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Article ; Online: Dynamic Brachial Artery Entrapment After Distal Biceps Repair: A Case Report.

Ohliger, Erin / Fei, Timothy / Umpierrez, Erica / Ohliger, Andrew / Evans, Peter

JBJS case connector

2021 Volume 11, Issue 1

Abstract: Case: A 57-year-old man presented with paleness and coolness of the hand with elbow flexion 4 months after primary distal biceps repair. Diagnosis of dynamic brachial artery entrapment was confirmed with ultrasound and Magnetic Resonance Angiography. ... ...

Abstract	Case: A 57-year-old man presented with paleness and coolness of the hand with elbow flexion 4 months after primary distal biceps repair. Diagnosis of dynamic brachial artery entrapment was confirmed with ultrasound and Magnetic Resonance Angiography. During revision surgery, the brachial artery was identified traveling underneath the repaired distal biceps tendon. After revision surgery, the patient made a full recovery with no residual symptoms. Conclusion: Adverse vascular events have been rarely reported in distal biceps repairs. Before and immediately after repair, the path of the tendon should be critically evaluated to ensure neurovascular structures were not placed under the repaired tendon.
MeSH term(s)	Brachial Artery/diagnostic imaging ; Brachial Artery/surgery ; Elbow ; Humans ; Male ; Middle Aged ; Rupture/surgery ; Tendon Injuries/diagnostic imaging ; Tendon Injuries/etiology ; Tendon Injuries/surgery ; Tendons/surgery
Language	English
Publishing date	2021-03-23
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	2160-3251
ISSN (online)	2160-3251
DOI	e20.00099
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Malpractice Litigation in Hand Surgery: A Comprehensive Nationwide Analysis.

Umpierrez, Erica / Ohliger, Erin / Scollan, Joseph P / Styron, Joseph F

Hand (New York, N.Y.)

2021 Volume 17, Issue 6, Page(s) 1214–1218

Abstract: Background: The circumstances surrounding claims against hand surgeons have not been elucidated in the literature. The purpose of this study was to analyze trends in malpractice litigation regarding hand surgery through a nationwide legal database.: ... ...

Abstract	Background: The circumstances surrounding claims against hand surgeons have not been elucidated in the literature. The purpose of this study was to analyze trends in malpractice litigation regarding hand surgery through a nationwide legal database. Methods: The Westlaw legal research database was queried for verdicts and settlements between 1985 and 2017 for hand surgery-related malpractice cases. Cases were included if the hand surgeon was sued for malpractice. Procedure type and complications and/or adverse events that resulted in litigation were recorded. Patient characteristics, state, date of case, case outcomes, and indemnity payment were also noted. All dollar amounts were adjusted to 2017 values using the Consumer Price Index. Results: In all, 171 cases (35 states) were included. The most frequently litigated surgeries were carpal tunnel releases followed by fracture treatment. Nerve injury was the predominant cause of litigation. The median nerve was predominantly injured, followed by the ulnar and radial nerves. In fracture surgery, malunion was the predominant cause, followed by weakness, nerve injury, and infection. In total, 72.5% of cases yielded verdicts in favor of the defense, 21.6% favored the plaintiff, and 5.9% were settled. Indemnity varied between $7800 and $8.99 million, averaging $570,397 for cases when the jury ruled in favor of the plaintiffs. Settled cases averaged $1,140,527. Conclusions: Malpractice litigation has substantial financial implications on surgeons and the health care system. Litigation arises most commonly from routine procedures (carpal tunnel release and fracture fixation) rather than complex surgical cases, potentially due to the high variability in operating surgeon subspecialization, with discrepant training.
MeSH term(s)	Humans ; Hand/surgery ; Malpractice ; Surgeons ; Carpal Tunnel Syndrome/surgery ; Median Nerve
Language	English
Publishing date	2021-03-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2277325-3
ISSN	1558-9455 ; 1558-9447
ISSN (online)	1558-9455
ISSN	1558-9447
DOI	10.1177/1558944721998007
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Zs.A 6820: Show issues

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bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Concomitant Total Shoulder Arthroplasty and Ipsilateral Carpal Tunnel Release: Is It Safe?

