George S.M. Dyer
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View article: Missed Opportunities in Orthopaedics for Intimate Partner Violence Identification
Missed Opportunities in Orthopaedics for Intimate Partner Violence Identification Open
Background: Intimate partner violence (IPV) commonly manifests as a musculoskeletal injury, yet the majority of orthopaedic surgeons estimate IPV to be rare in “their” orthopaedic patients. This work aimed to (1) provide education on the p…
View article: Neonatal Mouse Ovary Culture: An In Vitro Model for Studying Primordial Follicle Regulation
Neonatal Mouse Ovary Culture: An In Vitro Model for Studying Primordial Follicle Regulation Open
In mammalian females, primordial follicles form during fetal ovarian development and serve as the only source to sustain adult ovarian function. Mechanisms underlying how primordial follicles assemble, maintain dormancy, activate for folli…
View article: Assessing the Socio-geographic and lifestyle Factors Impacting Epithelial Ovarian Cancer Outcomes: A Retrospective Study Based on County Health Ranking in Missouri
Assessing the Socio-geographic and lifestyle Factors Impacting Epithelial Ovarian Cancer Outcomes: A Retrospective Study Based on County Health Ranking in Missouri Open
Objective This study examined how obesity, smoking, and pregnancy history, characterized as lifestyle factors, are associated with survival of epithelial ovarian cancer, and investigated whether epithelial ovarian cancer presentation, surv…
View article: Resident Education in Hand Surgery: Barriers and Opportunities
Resident Education in Hand Surgery: Barriers and Opportunities Open
Resident education is critical in the development, growth, and recruitment of young surgeons into the field of hand surgery. However, the increased emphasis on efficiency and productivity in clinical care, growth of hand fellowships, and w…
View article: The Relationship Between Preoperative International Normalized Ratio and Postoperative Major Bleeding in Total Shoulder Arthroplasty
The Relationship Between Preoperative International Normalized Ratio and Postoperative Major Bleeding in Total Shoulder Arthroplasty Open
Introduction: This study aimed to assess the relationship between preoperative international normalized ratio (INR) levels and major postoperative bleeding events after total shoulder arthroplasty (TSA). Methods: The American College of Su…
View article: Deltoid tuberosity index obtained by computed tomography versus radiography for measuring bone quality in proximal humeral fractures: a retrospective observational study
Deltoid tuberosity index obtained by computed tomography versus radiography for measuring bone quality in proximal humeral fractures: a retrospective observational study Open
Background In cases of proximal humeral fractures, fracture severity and the patient’s osteoporotic condition should be assessed to achieve the best possible treatment outcomes. The Tingart measurement is commonly used to assess bone quali…
View article: DEI Scholarship in a Changing Political Environment
DEI Scholarship in a Changing Political Environment Open
I believe that we may be at or near the high-water mark of affirmative action in America. This past June, the U.S. Supreme Court ruled on 2 major affirmative action cases, Students for Fair Admissions v. University of North Carolina and St…
View article: A Mission Statement and a New Idea for the JBJS Open Access Education Channel
A Mission Statement and a New Idea for the JBJS Open Access Education Channel Open
I have been given a remarkable privilege. As only the second editor of the AOA Critical Issues in Education channel, I have the opportunity to help shape what this part of JBJS Open Access will look like for years to come. As I start my se…
View article: Impact of Age on Functional Outcome After Reverse Shoulder Arthroplasty Performed for Proximal Humerus Fractures or Their Sequelae.
Impact of Age on Functional Outcome After Reverse Shoulder Arthroplasty Performed for Proximal Humerus Fractures or Their Sequelae. Open
At a minimum of 3 years after RSA for a complex PHF or fracture sequelae, we found no significant difference in complications, reoperation rates, or functional outcomes between younger patients with an average age of 64 years and older pat…
View article: Current Requirements and Attitudes Toward Research: A Survey-Based Analysis of Orthopedic Surgery Programs
Current Requirements and Attitudes Toward Research: A Survey-Based Analysis of Orthopedic Surgery Programs Open
Objective The Accreditation Council for Graduate Medical Education (ACGME) guidelines require scholarly activity but do not specify what research-related activity is necessary to meet this requirement. The current components and opinions r…
View article: Envisioning a Partnership between Nail Technicians and Hand Surgeons for Community Surveillance of Intimate Partner Violence
Envisioning a Partnership between Nail Technicians and Hand Surgeons for Community Surveillance of Intimate Partner Violence Open
Intimate partner violence (IPV) is a public health crisis, exacerbated by the COVID-19 pandemic.Among musculoskeletal injuries, finger fractures are the most common injuries in IPV, though the vast majority of cases go unrecognized in medi…
View article: Ten-year National Trends in Patient Characteristics and 30-day Outcomes of Distal Radius Fracture Open Reduction and Internal Fixation
Ten-year National Trends in Patient Characteristics and 30-day Outcomes of Distal Radius Fracture Open Reduction and Internal Fixation Open
Introduction: Despite increased utilization, recent temporal trends in patient comorbidities and episode-of-care outcomes for distal radius fracture open reduction and internal fixation (ORIF) have not been studied. The objective of this s…
