Anthony Romeo

Anthony Romeo

Doctor of Medicine

About

715
Publications
194,928
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
19,040
Citations
Additional affiliations
August 2020 - present
Dupage Medical Group Musculoskeletal Institute
Position
  • CEO
June 2018 - present
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Position
  • Professor
June 2018 - June 2020
Rothman Orthopaedic Institute
Position
  • Chief of Orthopaedics
Education
August 1983 - May 1987
August 1979 - May 1983
University of Notre Dame
Field of study
  • Pre Professional Studies

Publications

Publications (715)
Article
Objectives Our group has previously reported the 1-year outcomes arthroscopic suprapectoral biceps tenodesis (ASPBT) versus open subpectoral biceps for the management of long head of the biceps tendon (LHBT) pathology. While patients had similar 1-year biceps strength and pain, any ongoing changes in functional outcomes is yet unknown. We aimed to...
Article
Background We have previously reported the 1-year outcomes of arthroscopic suprapectoral biceps tenodesis (ASPBT) versus open subpectoral biceps tenodesis (OSPBT) for the management of long head of the biceps tendon (LHBT) pathology. While patients had similar 1-year biceps muscle strength and pain, longer-term functional outcomes are unknown. Pur...
Article
Background Reverse total shoulder arthroplasty (RTSA) is an excellent treatment option for a variety of shoulder pathologies. Anatomic total shoulder arthroplasty (TSA) remains an excellent treatment for patients with glenohumeral arthritis and a functioning rotator cuff. RTSA has become a much more common procedure than TSA in recent times. It is...
Article
Background Ulnar collateral ligament (UCL) reconstruction (UCLR) is a common surgery among baseball pitchers. UCL repair combined with augmentation using high strength tape, referred to as an internal brace, was developed as an alternative to UCLR in select patients with the benefit of allowing these athletes to return to sport (RTS) faster. A comb...
Article
Several methods are available for subscapularis management in total shoulder arthroplasty (TSA). The goal of this study was to compare radiographic and clinical outcomes of short-stem TSA stratified by subscapularis management technique. A multicenter trial was completed evaluating primary short-stem TSA performed with a subscapularis peel (n=80) o...
Article
Background Understanding and reducing lengths-of-stay (LOS) after orthopedic procedures has become essential with the implementation of bundled payment reimbursement models. Previous small cohort investigations have identified risk factors for increased LOS after primary shoulder arthroplasty, such as renal insufficiency, cardiac disease, American...
Article
Full-text available
Background Bicipital disorders are common among overhead athletes, especially professional baseball players. The ideal treatment for bicipital problems in professional baseball players is unknown. Purpose/Hypothesis The purpose was to determine the return-to-sport (RTS) rate and performance after RTS in professional baseball players who underwent...
Article
Full-text available
Background Variability exists between total shoulder arthroplasty preoperative planning software (PPS) systems for glenoid angular measurements. The purpose of this study is to locate the region on the glenoid at which inclination and version are measured on the PPS modalities of Blueprint and VIP. Methods Preoperative Computed Tomography (CT) sca...
Article
Full-text available
Background Various methods exist for managing the joint capsule during the Latarjet procedure. Repairing the capsule to the native glenoid rim results in an extra-articular bone block, while repairing it to the remnant coracoacromial ligament stump of the coracoid graft renders it intra-articular. The technique that optimizes patient outcomes is no...
Article
Background 3D preoperative planning software for reverse total shoulder arthroplasty (rTSA) has been implemented in recent years in order to increase accuracy, improve efficiency, and add value to the outcome. A comprehensive literature review is required to determine utility of preoperative 3D planning software in guiding orthopedic surgeons for i...
Article
Full-text available
Background The impact of preoperative fatty infiltration of specific rotator cuff muscles on the outcomes of rTSA has not been well defined. Hypothesis Preoperative fatty infiltration of the shoulder musculature will negatively affect rTSA outcomes. Methods A comprehensive literature review was conducted according to the Preferred Reporting Items...