Kwiecien, Grzegorz J / Ohliger, Erin / Chughtai, Morad / Strnad, Gregory / Seitz, William H

The Journal of hand surgery

2022 Volume 48, Issue 6, Page(s) 624.e1–624.e9

Abstract: Purpose: Symptomatic carpal tunnel syndrome in patients with advanced ipsilateral glenohumeral arthritis requiring total shoulder arthroplasty (TSA) may be easily overlooked. Even when diagnosed beforehand, most upper extremity surgeons have ... ...

Abstract	Purpose: Symptomatic carpal tunnel syndrome in patients with advanced ipsilateral glenohumeral arthritis requiring total shoulder arthroplasty (TSA) may be easily overlooked. Even when diagnosed beforehand, most upper extremity surgeons have historically chosen to perform TSA and carpal tunnel release (CTR) separately. We hypothesized that combined single-stage TSA and CTR is feasible and yields results comparable with those when the 2 procedures are performed separately, while avoiding 2 surgeries. Methods: This was a retrospective review of patients who underwent single-stage primary TSA and ipsilateral CTR between 2015 and 2019. The shoulder outcomes included pain, range of motion, and validated quality of life (QoL) questionnaires: Veterans RAND 12-Item Health Survey (VR-12) and Penn Shoulder Score. The CTR outcomes included pain, grip, pinch, VR-12, shortened Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH), and Boston Carpal Tunnel Questionnaire. The time to the initiation of rehabilitation and complications were also analyzed. The comparison group consisted of patients who underwent independent TSA or CTR during the same period. Results: Forty-one patients underwent concomitant TSA and CTR, 248 underwent isolated TSA, and 154 underwent isolated CTR. The shoulder outcomes of patients who underwent the combined procedure were similar to those of patients who underwent isolated TSA in terms of pain, range of motion, general QoL (VR-12), and shoulder-specific QoL (Penn Shoulder Score). The outcomes of patients who underwent the combined procedure were similar to those of patients who underwent isolated CTR in terms of pain, grip and pinch, general QoL (VR-12), QuickDASH, and Boston Carpal Tunnel Questionnaire. The time to the initiation of rehabilitation was also comparable. Conclusions: Concomitant CTR and TSA are feasible. The functional outcomes and QoL of patients who underwent the concomitant treatment were comparable with those of patients who underwent the 2 procedures separately. Type of study/level of evidence: Therapeutic IV.
MeSH term(s)	Humans ; Carpal Tunnel Syndrome/surgery ; Carpal Tunnel Syndrome/diagnosis ; Follow-Up Studies ; Quality of Life ; Treatment Outcome ; Arthroplasty, Replacement, Shoulder ; Pain/surgery
Language	English
Publishing date	2022-04-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	605716-0
ISSN	1531-6564 ; 0363-5023
ISSN (online)	1531-6564
ISSN	0363-5023
DOI	10.1016/j.jhsa.2021.12.016
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Zs.A 1431: Show issues

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Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Effectiveness of the saline load test in diagnosis of simulated traumatic ankle arthrotomies.

Ohliger, Erin / Ohliger Iii, James / Sultan, Assem / Miniaci-Coxhead, Sara Lyn

Injury

2020 Volume 51, Issue 4, Page(s) 1114–1117

Abstract: Background: Limited studies have been conducted to determine the minimum amount and sensitivity of the saline load test of the ankle. Prior studies, only performed in arthroscopic models, have suggested a wide range of volumes necessary to confirm ... ...

