability%20to%20perform%20a%20heel%20rise%20on%20a%20decline%20after%20Achilles%20tendon%20repair%20are%20thought%20to%20reflect%20increased%20tendon%20compliance%20or%20tendon%20lengthening.%20Since%20this%20was%20first%20noted%2C%20we%20have%20performed%20stronger%20repairs%20and%20avoided%20stretching%20into%20dorsiflexion%20for%20the%20first%2012%20weeks%20after%20surgery.%5CnHypothesis%3A%20Using%20stronger%20repairs%20and%20avoiding%20stretching%20into%20dorsiflexion%20would%20eliminate%20end-range%20plantar%20flexion%20weakness%20and%20normalize%20passive%20stiffness.%5CnStudy%20Design%3A%20Case%20series%3B%20Level%20of%20evidence%2C%204.%5CnMethods%3A%20Achilles%20repairs%20with%20epitendinous%20augmentation%20were%20performed%20on%2018%20patients.%20Plantar%20flexion%20torque%2C%20dorsiflexion%20range%20of%20motion%20%28ROM%29%2C%20passive%20joint%20stiffness%2C%20and%20standing%20single-legged%20heel%20rise%20on%20a%20decline%20were%20assessed%20at%2043%20%5Cu00b1%2024%20months%20after%20surgery%20%28range%2C%209%20months%20to%208%20years%29.%20Maximum%20isometric%20plantar%20flexion%20torque%20was%20measured%20at%2020%5Cu00b0%20and%2010%5Cu00b0%20of%20dorsiflexion%2C%20neutral%20position%2C%20and%2010%5Cu00b0%20and%2020%5Cu00b0%20of%20plantar%20flexion.%20Passive%20dorsiflexion%20ROM%20was%20measured%20with%20a%20goniometer.%20Passive%20joint%20stiffness%20was%20computed%20from%20the%20increase%20in%20passive%20torque%20from%2010%5Cu00b0%20to%2020%5Cu00b0%20of%20dorsiflexion.%20Tendon%20thickness%20was%20measured%20by%20use%20of%20digital%20calipers.%20Plantar%20flexion%20electromyographic%20%28EMG%29%20data%20were%20recorded%20during%20strength%20and%20functional%20tests.%20Analysis%20of%20variance%20and%20chi-square%20tests%20were%20used%20to%20assess%20weakness%20and%20function.%5CnResults%3A%20Marked%20weakness%20was%20evident%20on%20the%20involved%20side%20at%2020%5Cu00b0%20of%20plantar%20flexion%20%28deficit%2C%2026%25%20%5Cu00b1%2018%25%3B%20P%20%26lt%3B%20.001%29%2C%20with%20no%20weakness%20at%2020%5Cu00b0%20of%20dorsiflexion%20%28deficit%2C%206%25%20%5Cu00b1%2017%25%3B%20P%20%3D%20.390%29.%20Dorsiflexion%20ROM%20was%20decreased%205.5%5Cu00b0%20%5Cu00b1%208%5Cu00b0%20%28P%20%3D%20.015%29%2C%20and%20tendon%20width%20was%208%20%5Cu00b1%203%20mm%20greater%20on%20the%20involved%20side%20%28P%20%26lt%3B%20.001%29.%20Passive%20joint%20stiffness%20was%20similar%20between%20the%20involved%20and%20noninvolved%20sides.%20Only%202%20of%2018%20patients%20could%20perform%20a%20decline%20heel%20rise%20on%20the%20involved%20side%20compared%20with%2018%20of%2018%20on%20the%20noninvolved%20side%20%28P%20%3D%20.01%29.%20No%20difference%20in%20EMG%20amplitude%20was%20found%20between%20the%20involved%20and%20noninvolved%20sides%20during%20the%20strength%20or%20heel%20rise%20tests.%5CnConclusion%3A%20The%20use%20of%20stronger%20repair%20techniques%20and%20attempts%20to%20limit%20tendon%20elongation%20by%20avoiding%20dorsiflexion%20stretching%20did%20not%20eliminate%20weakness%20in%20end-range%20plantar%20flexion.%20EMG%20data%20confirmed%20that%20end-range%20weakness%20was%20not%20due%20to%20neural%20inhibition.%20Physiological%20changes%20that%20alter%20the%20force%20transmission%20capability%20of%20the%20healing%20tendon%20may%20be%20responsible%20for%20this%20continued%20impairment.%20This%20weakness%20has%20implications%20for%20high-demand%20jumping%20and%20sprinting%20after%20Achilles%20tendon%20repair.