John Dunn MD

11/09/2023

Remember. Never forget. #911

04/09/2023

Happy Labor Day! We hope you and your family enjoy your time off!

04/07/2023

Wishing you and your family a Happy Independence Day!

06/03/2023

PaPathophysiology of Avascular Necrosis https://pubmed.ncbi.nlm.nih.gov/36244704/ Mil Ortho

Avascular necrosis is a complicated, multifactorial disease with potentially devastating consequences. Although the underlying root cause is a lack of appropriate vascular perfusion to affected bone, there are often varying patient-specific, anatomic-specific, and injury-specific predispositions. Th...

27/02/2023

Lower Reoperation and Higher Return-to-Sport Rates After Biceps Tenodesis Versus SLAP Repair in Young Patients: A Systematic Review https://arthroscopysportsmedicineandrehabilitation.org/article/S2666-061X(22)00119-5/fulltext #.Y8TLT

To evaluate patient-reported outcomes, return to sport, and adverse events after SLAP repair versus biceps tenodesis (BT) in a young patient population undergoing treatment of SLAP tears.

20/02/2023

A New Normal: Trends of Upper Extremity Orthopaedic Injuries Nationwide During the COVID-19 Pandemic.

BackgroundThe widespread societal effects of the COVID-19 pandemic connote public health and epidemiological changes for orthopedic injuries. The epidemiology of upper extremity injuries and the effects of the pandemic on these nationwide trends is poorly ...

30/01/2023

Post-operative Immobilization in Total Elbow Arthroplasty for Rheumatoid Arthritis: A Systematic Review of Outcomes https://pubmed.ncbi.nlm.nih.gov/36594975/

The purpose of this analysis is to determine the effect of length of immobilization following total elbow arthroplasty (TEA) for rheumatoid arthritis on the outcomes, complications, and survival of the implant. A review of TEA literature was performed. Post-operative motion was categorized into thre...

23/01/2023

The Association of H-index and Academic Rank Among Full-time Academic Foot and Ankle Surgeons.

The purpose of this study is to investigate the association between Hirsch index (h-index) and academic rank among foot and ankle surgeons affiliated with American Orthopaedic Foot and Ankle Society (AOFAS) fellowship programs. The total number of publications, academic rank, years in practice, fell...

16/01/2023

Arthroscopic Remplissage Combined With Bankart Repair Results in a Higher Rate of Return to Sport in Athletes Compared With Bankart Repair Alone or the Latarjet Procedure.

Background: Traumatic anterior shoulder instability affects athletes at a higher rate compared with the general population. In recent years, indications for art...

02/01/2023

The Epidemiology of Hand and Finger Lacerations in United States Emergency Departments. Nailed It Ortho

Hand and finger lacerations presenting to U.S. emergency departments (EDs) are common, although the burden of these injuries is not well understood.

01/01/2023

Wishing you and your family a happy and healthy new year!! #2023

23/12/2022

Happy Holidays! We wish you and your family a joyful holiday season!

05/12/2022

Ten-Year Trends in Level of Evidence in Hand Surgery. Milorthekiller Orthobullets Nailed It Ortho

Background: The purposes of this study were to analyze the trends in Oxford level of evidence (LOE), LOE of most-cited articles, and association between LOE and...

24/11/2022

We hope you have a wonderful Thanksgiving!

21/11/2022

Bone Morphogenic Protein for Upper Extremity Fractures: A Systematic Review. Mil Ortho Orthobullets Nailed It Ortho Walter Reed National Military Medical Center

Purpose This review discusses success, time to healing, and complications of bone morphogenic proteins (BMPs) 7 and 2 in treating upper extremity nonunions. Met...

14/11/2022

Bone Morphogenetic Protein in Scaphoid Nonunion: A Systematic Review. Mil Ortho Orthobullets It Ortho

Thieme E-Books & E-Journals

12/11/2022

Happy Veterans Day! Thank you to our veterans!

07/11/2022

Bone Morphogenic Protein-2 Use for the Surgical Treatment of Scaphoid Fractures: Plastic and Reconstructive Surgery. Mil Ortho Nailed It Ortho Reed Ortho Residency

-2 to further characterize bone morphogenic protein-2 use in the hand and wrist. Methods: Retrospective review of scaphoid fractures treated surgically in one region of the Military Health System from 2009 to 2019 was conducted to identify cases using bone morphogenic protein-2. Fracture healing was...

