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  1. Article ; Online: Tibial External Rotation Test for Patellar Instability.

    Zarins, Bertram

    The Journal of bone and joint surgery. American volume

    2022  Volume 104, Issue 5, Page(s) e16

    Abstract: Background: There is no dynamic physical examination test that reproduces patellar instability or the effect of tibial rotation on patellar tracking.: Methods: This article describes a provocative physical examination test that can reproduce lateral ... ...

    Abstract Background: There is no dynamic physical examination test that reproduces patellar instability or the effect of tibial rotation on patellar tracking.
    Methods: This article describes a provocative physical examination test that can reproduce lateral patellar subluxation: the tibial external rotation test (TERT). The principle behind the TERT is to vary the quadriceps angle (Q-angle) by changing the rotation of the tibia with the knee at 90° of flexion and asking the patient to forcefully extend the knee against resistance. If the patella subluxates at about 25° of flexion when the tibia is held in the externally rotated position and the knee is extended against resistance (i.e., with an increased Q-angle) but is more stable when the same is done when the tibia is internally rotated, the test is positive.
    Results: The TERT confirmed the diagnosis of patellar instability and helped determine if medialization of the tibial tubercle should be performed.
    Conclusions: The TERT is a provocative physical examination test that can cause the patella to subluxate laterally. The TERT can simulate the effect of medializing the tibial tubercle on patellar tracking.
    Level of evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.
    MeSH term(s) Humans ; Joint Instability/diagnosis ; Knee Joint ; Patella ; Patellofemoral Joint ; Tibia
    Language English
    Publishing date 2022-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 220625-0
    ISSN 1535-1386 ; 0021-9355
    ISSN (online) 1535-1386
    ISSN 0021-9355
    DOI 10.2106/JBJS.21.00449
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Is the Latarjet Procedure Good for All Patients Who Have Recurrent Shoulder Dislocation?: Commentary on an article by Giovanni Di Giacomo, MD, et al.: "Risk Factors for Recurrent Anterior Glenohumeral Instability and Clinical Failure Following Primary Latarjet Procedures. An Analysis of 344 Patients".

    Zarins, Bertram

    The Journal of bone and joint surgery. American volume

    2020  Volume 102, Issue 19, Page(s) e111

    MeSH term(s) Humans ; Joint Instability/etiology ; Joint Instability/surgery ; Risk Factors ; Shoulder Dislocation/surgery ; Shoulder Joint/surgery
    Language English
    Publishing date 2020-10-07
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 220625-0
    ISSN 1535-1386 ; 0021-9355
    ISSN (online) 1535-1386
    ISSN 0021-9355
    DOI 10.2106/JBJS.20.01328
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Conference proceedings: Injuries to the throwing arm

    Zarins, Bertram

    based on the proceedings of the national conferences [held in Atlanta, Georgia, in February 1983 and in Tampa, Florida, in January 1984]

    1985  

    Institution Sports Medicine Council
    Author's details Sponsored by the U.S.O.C. Sports Medicine Council. [Ed. by Bertram Zarins ...]
    Keywords Arm Injuries / congresses ; Athletic Injuries / congresses ; Sports / congresses ; Sports Medicine / congresses ; Armverletzung ; Sportverletzung
    Subject Arm
    Size XXIV, 374 S. : Ill., graph. Darst.
    Edition 2. [Dr.]
    Publisher Saunders
    Publishing place Philadelphia u.a.
    Document type Book ; Conference proceedings
    HBZ-ID HT003048524
    ISBN 0-7216-1416-7 ; 978-0-7216-1416-8
    Database Catalogue ZB MED Medicine, Health

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  4. Book ; Conference proceedings: SYMPOSIUM ON OLYMPIC SPORTS MEDICINE

    Zarins, Bertram

    (CLINICS IN SPORTS MEDICINE ; 2,1)

    1983  

    Author's details BERTRAM ZARINS, GUEST ED
    Series title CLINICS IN SPORTS MEDICINE ; 2,1
    Clinics in sports medicine
    Collection Clinics in sports medicine
    Keywords SPORTS MEDICINE
    Size IX, 228 S.
    Publisher SAUNDERS
    Publishing place PHILADELPHIA (U.A.)
    Document type Book ; Conference proceedings
    HBZ-ID HT002517360
    Database Catalogue ZB MED Medicine, Health

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  5. Article: Are validated questionnaires valid?

    Zarins, Bertram

    The Journal of bone and joint surgery. American volume

    2005  Volume 87, Issue 8, Page(s) 1671–1672

    MeSH term(s) Health Status Indicators ; Humans ; Outcome Assessment (Health Care) ; Reproducibility of Results ; Surveys and Questionnaires
    Language English
    Publishing date 2005-08
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 220625-0
    ISSN 1535-1386 ; 0021-9355
    ISSN (online) 1535-1386
    ISSN 0021-9355
    DOI 10.2106/JBJS.E.00554
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Surgical Release of the Adductor Longus With or Without Sports Hernia Repair Is a Useful Treatment for Recalcitrant Groin Strains in the Elite Athlete.