Abstract	Background: Limited studies have been conducted to determine the minimum amount and sensitivity of the saline load test of the ankle. Prior studies, only performed in arthroscopic models, have suggested a wide range of volumes necessary to confirm arthrotomy. The purpose of this study was to investigate the amount of fluid required and the sensitivity of the saline load test to identify an intra-articular arthrotomy of the ankle. Using cadavers without prior ankle trauma or surgeries we aim to assess volume needed to detect ankle arthrotomies at varying arthrotomy locations. We hypothesized that the volume needed would vary based on site of arthrotomy. Methods: Twenty thawed, fresh-frozen below knee cadavers were divided into four groups based on arthrotomy location. An ankle arthrotomy was made using a 4 mm trochar at the four standard ankle portal sites; anteromedial, anterolateral, posteromedial, and posterolateral. To confirm intra-articular location, a arthroscope was inserted for direct visualization of the ankle joint. An 18-gauge needle was then inserted into the ankle joint, and saline mixed with methylene blue was injected. During the injection, the known arthrotomy site was viewed for extravasation. Amount of saline required to diagnose arthrotomy was recorded. All injections were confirmed as intra-articular by demonstrating methylene blue staining of the anterior joint. Results: The saline volume required to achieve extravasation ranged from 3 mL to 11 mL. The mean saline volume required to achieve extravasation was 5.3 mL. A total of 8 mL was required to achieve 90% sensitivity, 10 mL for 95% sensitivity and 11 mL for 99% sensitivity. For the anterolateral, anteromedial, posteromedial, and posterolateral arthrotomy sites the mean saline volume needed to detect a traumatic arthrotomy was 5.2 mL, 6.2 mL, 5 mL, and 4.8 mL respectively. There was no statistically significant difference in volume needed to detect arthrotomies across all four locations (p = 0.69). Conclusion: In this cadaveric model, an injection of 10 mL identified 95% of arthrotomies approximately 4 mm in size. No difference in volume needed to detect extravasation was found across all four arthrotomy locations. Prior studies performed in arthroscopic models with patients undergoing ankle arthroscopy may overestimate volume needed to detect arthrotomies. Level of evidence: V.
MeSH term(s)	Ankle Injuries/pathology ; Ankle Injuries/physiopathology ; Ankle Joint/pathology ; Ankle Joint/physiopathology ; Arthroscopy/methods ; Cadaver ; Humans ; Injections, Intra-Articular ; Range of Motion, Articular ; Sodium Chloride/administration & dosage
Chemical Substances	Sodium Chloride (451W47IQ8X)
Language	English
Publishing date	2020-02-19
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	218778-4
ISSN	1879-0267 ; 0020-1383
ISSN (online)	1879-0267
ISSN	0020-1383
DOI	10.1016/j.injury.2020.02.087
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Zs.A 778: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 10: Show issues

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Article ; Online: Treatment of an Abscess of the Leg in a Febrile Child After Incidental Trauma from the Barb of a Freshwater Fish: A Case Report.

Sundaram, Kavin / Ohliger, Erin / Hoban, Connor / Gurd, David P

JBJS case connector

2020 Volume 10, Issue 2, Page(s) e0464

Abstract: Case: A 9-year-old boy suffered incidental trauma to the anterolateral leg from the barb of a freshwater fish. Within a few days of injury, the patient developed a fever and a deep abscess despite empiric antibiotic therapy. The underlying pathogen was ... ...

Abstract	Case: A 9-year-old boy suffered incidental trauma to the anterolateral leg from the barb of a freshwater fish. Within a few days of injury, the patient developed a fever and a deep abscess despite empiric antibiotic therapy. The underlying pathogen was Edwardsiella tarda. This study is the first report of such an abscess in a child, and similar reported cases have in adults have been associated with high rates of mortality. Conclusion: Penetrating soft-tissue trauma in association with an aquatic environment requires prompt evaluation. Empiric antibiotic regimens effective against terrestrial cellulitis may lack adequate gram-negative coverage for aquatically related injuries.
MeSH term(s)	Abscess/diagnostic imaging ; Abscess/etiology ; Abscess/therapy ; Animals ; Catfishes ; Child ; Humans ; Ultrasonography ; Wounds, Stab/complications
Language	English
Publishing date	2020-07-07
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	2160-3251
ISSN (online)	2160-3251
DOI	10.2106/JBJS.CC.19.00464
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic.

Ohliger, Erin / Umpierrez, Erica / Buehler, Lauren / Ohliger, Andrew W / Magister, Steven / Vallier, Heather / Hirschfeld, Adam G

International orthopaedics

2020 Volume 44, Issue 10, Page(s) 1921–1925

Abstract: Purpose: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general ... ...

