المؤلفون: Freshman, Ryan, Zhang, Alan, Benjamin Ma, C, Feeley, Brian, Ortiz, Shannon, Patel, Jhillika, Dunn, Warren, Wolf, Brian, Hettrich, Carolyn, Lansdown, Drew, Baumgarten, Keith, Bishop, Julie, Bollier, Matthew, Brophy, Robert, Bravman, Jonathan, Cox, Charles, Cvetanovich, Gregory, Grant, John, Frank, Rachel, Jones, Grant, Kuhn, John, Mair, Scott, Marx, Robert, McCarty, Eric, Miller, Bruce, Seidl, Adam, Smith, Matthew, Wright, Rick

المصدر: Orthopaedic Journal of Sports Medicine. 11(10)

مصطلحات موضوعية: humeral avulsion of the glenohumeral ligament, magnetic resonance imaging, risk factors, shoulder instability

الوصف: BACKGROUND: Humeral avulsion of the glenohumeral ligament (HAGL) lesions are an uncommon cause of anterior glenohumeral instability and may occur in isolation or combination with other pathologies. As HAGL lesions are difficult to detect via magnetic resonance imaging (MRI) and arthroscopy, they can remain unrecognized and result in continued glenohumeral instability. PURPOSE: To compare patients with anterior shoulder instability from a large multicenter cohort with and without a diagnosis of a HAGL lesion and identify preoperative physical examination findings, patient-reported outcomes, imaging findings, and surgical management trends associated with HAGL lesions. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Patients with anterior glenohumeral instability who underwent surgical management between 2012 and 2020 at 11 orthopaedic centers were enrolled. Patients with HAGL lesions identified intraoperatively were compared with patients without HAGL lesions. Preoperative characteristics, physical examinations, imaging findings, intraoperative findings, and surgical procedures were collected. The Student t test, Kruskal-Wallis H test, Fisher exact test, and chi-square test were used to compare groups. RESULTS: A total of 21 HAGL lesions were identified in 915 (2.3%) patients; approximately one-third (28.6%) of all lesions were visualized intraoperatively but not identified on preoperative MRI. Baseline characteristics did not differ between study cohorts. Compared with non-HAGL patients, HAGL patients were less likely to have a Hill-Sachs lesion (54.7% vs 28.6%; P = .03) or an anterior labral tear (87.2% vs 66.7%; P = .01) on preoperative MRI and demonstrated increased external rotation when their affected arm was positioned at 90° of abduction (85° vs 90°; P = .03). Additionally, HAGL lesions were independently associated with an increased risk of undergoing an open stabilization surgery (odds ratio, 74.6 [95% CI, 25.2-221.1]; P < .001). CONCLUSION: Approximately one-third of HAGL lesions were missed on preoperative MRI. HAGL patients were less likely to exhibit preoperative imaging findings associated with anterior shoulder instability, such as Hill-Sachs lesions or anterior labral pathology. These patients underwent open procedures more frequently than patients without HAGL lesions.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/4cm554q4Test

المؤلفون: Wright, Rick, Huston, Laura, Haas, Amanda, Pennings, Jacquelyn, Allen, Christina, Cooper, Daniel, DeBerardino, Thomas, Dunn, Warren, Lantz, Brett, Spindler, Kurt, Stuart, Michael, Albright, John, Amendola, Annunziato, Andrish, Jack, Annunziata, Christopher, Arciero, Robert, Bach, Bernard, Baker, Champ, Bartolozzi, Arthur, Baumgarten, Keith, Bechler, Jeffery, Berg, Jeffrey, Bernas, Geoffrey, Brockmeier, Stephen, Brophy, Robert, Bush-Joseph, Charles, Butler, J, Campbell, John, Carey, James, Carpenter, James, Cole, Brian, Cooper, Jonathan, Cox, Charles, Creighton, R, Dahm, Diane, David, Tal, Flanigan, David, Frederick, Robert, Ganley, Theodore, Garofoli, Elizabeth, Gatt, Charles, Gecha, Steven, Giffin, James, Hame, Sharon, Hannafin, Jo, Harner, Christopher, Harris, Norman, Hechtman, Keith, Hershman, Elliott, Hoellrich, Rudolf, Johnson, David, Johnson, Timothy, Jones, Morgan, Kaeding, Christopher, Kamath, Ganesh, Klootwyk, Thomas, Levy, Bruce, Maiers, G, Marx, Robert, Matava, Matthew, Mathien, Gregory, McAllister, David, McCarty, Eric, McCormack, Robert, Miller, Bruce, Nissen, Carl, ONeill, Daniel, Owens, Brett, Parker, Richard, Purnell, Mark, Ramappa, Arun, Rauh, Michael, Rettig, Arthur, Sekiya, Jon, Shea, Kevin, Sherman, Orrin, Slauterbeck, James, Smith, Matthew, Spang, Jeffrey, Svoboda, Ltc, Taft, Timothy, Tenuta, Joachim, Tingstad, Edwin, Vidal, Armando, Viskontas, Darius, White, Richard, Williams, James, Wolcott, Michelle, Wolf, Brian, York, James, Ma, C Benjamin

