Joshua David Harris

Joshua David Harris
Houston Methodist Hospital | HOUSTONMETHODIST · Department of Orthopedics & Sports Medicine

MD
Arthroscopic Hip Preservation Surgeon, Sports Medicine

About

394
Publications
258,715
Reads
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10,943
Citations
Introduction
Dr. Harris obtained a B.S. degree in Chemistry from Wright State University in 2002. He then attended The Ohio State University College of Medicine, graduating magna cum laude in 2006. He completed an Orthopedic Surgery residency at the same institution. He joined Houston Methodist Hospital in 2013 after completing a fellowship in Orthopedic Sports Medicine at Rush University’s Sports Medicine Program. He is Associate Professor at Houston Methodist Institute for Academic Medicine, Associate Professor of Orthopedic Surgery at Weill Cornell Medical College, and Adjunct Assistant Professor at Texas A&M. Dr Harris is Associate Editor for Arthroscopy: The Journal of Arthroscopic and Related Surgery. He is Director of Research for the Orthopedic Surgery residency at Houston Methodist.
Additional affiliations
June 2018 - present
Houston Methodist Hospital Institute for Academic Medicine
Position
  • Professor (Associate)
September 2014 - present
Weill Cornell Medical College
Position
  • Professor (Associate)
September 2013 - present
Houston Methodist Hospital
Position
  • Orthopedic Surgeon, Sports Medicine
Education
August 2002 - June 2006
The Ohio State University
Field of study
  • Medicine
August 1998 - June 2002
Wright State University
Field of study
  • Chemistry

Publications

Publications (394)
Chapter
Pubic symphysis instability is an uncommon cause of hip or groin pain. This situation is observed mostly in patients with history of rheumatologic, obstetric, or urologic conditions and athletes with history of repetitive overuse hip, groin, pelvis, core, or spine injury. Traumatic separation of the joint can happen in females due to stretch or rup...
Chapter
The proximal hamstring is a common location for athletic injuries. A complete, three-tendon (semitendinosus, semimembranosus, and long head of the biceps femoris) tear may occur in sports that involve eccentric contractions of the hamstrings with rapid hip flexion and knee extension. Surgical treatment of multi-tendon tears with retraction in activ...
Chapter
Recognition of femoroacetabular impingementas a potential precursor to hip osteoarthritis has led to the development of hip preservation surgery techniques through both open and arthroscopic approaches. Successful short- and midterm clinical outcomes have been reported following hip preservation surgery. Improvements in technique and instrumentatio...
Article
Purpose To determine the effectiveness of pericapsular nerve group (PENG) block for patients surgically treated for femoroacetabular impingement syndrome (FAIS). Methods Consecutive patients who underwent surgical treatment of FAIS either with or without preoperative PENG block by a single surgeon were retrospectively identified. Twenty-five patie...
Article
Full-text available
Historically, medical students often match within the same geographic location or to an orthopaedic surgery residency program affiliated with their medical school. The objective of this investigation was to determine differences in geographic trends between orthopaedic residents matching before and during the Coronavirus-19 (COVID-19) pandemic. Me...
Article
Objectives: Background The volume of hip arthroscopy for femoroacetabular impingement syndrome(FAIS) has dramatically risen, and data increasingly supports early intervention from symptom onset. In an increasingly value-conscious environment, the practice of routinely acquiring preoperative MRIs for primary hip arthroscopy patients in the setting o...
Poster
Full-text available
BACKGROUND Medical school ranking may become more important in orthopedic surgery resident selection with the impending transition of USMLE Step 1 to a pass/fail scoring system. OBJECTIVE The purpose of this study was to determine the strength of the association between medical school ranking and orthopedic surgery residency ranking using the cu...
Article
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Stress fractures are highly prevalent in ballet dancers and lead to notable time loss from dancing. Nutritional status, body composition, bone mineral density, and rate of increase in activity are among the components that influence risk for stress fractures. Proper evaluation and management of stress fractures is essential including a review of th...
Article
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Objective To demonstrate an ultra-high field (UHF) 7 T delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) protocol for quantitative post-traumatic osteoarthritis (PTOA) detection and monitoring in a rabbit anterior cruciate ligament transection (ACLT) model. Design ACL transections were performed unilaterally in 5 rabbits (33-weeks-old, 3.5 ±...
Article
Purpose The purpose was to assess the clinical utility of preoperative MRI and quantify the delay in surgical care for patients aged 40 or younger undergoing primary hip arthroscopy with a history, physical examination, and radiographs concordant with femoroacetabular impingement syndrome (FAIS). Methods Between August 2015 and December 2020, 1,78...
Article
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Background Medial column procedures are commonly used to treat progressive collapsing foot deformity (PCFD) reconstruction. The aim of this research is to present the clinical results of plantar plating for medial naviculocuneiform (NC) arthrodesis when NC joint pathology contributes to medial arch collapse. The authors hypothesized that lag screws...