Article
Purpose To define clinically significant outcomes (CSO) thresholds for minimal clinically important difference (MCID), substantial clinical benefit (SCB) and patient acceptable symptomatic state (PASS) in patients undergoing superior capsular reconstruction (SCR) with an acellular dermal allograft. We also evaluated patient specific variables predi...
Article
Full-text available
Background Pectoralis major repair (PMR) is an infrequent injury that occurs during resistance training, most commonly during the eccentric phase of muscle contraction. As the incidence of weight training continues to increase, it is important to understand the outcomes after PMR. Purpose To evaluate the rate and duration of return to work in pati...
Article
The goal of this study was to establish a risk stratification nomogram to aid in determining the need for inpatient admission among patients who were eligible for Medicare and were undergoing primary total shoulder arthroplasty (TSA). The American College of Surgeons National Surgical Quality Improvement Program database was queried to identify all...
Article
Background The purpose of this study is to determine the comparative risk profile and clinical outcomes for patients undergoing reverse total shoulder arthroplasty (RTSA) for cuff tear arthropathy (CTA) without failed prior rotator cuff repair (RCR) compared to RTSA for CTA with prior RCR. Methods From 2006 to 2014, all patients who underwent RTSA...
Article
Background Latissimus dorsi (LD) and teres major (TM) tears have become increasingly recognized injuries in professional baseball pitchers. The purpose of this study was to determine if workload, as measured by number of days rest between outings, innings pitched, batters faced, and starting pitcher, is associated with increased risk for sustaining...
Chapter
Treatment of irreparable rotator cuff tears can be one of the most difficult problems for orthopedic surgeons to address. While the decision-making process is sometimes straightforward, as in the elderly patient with an irreparable rotator cuff tear, this problem presents a significant challenge in the young patient without significant arthritic ch...
Chapter
As the number of rotator cuff repairs (RCR) continues to rise and healing rates remain stagnant, graft, and scaffold augmentation in RCR surgery has become increasingly popular. Early studies have shown favorable outcomes for several devices, including allografts, xenografts, and synthetic scaffolds. Further work is needed to understand the long-te...
Article
Background: While results following ulnar collateral ligament reconstruction (UCLR) in baseball players have been well documented, the literature is replete regarding the outcomes following UCLR in javelin thrower. Purpose: To report outcomes following UCLR in javelin throwers HYPOTHESIS: UCLR in javelin throwers will result in a high rate of re...
Article
Biceps tenodesis and tenotomy are increasingly being used as treatment options for shoulder pathology, but patient satisfaction remains largely unstudied. A systematic review of the MEDLINE database was conducted to identify clinical outcome studies on isolated biceps tenodesis or tenotomy that reported patient satisfaction. Within the 15 investiga...
Article
Full-text available
Objective To examine the results, level of evidence, and methodologic quality of original studies regarding surgical mask effectiveness in minimizing viral respiratory illness transmission, and, in particular, the performance of the N95 respirator versus surgical mask. Methods Meta-analysis was conducted according to the Preferred Reporting Items...
Article
Background Reverse total shoulder arthroplasty (RSA) primarily varies between two implant design options: a 135o humeral stem inclination that closely resembles anatomic orientation, versus the Grammont-style 155o humeral stem inclination that further medializes and distalizes the center of rotation (COR). The purpose of this study was to compare d...
Article
Full-text available
Background The purpose of this study was to evaluate the mechanical, structural, and histological quality of rotator cuff repairs augmented with an interposition electrospun nanofiber scaffold composed of polyglycolic acid (PGA) and poly-L-lactide-co-ε-caprolactone (PLCL) in an acute sheep model. Methods Forty (n=40) acute infraspinatus tendon det...
Chapter
Fractures about the elbow often occur from macrotrauma involving significant force. While many sports are non-contact, there are several contact and collision sports that can generate enough stress about the elbow to cause a fracture. The common fracture types sustained about the elbow include those of the distal humerus, olecranon, proximal radius...