المصدر: The American Journal of Sports Medicine. 51(3)

مصطلحات موضوعية: anterior cruciate ligament (ACL), knee articular cartilage, meniscus, outcomes, revision ACL reconstruction, Male, Humans, Adult, Follow-Up Studies, Cohort Studies, Cartilage, Articular, Anterior Cruciate Ligament Injuries, Menisci, Tibial, Osteoarthritis

الوصف: BACKGROUND: Meniscal and chondral damage is common in the patient undergoing revision anterior cruciate ligament (ACL) reconstruction. PURPOSE: To determine if meniscal and/or articular cartilage pathology at the time of revision ACL surgery significantly influences a patients outcome at 6-year follow-up. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients undergoing revision ACL reconstruction were prospectively enrolled between 2006 and 2011. Data collection included baseline demographics, surgical technique, pathology, treatment, and scores from 4 validated patient-reported outcome instruments: International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx Activity Rating Scale. Patients were followed up at 6 years and asked to complete the identical set of outcome instruments. Regression analysis assessed the meniscal and articular cartilage pathology risk factors for clinical outcomes 6 years after revision ACL reconstruction. RESULTS: An overall 1234 patients were enrolled (716 males, 58%; median age, 26 years). Surgeons reported the pathology at the time of revision surgery in the medial meniscus (45%), lateral meniscus (36%), medial femoral condyle (43%), lateral femoral condyle (29%), medial tibial plateau (11%), lateral tibial plateau (17%), patella (30%), and trochlea (21%). Six-year follow-up was obtained on 79% of the sample (980/1234). Meniscal pathology and articular cartilage pathology (medial femoral condyle, lateral femoral condyle, lateral tibial plateau, trochlea, and patella) were significant drivers of poorer patient-reported outcomes at 6 years (IKDC, KOOS, WOMAC, and Marx). The most consistent factors driving outcomes were having a medial meniscal excision (either before or at the time of revision surgery) and patellofemoral articular cartilage pathology. Six-year Marx activity levels were negatively affected by having either a repair/excision of the medial meniscus (odds ratio range, 1.45-1.72; P≤ .04) or grade 3-4 patellar chondrosis (odds ratio, 1.72; P = .04). Meniscal pathology occurring before the index revision surgery negatively affected scores on all KOOS subscales except for sports/recreation (P < .05). Articular cartilage pathology significantly impaired all KOOS subscale scores (P < .05). Lower baseline outcome scores, higher body mass index, being a smoker, and incurring subsequent surgery all significantly increased the odds of reporting poorer clinical outcomes at 6 years. CONCLUSION: Meniscal and chondral pathology at the time of revision ACL reconstruction has continued significant detrimental effects on patient-reported outcomes at 6 years after revision surgery.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/8f49341kTest

المؤلفون: Poteat, V. Paul (ORCID 0000-0002-0289-9289), Calzo, Jerel P., Sherwood, S. Henry (ORCID 0000-0003-3429-5444), Marx, Robert A., O'Brien, Michael D., Dangora, Anya, Salgin, Linda, Lipkin, Arthur

المصدر: Child Development. e215-e230 Jul-Aug 2023 94(4):e215-e230.

تمت مراجعته من قبل الزملاء: Y

Page Count: 16

Sponsoring Agency: Institute of Education Sciences (ED)

الواصفات: Student Organizations, Student Participation, Psychological Patterns, LGBTQ People, Minority Group Students, Resilience (Psychology), Attendance, Social Support Groups

مستخلص: Hope is considered a marker of resilience among youth facing oppression, including LGBTQ+ youth. This 8-week weekly diary study among 94 LGBTQ+ youth (ages 14-19; M[subscript age] = 15.91, 46% youth of color, 44% transgender or nonbinary) in 2021 considered whether a youth's meeting-to-meeting experiences in Gender-Sexuality Alliances (GSAs; LGBTQ+ affirming school clubs) predicted subsequent hope from week to week. Youth reported greater hope on days following meetings where they felt more group support, greater advisor responsiveness, and had taken on more leadership responsibilities. Group support and advisor responsiveness were stronger predictors of a youth's hope on days closer to GSA meetings; leadership's effect was stronger when more days had elapsed. Findings suggest how GSAs may cultivate hope among LGBTQ+ youth.

