Joshua T. Bram
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View article: Not Ready for Prime Time: Limitations of a Retrieval-Augmented Generation Large Language Model in Assessing Risk of Bias in Observational Studies
Not Ready for Prime Time: Limitations of a Retrieval-Augmented Generation Large Language Model in Assessing Risk of Bias in Observational Studies Open
View article: Impact of a Dedicated Pediatric Orthopaedic Trauma Room on Efficiency Metrics and Complications: A Systematic Review and Meta-Analysis
Impact of a Dedicated Pediatric Orthopaedic Trauma Room on Efficiency Metrics and Complications: A Systematic Review and Meta-Analysis Open
View article: Lower Child Opportunity Index and public insurance are associated with decreased prenatal orthopedic evaluation and minor treatment delays for idiopathic clubfoot
Lower Child Opportunity Index and public insurance are associated with decreased prenatal orthopedic evaluation and minor treatment delays for idiopathic clubfoot Open
Background: Idiopathic clubfoot is a congenital disorder necessitating time-sensitive treatment. Delayed application of the Ponseti method may result in poorer outcomes. Adverse social determinants of health, as measured with the Childhood…
View article: Safety of Accelerated Return to Play After Anatomic Open Reduction and Internal Fixation of Adolescent Clavicle Fractures
Safety of Accelerated Return to Play After Anatomic Open Reduction and Internal Fixation of Adolescent Clavicle Fractures Open
Background: There is a paucity of data on the safety of an accelerated return-to-play (RTP) timeline after open reduction internal fixation (ORIF) of clavicular fractures in adolescent athletes, and whether patients may safely RTP before t…
View article: Determination of Skeletal Age From Hand Radiographs Using Deep Learning
Determination of Skeletal Age From Hand Radiographs Using Deep Learning Open
Background: Surgeons treating skeletally immature patients use skeletal age to determine appropriate surgical strategies. Traditional bone age estimation methods utilizing hand radiographs are time-consuming. Purpose: To develop highly acc…
View article: Efficacy of Transection-Free Patellar Tendon Imbrication Technique for the Correction of Patella Alta
Efficacy of Transection-Free Patellar Tendon Imbrication Technique for the Correction of Patella Alta Open
Background: Addressing patella alta often involves a distalization of the tibial tubercle with an osteotomy. Yet such osteotomies have several potential complications, including nonunion, fracture, and hardware irritation. In addition, tib…
View article: Medial Patellotibial Ligament Reconstruction in Pediatric and Adolescent Patients With Patellofemoral Instability
Medial Patellotibial Ligament Reconstruction in Pediatric and Adolescent Patients With Patellofemoral Instability Open
Recent literature trends toward early surgical intervention for optimal treatment of patellofemoral instability, typically involving medial patellofemoral ligament reconstruction. Medial patellotibial ligament (MPTL) reconstruction is an a…
View article: Comparison of Imaging Characteristics in Pediatric Patients With Trochlear Versus Medial Femoral Condyle Osteochondritis Dissecans
Comparison of Imaging Characteristics in Pediatric Patients With Trochlear Versus Medial Femoral Condyle Osteochondritis Dissecans Open
Background: Although osteochondritis dissecans (OCD) lesions are well-described in the femoral condyles and have been associated with varus limb alignment, there is limited data on OCD lesions in the trochlea. Purpose: To compare the basel…
View article: The Child Opportunity Index and Outcomes After Pediatric Anterior Cruciate Ligament Reconstruction
The Child Opportunity Index and Outcomes After Pediatric Anterior Cruciate Ligament Reconstruction Open
Background: Research at the intersection between social determinants of health (SDOH) and orthopaedics remains an area of active exploration, with recent literature demonstrating significant disparities in a wide array of orthopaedic outco…
View article: Paper 35: Number of Patellar Dislocation Events are Associated with Increased Chondral Damage of the Trochlea: data from the JUPITER group
Paper 35: Number of Patellar Dislocation Events are Associated with Increased Chondral Damage of the Trochlea: data from the JUPITER group Open
Objectives: Patellofemoral instability (PFI) is frequently associated with chondral injuries to the patella and trochlea. Though several radiographic and intra-operative studies have demonstrated a link between patellar dislocation and cho…
View article: Femorotibial rotation is linearly associated with tibial tubercle-trochlear groove distance: A cadaveric study
Femorotibial rotation is linearly associated with tibial tubercle-trochlear groove distance: A cadaveric study Open
IV: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
View article: Magnetic Resonance Imaging Patterns of Common Injuries in Pediatric and Adolescent Athletes
Magnetic Resonance Imaging Patterns of Common Injuries in Pediatric and Adolescent Athletes Open
Injuries in pediatric and adolescent athletes continue to rise in the United States, with increases in year-round sports participation, earlier sport specialization, and inadequate access to neuromuscular training programs. In this setting…
View article: Simultaneous MPFL reconstruction and guided growth result in low rates of recurrent patellofemoral instability
Simultaneous MPFL reconstruction and guided growth result in low rates of recurrent patellofemoral instability Open
Purpose Implant‐mediated guided growth (IMGG) is used to address coronal plane deformity in skeletally immature patients. Few studies have reported on IMGG and simultaneous medial patellofemoral ligament (MPFL) reconstruction for paediatri…
View article: Back to Basics: Pediatric Casting Techniques, Pearls, and Pitfalls.
