Jolene C Hardy

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Scholarly Contributions

Journals/Publications

• Hardy, J. C., Sandberg, R. P., & Sherman, N. (2020). Recurrent, bilateral quadriceps tendon rupture due to indirect trauma in a patient with sickle cell trait: A case report.. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 25(1), 197-200. doi:10.1016/j.jos.2017.06.016
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  The incidence of rotator cuff tears in young patients has increased recently with the increase in sports and recreation activities, however, few studies have reported clinical outcomes after arthroscopic repair of large to massive rotator cuff tears in young patients. This study aimed to evaluate preoperative characteristics and postoperative outcomes after arthroscopic repair of large to massive rotator cuff tears in patients younger than 60 years, and to compare these results with those of tear size-matched patients older than 60 years.Forty-eight patients who underwent arthroscopic repair for large to massive rotator cuff tears were included. Group I (n = 24) consisted of patients younger than 60 years, while tear size-matched patients older than 60 years were assigned to group II (n = 24). Clinical outcomes were evaluated preoperatively and at 3, 6, and 12 months postoperatively, and at the final visit. All patients underwent magnetic resonance imaging (MRI) preoperatively and at 3 and 12 months postoperatively to evaluate repair integrity.The mean patient age was 53.4 ± 4.2 years in group I and 67.4 ± 4.5 in group II (P = 0.001). At the last visit, there were no significant differences in postoperative clinical scores or passive range of motion between two groups. However, young patients complained of shoulder pain less frequently than elderly patients (visual analog scale for pain at last visit: 0.8 ± 0.3 in group I, 2.4 ± 1.9 in group II, P = 0.04). Elderly patients showed more advanced fatty infiltration preoperatively than young patients and advanced fatty infiltration was correlated with postoperative repair integrity (r = 0.83, P = 0.001). Postoperative re-tear rate was 12.5% in group I, and 33.3% in group II (P = 0.08).More satisfactory clinical and structural outcomes followed by less advanced preoperative fatty infiltration can be expected in younger patients compared with patients older than 60 years, based on large to massive rotator cuff tear treatment outcomes.
• Hardy, J. C., & Hunter, R. E. (2018). Arthroscopic Techniques to Enhance Meniscus Visualization. Operative Techniques in Sports Medicine, 26(4), 233-237. doi:10.1053/j.otsm.2018.10.003
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  The first step in achieving a successful meniscal repair is adequate visualization of and access to the meniscus to be repaired. With concomitant pathologies such as anterior cruciate ligament deficiency or a tight varus knee, meniscal regions such as the posterior horn of the medial meniscus can be quite difficult to visualize and access without causing iatrogenic injury to surrounding cartilage. In this chapter, we aim to provide techniques, which can be utilized by the arthroscopic surgeon to enhance meniscus visualization for improved diagnosis and management of meniscal tears.
• Sandberg, R. P., Sherman, N. C., Latt, L. D., & Hardy, J. C. (2017). Cigar Box Arthroscopy: A Randomized Controlled Trial Validates Nonanatomic Simulation Training of Novice Arthroscopy Skills. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 33(11), 2015-2023.e3.
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  The goal of this study was to validate the cigar box arthroscopy trainer (CBAT) as a training tool and then compare its effectiveness to didactic training and to another previously validated low-fidelity but anatomic model, the anatomic knee arthroscopy trainer (AKAT).
• Sherman, N., Sandberg, R., & Hardy, J. (2017). Recurrent, bilateral quadriceps tendon rupture due to indirect trauma in a patient with sickle cell trait: A case report. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association.
• Gimber, L. H., Hardy, J. C., Melville, D. M., Rowan, A., Scalcione, L. R., & Taljanovic, M. S. (2016). Normal Magnetic Resonance Imaging Anatomy of the Capsular Ligamentous Supporting Structures of the Knee.. Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes, 67(4), 356-367. doi:10.1016/j.carj.2015.11.004
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  Recognition of the normal magnetic resonance (MR) imaging appearances of the capsular ligaments of the knee is of great importance. These ligaments contribute to stability of the knee joint and are frequently injured. In this article, we describe the normal MR imaging anatomy of the capsular ligaments of the knee including the lateral and medial collateral ligamentous complexes, the extensor mechanism, and the supporting ligamentous structures of the proximal tibiofibular joint. Normal MR imaging findings and important anatomic variants of the neurovascular structures of the knee are also described.