Article
Purpose Evaluate the rate and duration of return to work in patients undergoing latarjet for failed soft tissue stabilization or glenoid bone loss. Methods Consecutive patients undergoing latarjet from 2005-2015 at our institution were retrospectively reviewed at a minimum of two years postoperatively. Patients completed a standardized and validat...
Article
The influence of the humeral inclination in reverse total shoulder arthroplasty (RTSA) is not well understood. The purpose of this study was to determine outcomes and complications after RTSA with an inclination of 135° or 155° in a modular prosthesis. American Shoulder and Elbow Surgeons (ASES), visual analog scale (VAS), Single Assessment Numeric...
Conference Paper
Full-text available
This study compared the role of each leg in generating linear and angular impulse during fastball pitches performed by professional pitchers (n=4). Participants were asked to pitch from an instrumented mound and 6-11 successful fastball pitches were used for the analysis. The results indicate that back leg generated forward linear impulse and the f...
Article
The purpose of this study was to compare scapulohumeral coordination used before and after Reverse Total Shoulder Arthroplasty (RTSA) during the ascent phase of scapular plane arm elevation tasks performed with varied shoulder rotations (neutral, external rotation, and internal rotation). We expected that after RTSA, participants would decrease sca...
Article
Background: Some patients who have shoulder surgery on one shoulder go on to have surgery on their contralateral shoulder. It is unclear if the clinical improvements following the second surgery are as significant as the improvements following the first surgery METHODS: All patients who underwent surgery on both shoulders by a single surgeon betwe...
Article
Background: Posterior glenoid wear remains a challenge in anatomic and reverse total shoulder arthroplasty (rTSA) due to anasymmetric erosion with altered retroversion. The purpose of this study was to assess glenoid morphology and evaluate the influence of acromial orientation in posterior glenoid erosion patterns by utilizing 3D models. Materia...
Article
Background Cadaveric studies have demonstrated adverse biomechanical consequences to small changes in the center of rotation (COR) from ideal in anatomic total shoulder arthroplasty (TSA). The aim of the present study was to determine if there is any association between humeral COR shift from ideal in anatomic TSA and patient-reported outcomes or r...
Article
Full-text available
Background Nearly all studies describing shoulder stabilization focus on male patients. Little is known regarding the clinical outcomes of female patients undergoing shoulder stabilization, and even less is understood about females with glenoid bone loss. Purpose To assess the clinical outcomes of female patients with recurrent anterior shoulder i...
Article
The goal of this study was to determine the threshold for achieving maximal outcome improvement (MOI) on the American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), and Constant-Murley (CM) questionnaires that predict satisfaction after isolated biceps tenodesis without concomitant rotator cuff repair. A retrospect...
Article
Purpose: The purpose of this study was to evaluate long-term patient-reported outcomes and revision surgery after arthroscopic rotator cuff repair with or without acromioplasty. Methods: Between 2007-2011, prospectively enrolled patients undergoing arthroscopic repair for full-thickness rotator cuff tears, with any acromial morphology, were rand...
Article
Introduction: There has been recent interest in throwing from flat-ground versus the mound regarding stress on the elbow. Typical throwing progression programs begin with flat-ground work and progress to mound work. Methods: All baseball pitchers of ages 10 to 17 years who completed a 15-week pitching mechanics and velocity-training program were...
Article
Background : While retroversion of the glenoid in anatomic total shoulder arthroplasty (TSA) has been increasingly studied, the effect of glenoid inclination on clinical outcomes has received less attention. The goal of this study was to examine the influence of pre- and postoperative inclination on clinical outcomes after anatomic TSA. Methods :...
Article
Background Latarjet coracoid transfer reconstruction is the gold standard for treatment of recurrent shoulder instability with anterior-inferior glenoid bone loss and return to sport is often a primary outcome of interest in this patient population. Purpose The purpose of this study was to determine the rate of return to sport in patients undergoi...