Back to Basics: Pediatric Casting Techniques, Pearls, and Pitfalls. Open
Cast application is a critical portion of pediatric orthopaedic surgery training and is being performed by a growing number of non-orthopaedic clinicians including primary care physicians and advanced practice providers (APPs). Given the t…
View article: Poster 138: Intra-articular Femorotibial Rotation is Associated with Tibial Tubercle-Trochlear Groove Distance
Poster 138: Intra-articular Femorotibial Rotation is Associated with Tibial Tubercle-Trochlear Groove Distance Open
Objectives: A tibial tubercle-trochlear groove (TT-TG) distance of 20 mm is typically used when determining whether tibial tubercle anteromedialization (AMZ) is needed for patellar instability. TT-TG distance, however, may depend on the in…
View article: Poster 285: MRI Measurement of TT-TG Can Change Without Intervention: An Analysis of Sequential Pre-Operative MRIs in PFI patients
Poster 285: MRI Measurement of TT-TG Can Change Without Intervention: An Analysis of Sequential Pre-Operative MRIs in PFI patients Open
Objectives: Following a patella dislocation event, the patella can remain unstable, leading to patellofemoral instability (PI). There are various anatomic risk factors for PI that help guide surgical treatment including the tibial tubercle…
View article: The Impact of Pelvic Osteotomies on Birth Canal Anatomy and Cesarean Section Rates: A Systematic Review
The Impact of Pelvic Osteotomies on Birth Canal Anatomy and Cesarean Section Rates: A Systematic Review Open
Background: Various pelvic osteotomies can be performed to improve femoral head coverage for patients with hip dysplasia and other childhood hip disorders with the goal of delaying or preventing osteoarthritis. During preoperative d…
View article: Single-Shot Versus Continuous Nerve Blocks for Pediatric Anterior Cruciate Ligament Reconstruction: Analgesic Efficacy and Postoperative Outcomes
Single-Shot Versus Continuous Nerve Blocks for Pediatric Anterior Cruciate Ligament Reconstruction: Analgesic Efficacy and Postoperative Outcomes Open
Background: Regional anesthesia is often used to minimize postoperative pain, enable early mobilization, and improve patient/family satisfaction after ACL reconstruction. Little is known about the effects of nerve blocks on patient-…
View article: Simultaneous anterior cruciate ligament reconstruction and implant-mediated guided growth to correct genu valgum in skeletally immature patients
Simultaneous anterior cruciate ligament reconstruction and implant-mediated guided growth to correct genu valgum in skeletally immature patients Open
View article: An Analysis of Academic Background and Research Activity Among Pediatric Orthopaedic Surgery Division Chiefs and Fellowship Program Directors
An Analysis of Academic Background and Research Activity Among Pediatric Orthopaedic Surgery Division Chiefs and Fellowship Program Directors Open
Background: Pediatric orthopedics has seen a large increase in the number of practicing surgeons. As a field that is concentrated at tertiary referral centers, research productivity can be a critical component of academic advancement for p…
View article: Glass Ceiling in Hand Surgery: Publication Trends by Gender.