Abstractor: As Provided

IES Funded: Yes

المؤلفون: O'Brien, Michael D. (ORCID 0000-0002-9031-8199), Marx, Robert A., Calzo, Jerel P., Poteat, V. Paul, Ceccolini, Christopher J.

المصدر: Youth & Society. 2023 55(8):1456-1474.

تمت مراجعته من قبل الزملاء: Y

Page Count: 19

Sponsoring Agency: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)

الواصفات: Elections, Presidents, Mental Health, LGBTQ People, Social Support Groups, At Risk Persons, Youth Programs, Depression (Psychology), Racial Differences, Ethnicity, Political Issues, Clubs, Peer Relationship, Anxiety, Victims

مصطلحات جغرافية: Massachusetts

معرفات التقييم و الدراسة: Center for Epidemiologic Studies Depression Scale, Beck Anxiety Inventory

مستخلص: The 2016 U.S. Presidential election led to a rise in mental health concerns among marginalized youth. We consider how LGBTQ+ and ally youth responded in Gender-Sexuality Alliances (GSAs). In this secondary analysis, we used survey data to assess for associations between frequency of discussions of the election in GSAs and mental health outcomes. We found that youth in GSAs that discussed the election and its sequelae more frequently reported lower depressive symptoms at the end of the year, but this association held true only for White youth and not racial/ethnic minority youth and only in the 2016 to 2017 academic year and not the 2017 to 2018 academic year. Implications are discussed.

Abstractor: As Provided

المؤلفون: Poteat, V. Paul (ORCID 0000-0002-0289-9289), Yoshikawa, Hirokazu, Marx, Robert A., Sherwood, S. Henry, Richburg, Abigail, Murchison, Gabriel R., Lipkin, Arthur, Yang, Megan K., Calzo, Jerel P.

المصدر: Grantee Submission. 2023 52:1-14.

تمت مراجعته من قبل الزملاء: Y

Page Count: 14

Sponsoring Agency: Institute of Education Sciences (ED)

الواصفات: LGBTQ People, Clubs, Sexual Identity, Sexual Orientation, Psychological Patterns, Experience, Adolescents, Diaries, Peer Relationship, Predictor Variables, Student Participation

مصطلحات جغرافية: California, Delaware, Florida, Massachusetts, Michigan, New York, North Carolina, Pennsylvania, South Carolina, Texas, Virginia

مستخلص: Gender-Sexuality Alliances (GSAs) are school clubs for LGBTQ+ youth and peer allies to support one another. This eight-week weekly diary study considered whether a youth's positive and negative affect during a given week could be predicted by experiences in their most recently attended GSA meeting. Ninety-nine GSA members (M[subscript age] = 15.90, SD = 1.33; 79% LGBQ+; 41% trans/non-binary; 59% youth of color) in 11 states completed weekly surveys between January and May 2021. On average, some youth reported higher positive and negative affect than others. Youth also varied notably in their own positive and negative affect from week to week. Youth reported relatively higher positive affect on days following GSA meetings where they were more engaged than in other meetings and had spent time socializing in the meeting. Youth reported relatively higher negative affect on days following GSA meetings where they had discussed personal concerns, and relatively lower negative affect on days following meetings where they were more engaged and perceived greater advisor responsiveness. These findings offer a dynamic portrayal of youth's varied experiences across GSA meetings and the more immediate predictive effects of GSA experiences.

