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Presoaking Grafts in Vancomycin Does Not Impair Graft-Bone Healing in a Rat Anterior Cruciate Ligament Reconstruction Model Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-09 Ryu Yoshida, Hideyuki Koga, Junpei Matsuda, Tomomasa Nakamura, Kazumasa Miyatake, Hiroki Katagiri, Mai Katakura, Aritoshi Yoshihara, Ryota Seki, Toyohiro Katsumata, Mitsuru Mizuno, Ken Watanabe, Ichiro Sekiya, Kunikazu Tsuji, Yusuke Nakagawa
Background:The vancomycin presoaking technique (wherein grafts are treated with a vancomycin solution [VS] for anterior cruciate ligament reconstruction [ACLR]) reduces the infection rate after ACLR. However, the effects of this technique on graft-bone healing have not been fully elucidated.Purpose:To investigate the effects of vancomycin presoaking on graft-bone healing in a rat ACLR model.Study Design:Controlled
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Postoperative Negative Pain Thoughts and Their Correlation With Patient-Reported Outcomes After Arthroscopic Rotator Cuff Repair: An Observational Cohort Study Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-06 Henry Kuechly, Sarah Kurkowski, Brian Johnson, Nihar Shah, Brian Grawe
Background:Pain and pain perception are influenced by patients’ thoughts. The short form Negative Pain Thoughts Questionnaire (NPTQ-SF) can be used to quantify unhelpful negative cognitive biases about pain, but the relationship between NPTQ-SF scores and orthopaedic surgery outcomes is not known.Purpose/Hypothesis:The purpose was to assess the relationship between negative pain thoughts, as measured
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Widespread Vascularization and Correlation of Glycosaminoglycan Accumulation to Tendon Pain in Human Plantar Fascia Tendinopathy Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-06 Max F.R. Merkel, Rene B. Svensson, Jens R. Jakobsen, Abigail L. Mackey, Peter Schjerling, Robert B. Herzog, S. Peter Magnusson, Lars Konradsen, Michael R. Krogsgaard, Michael Kjær, Finn E. Johannsen
Background:Plantar fasciitis is a painful tendinous condition (tendinopathy) with a high prevalence in athletes. While a healthy tendon has limited blood flow, ultrasound has indicated elevated blood flow in tendinopathy, but it is unknown if this is related to a de facto increase in the tendon vasculature. Likewise, an accumulation of glycosaminoglycans (GAGs) is observed in tendinopathy, but its
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Performance and Return to Play After Surgery for Thoracic Outlet Syndrome in Professional Baseball Players: A Matched Cohort Analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-04 Aakash Chauhan, Peter N. Chalmers, Brandon J. Erickson, Robert Thompson, Gregory J. Pearl, Anthony A. Romeo, Heinz R. Hoenecke, Kevin Ma, Zachary Tenner, Jan Fronek
Background:Thoracic outlet syndrome (TOS) remains a rare diagnosis but is being recognized as a cause of upper extremity dysfunction in professional baseball players.Purpose/Hypothesis:The purpose was to determine performance and return-to-play (RTP) outcomes in professional baseball players after surgical treatment of TOS. The hypothesis was that there would be a high RTP rate in professional baseball
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Magnetic Seeding of SPIO-BMSCs Into a Biphasic Scaffold Can Promote Tendon-Bone Healing After Rotator Cuff Repair Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-04 Chi Zhang, Jia-Le Jin, Cong-Hui Zhou, Cheng-Xing Ruan, Peng-Fei Lei, You-Zhi Cai
Background:The tendon-bone interface (TBI) in the rotator cuff has a poor intrinsic capacity for healing, which increases the risk of retear after rotator cuff repair (RCR). However, facilitating regeneration of the TBI still remains a great clinical challenge. Herein, the authors established a novel strategy based on magnetic seeding to enhance the TBI regeneration.Hypothesis:Magnetic seeding bone
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Periostin Is a Biomarker for Anterior Shoulder Instability: Proteomic Analysis of Synovial Fluid Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-04 Joseph W. Galvin, Rachel J. Milam, Brendan M. Patterson, James V. Nepola, Joseph A. Buckwalter, Brian R. Wolf, Felicity M. Say, Katherine E. Free, Elizabeth Yohannes