Glass Ceiling in Hand Surgery: Publication Trends by Gender. Open
The number of abstracts with female senior authors had similar representation to the membership proportion of women in the ASSH. There were few differences in abstract characteristics based on senior author gender, though senior authors te…
View article: Orthopaedic Surgery Residency Program Social Media Presence During the COVID-19 Pandemic
Orthopaedic Surgery Residency Program Social Media Presence During the COVID-19 Pandemic Open
Background: In light of away rotation and in-person interview cancellations for the 2020 to 2021 application cycle, social media has become a popular tool for orthopaedic surgery residency programs to highlight their strengths, curricula, …
View article: STRONGER THAN EVER! ADOLESCENT ATHLETES SHOW STRENGTH GAINS WITHIN THE UNINJURED LEG AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
STRONGER THAN EVER! ADOLESCENT ATHLETES SHOW STRENGTH GAINS WITHIN THE UNINJURED LEG AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Open
Background: The restoration of quadriceps strength after anterior cruciate ligament reconstruction (ACLR) is critical to restore optimal patient function and reduce the incidence of secondary ACL injury. Strength is typically quantified du…
View article: CONCOMITANT MENISCECTOMY RESULTS IN REDUCED RETURN TO SPORT COMPARED TO MENISCUS REPAIR IN PRIMARY PEDIATRIC ACL RECONSTRUCTION
CONCOMITANT MENISCECTOMY RESULTS IN REDUCED RETURN TO SPORT COMPARED TO MENISCUS REPAIR IN PRIMARY PEDIATRIC ACL RECONSTRUCTION Open
Background: Meniscus repair has demonstrated favorable outcomes when performed with ACL reconstruction (ACLR). However, literature comparing meniscal tear patterns, treatments, and outcomes among pediatric patients remains limited. Purpose…
View article: ANTERIOR CRUCIATE LIGAMENT RECONSRUCTION IN CHILDREN: OUTCOMES OF QUADRICEPS VERSUS HAMSTRING AUTOGRAFTS
ANTERIOR CRUCIATE LIGAMENT RECONSRUCTION IN CHILDREN: OUTCOMES OF QUADRICEPS VERSUS HAMSTRING AUTOGRAFTS Open
Background: Emerging evidence has suggested reduced donor site pain and equivalent/improved functional outcomes in adults undergoing ACL reconstruction (ACLR) with quadriceps (QT) autograft versus hamstrings (HT) grafts. No studies in chil…
View article: PEDIATRIC SPORTS INJURY EPIDEMIOLOGY DURING COVID-19 PANDEMIC
PEDIATRIC SPORTS INJURY EPIDEMIOLOGY DURING COVID-19 PANDEMIC Open
Background: The COVID-19 pandemic has prompted a multitude of public health response measures including social distancing, school cancellations, and cessation of organized sports. A change in the epidemiology of injuries commonly caused by…
View article: DECREASE PRESCRIBING OF POSTOPERATIVE OPIOIDS IN PEDIATRIC ACL RECONSTRUCTION- TREATMENT TRENDS AT A SINGLE CENTER
DECREASE PRESCRIBING OF POSTOPERATIVE OPIOIDS IN PEDIATRIC ACL RECONSTRUCTION- TREATMENT TRENDS AT A SINGLE CENTER Open
Background: Pain control following ACL Reconstruction (ACLR) presents a unique challenge due to age and early rehabilitation needs. Significant efforts have been made to reduce unnecessary opioid prescribing in this vulnerable population, …
View article: NERVE BLOCKS FOR PEDIATRIC ACL RECONSTRUCTION: COMPARING FUNCTION, PATIENT-REPORTED OUTCOMES, AND EFFICIENCY
NERVE BLOCKS FOR PEDIATRIC ACL RECONSTRUCTION: COMPARING FUNCTION, PATIENT-REPORTED OUTCOMES, AND EFFICIENCY Open
Background: Previous studies have compared the use of continuous nerve catheter versus single-shot nerve block approaches to regional anesthesia in ACL Reconstruction (ACLR), but they have primarily focused on adult populations. A paucity …
View article: Decreased Prescribing of Postoperative Opioids in Pediatric ACL Reconstruction: Treatment Trends at a Single Center
Decreased Prescribing of Postoperative Opioids in Pediatric ACL Reconstruction: Treatment Trends at a Single Center Open
Background: Anterior cruciate ligament (ACL) injury is common in the pediatric population. Pain control after ACL reconstruction (ACLR) presents a unique challenge due to age and early rehabilitation needs. Pain management practices are be…
View article: Do Pediatric Patients With Anterior Cruciate Ligament Tears Have a Higher Rate of Familial Anterior Cruciate Ligament Injury?
Do Pediatric Patients With Anterior Cruciate Ligament Tears Have a Higher Rate of Familial Anterior Cruciate Ligament Injury? Open
Background: Several studies have examined the anterior cruciate ligament (ACL) injury history among relatives of patients undergoing ACL reconstruction (ACLR), but they have primarily analyzed adults with variable results. Hypothesis: We h…