The University of Pennsylvania Orthopaedic Journal Volume 31 June 2021 The University of Pennsylvania Orthopaedic Journal Volume 31, June 2021 Editorial Board Editors-in-Chief Sachin Gupta, MD Matthew Stein MD Faculty Advisors Samir Mehta, MD Section Editors Aymen Alqazzaz, MD Lauren Boden, MD Ashleigh Bush, MD Kathleen Collins, MD Ryan Deangelis, MD Bijan Delghani, MD George Fryhofer, MD Cody Hansen, MD Viviana Serra Lopez, MD Kendall Masada MD Brian Velasco MD Dainn Woo, MD Kelsey Young, MD VOLUME 31, JUNE 2021 iii The University of Pennsylvania Orthopaedic Journal Volume 31, June 2021 Table of Contents Introduction Section Letter from the Editors 1 Sachin Gupta, MD and Matthew Stein, MD Letter from the Chair 2 L. Scott Levin, MD, FACS Letter from the Program Director 5 Daniel C. Farber, MD Letter from the Vice Chair of Inclusion, Diversity and Equity 7 Lawrence Wells, MD Dedication: Dr. Craig Israelite, MD 8 Sachin Gupta, MD Faculty, Department, and Resident Updates Chief’s Corner: Academic Chief Update 9 Michael Eby, MD, Christina Nypaver, MD, and William Ryan, MD Class of 2012 Alumni Residents—Where are they now? 10 Matthew Stein, MD Dr. Kristy Weber Presidential Address and Q&A 12 Ashleigh N. Bush, MD Penn Center for Advanced Cartilage Repair and Osteochondritis Dissecans Treatment Update 16 Hannah M. Zlotnick, BS, Tomasina M. Leska, BS, Divya Talwar, PhD, MPH, Jay M. Patel, PhD, Jonathan H. Galarraga, BS, Jason A. Burdick, PhD, Theodore J. Ganley, MD, Robert L. Mauck, PhD, and James L. Carey, MD, MPH Medical Education in a COVID Era: The Role of Virtual Conference 19 Matthew Stein, MD, Samir Mehta, MD, L Scott Levin, MD, and Derek J. Donegan, MD Providing Orthopaedic Care During a Pandemic 21 Andrew Kanoff, MHA, Sean Looby, MHA, and Eric Hume, MD Current Residents 24 Current Fellows 30 Department Updates Orthopaedic Trauma Division Update 31 Samir Mehta, MD Spine Division Update 33 Harvey Smith, MD Sports Division Update 34 Brian Sennett, MD Hand Division Update 35 David Bozentka, MD Shoulder and Elbow Division Update 37 David Glaser, MD Adult Reconstruction Division Update 38 Charles Nelson, MD Foot and Ankle Division Update 39 Casey Humbyrd, MD Orthopaedic Oncology Division Update 41 Kristy Weber, MD Neuro-Orthopaedic Division Update 43 Keith Baldwin, MD, MPH, MSPT Orthoplastics Limb Salvage Division Update 44 Meghan Wilson, RN, Stephen Kovach III, MD and L. Scott Levin, MD, FACS VOLUME 31, JUNE 2021 v VI TABLE OF CONTENTS Health System Update Corporal Michael J. Crescenz VA Medical Center 46 Richard E. Grant, MD Pennsylvania Hospital 48 Neil Sheth, MD Children’s Hospital of Philadelphia Update 49 Divya Talwar, PhD, MPH and John Flynn, MD Penn Center for Musculoskeletal Disorders 54 Louis J. Soslowsky, PhD McKay Orthopaedic Research Laboratory 55 Robert L. Mauck, PhD VAMC Translational Musculoskeletal Research Center 57 Carla R. Scanzello, M.D., Ph.D. and Robert L. Mauck, PhD Human Motion Lab 59 Josh Baxter, PhD Clinical Research Section 60 Annamarie D. Horan, MPA, PhD Staying the Course During COVID-19 MSKR Service Line 63 Sean Looby, MHA Ready to Rebuild 64 Neil Ravitz, MBA Human Tissue Lab 65 Lorianne Kish-Burdsall Advanced Practice Provider Update 66 Christine McAndrew, PA-C Research Articles Clinical Research Sections Tips & Tricks Trauma Tips and Tricks: “Kickstand Screw” for Restoration of Volar Tilt in Distal Radius Open