Sports Medicine Patient Centered Clinical Outcomes Research


Our work

To better provide patient-centered treatments, active collection of patient reports outcomes measurements is paramount. To fulfill this mission, the UCSF Orthopaedic’s Sports Medicine Group currently participates in multiple prospective clinical outcome registries.

Current projects

UCSF is an active member of the Multicenter ACL Revision Study (MARS) group.  This group is responsible for collecting outcomes of revision ACL reconstruction with over 30 other institutions across the United States. This is the largest cohort of revision ACL reconstruction patients (over 1,200) reported and numerous research grants as well as awards have been given to this study.  Dr. Christina Allen serves as a member of the scientific advisory board for the MARS group, providing input into current and future directions of the protect and evaluating research proposals and manuscripts.  The MARS study just began its 10 year follow up program phase, and UCSF will likely be one of the sites for performing in-person followup with patients.

 


UCSF is an active member of the Multi-Center Orthopaedic Outcome Network (MOON) shoulder group. Along with 12 other institutions across the United States, we actively follow patients undergoing surgery for shoulder instability and rotator cuff repairs. We have collected information on over 800 patients with shoulder instability which is the largest cohort reported. Active clinical trials with affiliate groups are further detailed in the clinical trial section.


 

Led by C. Benjamin Ma, MD, UCSF Sports Medicine has enrolled over 1,000 patients in a prospective shoulder arthroplasty research study based at UCSF that has successfully published over 20 abstracts and scientific papers.


Led by Alan Zhang, MD UCSF Sports Medicine is actively collecting outcomes measurements on patients undergoing hip arthroscopy surgery. More than 500 patients have been enrolled in this on-going study, yielding multiple research publications.

 