Article
One of the core principles of hip arthroscopy is preservation of the acetabular labrum. Compromise of the biomechanical function of the labrum underlies a significant symptom source in patients undergoing hip preservation surgery. As surgical techniques continue to improve and evolve beyond labral repair, increased use of advanced arthroscopic proc...
Article
FULL TEXT: https://authors.elsevier.com/c/1efK~6tEErZmP6 OBJECTIVE The purpose of this study was to determine the strength of the association between medical school ranking and orthopedic surgery residency ranking using the current cohort of orthopedic surgery residents. DESIGN We obtained a list of accredited programs from Doximity for orthopedi...
Article
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The use of blood flow restriction (BFR) within rehabilitation is rapidly increasing as further research is performed elucidating purported benefits such as improved muscular strength and size, neuromuscular control, decreased pain, and increased bone mineral density. Interestingly, these benefits are not isolated to structures distal to the occlusi...
Article
PURPOSE To determine if there are differences in: 1) the incidence of post-related complications following hip arthroscopy between prospective and retrospective publications; and 2) between post-assisted and postless techniques. METHODS A systematic review was performed using PRISMA guidelines to characterize post-related complications following h...
Article
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Abdominal compartment syndrome (ACS) is a rare but potentially fatal complication that can occur during hip arthroscopy. This usually occurs as a result of arthroscopic fluid passing into the retroperitoneal space through the psoas tunnel. From the retroperitoneal space, the fluid can then enter the intraperitoneal space through defects in the peri...
Article
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The COVID-19 pandemic created an unprecedented challenge for orthopaedic surgery residency applicants when away rotations were canceled and interviews were held virtually. The authors hypothesized that (1) Instagram would have more total social media accounts compared with Twitter or Facebook, (2) most social media accounts on all platforms would b...
Article
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Clinical outcomes in arthroscopic hip preservation surgery have improved over the past two decades due to many factors, including advancements in technique and instrumentation. Complications following hip arthroscopy are associated with increased traction and overall surgical times. The purpose of this study was to compare traction and surgical tim...
Article
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Background Driving to the basket in basketball involves acceleration, deceleration, and lateral movements, which may expose players to increased anterior cruciate ligament (ACL) injury risk. It is unknown whether players who heavily rely on driving have decreased performance on returning to play after ACL reconstruction (ACLR). Hypothesis Players...
Article
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Objectives Previous work has shown a high return to sport (RTS) after Anterior Cruciate Ligament Reconstruction (ACLR) in National Basketball Association (NBA) players. Data on performance outcomes after RTS are less clear, with some demonstrating no difference compared to controls and others showing decreased performance. Two fundamentals of baske...
Article
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Background Open fractures are debilitating injuries for athletes. No prior studies have investigated open fractures in National Football League (NFL) players. Purpose To compare outcomes after open fracture in NFL players in terms of (1) time to return to sport (RTS), (2) postinjury career length and games played per season, (3) postinjury perform...
Chapter
Stress fractures about the hip are common overuse injuries in athletes which can result from increased stress on normal bone or normal stress on abnormal bone. The aim of this chapter is to review the epidemiology of the most common stress fractures of the hip, discuss optimal management of these stress fractures, and outline return to play followi...
Article
The optimal classification system in arthroscopic and related surgery research and clinical practice should be clinically relevant, descriptive, reproducible, simple, inexpensive, safe, and widely applicable. For the hip, classification systems that characterize intra-articular disorders like femoroacetabular impingement (FAI) syndrome, dysplasia,...
Article
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Background: Hip arthroscopy is a rapidly growing surgical approach to treat femoroacetabular impingement (FAI) syndrome with a significant learning curve pertaining to complication risk, reoperation rate, and total hip arthroplasty conversion. Hip arthroscopy is more frequently being taught in residency and fellowship training. The key, or critical...
Article
Background: Dancers possess a large degree of hip range of motion that results from a combination of innate and acquired osseous morphology and permissive soft tissues. Generalized hypermobility in dancers may predispose them to a spectrum of hip instability. The objective of this narrative review is to discuss the anatomical characteristics, path...
Conference Paper
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Recently, the risk of hip injury during row exercise training has been illuminated by advances in diagnostic and imaging technology. PURPOSE: (1) To determine if a maximal effort 2000m row test commonly performed as a fitness assessment in rowers places participants in ranges of motion (ROM) associated with increased risk of hip injury (RISK THRESH...
Article
Virtual reality (VR) simulation has enormous potential utility in technically demanding manual activities. Hip arthroscopy is a perfect example of a challenging surgical technique with an extensive learning curve. The literature has recently consistently demonstrated that both career and annual maintenance case volume significantly influences patie...