Article
Superior labrum, anterior and posterior (SLAP) lesions are common and identified in up to 26% of shoulder arthroscopies, with the greatest risk factor appearing to be overhead sporting activities. Symptomatic patients are treated with physical therapy and activity modification. However, after the failure of non-operative measures or when activity m...
Article
Background It is a common practice to order an immediate postoperative radiograph in the post anesthesia care unit (PACU) following reverse shoulder arthroplasty (RSA). However, with a growing emphasis on value based care and cost effectiveness we question the necessity for immediate postoperative radiograph’s following uncomplicated, primary rever...
Article
Full-text available
Previous attempts to measure lateralization, distalization or inclination after reverse total shoulder arthroplasty (rTSA) and to correlate them with clinical outcomes have been made in the past years. However, this is considered to be too demanding and challenging for daily clinical practice. Additionally, the reported findings were obtained from...
Article
Latissimus dorsi and teres major tendon injuries are an uncommon, but under-recognized source of shoulder pain and weakness in baseball players, specifically pitchers. These injuries can be difficult to diagnose on history and physical examination but are typically accompanied by pain and weakness to resisted adduction, extension, and internal rota...
Article
Full-text available
Background Little is known about the clinical indications of performing a revision distal biceps tendon repair/reconstruction, and there is even less data available on the clinical outcomes of patients after revision surgery. Purpose To determine the clinical outcomes of patients undergoing revision distal biceps tendon repair/reconstruction and e...
Chapter
The long head of the biceps (LHB) is a well-recognized source of pain and cause for shoulder dysfunction. To complicate the scenario, LHB pathology may also occur with concurrent rotator cuff tears, subacromial impingement, and/or labral pathology. Surgical decision-making depends largely on patient factors including activity level, handedness, age...
Book
The biceps tendon is one of the most challenging anatomic structures to completely understand. Its precise role for shoulder function has yet to be completely defined, and pathologic conditions exist at both its proximal and distal ends. In recent years, the biceps labral complex has been recognized as a common cause of shoulder pain among patients...
Article
Anterior glenohumeral instability remains a common clinical problem in the athletic and working patient populations, and further, recurrence rates following stabilization surgery continue to be problematic. Over the past 5 years, there have been substantial improvements in the understanding of anterior shoulder instability. To better counsel and tr...
Article
Full-text available
Purpose To report the clinical history and preliminary outcomes of patients who underwent posterior glenoid reconstruction using a distal tibial allograft (DTA) for the management of posterior shoulder instability with glenoid bone loss. Methods Patients who underwent posterior shoulder stabilization with a DTA in our institution between 2011 and 2...
Article
Full-text available
Background Latarjet has become a common treatment option for patients with shoulder instability in the setting of bone loss. The coracoid is commonly secured with screws Methods All patients who underwent Latarjet with suture button fixation with minimum 1-year follow-up were eligible for inclusion. Preoperative demographic and clinical outcome da...
Article
Full-text available
Background Citation counts have often been used as a surrogate for the scholarly impact of a particular study, but they do not necessarily correlate with higher-quality investigations. In recent decades, much of the literature regarding shoulder instability is focused on surgical techniques to correct bone loss and prevent recurrence. Purpose To d...
Article
Background Surgical site infections (SSI) are relatively uncommon, but can be debilitating complications following shoulder arthroplasty. Infections can result in further complications including sepsis and revision surgery. Methods The National Surgical Quality Improvement Program (NSQIP) database was queried for all total and reverse total should...
Article
Purpose Compare postoperative opioid usage following hemiarthroplasty (HA) and reverse total shoulder arthroplasty (RTSA) for proximal humerus fracture (PHFx). Methods Humana insurance data was reviewed for patients undergoing RTSA or HA for PHFx from 2007 through the first quarter of 2017. The incidence of postoperative opioid usage within 1 year...