• Vasilevska Nikodinovska, V., Gimber, L. H., Hardy, J. C., & Taljanovic, M. S. (2016). The Collateral Ligaments and Posterolateral Corner: What Radiologists Should Know. Seminars in musculoskeletal radiology, 20(1), 52-64.
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  Ligamentous and tendinous structures of the posterolateral corner of the knee provide important static and dynamic stability to the knee joint and act in conjunction with anterior and posterior cruciate ligaments. Injuries of these structures are not uncommon. Failure to treat posterolateral corner injuries leads to posterolateral instability of the knee and subsequently poor outcome of cruciate ligament reconstructions. Currently, MRI is the diagnostic modality of choice in the evaluation of posterolateral corner injuries of the knee. We review normal MR imaging anatomy of the complex anatomical structures of the posterolateral corner of the knee, their biomechanical function, injuries, and current treatment options.
• Gimber, L. H., Scalcione, L. R., Rowan, A., Hardy, J. C., Melville, D. M., & Taljanovic, M. S. (2015). Multiligamentous injuries and knee dislocations. Skeletal radiology, 44(11), 1559-72.
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  Complex capsular ligamentous structures contribute to stability of the knee joint. Simultaneous injury of two or more knee ligaments, aside from concurrent tears involving the anterior cruciate and medial collateral ligaments, is considered to be associated with femorotibial knee dislocations. Proximal tibiofibular joint dislocations are not always easily recognized and may be overlooked or missed. Patellofemoral dislocations can be transient with MR imaging sometimes required to reach the diagnosis. In this article, the authors describe the mechanism of injury, ligamentous disruptions, imaging, and treatment options of various types of knee dislocations including injuries of the femorotibial, proximal tibiofibular, and patellofemoral joints.
• Nelson, J. T., Jones, R. E., Runstrom, M., & Hardy, J. (2015). Disc Golf, a Growing Sport: Description and Epidemiology of Injuries. Orthopaedic journal of sports medicine, 3(6), 2325967115589076.
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  Disc golf is a sport played much like traditional golf, but rather than using a ball and club, players throw flying discs with various throwing motions. It has been played by an estimated 8 to 12 million people in the United States. Like all sports, injuries sustained while playing disc golf are not uncommon. Although formalized in the 1970s, it has grown at a rapid pace; however, disc golf-related injuries have yet to be described in the medical literature.
• Hardy, J. C., Hung, M., Snow, B. J., Martin, C. L., Tashjian, R. Z., Burks, R. T., & Greis, P. E. (2013). Blood transfusion associated with shoulder arthroplasty. Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.], 22(2), 233-9.
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  Studies have reported high rates of transfusion in shoulder arthroplasty. This study was conducted to evaluate the rate of transfusion at our institution, to confirm reported risk factors for transfusion, and to look for changes over time.We hypothesized that transfusion rates associated with shoulder arthroplasty at our institution are lower than those recently reported and that the incidence of transfusion is higher in individuals with low preoperative hemoglobin, with revision arthroplasty, and in older individuals.
• Hardy, J. C., Evangelista, G. T., Grana, W. A., & Hunter, R. E. (2012). Accuracy of magnetic resonance imaging of the knee in the community setting. Sports health, 4(3), 222-31.
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  Magnetic resonance imaging (MRI) is routinely used in the diagnosis of sports-related knee injuries.

Poster Presentations

• Hardy, J. C., Latt, L. D., Sandberg, R., & Sherman, N. C. (2016, June). Cigar Box Arthroscopy. AOA Annual Meeting. Seattle, WA: American Orthopaedic Association.

Reviews

• Gimber, L. H., Hardy, J. C., Melville, D. M., Scalcione, L. R., Rowan, A., & Taljanovic, M. S. (2016. Normal Magnetic Resonance Imaging Anatomy of the Capsular Ligamentous Supporting Structures of the Knee(pp 356-367).
  More info

  Recognition of the normal magnetic resonance (MR) imaging appearances of the capsular ligaments of the knee is of great importance. These ligaments contribute to stability of the knee joint and are frequently injured. In this article, we describe the normal MR imaging anatomy of the capsular ligaments of the knee including the lateral and medial collateral ligamentous complexes, the extensor mechanism, and the supporting ligamentous structures of the proximal tibiofibular joint. Normal MR imaging findings and important anatomic variants of the neurovascular structures of the knee are also described.