Abstractor: As Provided

IES Funded: Yes

المؤلفون: Group, MARS, DeFroda, Steven F, Owens, Brett D, Wright, Rick W, Huston, Laura J, Pennings, Jacquelyn S, Haas, Amanda K, Allen, Christina R, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett Brick A, Spindler, Kurt P, Stuart, Michael J, Albright, John P, Amendola, Annunziato, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, York, James J

المصدر: The American Journal of Sports Medicine. 50(9)

مصطلحات موضوعية: Transplantation, Clinical Research, Musculoskeletal, Anterior Cruciate Ligament Injuries, Anterior Cruciate Ligament Reconstruction, Cohort Studies, Humans, Osteoarthritis, Quality of Life, Reoperation, bone graft, outcomes, revision anterior cruciate ligament reconstruction, tunnel lysis, MARS Group, Biomedical Engineering, Mechanical Engineering, Human Movement and Sports Sciences, Orthopedics

الوصف: BackgroundLytic or malpositioned tunnels may require bone grafting during revision anterior cruciate ligament reconstruction (rACLR) surgery. Patient characteristics and effects of grafting on outcomes after rACLR are not well described.PurposeTo describe preoperative characteristics, intraoperative findings, and 2-year outcomes for patients with rACLR undergoing bone grafting procedures compared with patients with rACLR without grafting.Study designCohort study; Level of evidence, 3.MethodsA total of 1234 patients who underwent rACLR were prospectively enrolled between 2006 and 2011. Baseline revision and 2-year characteristics, surgical technique, pathology, treatment, and patient-reported outcome instruments (International Knee Documentation Committee [IKDC], Knee injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMaster Universities Osteoarthritis Index, and Marx Activity Rating Scale [Marx]) were collected, as well as subsequent surgery information, if applicable. The chi-square and analysis of variance tests were used to compare group characteristics.ResultsA total of 159 patients (13%) underwent tunnel grafting-64 (5%) patients underwent 1-stage and 95 (8%) underwent 2-stage grafting. Grafting was isolated to the femur in 31 (2.5%) patients, the tibia in 40 (3%) patients, and combined in 88 patients (7%). Baseline KOOS Quality of Life (QoL) and Marx activity scores were significantly lower in the 2-stage group compared with the no bone grafting group (P≤ .001). Patients who required 2-stage grafting had more previous ACLRs (P < .001) and were less likely to have received a bone-patellar tendon-bone or a soft tissue autograft at primary ACLR procedure (P≤ .021) compared with the no bone grafting group. For current rACLR, patients undergoing either 1-stage or 2-stage bone grafting were more likely to receive a bone-patellar tendon-bone allograft (P≤ .008) and less likely to receive a soft tissue autograft (P≤ .003) compared with the no bone grafting group. At 2-year follow-up of 1052 (85%) patients, we found inferior outcomes in the 2-stage bone grafting group (IKDC score = 68; KOOS QoL score = 44; KOOS Sport/Recreation score = 65; and Marx activity score = 3) compared with the no bone grafting group (IKDC score = 77; KOOS QoL score = 63; KOOS Sport/Recreation score = 75; and Marx activity score = 7) (P≤ .01). The 1-stage bone graft group did not significantly differ compared with the no bone grafting group.ConclusionTunnel bone grafting was performed in 13% of our rACLR cohort, with 8% undergoing 2-stage surgery. Patients treated with 2-stage grafting had inferior baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting. Patients treated with 1-stage grafting had similar baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/58w8r1d4Test

المؤلفون: Giri, Ayush, Freeman, Thomas H, Kim, Peter, Kuhn, John E, Garriga, Gustavo A, Khazzam, Michael, Higgins, Laurence D, Matzkin, Elizabeth, Baumgarten, Keith M, Bishop, Julie Y, Brophy, Robert H, Carey, James L, Dunn, Warren R, Jones, Grant L, Ma, C Benjamin, Marx, Robert G, McCarty, Eric C, Poddar, Sourav K, Smith, Matthew V, Spencer, Edwin E, Vidal, Armando F, Wolf, Brian R, Wright, Rick W, Jain, Nitin B

المصدر: Journal of Shoulder and Elbow Surgery. 31(4)

مصطلحات موضوعية: Nutrition, Obesity, Clinical Research, Prevention, Patient Safety, Adipose Tissue, Female, Humans, Male, Multicenter Studies as Topic, Orthopedics, Risk Factors, Rotator Cuff, Rotator Cuff Injuries, Sex Factors, Rotator cuff, fatty infiltration, obesity, body mass index, sex, cross-sectional study, Clinical Sciences

