As part of Dr. Gregory’s desire to improve our understanding of rotator cuff treatment, he has worked with collaborators to apply a new MRI technique to examination of the rotator cuff. This new MRI technique, called ultra-short time-to-echo (UTE) MRI, has the potential to better determine the quality of the rotator cuff tendon, not just whether it is torn. This research was presented at the 2019 Annual Meeting of the Orthopaedic Research Society, and by helping to improve our MRIs, has the potential to help improve the treatment of rotator cuff tears as well.
At the 2019 Annual Meeting of the Orthopaedic Research Society (ORS), Dr. Gregory and his collaborators presented research demonstrating that subacromial bursa tissue is very rich in mesenchymal stem cells. The subacromial bursa is tissue found overlying the rotator cuff, and is normally discarded during rotator cuff surgery. Stem cells are cells that have the capability to significant improve the body’s healing response. By identifying that bursal tissue possesses a rich pool of stem cells, Dr. Gregory hopes to develop a way to preserve this tissue during rotator cuff repair to help improve the body’s natural healing response.
Over the next two days, shoulder surgeons from across the country will come to Houston for the 62nd Annual Edward T. Smith Orthopaedic Lectureship, entitled “A Comprehensive Approach to the Shoulder: Arthroscopy, Arthroplasty, and Fracture Care”. Dr. Gregory is one of the course directors for this meeting, and organized this conference to provide regional surgeons the opportunity to hear from nationally and internationally experts regarding the management of common shoulder conditions. Dr. Gregory specifically will be discussing several topics, including using stem cells and PRP to augment rotator cuff repair, managing arthritis in the young patient, and using reverse shoulder replacements to treat severe shoulder fractures.
Recently, Dr. Gregory’s research on outpatient shoulder replacement was nominated for the Charles S. Neer Award, which is awarded by the American Society of Shoulder and Elbow Surgeons (ASES) for the top research study of the year. Nomination is a prestigious honor, and highlights research projects that have the potential to change the field of shoulder and elbow surgery.
In an interview for Orthopedics Today, Dr. Gregory discussed his findings that outpatient shoulder replacement is substantially less expensive that the equivalent inpatient surgery. The goal is that Dr. Gregory’s research will help orthopaedic surgeons and policy makers find a better way to take care of patients with shoulder arthritis at a lower cost. Click here to see interview
As health care costs continue to rise, there’s increasing emphasis on finding ways to control costs. As a shoulder specialist, Dr. Gregory is acutely aware of these costs, particularly how they relate to shoulder replacements. In select patients, he has begun to do many shoulder replacements on an outpatient basis, so patients can go home the same day and recuperate in the comfort of their home. In a groundbreaking new study presented at the annual meeting of the American Shoulder and Elbow Surgeons (ASES) in Chicago, IL, Dr. Gregory shared his findings that outpatient shoulder replacement is approximately three times less expensive than the same procedure done in an inpatient setting. By decreasing health care costs, outpatient shoulder replacement can potentially save patients substantial amounts of money relating to their hospital stay. To see if you are a candidate for outpatient shoulder replacement, please contact Dr. Gregory for an appointment.