Background:The incremental biological changes in the synovial microenvironment of the shoulder in acute and chronic instability that may contribute to joint degeneration are poorly understood. Proteomic analysis of synovial fluid in patients with shoulder instability may improve our understanding of proteins that are shed into shoulder synovial fluid after an injury.Hypothesis:Injury-specific factors
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Workload Risk Factors for Pitching-Related Injuries in High School Baseball Pitchers Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-03 Jason L. Zaremski, Marissa Pazik, Terrie Vasilopoulos, MaryBeth Horodyski
Background:Pitch counts are only one measure of the true workload of baseball pitchers. Newer research indicates that workload measurement and prevention of injury must include additional factors. Thus, current monitoring systems gauging pitcher workload may be considered inadequate.Purpose/Hypothesis:The purpose of this study was to develop a novel method to determine workload in baseball pitchers
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Management of Patellar Instability: A Network Meta-analysis of Randomized Control Trials: Letter to the Editor Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-01 Yi Chen, Yaobin Wang, Hongwei Zhan, Bin Geng, Yayi Xia
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Management of Patellar Instability: A Network Meta-analysis of Randomized Control Trials: Response Am. J. Sports Med. (IF 4.8) Pub Date : 2024-05-01 Eoghan T. Hurley, Utkarsh Anil, Christopher A. Colasanti, Delon McAllister, Eric J. Straus, Michael J. Alaia, Kirk A. Campbell
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Erratum to “Proprioception After Primary Repair of the Anterior Cruciate Ligament” Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-30
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Comparison of Windup and Stretch Pitching Biomechanics in Baseball With Implications for Safety and Performance Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-30 Glenn S. Fleisig, Jonathan S. Slowik, Charles B. Kutz, Rafael F. Escamilla
Background:Historically, it was assumed by some that high leg lift with windup pitching generated more ball velocity whereas pitching from the stretch was quicker to reduce the risk of base stealing but also more stressful on the arm. However, many now believe that velocity and stress do not differ between windup and stretch and always pitching from the stretch is simpler than mastering 2 techniques
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Return to Sports in Patients Aged 50 Years or Younger After Robotic-Assisted Patellofemoral Arthroplasty: A 10-Year Experience Reporting High Clinical Benefits and High Patient Satisfaction With Return to an Active Lifestyle Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-24 Frank R. Noyes, Cassie M. Fleckenstein, Joseph Nolan
Background:Limited data are available on return to sports and patient psychometric ratings of success after patellofemoral arthroplasty (PFA) in younger patients with high expectations to return to an active lifestyle.Purpose/Hypothesis:The purpose of this article was to determine the role of PFA and its success in meeting patient expectations regarding the return to low-impact recreational sports
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Tumor-Like Distal Femoral Cortical Irregularities of the Knee in Adolescent Competitive Alpine Skiers: Longitudinal Assessment Over 48 Months Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-24 Georg C. Feuerriegel, Adrian A. Marth, Stefan Fröhlich, Christoph Stern, Johannes Scherr, Jörg Spörri, Reto Sutter
Background:Tumor-like distal femoral cortical irregularities (DFCIs) are a frequent incidental finding on knee magnetic resonance imaging (MRI) and are common in young competitive athletes.Purpose:To assess and compare the morphology and prevalence of DFCIs in competitive alpine skiers over 48 months during adolescence.Study Design:Case series; Level of evidence, 4.Methods:Adolescent competitive alpine
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Minimum 5-Year Clinical and Return-to-Sport Outcomes After Primary Arthroscopic Scapulothoracic Bursectomy and Partial Scapulectomy for Snapping Scapula Syndrome Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-23 Marco-Christopher Rupp, Annabel R. Geissbuhler, Joan C. Rutledge, Richard Amendola, Jared A. Hanson, Kent C. Doan, Rony-Orijit A. Dey Hazra, Peter J. Millett