    Gill, Thomas James / Wall, Andrew J / Gwathmey, Frank W / Whalen, James / Makani, Amun / Zarins, Bertram / Berger, David

    Orthopaedic journal of sports medicine

    2020  Volume 8, Issue 1, Page(s) 2325967119896104

    Abstract: Background: Chronic strain and/or tendinopathy of the adductor longus tendon can be a cause of long-standing groin pain in the elite athlete, resulting in significant time lost from competition. Accurate diagnosis and treatment can expedite return to ... ...

    Abstract Background: Chronic strain and/or tendinopathy of the adductor longus tendon can be a cause of long-standing groin pain in the elite athlete, resulting in significant time lost from competition. Accurate diagnosis and treatment can expedite return to play.
    Purpose/hypothesis: To evaluate return to sport and performance in National Collegiate Athletic Association (NCAA) Division I football players and National Football League (NFL) players following adductor longus release with or without sports hernia repair. We hypothesized that adductor release will be an effective method of treatment for recalcitrant groin/adductor pain in these athletes.
    Study design: Case series; Level of evidence, 4.
    Methods: A cohort study was performed of all NFL players and NCAA Division I college athletes who had undergone an adductor longus tendon release with or without sports hernia repair by 1 of 2 fellowship-trained orthopaedic surgeons between May 1999 and January 2013. All patients reported groin pain below the inguinal ligament and localized to their adductor longus. Symptoms lasted longer than 10 weeks and limited their ability to effectively perform during sport, as assessed by their coach and self-assessment. Questionnaires were given to all 26 patients to assess long-term surgical outcomes. A subgroup analysis was performed for NFL players, in which "performance scores" were calculated according to individual player statistics while playing. Scores obtained before the diagnosis of chronic adductor longus tendinopathy or strain were compared with those after surgery. Patients with prior abdominal or pelvic surgery, radiographic evidence of degenerative joint disease of the hip, labral tears or femoral acetabular impingement, prostatic or urinary tract disease, or nerve entrapment of the ilioinguinal, genitofemoral, or lateral femoral cutaneous nerves were excluded from the study.
    Results: A total of 32 athletes underwent an adductor longus tenotomy during the study period. Of these patients, 28 were college- or professional-level athletes who underwent an adductor longus tenotomy, with a mean ± SD follow-up time of 6.2 ± 4.2 years (range, 12-178 months). Of the 32 patients, 20 had a concomitant sports hernia repair in addition to an adductor longus tenotomy. Thirty-one patients (97%) were able to return to their previous sport, and 30 (94%) were able to return at their previous level of play. Thirty patients (94%) reported that they were satisfied with their decision to have surgery. No player complained of weakness or a decrease in running speed or power. Mean return to play was 12 weeks from date of surgery. In the subgroup analysis of 16 NFL players, there were no statistically significant differences for the pre- versus postoperative comparisons of the athlete performance scores (
    Conclusion: In this study of elite athletes, adductor longus tenotomy with or without a concomitant sports hernia repair provided overall acceptable and excellent results. Athletes were able to return to their previous level of athletic competition and performance with consistent relief of groin pain. Return to play in an NFL game averaged 12 weeks following surgery.
    Language English
    Publishing date 2020-01-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2706251-X
    ISSN 2325-9671
    ISSN 2325-9671
    DOI 10.1177/2325967119896104
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Selecting the Next Class: The "Virtual Orthopaedic Rotation".

    Yellin, Joseph L / Lu, Laura Y / Bauer, Andrea S / Duane, Jennifer / Appleton, Paul T / Berkson, Eric M / Bluman, Eric M / Bono, Christopher M / Drew, Jacob M / Duffy, Kaitlin / Fogel, Harold A / May, Collin / Ready, John E / Weaver, Michael J / Zarins, Bertram / Dyer, George S M

    Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews

    2022  Volume 6, Issue 1

    Abstract: Introduction: When the COVID-19 pandemic forced the cancellation of visiting subinternships, we pivoted to create a virtual orthopaedic rotation (VOR). The purpose of this study was to assess the effect of the VOR on the residency selection process and ... ...