31/10/2022

Lower Extremity Combat Sustained Peripheral Nerve Injury in: Plastic and Reconstructive Surgery. Society of Military Orthopaedic Surgeons Nailed It Ortho

s to describe CSPNI and report outcomes after evaluation and treatment. We hypothesize that a shorter time to evaluation will improve outcomes. Methods: A database including all active duty service members who sustained a CSPNI and were treated by the PNC between 2004 and 2009 was used. Service memb...

24/10/2022

Primary Double-Pulley SLAP Repair in a Military pop w Type II SLAP Lesions Results in Improved Outcomes + Low Failure Rates at Minimum 6yr FU. Society of Military Orthopaedic Surgeons Amiens SC - Association

To report mid-term outcomes of active-duty patients younger than the age of 35 years with shoulder type II SLAP lesions following our technique for double-pulley SLAP repair (DPSR).

18/10/2022

Arthroscopic Posterior Labral Repair in Active-Duty Military Patients: A Reliable Solution for an At-Risk Population, Regardless of Anchor Type. Society of Military Orthopaedic Surgeons TASCS Nailed It Ortho Ambulatory Surgery Center Association https://journals.sagepub.com/doi/10.1177/03635465221111568 #.Yzd0Jfu2UoU.twitter

03/10/2022

Traumatic Finger Amputations: Epidemiology and Mechanism of Injury, 2010-2019. Society of Military Orthopaedic Surgeons Walter Reed National Military Medical Center

Background: Traumatic finger amputations are a common and well-known hand injury, yet there are few studies addressing long-term epidemiologic data and associat...

08/08/2022

Not every elbow fracture benefits from surgery: Nonoperative Management of Olecranon Fractures https://journals.sagepub.com/doi/full/10.1177/1558944720944261 #.YkdIo9mB52A.twitter Las Palmas Medical Center University Medical Center of El Paso TASCS Walter Reed National Military Medical Center

Background: Despite increased utilization of conservative measures for displaced olecranon fractures in elderly patients, in whom operative fixation may be comp...

18/07/2022

Viking Disease (Dupuytren’s Contracture) can be treated with an injection, but is this the best option? https://journals.sagepub.com/doi/full/10.1177/1558944720974119 #.YkdIhnZUQOE.twitter Las Palmas Medical Center University Medical Center of El Paso TASCS

This systematic review investigates complications and recurrence of Dupuytren’s contracture in metacarpophalangeal joints (MCPJs) and/or proximal interphalangea...

13/07/2022

Response to Letter to the Editor by Drs George and Power on Supercharge End-to-Side Nerve Transfer: A Systematic Review.

If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box.

28/06/2022

Time is tissue when it comes to the ulnar nerve: Supercharge End-to-Side Nerve Transfer: Systematic Review. https://journals.sagepub.com/doi/full/10.1177/1558944719836213 #.YkdISBvwdrU

Background: To decrease the time to reinnervation of the intrinsic motor end plates after high ulnar nerve injuries, a supercharged end-to-side (SETS) anterior ...

13/06/2022

BMP has risks but can aid in bone healing: Bone Morphogenic Protein for Upper Extremity Fractures https://journals.sagepub.com/doi/full/10.1177/1558944721990805 #.YkdIK7uzRM4.twitter Las Palmas Medical Center University Medical Center of El Paso Texas Tech University Health Sciences Center El Paso Walter Reed National Military Medical Center

Purpose This review discusses success, time to healing, and complications of bone morphogenic proteins (BMPs) 7 and 2 in treating upper extremity nonunions. Met...

30/05/2022

Scaphoid fractures are best treated by fellowship-trained hand surgeons https://journals.sagepub.com/doi/full/10.1177/15589447211006861 #.YkdIDGlw7gU.twitter American Board of Orthopaedic Surgery Las Palmas Medical Center@WBAMCOrthoRes University Medical Center of El Paso TASCS Walter Reed National Military Medical Center Texas Tech University Health Sciences Center El Paso

27/05/2022

Advice From A Certified Hand Therapist: Why Bite Injuries To The Hand And Arm Are Serious.

According to Rehabilitation of the Hand and Upper Extremity, dog bites are known as the most common type of animal bite in the United States, accounting for 60-90% of all bite wounds.