Background:Snapping scapula syndrome (SSS) is a rare condition that is oftentimes debilitating. For patients whose symptoms are resistant to nonoperative treatment, arthroscopic surgery may offer relief. Because of the rarity of SSS, reports of clinical outcomes after arthroscopic SSS surgery are primarily limited to small case series and short-term follow-up studies.Purpose:To report minimum 5-year
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Augmented Ulnar Collateral Ligament Repair With Structural Bioinductive Scaffold: A Biomechanical Study Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-23 Kenneth M. Lin, Kenneth Brinson, Ran Atzmon, Calvin K. Chan, Seth L. Sherman, Marc R. Safran, Michael T. Freehill
Background:Elbow ulnar collateral ligament (UCL) repair with suture brace augmentation shows good time-zero biomechanical strength and a more rapid return to play compared with UCL reconstruction. However, there are concerns about overconstraint or stress shielding with nonabsorbable suture tape. Recently, a collagen-based bioinductive absorbable structural scaffold has been approved by the Food and
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Lateral Ankle Joint Injuries in Indoor and Court Sports: A Systematic Video Analysis of 445 Nonconsecutive Case Series Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-18 Timo Bagehorn, Mark de Zee, Daniel T.P. Fong, Kristian Thorborg, Uwe G. Kersting, Filip Gertz Lysdal
Background:Lateral ankle sprains are one of the most common injuries in indoor and court sports. Self-reports and case studies have indicated that these injuries occur via both contact and noncontact injury mechanisms typically because of excessive inversion in combination with plantarflexion and adduction of the foot. Video-based documentation of the injury mechanism exists, but the number of cases
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Effect of Meniscal Tear Patterns and Preoperative Cartilage Status on Joint Space Width After Medial Opening-Wedge High Tibial Osteotomy Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-16 Tae Woo Kim, Darryl D. D’Lima, Nam Hoon Moon, Won Chul Shin, Kuen Tak Suh, Mi Sook Yun, Sang-Min Lee
Background:Medial opening-wedge high tibial osteotomy (MOWHTO) is performed to treat young adults with medial compartment knee osteoarthritis associated with varus deformity. However, factors influencing joint space width (JSW) vary according to the type of medial meniscal tear and have not yet been completely elucidated.Purpose:To examine changes in JSW according to the type of medial meniscal tear
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Rehabilitation and Return to Play Protocols After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Systematic Review Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-16 McKenzie A. Mayer, Marisa Deliso, Ian S. Hong, Bryan M. Saltzman, Raphael S. Longobardi, Peter F. DeLuca, Louis Rizio
Background:Rehabilitation after anterior cruciate ligament ACL reconstruction (ACLR) is crucial for safe return to play (RTP) and reducing the chances of a reinjury. Yet, there is no consensus on the ideal functional tests to assess rehabilitation progress in soccer players after ACLR.Purpose:The primary objective was to highlight the existing gap in the literature concerning the most effective standardized
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Are Lower Passive Anterior Elevation and External Rotation at 6 Weeks Postoperatively Associated With Healing of Isolated Arthroscopic Supraspinatus Repairs? Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-15 Philippe Collin, Tiago Martinho, Patrick J. Denard, Solenn Gain, Anthony Pernoud, Hugo Bothorel, Alexandre Lädermann
Background:Despite advancements in surgical technique, failure of tendon healing remains a common problem after arthroscopic rotator cuff repair (ARCR).Purpose/Hypothesis:The purpose of this study was to examine the relationship between range of motion (ROM) recovery and healing after ARCR. It was hypothesized that an early loss of ROM would be associated with tendon healing.Study design:Case-control
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Comparison of 3 Different Surgical Techniques for Rotator Cuff Repair in a Rabbit Model: Direct Suture, Inlay Suture, and Polyether Ether Ketone (PEEK) Suture Anchor Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-15 Cancan Du, Wei Chen, Jingchao Fang, Yarui Zhang, Wenqiang Yan, Wenli Dai, Xiaoqing Hu, Yingfang Ao, Shuang Ren, Zhenlong Liu
