Derek Purcell - Academia.edu (original) (raw)
Papers by Derek Purcell
American Journal of Sports Medicine, 2005
Operative Techniques in Sports Medicine, 2004
Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthrosc... more Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthroscopic techniques improve. A growing body of biomechanical and clinical research provides an enhanced perspective on results obtained with both arthroscopic and open treatment of these conditions. Labral repair and capsulolabral reconstruction can effectively be treated with suture anchors by both arthroscopic and open methods. Suture anchors are low-profile fixation devices that can minimize articular surface compromise and afford an anatomic reconstruction of the labrum and glenohumeral ligament complex. Although the use of suture anchors has become increasingly common to obtain stable fixation and healing at the bone-tendon interface in rotator cuff repair, critical distinctions exist between this function and their implementation in labral repair and capsulolabral reconstruction. This article examines the technical aspects of labral repair and capsulolabral reconstruction with metallic and bioabsorbable suture anchors. The emphasis is on implant options, technical advantages, potential limitations, and relevant biomechanical considerations to better achieve an optimal outcome. Oper Tech Sports Med 12:225-231
Clinical Orthopaedics and Related Research, 2007
Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overh... more Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overhead throwing athlete. The techniques for reconstruction of this critical ligament have evolved over time. The outcomes of ulnar collateral ligament reconstruction were assessed for success. We systematically reviewed the literature and found five Level III retrospective cohort studies that reported outcomes after reconstruction. One study reflected shorter term followup on a cohort that was included in a later study. Successful outcomes were based primarily on the return to play level of the athlete. Articles were reviewed with regard to population, followup, operative technique, adjunctive procedures, complications, and outcomes. The figure-of-eight and docking techniques for ulnar collateral ligament reconstructions provide high levels of return to sport for the overhead athlete. The most common complications were associated with the ulnar nerve. Transition to the muscle-splitting approach has decreased the occurrence of these complications. Areas for future research are also discussed.
Journal of Bone and Joint Surgery-american Volume, 2006
Early results of a new method of treatment for idiopathic congenital vertical talus.
Operative Techniques in Sports Medicine, 2004
The purpose of this article is to discuss the bioabsorbable interference screws currently availab... more The purpose of this article is to discuss the bioabsorbable interference screws currently available for graft fixation in anterior cruciate ligament reconstruction. A brief review of the literature regarding the use of bioabsorbable interference screws is included. The screw design, insertion technique, graft options, and various manufactured sizes for each screw are addressed. Relevant screw characteristics to consider include availability of guidewire, tap, and tunnel notching devices to ease insertion. Oper Tech Sports Med 12:180-187
Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinov... more Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinovarus (clubfoot) described by Ponseti is a popular method, but it requires two to four years of orthotic management. The purpose of this study was to examine the patient characteristics and demographic factors related to the family that are predictive of recurrent foot deformities in patients treated with this method.
Journal of Bone and Joint Surgery-american Volume, 2007
Early results of a new method of treatment for idiopathic congenital vertical talus.
American Journal of Sports Medicine, 2005
Operative Techniques in Sports Medicine, 2004
Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthrosc... more Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthroscopic techniques improve. A growing body of biomechanical and clinical research provides an enhanced perspective on results obtained with both arthroscopic and open treatment of these conditions. Labral repair and capsulolabral reconstruction can effectively be treated with suture anchors by both arthroscopic and open methods. Suture anchors are low-profile fixation devices that can minimize articular surface compromise and afford an anatomic reconstruction of the labrum and glenohumeral ligament complex. Although the use of suture anchors has become increasingly common to obtain stable fixation and healing at the bone-tendon interface in rotator cuff repair, critical distinctions exist between this function and their implementation in labral repair and capsulolabral reconstruction. This article examines the technical aspects of labral repair and capsulolabral reconstruction with metallic and bioabsorbable suture anchors. The emphasis is on implant options, technical advantages, potential limitations, and relevant biomechanical considerations to better achieve an optimal outcome. Oper Tech Sports Med 12:225-231
Clinical Orthopaedics and Related Research, 2007
Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overh... more Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overhead throwing athlete. The techniques for reconstruction of this critical ligament have evolved over time. The outcomes of ulnar collateral ligament reconstruction were assessed for success. We systematically reviewed the literature and found five Level III retrospective cohort studies that reported outcomes after reconstruction. One study reflected shorter term followup on a cohort that was included in a later study. Successful outcomes were based primarily on the return to play level of the athlete. Articles were reviewed with regard to population, followup, operative technique, adjunctive procedures, complications, and outcomes. The figure-of-eight and docking techniques for ulnar collateral ligament reconstructions provide high levels of return to sport for the overhead athlete. The most common complications were associated with the ulnar nerve. Transition to the muscle-splitting approach has decreased the occurrence of these complications. Areas for future research are also discussed.