Reduction Internal Fixation 71 Kendall M. Masada, MD and Samir Mehta, MD Spine Tips and Tricks: Anterior Column Realignment with Expandable Cage in Treating Sagittal Malalignment 74 Aymen Alqazzaz, MD and Amrit S. Khalsa, MD Sports Tips & Tricks: 78 Lauren M. Boden, MD, Susanne H. Boden, MD, and Miltiadis H. Zgonis, MD1 Hand Tips & Tricks: Relative Motion Extension Orthosis for Extensor Tendon Injuries 72 Kelsey Young, MD, Gayle Severance, MS, OT/L, CHT, and David R. Steinberg, MD Pediatrics Tips and Tricks: Appropriate Use of Medial Pinning for Pediatric Supracondylar Humerus Fractures 85 Cody H. Hansen, MD and J. Todd R. Lawrence, MD, PhD Shoulder and Elbow Tips & Tricks: A Case Study in Shoulder Hemiarthroplasty for Proximal Humerus Fractures: The Importance of Accurate Humeral Head Length Measurements 89 Kathleen Collins, MD, and John Gabriel Horneff, III, MD, FAAOS Arthroplasty Tips & Tricks: Rapidly Progressive Avascular Necrosis of the Femoral Head Following a Single Intra-articular Corticosteroid Injection 93 Ryan D. DeAngelis, MD, Brian T. Velasco, MD, Bijan Dehghani, MD, MS, and Christopher Travers, MD Foot and Ankle Tips & Tricks: Syndesmotic Screw Fixation—Principles and Technique 98 Brian T. Velasco, MD, Ryan D. DeAngelis, MD, Bijan Dehghani, MD, and Casey J. Humbyrd, MD, MBE Oncology Tips and Tricks: Pathologic Fractures in Metastatic Cancer: Presentation and Workup Considerations 102 Dainn Woo, MD and Kristy L. Weber, MD Orthoplastics Tips & Tricks: Case Report: Orthoplastic Limb Salvage in a Patient with Chronic Nonunion, Infection, Deformity, and Wound 106 Ashleigh Bush, MD, Stephen Kovach, MD, and Samir Mehta, MD UNIVERSITY OF PENNSYLVANIA ORTHOPAEDIC JOURNAL TABLE OF CONTENTS VII Trauma Statistical Shape Models May Accurately Predict Subacromial Impingement of Shoulder Fractures in the Absence of CT Images 113 Christopher Pinto, Kayley Dear, BS, MSE, Samir Mehta, MD, Surena Namdari, MD, and Michael Hast, PhD Historical and Projected Incidence of Alcohol-related Upper Extremity Fractures 115 Christina Nypaver, MD, Kevin Pirrucio, BS, Nikolas Kazmers, MD, MSE, and Benjamin Gray, MD A Geriatric Hip Fracture Care Pathway: An Operational Approach to Quality Improvement 121 Derek Donegan, MD, MBA, Kelsey Bonilla, MD, Rachel Kleinman, BS, MHSA, and Samir Mehta, MD Spine Hydroxyapatite Coating of Porous Polycaprolactone to Enhance Integration of a Tissue-Engineered Total Disc Replacement 125 Sarah E. Gullbrand, PhD, Beth G. Ashinsky, MD, PhD, Sai Mandalapu, BA, Kamiel Saleh, MS, Robert L. Mauck, PhD, and Harvey E. Smith, MD Risk of Ventricular Peritoneal Shunt Malfunction In Surgically Treated Early Onset Scoliosis 128 Mitchell A. Johnson, BSE, Carina Lott, MS, Patrick J. Cahill, MD, Gregory Heuer, MD, PhD, and Jason B. Anari, MD Patient Undergoes Halo-Gravity Traction While Virtually Participating in School During COVID-19 Pandemic: A Case Report 131 Mitchell A. Johnson, BSE, Carina Lott, MS, Patrick J. Cahill, MD, and Jason B. Anari, MD Sports Multiligamentous Knee Injury in Siblings with Associated Peroneal Nerve Deficits: A Case Report 135 Jake Schroeder, MD, Margaret Wright, MD, Ronit Shah, BS, Ishaan Swarup, MD, and Theodore Ganley, MD Genetic Contributions to Osteochondritis Dissecans: A Systematic Review 138 Max Cornell, BS, Ryan Guzek, BS, Mitchell Johnson, BS, Tomasina Leska, BS, Soroush Baghadi, MD, ROCK Study Group, and