Article
Background: Work relative value units (wRVUs) are part of Resource Based Relative Value Scale system. It is expected that a more difficult and time-consuming procedure would yield higher wRVUs. Brachial plexus nerve decompression surgery is a more time-consuming procedure compared with carpal and cubital tunnel procedures. The aim of this study wa...
Article
Machine learning and artificial intelligence are increasingly used in modern health care, including arthroscopic and related surgery. Multiple high-quality, Level I evidence, randomized, controlled investigations have recently shown the ability of hip arthroscopy to successfully treat femoroacetabular impingement syndrome and labral tears. Contempo...
Article
PURPOSE To perform a systematic review that determines the percentage of published Orthopedic Surgery and Sports Medicine systematic reviews and meta-analyses that have a conclusive conclusion. METHODS A systematic review was performed using PRISMA guidelines. Six high-quality orthopedics journals were chosen for analysis over a ten-year eligibili...
Article
It is increasingly recognized that a variety of musculoskeletal disorders significantly influence sleep. In individuals with sleep dysfunction caused by hip pain (coxalgia somnia) from osteoarthritis, total hip arthroplasty has reliably improved pain and sleep quality in most patients. In nonarthritic, nondysplastic individuals with femoroacetabula...
Article
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Background: Methodological quality and author internationality are increasing in orthopaedic surgery. The purpose of this study was to evaluate the methodological quality and author geography trends from 1994 to 2019 in high-quality foot and ankle journals. Methods: Analyses of 1,242 foot and ankle publications in Foot and Ankle International, A...
Article
Background: Capsule management has emerged as an important topic in the field of hip arthroscopy. The 2 most popular techniques are interportal capsulotomy and T-type capsulotomy, but few studies have compared outcomes between these 2 techniques. Purpose: To compare 2-year (±2 months) patient-reported outcomes (PROs) between patients who underwe...
Article
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Purpose To perform a systematic review to identify macroscopic and microscopic patterns and differences in hip capsule innervation between normal hips and hips with osteoarthritis (OA), femoroacetabular impingement (FAI) syndrome, and developmental dysplasia of the hip (DDH). Methods A systematic review was performed using Preferred Reporting Item...
Article
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Background The Beighton score is commonly used to assess the degree of hypermobility in patients with hypermobility spectrum disorder. Since proper diagnosis and treatment in this challenging patient population require valid, reliable, and responsive clinical assessments such as the Beighton score, studies must properly evaluate efficacy and effect...
Article
Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and is classified based on the magnitude and location of undercoverage. Borderline dysplasia has be...
Article
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Background Transthyretin and immunoglobulin light-chain amyloidoses cause amyloid deposition throughout various organ systems. Recent evidence suggests that soft tissue amyloid deposits may lead to orthopedic conditions before cardiac manifestations occur. Pharmacologic treatments reduce further amyloid deposits in these patients. Thus, early diagn...
Article
Introduction: The purpose of this study was to review and compare clinical outcomes between percutaneous needle fasciotomy (PNF) and collagenase Clostridium histolyticum (CCH) injection for the treatment of Dupuytren’s contracture. Materials and Methods: A systematic review was performed including all level I-III evidence studies investigating the...
Article
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Physician rating websites (PRWs) rate physicians based on experiences of previous patients. Although a high rating is desirable, it may not correlate with quality of care, experience, or other physician-specific variables. This study examined the impact of physician-specific variables, such as American Board of Orthopaedic Surgery Sports Certificat...
Article
Full-text available
Purpose To perform a systematic review of biomechanical and clinical studies to determine whether the iliopsoas is a femoral head stabilizer. Methods A systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Inclusion criteria were any human clinical (Levels I-IV evidence) or la...
Article
Full-text available
EC Orthopaedics 11(10): 83-93, 2020. Background: Pain assessment using the visual analog scale (VAS) is common during patient evaluation in orthopedic settings. However, several factors contribute to variability in patient pain scoring when only assessed in clinic. As a subjective psychological measure, we hypothesized that patient VAS scores woul...
Article
In the field of hip preservation, arthroscopic labral reconstruction is indicated for acetabular labral deficiency. Controversies regarding hip labral reconstruction abound, including primary versus revision indications, and circumferential versus segmental reconstruction. The goal of hip preservation surgery is to correct bony cam and pincer lesio...
Article
Full-text available
The purpose of this narrative review is to identify the anatomy and relevant blood supply to the femoral head as it pertains to hip arthroscopy and lateral cam morphology. The primary blood supply to the femoral head are the lateral ascending superior retinacular vessels, which are terminal branches of the medial femoral circumflex artery. These ve...
Article
“Arthroscrapes” are unintended iatrogenic articular cartilage injuries caused by the arthroscope or surgical instruments during arthroscopy. Even the most benign superficial injuries to articular cartilage, including temporary deformation, may result in chondrocyte death. We thus declare a call to action: arthroscopic and related surgeons must crea...