Journal of Bone and Joint Surgery-american Volume, 2006
Early results of a new method of treatment for idiopathic congenital vertical talus.
Operative Techniques in Sports Medicine, 2004
The purpose of this article is to discuss the bioabsorbable interference screws currently availab... more The purpose of this article is to discuss the bioabsorbable interference screws currently available for graft fixation in anterior cruciate ligament reconstruction. A brief review of the literature regarding the use of bioabsorbable interference screws is included. The screw design, insertion technique, graft options, and various manufactured sizes for each screw are addressed. Relevant screw characteristics to consider include availability of guidewire, tap, and tunnel notching devices to ease insertion. Oper Tech Sports Med 12:180-187
Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinov... more Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinovarus (clubfoot) described by Ponseti is a popular method, but it requires two to four years of orthotic management. The purpose of this study was to examine the patient characteristics and demographic factors related to the family that are predictive of recurrent foot deformities in patients treated with this method.
Journal of Bone and Joint Surgery-american Volume, 2007
Early results of a new method of treatment for idiopathic congenital vertical talus.
American Journal of Sports Medicine, 2005
Operative Techniques in Sports Medicine, 2004
Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthrosc... more Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthroscopic techniques improve. A growing body of biomechanical and clinical research provides an enhanced perspective on results obtained with both arthroscopic and open treatment of these conditions. Labral repair and capsulolabral reconstruction can effectively be treated with suture anchors by both arthroscopic and open methods. Suture anchors are low-profile fixation devices that can minimize articular surface compromise and afford an anatomic reconstruction of the labrum and glenohumeral ligament complex. Although the use of suture anchors has become increasingly common to obtain stable fixation and healing at the bone-tendon interface in rotator cuff repair, critical distinctions exist between this function and their implementation in labral repair and capsulolabral reconstruction. This article examines the technical aspects of labral repair and capsulolabral reconstruction with metallic and bioabsorbable suture anchors. The emphasis is on implant options, technical advantages, potential limitations, and relevant biomechanical considerations to better achieve an optimal outcome. Oper Tech Sports Med 12:225-231
Clinical Orthopaedics and Related Research, 2007
Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overh... more Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overhead throwing athlete. The techniques for reconstruction of this critical ligament have evolved over time. The outcomes of ulnar collateral ligament reconstruction were assessed for success. We systematically reviewed the literature and found five Level III retrospective cohort studies that reported outcomes after reconstruction. One study reflected shorter term followup on a cohort that was included in a later study. Successful outcomes were based primarily on the return to play level of the athlete. Articles were reviewed with regard to population, followup, operative technique, adjunctive procedures, complications, and outcomes. The figure-of-eight and docking techniques for ulnar collateral ligament reconstructions provide high levels of return to sport for the overhead athlete. The most common complications were associated with the ulnar nerve. Transition to the muscle-splitting approach has decreased the occurrence of these complications. Areas for future research are also discussed.
Journal of Bone and Joint Surgery-american Volume, 2006
Early results of a new method of treatment for idiopathic congenital vertical talus.