%22%2C%22date%22%3A%22May%202018%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1177%5C%2F2325967118774031%22%2C%22ISSN%22%3A%222325-9671%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22S56ZU2DB%22%5D%2C%22dateModified%22%3A%222020-08-01T00%3A35%3A32Z%22%7D%7D%2C%7B%22key%22%3A%22XWI3IEG3%22%2C%22library%22%3A%7B%22id%22%3A2488608%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Kessler%20et%20al.%22%2C%22parsedDate%22%3A%222022-03%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BKessler%2C%20R.%20E.%2C%20Day%2C%20M.%20S.%2C%20Tyler%2C%20T.%20F.%2C%20McHugh%2C%20M.%20P.%2C%20Bedford%2C%20B.%20B.%2C%20Lee%2C%20S.%20J.%2C%20%26amp%3B%20Nicholas%2C%20S.%20J.%20%282022%29.%20Predictive%20value%20of%20magnetic%20resonance%20imaging%20in%20outcomes%20of%20nonsurgical%20treatment%20of%20lateral%20epicondylitis.%20%26lt%3Bi%26gt%3BJSES%20International%26lt%3B%5C%2Fi%26gt%3B%2C%20%26lt%3Bi%26gt%3B6%26lt%3B%5C%2Fi%26gt%3B%282%29%2C%20305%26%23x2013%3B308.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jseint.2021.11.017%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jseint.2021.11.017%26lt%3B%5C%2Fa%26gt%3B%20%26lt%3Ba%20title%3D%26%23039%3BCite%20in%20RIS%20Format%26%23039%3B%20class%3D%26%23039%3Bzp-CiteRIS%26%23039%3B%20data-zp-cite%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bitem_key%3DXWI3IEG3%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BCite%26lt%3B%5C%2Fa%26gt%3B%20%20%26lt%3Ba%20title%3D%26%23039%3BDownload%26%23039%3B%20class%3D%26%23039%3Bzp-DownloadURL%20zp-getDownloadURL%26%23039%3B%20data-zp-dl%3D%26%23039%3Bapi_user_id%3D2488608%26amp%3Bdlkey%3DJZAIHFBV%26amp%3Bcontent_type%3Dapplication%5C%2Fpdf%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BDownload%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Predictive%20value%20of%20magnetic%20resonance%20imaging%20in%20outcomes%20of%20nonsurgical%20treatment%20of%20lateral%20epicondylitis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Rachel%20E.%22%2C%22lastName%22%3A%22Kessler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Michael%20S.%22%2C%22lastName%22%3A%22Day%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20F.%22%2C%22lastName%22%3A%22Tyler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Malachy%20P.%22%2C%22lastName%22%3A%22McHugh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20B.%22%2C%22lastName%22%3A%22Bedford%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Steven%20J.%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephen%20J.%22%2C%22lastName%22%3A%22Nicholas%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20diagnosis%20of%20lateral%20epicondylitis%20is%20typically%20made%20on%20the%20basis%20of%20clinical%20history%20and%20examination.%20However%2C%20magnetic%20resonance%20imaging%20%28MRI%29%20is%20often%20used%20to%20supplement%20evaluation%20of%20the%20patient%20with%20a%20painful%20elbow%20and%20can%20identify%20extensor%20carpi%20radialis%20brevis%20%28ECRB%29%20tendon%20tears.%20The%20objective%20of%20this%20study%20was%20to%20determine%20if%20ECRB%20tear%20size%20on%20MRI%20could%20be%20used%20as%20a%20prognostic%20indicator%20for%20patients%20with%20recalcitrant%20lateral%20epicondylitis%20and%20partial%20ECRB%20tears.%5CnMETHODS%3A%20Forty-one%20patients%20with%20recalcitrant%20lateral%20epicondylitis%20and%20a%20partial%20ECRB%20tear%20on%20MRI%20were%20identified%20%2822%20men%20and%2019%20women%3B%20age%3A%2049%5Cu00a0%5Cu00b1%5Cu00a08%20years%3B%20height%3A%20165%5Cu00a0%5Cu00b1%5Cu00a036%20mm%3B%20weight%3A%2073%5Cu00a0%5Cu00b1%5Cu00a018%20kg%29.