Background:Rotator cuff tears have been repaired using the transosseous method for decades. The direct suture (DS) technique has been widely used for rotator cuff tears; however, the retear rate is relatively high. Suture anchors are now used frequently for rotator cuff repair (RCR) in accordance with recent developments in materials. However, polyether ether ketone (PEEK) may still cause complications
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Comparison of Return to Sports and Competition After the Arthroscopic Bristow-Latarjet Procedure Versus Arthroscopic Bankart Repair in Adolescents With Recurrent Anterior Shoulder Instability Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-15 Olivier Rosello, Hugo Barret, Tristan Langlais, Pascal Boileau
Background:The use of isolated soft tissue repair versus bone block stabilization for the treatment of recurrent anterior shoulder instability in adolescents has no scientific evidence.Purpose:To compare the clinical outcomes of adolescent patients who underwent isolated arthroscopic Bankart (iB) repair with those who underwent the arthroscopic Bristow-Latarjet procedure in addition to Bankart (BLB)
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Decreased Posterior Tibial Slope and Its Association With Pediatric Posterior Cruciate Ligament Injury Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-15 Rajiv S. Vasudevan, Garrett E. Rupp, Andrew M. Zogby, Tyler Wilps, Tyler Paras, Andrew T. Pennock
Background:Recent adult studies have demonstrated that decreased posterior tibial slope angle (PTSA) may be a risk factor for posterior cruciate ligament (PCL) injury. However, there is no study investigating this phenomenon in a pediatric population. Understanding risk factors for PCL injuries among a pediatric population is important given the recent rise in athletic competition/specialization and
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Factors Causing Unintended Sagittal and Axial Alignment Changes in High Tibial Osteotomy: Comparative 3-Dimensional Analysis of Simulation and Actual Surgery Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-15 Se-Han Jung, Min Jung, Kwangho Chung, Sungjun Kim, Jisoo Park, Ju-Hyung Lee, So-Heun Lee, Chong-Hyuk Choi, Sung-Hwan Kim
Background:Unintended secondary changes in the posterior tibial slope (PTS) and tibial torsion angle (TTA) may occur after medial open-wedge high tibial osteotomy (MOWHTO). In surgical procedures using patient-specific instruments (PSIs), it is essential to reproduce the PTS and TTA that were planned in simulations.Purpose:To analyze the factors causing unintended sagittal and axial alignment changes
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Differences Between Traumatic and Degenerative Medial Meniscus Posterior Root Tears: A Systematic Review Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-11 Kristine Mundal, Andrew G. Geeslin, Eirik Solheim, Eivind Inderhaug
Background:Intact meniscus roots are a prerequisite for normal meniscal function, including even distribution of compressive forces across the knee joint. An injury to the root disrupts the hoop strength of the meniscus and may lead to its extrusion and the development of osteoarthritis. A medial meniscus posterior root tear (MMPRT) is often thought to have a primary degenerative pathogenesis. However
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Return to Sports Rates in Pediatric Patients After Bilateral Versus Unilateral Medial Patellofemoral Ligament Reconstruction Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-11 Michael P. Klueh, Lauren M. Swany, Jonathan P. Troost, Eileen A. Crawford
Background:Patellofemoral instability commonly occurs during sports activities. The return to sports (RTS) rate for pediatric patients after bilateral medial patellofemoral ligament reconstruction (MPFLR) is unknown.Purpose/Hypothesis:The purpose of this study was to evaluate RTS outcomes for pediatric patients undergoing bilateral MPFLR. It was hypothesized that (1) fewer pediatric patients would
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Clinical Outcomes and Graft Resorption After Metal-Free Bone Block Suture Tape Cerclage Fixation for Recurrent Anterior Shoulder Instability: A Computed Tomography Analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-09 Abdul-ilah Hachem, Eduardo Diaz-Apablaza, Andres Molina-Creixell, Xavi Ruis, Sebastian Videla, Jose Luis Agulló