    Abstract Introduction: When the COVID-19 pandemic forced the cancellation of visiting subinternships, we pivoted to create a virtual orthopaedic rotation (VOR). The purpose of this study was to assess the effect of the VOR on the residency selection process and determine the role of such a rotation in the future.
    Methods: A committee was convened to create a VOR to replace visiting orthopaedic rotations for medical students who are interested in pursuing a career in orthopaedic surgery. The VOR was reviewed and sanctioned by our medical school, but no academic credit was granted. We conducted three 3-week VOR sessions. During each session, virtual rotators participated in regularly scheduled educational conferences and attended an invitation-only daily conference in the evenings that was designed for a medical student audience. In addition, students were paired with faculty and resident mentors in a structured mentorship program. Students' orthopaedic knowledge was assessed using prerotation and postrotation tests.
    Results: From July to September 2020, 61 students from 37 distinct medical schools participated in the VOR. Notable improvements were observed in prerotation and postrotation orthopaedic knowledge test scores. In postrotation surveys, both students and faculty expressed high satisfaction with the curriculum but less certainty about how well they got to know each other. In the subsequent residency application cycle, 27.9% of the students who participated in the VOR were selected to interview, compared with 8.7% of the total application pool.
    Discussion: The VOR was a valuable substitute for in-person clinical rotations during the COVID-19 pandemic. Although not likely to be a replacement for conventional away rotations, the VOR is a possible adjunct to in-person clinical rotations in the future.
    MeSH term(s) COVID-19 ; Humans ; Internship and Residency ; Orthopedics/education ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2022-01-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2898328-2
    ISSN 2474-7661 ; 1067-151X
    ISSN (online) 2474-7661
    ISSN 1067-151X
    DOI 10.5435/JAAOSGlobal-D-21-00151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Book: Orthopaedic surgery

    Zarins, Bertram

    athletic injuries

    (American College of Surgeons clinitapes)

    1988  

    Institution American College of Surgeons
    Author's details [American College of Surgeons]
    Series title American College of Surgeons clinitapes
    MeSH term(s) Athletic Injuries/therapy ; Knee Injuries/therapy ; Shoulder Injuries
    Language English
    Size 6 sound cassettes :, 1 7/8 ips. +
    Publisher The College
    Publishing place Chicago, Ill.
    Document type Book
    Note Credits: Credits: Chairman, Bertram Zarins. ; Recorded on both sides.
    Accompanying material 1 guide.
    Database Catalogue of the US National Library of Medicine (NLM)

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  9. Article: Open repairs for the treatment of anterior shoulder instability.

    Gill, Thomas J / Zarins, Bertram

    The American journal of sports medicine

    2003  Volume 31, Issue 1, Page(s) 142–153

    Abstract: Successful treatment of anterior instability of the shoulder requires a balance between restoring joint stability and minimizing loss of glenohumeral motion. The choice of treatment should be individualized on the basis of the patient's occupation and ... ...

    Abstract Successful treatment of anterior instability of the shoulder requires a balance between restoring joint stability and minimizing loss of glenohumeral motion. The choice of treatment should be individualized on the basis of the patient's occupation and level of participation in sports, as well as on the degree of instability of the shoulder. Despite discussions to the contrary, there is no single "essential lesion," as proposed by Bankart, that is responsible for recurrent anterior shoulder instability, although the Bankart lesion is by far the most important. The choice of operative treatment must be tailored to correct the abnormality that is identified at the time of surgery. A variety of promising arthroscopic techniques have been developed for the treatment of anterior shoulder instability; however, open stabilization remains the standard, especially for severe instabilities, revision procedures, and for athletes who participate in contact sports. This article will review the open surgical techniques used for treatment of anterior instability of the shoulder. Both current and historical operations will be discussed. Regardless of which procedure is chosen by a surgeon, the treatment should follow the guidelines taught by Rowe: anatomic dissection at the time of surgery, identification and repair of the lesions responsible for the instability, returning tissues to their anatomic locations, and early postoperative range of motion. By following these guidelines, the results of treatment of anterior instability of the shoulder can be optimized.
    MeSH term(s) Age Factors ; Humans ; Joint Capsule/physiopathology ; Joint Capsule/surgery ; Joint Instability/physiopathology ; Joint Instability/therapy ; Orthopedic Procedures/methods ; Shoulder Dislocation/surgery ; Shoulder Joint/anatomy & histology ; Shoulder Joint/physiopathology ; Shoulder Joint/surgery
    Language English
    Publishing date 2003-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 197482-8
    ISSN 1552-3365 ; 0363-5465
    ISSN (online) 1552-3365
    ISSN 0363-5465
    DOI 10.1177/03635465030310011001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book: Revision of failed arthroscopic and ligament surgery

    Zarins, Bertram / Marder, Richard A

    1998  

    Author's details edited by Bertram Zarins, Richard A. Marder
    MeSH term(s) Ligaments, Articular/surgery ; Arthroscopy ; Reoperation ; Treatment Failure
    Language English
    Size ix, 172 p. :, ill.
    Publisher Blackwell Science
    Publishing place Malden, Mass
    Document type Book
    ISBN 9780865424371 ; 0865424373
    Database Catalogue of the US National Library of Medicine (NLM)

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