Operative Techniques in Sports Medicine, 2004
The purpose of this article is to discuss the bioabsorbable interference screws currently availab... more The purpose of this article is to discuss the bioabsorbable interference screws currently available for graft fixation in anterior cruciate ligament reconstruction. A brief review of the literature regarding the use of bioabsorbable interference screws is included. The screw design, insertion technique, graft options, and various manufactured sizes for each screw are addressed. Relevant screw characteristics to consider include availability of guidewire, tap, and tunnel notching devices to ease insertion. Oper Tech Sports Med 12:180-187
Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinov... more Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinovarus (clubfoot) described by Ponseti is a popular method, but it requires two to four years of orthotic management. The purpose of this study was to examine the patient characteristics and demographic factors related to the family that are predictive of recurrent foot deformities in patients treated with this method.
Journal of Bone and Joint Surgery-american Volume, 2007
Early results of a new method of treatment for idiopathic congenital vertical talus.
American Journal of Sports Medicine, 2005
Operative Techniques in Sports Medicine, 2004
Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthrosc... more Treatment of glenohumeral instability and capsulolabral pathology continues to evolve as arthroscopic techniques improve. A growing body of biomechanical and clinical research provides an enhanced perspective on results obtained with both arthroscopic and open treatment of these conditions. Labral repair and capsulolabral reconstruction can effectively be treated with suture anchors by both arthroscopic and open methods. Suture anchors are low-profile fixation devices that can minimize articular surface compromise and afford an anatomic reconstruction of the labrum and glenohumeral ligament complex. Although the use of suture anchors has become increasingly common to obtain stable fixation and healing at the bone-tendon interface in rotator cuff repair, critical distinctions exist between this function and their implementation in labral repair and capsulolabral reconstruction. This article examines the technical aspects of labral repair and capsulolabral reconstruction with metallic and bioabsorbable suture anchors. The emphasis is on implant options, technical advantages, potential limitations, and relevant biomechanical considerations to better achieve an optimal outcome. Oper Tech Sports Med 12:225-231
Clinical Orthopaedics and Related Research, 2007
Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overh... more Injury to the ulnar collateral ligament of the elbow is a commonly recognized lesion in the overhead throwing athlete. The techniques for reconstruction of this critical ligament have evolved over time. The outcomes of ulnar collateral ligament reconstruction were assessed for success. We systematically reviewed the literature and found five Level III retrospective cohort studies that reported outcomes after reconstruction. One study reflected shorter term followup on a cohort that was included in a later study. Successful outcomes were based primarily on the return to play level of the athlete. Articles were reviewed with regard to population, followup, operative technique, adjunctive procedures, complications, and outcomes. The figure-of-eight and docking techniques for ulnar collateral ligament reconstructions provide high levels of return to sport for the overhead athlete. The most common complications were associated with the ulnar nerve. Transition to the muscle-splitting approach has decreased the occurrence of these complications. Areas for future research are also discussed.
Journal of Bone and Joint Surgery-american Volume, 2006
Early results of a new method of treatment for idiopathic congenital vertical talus.
Operative Techniques in Sports Medicine, 2004
The purpose of this article is to discuss the bioabsorbable interference screws currently availab... more The purpose of this article is to discuss the bioabsorbable interference screws currently available for graft fixation in anterior cruciate ligament reconstruction. A brief review of the literature regarding the use of bioabsorbable interference screws is included. The screw design, insertion technique, graft options, and various manufactured sizes for each screw are addressed. Relevant screw characteristics to consider include availability of guidewire, tap, and tunnel notching devices to ease insertion. Oper Tech Sports Med 12:180-187
Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinov... more Background: The nonoperative technique for the treatment of idiopathic congenital talipes equinovarus (clubfoot) described by Ponseti is a popular method, but it requires two to four years of orthotic management. The purpose of this study was to examine the patient characteristics and demographic factors related to the family that are predictive of recurrent foot deformities in patients treated with this method.
Journal of Bone and Joint Surgery-american Volume, 2007
Early results of a new method of treatment for idiopathic congenital vertical talus.