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Upper extremity research

Magnetic Resonance Imaging (MRI) Evaluation After Endoscopic Carpal Tunnel Release

PI, Joel Klena, MD

This study investigates whether there is a clear division of the flexor retinaculum visible on MRI immediately after and six weeks following Endoscopic Carpal Tunnel Release compared to preoperative MRI, and if morphological changes are maintained at intermediate follow-up.

The Use of Preoperative Dynamic Ultrasound to Predict Ulnar Nerve Instability Following In Situ Decompression for Cubital Tunnel Syndrome

PI, Joel Klena, MD

This study aims to identify if preoperative dynamic ultrasound can be used to accurately predict the degree of ulnar nerve instability following in situ decompression for Cubital Tunnel Syndrome.

Demographics of Orthopaedic Post-Graduate Training Program Faculty

PI, Joel Klena, MD

The aim of this study is to evaluate the baseline demographics and characteristics including gender and subspecialty training for all orthopaedic residency and fellowship program faculty in the United States.

Determinants of Outcomes After Distal Radius/Ulna Fractures

PI, Joel Klena, MD

There are scarce studies evaluating the role of radiographic imaging during the late follow-up of patients treated for distal radius fractures. We hypothesize that once the fracture has clinically and radiographically healed, the role of further routine X-rays is negligible and that limiting X-ray imaging in these patients would help reduce unnecessary expenditures to the health system.

Telemedicine After Upper Extremity Surgery: A Prospective Study of Program Implementation

PI, L. Christopher Grandizio, DO

The purpose of this study is to evaluate the implementation of a postoperative hand and upper extremity telemedicine program. We aim to compare travel burden, visit time and patient satisfaction between an initial postoperative telemedicine visit and a second conventional in-clinic visit.

Surgical Dressings After Endoscopic Carpal Tunnel Release: A Randomized Controlled Trial

PI, L. Christopher Grandizio, DO

This prospective, randomized trial is being conducted to determine if there is a difference in pain scores, outcomes and complications for patients treated with a conventional bulky soft tissue dressing versus those treated with a band-aid after endoscopic carpal tunnel release.

Demographic and Genetic Associations of Dupuytren’s Disease

PI, L. Christopher Grandizio, DO

This study will examine both the incidence/prevalence of Dupuytren’s Disease as well as the demographics of patients with this condition. We aim to create a matched cohort study of patients with and without Dupuytren’s Disease to evaluate the significance of previously investigated genes as well as potential new genetic associations. 

Shoulder Arthroplasty: A Retrospective Analysis of Outcomes

PI, L. Christopher Grandizio, DO

The aim of this study is to evaluate shoulder arthroplasties to better understand the clinical outcomes of the shoulder arthroplasty procedure.

Glucocorticoid Administration in the Treatment of Adult Distal Radius Fractures: A Randomized Controlled Trial

PI, Liam Dwyer, MD

The purpose of this study is to compare functional outcome measures and range of motion for patients receiving glucocorticoid (GC) injections versus those not receiving GCs for the treatment of distal radius fractures. In addition, we aim to determine if there is a difference in rates of complications and postoperative pain control between the GC and non-GC groups.

Joel Klena

"The research conducted at Geisinger is changing the way the world approaches orthopaedic care."