الوصف: BackgroundFatty infiltration (FI) is one of the most important prognostic factors for outcomes after rotator cuff surgery. Established risk factors include advancing age, larger tear size, and increased tear chronicity. A growing body of evidence suggests that sex and obesity are associated with FI; however, data are limited.MethodsWe recruited 2 well-characterized multicenter cohorts of patients with rotator cuff tears (Multicenter Orthopaedic Outcomes Network [MOON] cohort [n = 80] and Rotator Cuff Outcomes Workgroup [ROW] cohort [n = 158]). We used multivariable logistic regression to evaluate the relationship between body mass index (BMI) and the presence of FI while adjusting for the participant's age at magnetic resonance imaging, sex, and duration of shoulder symptoms, as well as the cross-sectional area of the tear. We analyzed the 2 cohorts separately and performed a meta-analysis to combine estimates.ResultsA total of 27 patients (33.8%) in the Multicenter Orthopaedic Outcomes Network (MOON) cohort and 57 patients (36.1%) in the Rotator Cuff Outcomes Workgroup (ROW) cohort had FI. When BMI < 25 kg/m2 was used as the reference category, being overweight was associated with a 2.37-fold (95% confidence interval [CI], 0.77-7.29) increased odds of FI and being obese was associated with a 3.28-fold (95% CI, 1.16-9.25) increased odds of FI. Women were 4.9 times (95% CI, 2.06-11.69) as likely to have FI as men.ConclusionsAmong patients with rotator cuff tears, obese patients had a substantially higher likelihood of FI. Further research is needed to assess whether modifying BMI can alter FI in patients with rotator cuff tears. This may have significant clinical implications for presurgical surgical management of rotator cuff tears. Sex was also significantly associated with FI, with women having higher odds of FI than men. Higher odds of FI in female patients may also explain previously reported early suboptimal outcomes of rotator cuff surgery and higher pain levels in female patients as compared with male patients.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/1fc7x0k1Test

المؤلفون: Poteat, V. Paul, Calzo, Jerel P., Yoshikawa, Hirokazu, Rosenbach, Sarah B., Ceccolini, Christopher J., Marx, Robert A.

المصدر: American Educational Research Journal. Dec 2019 56(6):2262-2294.

تمت مراجعته من قبل الزملاء: Y

Page Count: 33

Sponsoring Agency: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)
Institute of Education Sciences (ED)

الواصفات: Extracurricular Activities, Discussion, Immigration, LGBTQ People, Self Efficacy, Social Justice, Culture, Race, High School Students, Faculty Advisers, Student Organizations

مصطلحات جغرافية: Massachusetts

مستخلص: School-based extracurricular settings could promote dialogue on sociopolitical crises. We considered immigration discussions within gender-sexuality alliances (GSAs), which address multiple systems of oppression. Among 361 youth and 58 advisors in 38 GSAs (19 in 2016-2017/Year 1; 19 in 2017-2018/Year 2), youth in Year 1 reported increased discussions from baseline throughout the remaining school year; differences were nonsignificant in Year 2. In both years, youth reporting greater self-efficacy to promote social justice, and GSAs with advisors reporting greater self-efficacy to address culture, race, and immigration discussed immigration more over the year (adjusting for baseline). In interviews, 38 youth described circumstances promoting or inhibiting discussions: demographic representation, open climates, critical reflection, fear or consequences of misspeaking, discomfort, agenda restrictions, and advisor roles.

Abstractor: As Provided

IES Funded: Yes

المؤلفون: Hsu, Janet, Ling, Daphne I., Schneider, Brandon L., Boyle, Caroline, Janosky, Joseph, Pearle, Andrew D., Kinderknecht, James, Marx, Robert G.

المساهمون: International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine

المصدر: Journal of ISAKOS ; ISSN 2059-7754

مصطلحات موضوعية: Orthopedics and Sports Medicine, Surgery

الإتاحة: https://doi.org/10.1016/j.jisako.2024.02.004Test
https://api.elsevier.com/content/article/PII:S2059775424000324?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S2059775424000324?httpAccept=text/plainTest

المؤلفون: Cheema, Haadiya, Brophy, Robert, Collins, Jamie, Cox, Charles L., Guermazi, Ali, Kumara, Mahima, Levy, Bruce A., MacFarlane, Lindsey, Mandl, Lisa A., Marx, Robert, Selzer, Faith, Spindler, Kurt, Katz, Jeffrey N., Murray, Eleanor J.

المساهمون: National Institute of Arthritis and Musculoskeletal and Skin Diseases

المصدر: Osteoarthritis and Cartilage ; volume 32, issue 3, page 319-328 ; ISSN 1063-4584

مصطلحات موضوعية: Orthopedics and Sports Medicine, Biomedical Engineering, Rheumatology

الإتاحة: https://doi.org/10.1016/j.joca.2023.10.007Test
https://api.elsevier.com/content/article/PII:S1063458423009597?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S1063458423009597?httpAccept=text/plainTest