Abstract	Purpose: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic. Methods: This retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age, mechanism of injury, associated injuries, fracture location, tobacco use, employment status, mental health diagnosis and presence of interpersonal violence were documented. Mental health diagnoses were defined based on International Classification of Diseases-10 classification. Results: The study included 553 orthopaedic patients evaluated at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001) compared with the 2019 group. The odds ratio for mental health disorder in the 2020 patients was 2.21 (95% CI 1.54, 3.18) compared with the 2019 cohort. The 2020 cohort had a higher percentage of patients who reported interpersonal violence (20% vs. 11%, p = 0.005). Conclusion: Our study showed a higher prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic when compared with those seen during the same time of the year in 2019. Stress induced by the coronavirus pandemic can place patients with mental illness at a higher risk for perilous behaviours and subsequent fractures.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety/epidemiology ; Betacoronavirus ; COVID-19 ; Child ; Child, Preschool ; Cohort Studies ; Coronavirus Infections ; Female ; Humans ; Infant ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Musculoskeletal Diseases/psychology ; Pandemics ; Pneumonia, Viral ; Prevalence ; Retrospective Studies ; SARS-CoV-2 ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-07-16
Publishing country	Germany
Document type	Journal Article
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-020-04711-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 1324: Show issues

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bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

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Article: Prolonged Operative Time Associated with Increased Healthcare Utilization after Open Reduction and Internal Fixation of Intra-Articular and Extra-Articular Distal Radial Fractures: An Analysis of 17,482 Cases.

Scollan, Joseph P / Ohliger, Erin / Emara, Ahmed K / Grits, Daniel / McConaghy, Kara / Ng, Mitchell / Styron, Joseph

Journal of wrist surgery

2021 Volume 11, Issue 4, Page(s) 307–315

Abstract: ... ...

Abstract	Background
Language	English
Publishing date	2021-10-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	2678060-4
ISSN	2163-3924 ; 2163-3916
ISSN (online)	2163-3924
ISSN	2163-3916
DOI	10.1055/s-0041-1736606
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic

Ohliger, Erin / Umpierrez, Erica / Buehler, Lauren / Ohliger, Andrew W. / Magister, Steven / Vallier, Heather / Hirschfeld, Adam G.

International Orthopaedics ; ISSN 0341-2695 1432-5195

2020

Keywords	Orthopedics and Sports Medicine ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
DOI	10.1007/s00264-020-04711-w
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic

Ohliger, Erin / Umpierrez, Erica / Buehler, Lauren / Ohliger, Andrew W / Magister, Steven / Vallier, Heather / Hirschfeld, Adam G

Int Orthop

Abstract: PURPOSE: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. ...

Abstract	PURPOSE: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic. METHODS: This retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age, mechanism of injury, associated injuries, fracture location, tobacco use, employment status, mental health diagnosis and presence of interpersonal violence were documented. Mental health diagnoses were defined based on International Classification of Diseases-10 classification. RESULTS: The study included 553 orthopaedic patients evaluated at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001) compared with the 2019 group. The odds ratio for mental health disorder in the 2020 patients was 2.21 (95% CI 1.54, 3.18) compared with the 2019 cohort. The 2020 cohort had a higher percentage of patients who reported interpersonal violence (20% vs. 11%, p = 0.005). CONCLUSION: Our study showed a higher prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic when compared with those seen during the same time of the year in 2019. Stress induced by the coronavirus pandemic can place patients with mental illness at a higher risk for perilous behaviours and subsequent fractures.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #649015
Database	COVID19

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Article ; Online: Correction to: Removal of a urinary catheter before discontinuation of epidural analgesia is associated with an increased risk of postoperative urinary retention and hospital episode costs in patients undergoing surgical correction for adolescent idiopathic scoliosis.

Sultan, Assem A / Berger, Ryan J / Cantrell, William A / Samuel, Linsen T / Ohliger, Erin / Golubovsky, Joshua / Bachour, Salam / Pasadyn, Selena / Karnuta, Jaret M / Tamer, Pierre / Le, Phuc / Kuivila, Thomas E / Gurd, David P / Goodwin, Ryan C

Spine deformity

2020 Volume 8, Issue 2, Page(s) 203

Abstract: The original version of this article unfortunately contained a mistake. The spelling of Erin ...

Abstract	The original version of this article unfortunately contained a mistake. The spelling of Erin Ohliger's name was incorrect.
Language	English
Publishing date	2020-03-02
Publishing country	England
Document type	Published Erratum
ZDB-ID	2717704-X
ISSN	2212-1358 ; 2212-134X ; 2212-1358
ISSN (online)	2212-1358 ; 2212-134X
ISSN	2212-1358
DOI	10.1007/s43390-020-00091-8
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