Publications

  1. Flores SE, Chambers CC, Borak KR, Zhang AL. Arthroscopic Treatment of Acetabular Retroversion with Acetabuloplasty and Subspine Decompression: A Matched Comparison with Patients Undergoing Arthroscopic Treatment for Focal Pincer-type FAI. Ortho J sports Med. 2018. In press.
  2. Kraeutler MJ, McCarty EC, Belk JW, Wolf BR, Hettrich CM, Ortiz SF; MOON Shoulder Instability Group, Bravman JT, Baumgarten KM, Bishop JY, Bollier MJ, Brophy RH, Carey JL, Carpenter JE, Cox CL, Feeley BT, Grant JA, Jones GL, Kuhn JE, Kelly JD, Ma CB, Marx RG, Miller BS, Sennett BJ, Smith MV, Wright RW, Zhang AL. Descriptive Epidemiology of the MOON Shoulder Instability Cohort. Am J Sports Med. 2018 Mar 1:363546518755752. doi: 10.1177/0363546518755752.
  3. Flores SE, Borak KR, Zhang AL. Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Prospective Analysis of the Relationship Between Surgeon Experience and Patient Outcomes. Orthop J Sports Med. 2018 Feb 14;6(2):2325967118755048. doi: 10.1177/2325967118755048.
  4. Rugg CM, Hettrich CM, Ortiz S, Wolf BR; MOON Shoulder Instability Group, Zhang AL. Surgical stabilization for first-time shoulder dislocators: a multicenter analysis. J Shoulder Elbow Surg. 2018 Jan 8. pii: S1058-2746(17)30756-5. doi: 10.1016/j.jse.2017.10.041.
  5. Leathers MP, Ialenti MN, Feeley BT, Zhang AL, Ma CB. Do younger patients have better results after reverse total shoulder arthroplasty? J Shoulder Elbow Surg. 2018 Jan 5. pii: S1058-2746(17)30760-7. doi: 10.1016/j.jse.2017.11.014.
  6. MARS Group, Ding DY, Zhang AL, Allen CR, et al. Subsequent Surgery After Revision Anterior Cruciate Ligament Reconstruction: Rates and Risk Factors From a Multicenter Cohort. Am J Sports Med. 2017 May 1:363546517707207. doi: 10.1177/0363546517707207.
  7. Brophy RH, Hettrich CM, Ortiz S, MOON Shoulder Instability Group, Wolf BR. Patients Undergoing Shoulder Stabilization Surgery Have Elevated Shoulder Activity Compared With Sex- and Age-Matched Healthy Controls. Sports Health. 2016 Nov 2. pii: 1941738116676810.
  8. Chambers CC, Zhang AL. Outcomes for Surgical Treatment of Femoroacetabular
    Impingement in Adults. Curr Rev Musculoskelet Med. 2019 Jul 10:271-280. doi:
    10.1007/s12178-019-09567-1. [Epub ahead of print] Review. PubMed PMID: 31292893; 
    PubMed Central PMCID: PMC6684675.
    Kinjo S, Kolodzie K, Dong K, Zhang AL. The effects of transmuscular quadratus 
    lumborum blocks on postoperative pain in arthroscopic hip surgery: a cohort
    analysis. J Anesth. 2019 Aug;33(4):516-522. doi: 10.1007/s00540-019-02659-9. Epub
    2019 Jul 1. PubMed PMID: 31264111.
    Hodax JD, Flores SE, Cheung EC, Zhang AL. Use of Air Arthrograms to Aid in
    Joint Distraction During Hip Arthroscopic Surgery Decreases Postoperative Pain
    and Opioid Requirements. Orthop J Sports Med. 2019 Apr 10;7(4):2325967119837389. 
    doi: 10.1177/2325967119837389. eCollection 2019 Apr. PubMed PMID: 31008138;
    PubMed Central PMCID: PMC6458673.
    Monroe EJ, Chambers CC, Zhang AL. Periportal Capsulotomy: A Technique for
    Limited Violation of the Hip Capsule During Arthroscopy for Femoroacetabular
    Impingement. Arthrosc Tech. 2019 Jan 28;8(2):e205-e208. doi:
    10.1016/j.eats.2018.10.015. eCollection 2019 Feb. PubMed PMID: 30906690; PubMed
    Central PMCID: PMC6411513.
    Chambers CC, Monroe EJ, Flores SE, Borak KR, Zhang AL. Periportal Capsulotomy:
    Technique and Outcomes for a Limited Capsulotomy During Hip Arthroscopy.
    Arthroscopy. 2019 Apr;35(4):1120-1127. doi: 10.1016/j.arthro.2018.10.142. Epub
    2019 Mar 11. PubMed PMID: 30871902.
    Samaan MA, Zhang AL, Popovic T, Pedoia V, Majumdar S, Souza RB. Hip joint
    muscle forces during gait in patients with femoroacetabular impingement syndrome 
    are associated with patient reported outcomes and cartilage composition. J
    Biomech. 2019 Feb 14;84:138-146. doi: 10.1016/j.jbiomech.2018.12.026. Epub 2018
    Dec 23. PubMed PMID: 30600097; PubMed Central PMCID: PMC6428078.
    Flores SE, Sheridan JR, Borak KR, Zhang AL. When Do Patients Improve After Hip
    Arthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis. Am J
    Sports Med. 2018 Nov;46(13):3111-3118. doi: 10.1177/0363546518795696. Epub 2018
    Sep 18. PubMed PMID: 30226992.
    MARS Group, Wright RW, Allen CR et al.  Predictors of Patient-Reported Outcomes at 2 Years After Revision
    Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2019
    Aug;47(10):2394-2401. doi: 10.1177/0363546519862279. Epub 2019 Jul 18. PubMed
    PMID: 31318611.
    MARS Group,Allen CR, et al. Relationship Between Sports Participation After Revision
    Anterior Cruciate Ligament Reconstruction and 2-Year Patient-Reported Outcome
    Measures. Am J Sports Med. 2019 Jul;47(9):2056-2066. doi:
    10.1177/0363546519856348. Epub 2019 Jun 21. PubMed PMID: 31225999.
    MARS Group. Rehabilitation Predictors of Clinical Outcome Following Revision
    ACL Reconstruction in the MARS Cohort. J Bone Joint Surg Am. 2019 May
    1;101(9):779-786. doi: 10.2106/JBJS.18.00397. PubMed PMID: 31045665.
    Chambers CC, Monroe EJ, Allen CR, Pandya NK. Partial Transphyseal Anterior
    Cruciate Ligament Reconstruction: Clinical, Functional, and Radiographic
    Outcomes. Am J Sports Med. 2019 May;47(6):1353-1360. doi:
    10.1177/0363546519836423. Epub 2019 Apr 17. PubMed PMID: 30995077.