%20Patients%20were%20divided%20into%20two%20groups%20based%20on%20whether%20they%20underwent%20surgery%20or%20not.%20Nonsurgical%20treatment%20was%20evaluated%20by%20the%20Disabilities%20of%20the%20Arm%2C%20Shoulder%2C%20and%20Hand%20questionnaire%2C%20and%20surgery%20was%20considered%20a%20failure%20of%20nonsurgical%20treatment.%20Nonsurgical%20treatment%20was%20variable%20and%20included%20a%20mixture%20of%20physical%20therapy%2C%20rest%2C%20injection%20therapy%2C%20and%20splinting.%5CnRESULTS%3A%20Of%20the%2041%20patients%2C%205%20patients%20opted%20for%20immediate%20surgery%20and%2036%20patients%20were%20treated%20nonsurgically.%20Of%20those%2036%20patients%2C%2011%20patients%20had%20symptom%20relief%2C%2019%20patients%20had%20subsequent%20surgery%2C%20and%206%20patients%20chose%20not%20to%20have%20surgery%20despite%20continued%20symptoms.%20Tear%20size%20on%20MRI%20did%20not%20differ%20significantly%20between%20the%20patients%20who%20had%20symptom%20relief%20with%20nonsurgical%20treatment%20and%20the%20other%20patients%20%287.7%5Cu00a0%5Cu00b1%5Cu00a04.3%20mm%20vs.%209.7%5Cu00a0%5Cu00b1%5Cu00a02.5%20mm%2C%20P%5Cu00a0%3D%5Cu00a0.07%29.%5CnDISCUSSION%3A%20Only%2011%20of%2041%20patients%20%2827%25%29%20with%20recalcitrant%20lateral%20epicondylitis%20and%20ECRB%20tear%20had%20symptom%20relief%20with%20nonsurgical%20treatment.%20However%2C%20ECRB%20tendon%20defect%20size%20on%20MRI%20did%20not%20predict%20success%20or%20failure%20of%20nonsurgical%20treatment.%22%2C%22date%22%3A%222022-03%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.jseint.2021.11.017%22%2C%22ISSN%22%3A%222666-6383%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22S56ZU2DB%22%5D%2C%22dateModified%22%3A%222022-11-08T15%3A26%3A39Z%22%7D%7D%5D%7D
Yaari, L. S., Nicholas, S. J., Bedford, B. B., Mendez-Zfass, M. S., Hogan, D. E., Haviv, B., & McHugh, M. P. (2023). Influence of Pain Sensitivity on Surgical Outcomes of Arthroscopic Rotator Cuff Repair: A Prospective Cohort Study. The American Journal of Sports Medicine, 51(14), 3802–3809. https://doi.org/10.1177/03635465231208113 Cite Download
Walters, B. L., Porter, D. A., Hobart, S. J., Bedford, B. B., Hogan, D. E., McHugh, M. M., Klein, D. A., Harousseau, K., & Nicholas, S. J. (2018). Effect of Intraoperative Platelet-Rich Plasma Treatment on Postoperative Donor Site Knee Pain in Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Double-Blind Randomized Controlled Trial. The American Journal of Sports Medicine, 46(8), 1827–1835. https://doi.org/10.1177/0363546518769295 Cite Download
Scillia, A. J., Fasulo, S. M., Kurowicki, J., Varghese, J. J., & Bedford, B. B. (2023). Tommy John: Elbow Ulnar Collateral Ligament Allograft Reconstruction With Internal Brace. Arthroscopy Techniques, 12(2), e193–e199. https://doi.org/10.1016/j.eats.2022.10.008 Cite Download
Orishimo, K. F., Schwartz-Balle, S., Tyler, T. F., McHugh, M. P., Bedford, B. B., Lee, S. J., & Nicholas, S. J. (2018). Can Weakness in End-Range Plantar Flexion After Achilles Tendon Repair Be Prevented? Orthopaedic Journal of Sports Medicine, 6(5), 2325967118774031. https://doi.org/10.1177/2325967118774031 Cite Download
Kessler, R. E., Day, M. S., Tyler, T. F., McHugh, M. P., Bedford, B. B., Lee, S. J., & Nicholas, S. J. (2022). Predictive value of magnetic resonance imaging in outcomes of nonsurgical treatment of lateral epicondylitis. JSES International, 6(2), 305–308. https://doi.org/10.1016/j.jseint.2021.11.017 Cite Download