View article: A Framework and Blueprint for Building Capacity in Global Orthopaedic Surgical Outreach
A Framework and Blueprint for Building Capacity in Global Orthopaedic Surgical Outreach Open
Background: Nongovernmental organizations (NGOs) from high-income countries provide surgical outreach for patients in low and middle-income countries (LMICs); however, these efforts lack a coordinated measurement of their ability to build …
View article: Surgical Demographics of Acute Hand Compartment Syndrome
Surgical Demographics of Acute Hand Compartment Syndrome Open
Background: We aimed to describe the demographic, injury-related, and treatment-related characteristics of patients who undergo fasciotomies for acute hand compartment syndrome. Methods: A cohort of 53 adult patients with acute hand compar…
View article: SLAMF7 engagement superactivates macrophages in acute and chronic inflammation
SLAMF7 engagement superactivates macrophages in acute and chronic inflammation Open
Macrophages regulate protective immune responses to infectious microbes, but aberrant macrophage activation frequently drives pathological inflammation. To identify regulators of vigorous macrophage activation, we analyzed RNA-seq data fro…
View article: Selecting the Next Class: The “Virtual Orthopaedic Rotation”
Selecting the Next Class: The “Virtual Orthopaedic Rotation” Open
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 selectio…
View article: International Orthopaedic Volunteer Opportunities in Low and Middle-Income Countries
International Orthopaedic Volunteer Opportunities in Low and Middle-Income Countries Open
Globally, the burden of musculoskeletal conditions continues to rise, disproportionately affecting low and middle-income countries (LMICs). The ability to meet these orthopaedic surgical care demands remains a challenge. To help address th…
View article: Shoulder Arthrodesis versus Upper Trapezius Transfer for Traumatic Brachial Plexus Injury: A Proportional Meta-Analysis
Shoulder Arthrodesis versus Upper Trapezius Transfer for Traumatic Brachial Plexus Injury: A Proportional Meta-Analysis Open
Shoulder arthrodesis and upper trapezius transfer are two surgical options for secondary shoulder reconstruction for traumatic brachial plexus injury (BPI). There is a lack of comparative evidence to guide the choice for one procedure over…
View article: Current Orthopaedic Residency Letters of Recommendation Are Not Biased by Gender of Applicant
Current Orthopaedic Residency Letters of Recommendation Are Not Biased by Gender of Applicant Open
Background: Letters of recommendation (LORs) are highly influential in the residency selection process. Differences in language and length of LORs by gender have been demonstrated for applicants applying to surgical residencies and fellows…
View article: Skin Tenting in Displaced Midshaft Clavicle Fractures.
Skin Tenting in Displaced Midshaft Clavicle Fractures. Open
Although lower BMI and greater fracture shortening were associated with skin tenting, the diagnosis is subjective. We found wide variation in the diagnosis of skin tenting, even among surgeons within a single metropolitan area.
View article: SLAMF7 engagement super-activates macrophages in acute and chronic inflammation
SLAMF7 engagement super-activates macrophages in acute and chronic inflammation Open
Macrophages regulate protective immune responses to infectious microbes, but aberrant macrophage activation frequently drives pathological inflammation. To identify regulators of vigorous macrophage activation, we analyzed RNA-seq data fro…
View article: What’s Important: Concrete Actions to Combat Racism—Our Role as Orthopaedic Surgeons
What’s Important: Concrete Actions to Combat Racism—Our Role as Orthopaedic Surgeons Open
Dear Colleagues in Orthopaedics, I do not usually address you in terms as personal as these, but as one of the tiny handful of black men among you, I think the time has come for me to say something about what is happening in the U.S. right…
View article: What Is the Prevalence of Burnout, Depression, and Substance Use Among Orthopaedic Surgery Residents and What Are the Risk Factors? A Collaborative Orthopaedic Educational Research Group Survey Study
What Is the Prevalence of Burnout, Depression, and Substance Use Among Orthopaedic Surgery Residents and What Are the Risk Factors? A Collaborative Orthopaedic Educational Research Group Survey Study Open
Background Burnout and depression among healthcare professionals and trainees remain alarmingly common. In 2009, 56% of orthopaedic surgery residents reported burnout. Alcohol and illicit drug use are potential exacerbating factors of burn…
View article: What’s Important: COVID-19—Helpers, Not Heroes
What’s Important: COVID-19—Helpers, Not Heroes Open
Here is what is difficult for surgeons about COVID-19: it is an unsettling experience for a mass-casualty event to be so "un-surgical." When we are honest with ourselves, part of the satisfaction of being a surgeon is that we are used to b…
View article: What’s Important: Facing Fear in the Time of COVID-19
What’s Important: Facing Fear in the Time of COVID-19 Open
This article is unlike others we have written, but these are extraordinary times. For one thing, we feel like we are living in "dog years," where things are changing so quickly around us that every day feels like a week. The days fill them…
View article: The Continued Utility and Viability of Dakin's Solution in Both High- and Low-resource Settings.
The Continued Utility and Viability of Dakin's Solution in Both High- and Low-resource Settings. Open
Healthcare is expensive and often inaccessible to many. As a result, surgeons must consider simple, less expensive interventions when possible. For wound care, an older but quite effective cleaning agent is Dakin's solution (0.5% sodium hy…