23/05/2022

Elbow dislocations can lead to long term elbow instability https://journals.sagepub.com/doi/full/10.1177/1558944720917763 #.YkdHyPkStew.twitter Las Palmas Medical Center@WBAMCOrthoRes University Medical Center of El Paso TASCS Walter Reed National Military Medical Center Texas Tech University Health Sciences Center El PasoBorder Therapy Services

Background: Posterolateral rotatory instability (PLRI) is a common form of recurrent elbow instability. The aim of this systematic review is to present the outc...

16/05/2022

There is a simple solution for complex wrist fractures: the Dorsal Bridge Plate https://www.jhandsurg.org/article/S0363-5023(20)30765-6/fulltext #.YkdHAMG54Bw.twitter Las Palmas Medical Center University Medical Center of El Paso TASCS Walter Reed National Military Medical Center Texas Tech University Health Sciences Center El Paso American Board of Orthopaedic Surgery

This study presents patient demographics, injury characteristics, outcomes, and complications associated with dorsal bridge plating (DBP) in the treatment of distal radius fractures.

13/05/2022

Bent Finger Due to Mallet Finger or Fracture.

If your finger won't straighten out, you may have an injury known as a mallet finger or a mallet fracture. This type of injury often occurs when your finger gets jammed. This may impact the finger tendon, a flexible band of tissue that connects muscle to bone.

09/05/2022

Battlefield peripheral nerve injuries have large zones of injury and are difficult to reconstruct https://www.jhandsurg.org/article/S0363-5023(20)30470-6/fulltext #.YkdGyCfIM4I.twitter Kerecis axogen TASCS Las Palmas Medical Center University Medical Center of El Paso Texas Tech University Health Sciences Center El Paso American Board of Orthopaedic Surgery

Combat-sustained peripheral nerve injuries (CSPNIs) are often the result of high-energy blast mechanisms and are increasing in frequency and severity among US forces engaged in contemporary warfare. The purpose of this study was to describe CSPNIs and report outcomes after evaluation in a military m...

06/05/2022

How to Treat a Sprained or Dislocated Finger.

Finger sprains and dislocations are common hand injuries. A sprain happens when the tough tissue that supports a joint is stretched too far. This tissue, called a ligament, can be partially or completely torn.

02/05/2022

Severe Obesity Is Not Associated with Worse Functional Outcomes Following Arthroscopic Rotator Cuff Repair https://www.arthroscopyjournal.org/article/S0749-8063(22)00150-5/fulltext #.YkdGe1Jg9ls.twitter TASCS Las Palmas Medical Center Border Therapy Services University Medical Center of El Paso

The purpose of this study is to investigate the outcomes of arthroscopic rotator cuff repair in a severely obese population (body mass index [BMI] > 0 kg/m2) compared to a healthy weight population (BMI 18.5-24.9 kg/m2).

29/04/2022

Nano-Improvements to Rheumatoid Arthritis Stem Cell Therapy Show Success.

An article published in the journal Biomaterials shows that CuS@MnO2 nanoparticles (NPs) synthesized with a short bacteriophage-selected mesenchymal stem cell (MSC) targeting peptide allowed the MSCs to take up these NPs. NP-modified MSCs produced greatly improved therapy of Rheumatoid Arthritis (RA...

25/04/2022

Shoulder instability in young active patients: Double-Pulley Remplissage in Active-Duty Military https://www.arthroscopyjournal.org/article/S0749-8063(21)00817-3/fulltext #.YkdGXC_JOVo.twitter TASCS Las Palmas Medical Center Border Therapy Services University Medical Center of El Paso Walter Reed National Military Medical Center

To report mid-term outcomes of active-duty patients with anterior shoulder instability following our technique for double-pulley remplissage (DPR) with concomitant anterior labral repair.

22/04/2022

Happy Earth Day!

22/04/2022

Biomechanical Comparison of Elbow Stability Constructs.

Despite surgical stabilization of complex elbow trauma, additional fixation to maintain joint congruity and stability may be required. Multiple biomechanical constructs include static external fixator (SEF), hinged external fixator (HEF), Internal Joint Stabilizer (IJS), or a hinged elbow orthosis (...

18/04/2022

Biceps Tenodesis as an Attractive Alternative to SLAP Repair for Patients Younger Than 35 Years https://journals.sagepub.com/doi/full/10.1177/03635465211049373 #.Ykc-evkD4os TASCS Las Palmas Medical Center Border Therapy Services University Medical Center of El Paso Walter Reed National Military Medical Center

Background: Biceps tenodesis has been suggested as a superior surgical technique compared with isolated labral repair for superior labral anterior-posterior (SL...