Background:Glenoid reconstruction with a bone block for anterior glenoid bone loss (GBL) has shown excellent outcomes. However, fixation techniques that require metal implants are associated with metal-related complications and bone graft resorption.Hypothesis:Arthroscopic glenoid reconstruction using a tricortical iliac crest bone graft (ICBG) and metal-free suture tape cerclage fixation can safely
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Topical Preparations for Reducing Cutibacterium acnes Infections in Shoulder Surgery: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-09 Yash Sewpaul, Richard Huynh, Brook Leung, Harry Alcock, Sandeep Krishan Nayar, Mustafa S. Rashid
Background:Cutibacterium acnes ( C acnes) is a commensal skin bacterium, primarily found in sebaceous glands and hair follicles, with a high prevalence in the shoulder region. It is the most common pathogenic organism in prosthetic joint infections after shoulder arthroplasty. Because of its low virulence, its diagnosis remains difficult.Purpose:To evaluate the relative effects of topical preparations
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Clinical Significance Thresholds in Primary and Revision Latarjet Procedures With Comparable Outcome Achievements Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-09 Ignacio Pasqualini, Ignacio Tanoira, Eoghan T. Hurley, Maximiliano Ranalletta, Luciano Andrés Rossi
Background:Given the variability across populations and settings, defining the MCID and the PASS for the Rowe and ASOSS scores and patients undergoing primary and revision Latarjet it is essential to have accurate benchmarks relevant to these groups when interpreting clinical results.Purpose:To determine the minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS)
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Outcomes of Flexibility Sport Athletes With Borderline Hip Dysplasia After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Propensity-Matched Analysis at Minimum 2-Year Follow-up Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-09 Kyleen Jan, Michael J. Vogel, Alexander B. Alvero, Joshua Wright-Chisem, Shane J. Nho
Background:Hip arthroscopy has proved successful in treating femoroacetabular impingement syndrome (FAIS) in patients with and without borderline hip dysplasia (BHD). Despite a high prevalence of BHD in patients who participate in sports with high flexibility requirements, a paucity of literature evaluates the efficacy of hip arthroscopy in treating FAIS in flexibility sport athletes with BHD.Purpose:To
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Comparison of Blood Flow Restriction Interventions to Standard Rehabilitation After an Anterior Cruciate Ligament Injury: A Systematic Review Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-09 Valentina Colombo, Tamara Valenčič, Kat Steiner, Jakob Škarabot, Jonathan Folland, Oliver O’Sullivan, Stefan Kluzek
Background:Blood flow restriction training (BFR-t) data are heterogeneous. It is unclear whether rehabilitation with BFR-t after an anterior cruciate ligament (ACL) injury is more effective in improving muscle strength and muscle size than standard rehabilitation.Purpose:To review outcomes after an ACL injury and subsequent reconstruction in studies comparing rehabilitation with and without BFR-t.Study
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Leukocyte-Poor Platelet-Rich Plasma as an Adjuvant to Arthroscopic Rotator Cuff Repair Reduces the Retear Rate But Does Not Improve Functional Outcomes: A Double-Blind Randomized Controlled Trial Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-08 Luciano Andres Rossi, Tomás David Gorodischer, Pablo Camino, Rodrigo Nicolás Brandariz, Ignacio Tanoira, Nicolás Santiago Piuzzi, Maximiliano Ranalletta
Background:Whether the use of PRP as an adjuvant of rotator cuff repairs leads to improved tendon healing and better functional outcomes remains unclear in clinical evidence.Purpose:The main purpose of this study was to assess whether the use of leukocyte-poor platelet-rich plasma (LP-PRP) as an adjuvant to arthroscopic rotator cuff repair (ARCR) decreases the rate of retears compared with a control
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Response of Articular Cartilage to Hyperosmolar Stress: Report of an Ex Vivo Injury Model Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-06 Clemens Unterguggenberger, Shahrbanoo Jahangir, Gian M. Salzmann, Martin J. Stoddart, Sibylle Grad, Hagen Schmal, Eva Johanna Kubosch