Theodore J. Ganley, MD Patellar Stabilization Using a Modified Basket-Weave Allograft MPFL/MQTFL Reconstruction 141 Brendan A. Williams, MD, Stephanie Logterman, MD, Daniel Weltsch, MD, and J. Todd R. Lawrence, MD, PhD Arthroscopic Diagnosis of Occult Posterolateral Meniscocapsular Separations: Another Hidden Lesion 145 Robert L. Parisien, MD, Max Shin, BA, Lauren M. Boden, MD, Stephanie Y. Jo, MD, PhD, Lisa Victorious, PA, Brian J. Sennett, MD, and Miltiadis H. Zgonis, MD Hand A Decade of Change: Levels of Evidence at the ASSH Podium from 2010-2019 151 Joshua T. Bram, BS, Andrew Parambath, BA, Nishank Mehta, BA, Faris Z. Fazal, BS, and Apurva S. Shah, MD, MBA A Case Report of Ecthyma Gangrenosum affecting the Thumb 155 Corey T. Clyde, MD, John M. Roberts, MD, John R. Lien, MD, and Benjamin L. Gray, MD MSCE Anterior Interosseous Nerve Transfer for Ulnar Neuropathy: How, When and Why 158 John M. Roberts, Corey T. Clyde, and David J. Bozentka Thumb CMC Arthroplasty. Is it Time to Move Away from LRTI? 160 Jonathan B. Lundy, MD, Erin L. Weber, MD, Mitchell Hallman, MD, Zvi Steinberger, MD, David R. Steinberg, MD, and David J. Bozentka, MD Pediatrics Juvenile Osteochondritis Dissecans of the Knee Shows Early Evidence of Radiologic Irregularity 164 Ryan Guzek, BS, Max Cornell, BS, Jie Nguyen, MD, MS, and Theodore J. Ganley, MD Increases in Pediatric Sports Injuries Late in the COVID-19 Pandemic 168 Nicolas Pascual-Leone, BA, Mitchell Johnson, BSE, Tomasina Leska, BS, and Theodore Ganley, MD Psychosocial factors impacting the mental health of the orthopaedic workforce 172 Divya Talwar, Soroush Baghdadi, Heidi Nocka, and Alexandre Arkader SutureBridge Transosseous Fixation of Complete Radial Tears: A Philosophical Approach 175 Tomasina Leska, BS, Soroush Baghdadi, MD, Max Cornell, BS, and Theodore Ganley, MD Shoulder and Elbow Poly-N-Acetyl Glucosamine (sNAG) is Dose Dependent for Healing of a Rat Rotator Cuff 179 Courtney A. Nuss, AS, Julianne Huegel, PhD, Sergio Finkielsztein, Andrew F. Kuntz, MD, and Louis J. Soslowsky, PhD VOLUME 31, JUNE 2021 VIII TABLE OF CONTENTS State of the Field: Proposed Suture Anchor Design for Rotator Cuff Repair in Osteoporotic Bone 182 Lori Jia, BS, Ali S. Farooqi, BA, Alexander Lee, BS, and John D. Kelly IV, MD Arthroplasty Tertiary Care Centers Provide Successful Revision TKA to External Referrals, Despite Increased Patient Complexity 186 Brian A. Perez, MD, Nicolas A. Selemon, BA, Brian D. Cortese, BS, Aaron Gebrelul, MD, Kevin Pirruccio, BA, and Neil P. Sheth, MD Pre-operative Complexity Scoring Accurately Predicts Total Knee Arthroplasty Operative Time 187 Joseph Koressel, MD, Max Shin, BS, Matthew K. Stein, MD, Matthew Sloan, MD, andNeil P. Sheth, MD Evaluating Dental Clearance Prior to Total Joint Replacement at the Philadelphia Veterans Affairs Medical Center: One Answer, Ten More Questions 192 Lori Jia, BS, Kendall M. Masada, MD, Jacob C. Harris, BA, Vincent M. Moretti, MD, Eric L. Hume, MD, and Joseph Bernstein, MD Foot and Ankle Prospective Evaluation of Opioid Consumption in Multimodal Analgesia following Isolated Hallux Valgus Correction or First MTP Joint Arthrodesis 197 Wonyong Lee, MD, Dan Prat, MD, Daniel C. Farber, MD, Keith L. Wapner, MD, and Wen Chao, MD Comparison of Four Different Fixation Strategies for Midfoot Arthrodesis: A Retrospective Comparative Study 202 Wonyong Lee, MD, Dan Prat, MD, Keith L.