    Chambers CC, Zhang AL. Outcomes for Surgical Treatment of FemoroacetabularImpingement in Adults. Curr Rev Musculoskelet Med. 2019 Jul 10:271-280. doi:10.1007/s12178-019-09567-1. [Epub ahead of print] Review. PubMed PMID: 31292893; PubMed Central PMCID: PMC6684675.

  9. Kinjo S, Kolodzie K, Dong K, Zhang AL. The effects of transmuscular quadratus lumborum blocks on postoperative pain in arthroscopic hip surgery: a cohortanalysis. J Anesth. 2019 Aug;33(4):516-522. doi: 10.1007/s00540-019-02659-9. Epub2019 Jul 1. PubMed PMID: 31264111.
  10. Hodax JD, Flores SE, Cheung EC, Zhang AL. Use of Air Arthrograms to Aid inJoint Distraction During Hip Arthroscopic Surgery Decreases Postoperative Painand Opioid Requirements. Orthop J Sports Med. 2019 Apr 10;7(4):2325967119837389. doi: 10.1177/2325967119837389. eCollection 2019 Apr. PubMed PMID: 31008138;PubMed Central PMCID: PMC6458673.
  11. Monroe EJ, Chambers CC, Zhang AL. Periportal Capsulotomy: A Technique forLimited Violation of the Hip Capsule During Arthroscopy for FemoroacetabularImpingement. Arthrosc Tech. 2019 Jan 28;8(2):e205-e208. doi:10.1016/j.eats.2018.10.015. eCollection 2019 Feb. PubMed PMID: 30906690; PubMedCentral PMCID: PMC6411513.
  12. Chambers CC, Monroe EJ, Flores SE, Borak KR, Zhang AL. Periportal Capsulotomy:Technique and Outcomes for a Limited Capsulotomy During Hip Arthroscopy.Arthroscopy. 2019 Apr;35(4):1120-1127. doi: 10.1016/j.arthro.2018.10.142. Epub2019 Mar 11. PubMed PMID: 30871902.
    Samaan MA, Zhang AL, Popovic T, Pedoia V, Majumdar S, Souza RB. Hip jointmuscle forces during gait in patients with femoroacetabular impingement syndrome are associated with patient reported outcomes and cartilage composition. JBiomech. 2019 Feb 14;84:138-146. doi: 10.1016/j.jbiomech.2018.12.026. Epub 2018Dec 23. PubMed PMID: 30600097; PubMed Central PMCID: PMC6428078.
  13. Flores SE, Sheridan JR, Borak KR, Zhang AL. When Do Patients Improve After HipArthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis. Am JSports Med. 2018 Nov;46(13):3111-3118. doi: 10.1177/0363546518795696. Epub 2018Sep 18. PubMed PMID: 30226992.
  14. MARS Group, Wright RW, Allen CR et al.  Predictors of Patient-Reported Outcomes at 2 Years After RevisionAnterior Cruciate Ligament Reconstruction. Am J Sports Med. 2019Aug;47(10):2394-2401. doi: 10.1177/0363546519862279. Epub 2019 Jul 18. PubMedPMID: 31318611.
  15. MARS Group,Allen CR, et al. Relationship Between Sports Participation After RevisionAnterior Cruciate Ligament Reconstruction and 2-Year Patient-Reported OutcomeMeasures. Am J Sports Med. 2019 Jul;47(9):2056-2066. doi:10.1177/0363546519856348. Epub 2019 Jun 21. PubMed PMID: 31225999.
  16. MARS Group. Rehabilitation Predictors of Clinical Outcome Following RevisionACL Reconstruction in the MARS Cohort. J Bone Joint Surg Am. 2019 May1;101(9):779-786. doi: 10.2106/JBJS.18.00397. PubMed PMID: 31045665.
  17. Chambers CC, Monroe EJ, Allen CR, Pandya NK. Partial Transphyseal AnteriorCruciate Ligament Reconstruction: Clinical, Functional, and RadiographicOutcomes. Am J Sports Med. 2019 May;47(6):1353-1360. doi:10.1177/0363546519836423. Epub 2019 Apr 17. PubMed PMID: 30995077.