Background:Physiological 0.9% saline is commonly used as an irrigation fluid in modern arthroscopy. There is a growing body of evidence that a hyperosmolar saline solution has chondroprotective effects, especially if iatrogenic injury occurs.Purpose:To (1) corroborate the superiority of a hyperosmolar saline solution regarding chondrocyte survival after mechanical injury and (2) observe the modulatory
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The Importance of Medial Patellar Shape as a Risk Factor for Recurrent Patellar Dislocation in Adults Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-01 Frances T. Sheehan, Paras Shah, Barry P. Boden
Background:Research on the cause of lateral patellar dislocation (LPD) has focused on trochlear morphologic parameters, joint alignment, and patellofemoral soft tissue forces. A paucity of information is available regarding how patellar morphologic parameters influence the risk for LPD.Purpose/Hypothesis:The purpose was to assess whether patellar morphology is a risk factor for recurrent LPD. It was
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The Unsung Heroes and Most Valuable Players Are on the Sideline Am. J. Sports Med. (IF 4.8) Pub Date : 2024-04-01 Timothy E. Foster
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Effect of Porcine-Derived Absorbable Patch-Type Atelocollagen for Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Trial Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-29 Hyungsuk Kim, Yong-Soo Cho, Younsung Jung, Hyun Seok Song
Background:Even though arthroscopic rotator cuff repair is recognized as a standard treatment option, the risk of postoperative retear is a major concern.Purpose:To evaluate the effect of porcine-derived absorbable patch-type atelocollagen during arthroscopic rotator cuff repair.Study Design:Randomized controlled trial; Level of evidence, 1.Methods:A total of 64 patients with rotator cuff tears diagnosed
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A Comparative Biomechanical Study of Alternative Medial Collateral Ligament Reconstruction Techniques Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-29 Jobe Shatrov, Petra Bonacic Bartolin, Sander R. Holthof, Simon Ball, Andy Williams, Andrew A. Amis
Background:There is little evidence of the biomechanical performance of medial collateral ligament (MCL) reconstructions for restoring stability to the MCL-deficient knee regarding valgus, external rotation (ER), and anteromedial rotatory instability (AMRI).Hypothesis:A short isometric reconstruction will better restore stability than a longer superficial MCL (sMCL) reconstruction, and an additional
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Rates of Subjective Failure After Both Isolated and Combined Posterior Cruciate Ligament Reconstruction: A Study From the Norwegian Knee Ligament Registry 2004-2021 Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-29 Gilbert Moatshe, Christopher M. LaPrade, Anne Marie Fenstad, Andreas Persson, Matthew LaPrade, R. Kyle Martin, Lars Engebretsen, Robert F. LaPrade
Background:Outcomes after posterior cruciate ligament (PCL) reconstruction (PCLR) have been reported to be inferior to those of anterior cruciate ligament reconstruction. Furthermore, combined ligament injuries have been reported to have inferior outcomes compared with isolated PCLR.Purpose/Hypothesis:The purpose of this study was to report on PCLR outcomes and failure rates and compare these outcomes
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Comparing Clinical Outcomes and Knee Stability in Remnant- Preserving ACL Reconstruction Versus Standard ACL Reconstruction: A Systematic Review and Meta-analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-29 Felicitas Allende, Sachin Allahabadi, Divesh Sachdev, Varun Gopinatth, Rodrigo Saad Berreta, Robert F. LaPrade, Jorge Chahla
Background:Anterior cruciate ligament reconstruction (ACLR) is one of the most frequently performed procedures in sports medicine, and undesirable outcomes still may range from 3-18%. One technique that has been explored to improve outcomes is preservation of the ACL remnant tibial stump, as opposed to stump debridement, at the time of reconstruction.Purpose:To review current high-level evidence and
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The Everted Acetabular Labrum: Outcomes of Surgical Management Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-28 Nicholas G. Girardi, Jessica H. Lee, James W. Genuario, Laura A. Vogel, Matthew J. Kraeutler, Carson Keeter, Omer Mei-Dan