Article
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Current studies evaluating the outcomes of an intradiscal injection of bone marrow concentrate (BMC) for lumbar disc degeneration are limited. The purpose of this review was to determine if an intradiscal injection of BMC for lumbar disc degeneration results in a statistically significant improvement in clinical outcomes. A systematic review was pe...
Chapter
Athletic hip and thigh injury evaluation requires an assessment for possible stress fracture. Stress fractures of the femoral neck and shaft typically occur via overuse in endurance athletes. Stress fractures at the hip are primarily located at the femoral neck. Compression-side femoral neck stress fractures are usually of low risk, with non-surgic...
Chapter
The tibia is the most common site for developing a stress fracture. Tensile forces created by the gastrocnemius and soleus musculature and relative hypovascularity lead to a high rate of nonunion, delayed union, and stress fracture at the anterior tibial cortex. Stress fractures occur more commonly at the posterior medial cortex of the tibial diaph...
Article
Full-text available
Background Few investigations have examined dance-specific injury prevention programs (IPPs), and no published randomized controlled trials are available that evaluate IPPs for dance. Hypothesis The implementation of an IPP will significantly reduce the risk of injury in professional ballet dancers. Study Design Randomized controlled trial; Level...
Article
Full-text available
Current studies evaluating the outcomes of intradiscal platelet-rich plasma (PRP) injections in degenerative disc disease (DDD) are limited. The purpose of this review was to determine if an intradiscal injection of PRP for degenerative discs results in a statistically significant improvement in clinical outcomes. A systematic review was performed...
Article
Full-text available
Objectives To determine which outcome scores physicians are using in hip preservation surgery, as well as when they are administered, who administers them and on what platform. Methods A cross-sectional survey was conducted to examine which patient-reported outcome (PRO) scores are being used by hip preservation surgeons, including hip joint–speci...
Article
Full-text available
International Journal of Exercise Science 13(3): 802-817, 2020. Performing yoga in a heated environment (HY) is a popular exercise mode purported to improve range of motion (ROM), body composition, and aerobic fitness. The purpose of this investigation was to compare a session of HY to room temperature yoga (RTY) with regards to ROM, oxygen consum...
Article
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Purpose To determine the limitations of randomized sham surgery-controlled trials in orthopedic sports medicine and fidelity of the trials’ conclusions. Methods Randomized placebo surgery-controlled trials in orthopedic sports medicine were included in this PRISMA-guided systematic review. Several aspects of investigation design and conduct were a...
Article
Full-text available
Purpose: To identify potential differences in interportal capsulotomy size and cross-sectional area (CSA) using the anterolateral portal (ALP) and either the: (i) standard anterior portal (SAP) or (ii) modified anterior portal (MAP). Materials and methods: Ten cadaveric hemi pelvis specimens were included. A standard arthroscopic ALP was created...
Article
Full-text available
Ischiofemoral impingement (IFI) is a cause of deep gluteal space syndrome. The prevalence of radiographic findings in patients with hip pain is unknown. To assess if there is a correlation between femoral neck-shaft angle (NSA) and the distance of the ischiofemoral space (IFS) and quadratus femoris space (QFS) and to determine the prevalence of qua...
Article
Background: There is limited evidence on the safety of return to sexual activity after hip arthroscopy. Aim: To determine the positional safety of sexual activity after hip arthroscopy relative to hip instability and/or impingement risk. Study design: This study is an observational study. Methods: 12 common sexual positions were identified b...
Article
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Stress fractures are common among elite ballet dancers whereby musculoskeletal health may be affected by energy balance and overtraining. Purpose: To characterize bone health in relation to stress fracture history, body composition, eating disorder risk, and blood biomarkers in professional male and female ballet dancers. Methods: A single coho...
Article
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Background: Limited data exist delineating the reasons women choose subspecialties within orthopaedics. Purpose:(1) To perform a survey that determines subspecialties female orthopaedic surgeons select and (2) to analyze the motivations behind their choices.Methods:A 10-question survey was distributed via e-mail to theRuth Jackson Orthopaedic Socie...
Article
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The aim of this study was to determine (i) the reliability of hip range of motion measurement among experienced arthroscopic hip preservation surgeons and (ii) the magnitude of hip flexion change with posterior pelvic tilt. Five experienced arthroscopic hip preservation surgeons (5–18 years of hip surgery experience) performed passive hip range of...
Article
Purpose: To determine the relationship between preoperative patient expectation and postoperative satisfaction and overall patient-reported outcome (PRO) of patients undergoing hip arthroscopy for femoroacetabular impingement syndrome. Methods: Patients who underwent hip arthroscopy for femoroacetabular impingement syndrome completed the validat...