Article
Background Recent literature has focused on correlating statistically significant changes in outcome measures with clinically significant outcomes (CSOs). CSO benchmarks are being established for arthroscopic rotator cuff repair (RCR), but more remains to be defined about them. Purpose To define the time-dependent nature of the minimal clinically...
Article
Purpose To identify demographic, clinical, and radiographic factors associated with failure following superior capsular reconstruction (SCR). Methods Prospectively collected data from patients who underwent SCR using a decellularized dermal allograft for an irreparable rotator cuff tear were analyzed. Demographic characteristics, radiographic findi...
Article
Background : Total shoulder arthroplasty (TSA) can be performed with a short-stem (SS) press-fit humeral component or a traditional-length (TL) humeral stem. The purpose of this study was to report the results of patient who underwent TSA with a SS and compare these results to patients who underwent TSA with a TL humeral stem. Methods : All patien...
Article
Introduction: Latarjet is an effective procedure for treatment of anterior glenohumeral joint instability; however, complications are concerning. The purpose of this study was to review a single institution's experience with the Latarjet procedure for recurrent anterior glenohumeral instability specifically focusing on early complications. Method...
Article
Full-text available
Purpose: To evaluate the effect of acromioplasty using a cutting block technique on bony coverage as measured by the critical shoulder angle (CSA) and acromial index (AI). Methods: This study is a retrospective radiographic review using data from a previous prospective randomized clinical trial that offered enrollment to patients aged 18 years o...
Article
Full-text available
The treatment of massive, irreparable rotator cuff tears presents a substantial challenge to health-care professionals. Treatment options range from nonoperative to operative, including debridement, partial repair, biceps tenotomy, bridging patch grafts, muscle transfers, and reverse total shoulder arthroplasty. However, the results of such treatme...
Article
Although patient-reported outcome measures use objective evaluations of impairment to focus on subjective responses, these measures may not necessarily reflect patient satisfaction with the outcome or the care provided. The goal of this study was to systematically review the available literature to assess patient satisfaction after total shoulder a...
Article
All-polyethylene glenoid components designed for osseous integration of the central peg can be placed with no graft (NG), autogenous bone graft (ABG), or demineralized bone matrix (DBM). The purpose of this study was to compare osseous integration with these 3 techniques. A randomized controlled trial was performed of 153 total shoulder arthroplast...
Article
Background: Reverse total shoulder arthroplasty (RTSA) is an effective treatment option for many shoulder conditions. Historically, this surgical procedure was performed on an inpatient basis. There has been a recent trend to perform RTSA on an outpatient basis in proper candidates. Methods: All patients who underwent outpatient RTSA performed b...
Article
Background Reverse total shoulder arthroplasty (RTSA) as a revision procedure for failed anatomic total shoulder arthroplasty (TSA) is increasing in incidence. The purpose of this study was to analyze the results of RTSA as a revision salvage procedure for failed TSA and identify factors that influenced those outcomes. Methods All anatomic TSAs th...
Article
Background Comorbidity indices such as the 5-factor modified Frailty Index (mFI-5) and modified Charlson Comorbidity Index (mCCI) are widely used in outcomes research. Methods 3,893 patients who underwent total shoulder arthroplasty (TSA, n=975), hemiarthroplasty (HA, n=495), or open reduction and internal fixation (ORIF, n=2,423) for the treatmen...
Article
Background While the effect of three-dimensional (3D) planning for total shoulder arthroplasty (TSA) on component positioning and patient outcomes has been increasingly studied, the effect of 3D planning on surgeon decision making has not been well studied. Methods A retrospective review was performed of a database containing TSA cases for which t...
Article
Full-text available
Background The biomechanical properties of coracoid fixation with a miniplate during the Latarjet procedure have not been described. Purpose To determine the biomechanical properties of miniplate fixation for the Latarjet procedure compared with various screw fixation configurations. Study Design Controlled laboratory study. Methods A total of 8...