Background:An everted acetabular labrum (EL) is a pathologic variant in which the labrum is flipped to the capsular side of the acetabular rim. An iatrogenic EL is a known complication of a poorly executed labral repair, and a recent study described the native acetabular EL.Purpose:To analyze surgical outcomes after advancement or reconstruction of an EL in a native hip.Study Design:Cohort study; Level
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Biomechanical Comparison Between Superior Capsular Reconstruction and Lower Trapezius Tendon Transfer in Irreparable Posterosuperior Rotator Cuff Tears Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-28 Gyuna Baek, Jung Gon Kim, Gyu Rim Baek, Aaron T. Hui, Michelle H. McGarry, Chang Hee Baek, Thay Q. Lee
Background:Superior capsular reconstruction (SCR) and lower trapezius tendon transfer (LTT) have recently been used to manage irreparable posterosuperior rotator cuff tears (PSRCTs). There has been a paucity of comparative biomechanical considerations between the 2 procedures.Purpose:To compare the glenohumeral stability and biomechanical properties between SCR and LTT in PSRCTs involving the entire
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The Sprint Mechanics Assessment Score: A Qualitative Screening Tool for the In-field Assessment of Sprint Running Mechanics Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-28 Christopher Bramah, Jonas Tawiah-Dodoo, Samantha Rhodes, Joshua D. Elliott, Thomas Dos’Santos
Background:Qualitative movement screening tools provide a practical method of assessing mechanical patterns associated with potential injury development. Biomechanics play a role in hamstring strain injury and are recommended as a consideration within injury screening and rehabilitation programs. However, no methods are available for the in-field assessment of sprint running mechanics associated with
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Influence of Concomitant Meniscal Allograft Transplantation on Midterm Outcomes After Osteochondral Allograft Transplantation: A Comparative Matched-Pair Analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-25 Martin Husen, Allen S. Wang, Bruce A. Levy, Daniël B.F. Saris, Michael J. Stuart, Aaron J. Krych
Background:Osteochondral allograft transplantation (OCAT) is an accepted knee joint–preserving treatment strategy for focal osteochondral lesions that is often conducted in combination with meniscal allograft transplantation (MAT). Despite its frequent and simultaneous utilization, there remains a lack in the literature reporting on outcomes and failure rates after concomitant procedures.Purpose:To
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Participation in Sports or Recreational Activities After Osteochondral Allograft Transplantation of the Talus Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-25 Joseph W. Fiske, Aliasgar H. Dalal, Julie C. McCauley, William D. Bugbee
Background:Fresh osteochondral allograft (OCA) transplantation is a viable treatment option for osteochondral defects of the talus. However, sufficient data are not available on patients’ participation in sports or recreational activities after the procedure.Purpose:To assess whether patients undergoing OCA transplantation of the talus participated in sports or recreational activities postoperatively
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Semi–Bone Tunnel Technique Using Double-Row Suture Bridge Combined With Platelet-Rich Plasma Hydrogel for Rotator Cuff Repair in a Rabbit Model Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-25 Shengqiang Zeng, Jiacheng Sun, Bo Qin, Yang Liu, Gang Liu, Kai Deng, Yiran Yin, Dingsu Bao
Background:The approach to managing the footprint area and reconstructing the tendon-bone interface (TBI) is critical for optimal healing.Purpose:To evaluate the outcomes of the semi–bone tunnel (SBT) technique using a double-row suture bridge combined with platelet-rich plasma (PRP) hydrogel for rotator cuff repair in a rabbit model.Study Design:Controlled laboratory study.Methods:A total of 48 New
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Clinical Outcomes of Different Management Techniques for Medial Meniscal Type 3 Ramp Lesions in Anterior Cruciate Ligament Reconstruction: A Comparative Analysis Between All-inside Repair, Suture Hook Repair, and Lesions Left In Situ Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-25 Adrien Saint-Etienne, Rayane Benhenneda, Thais Dutra Vieira, Jean-Marie Fayard, Mathieu Thaunat
Background:There is ongoing debate about the best way to manage ramp lesions at the time of anterior cruciate ligament (ACL) reconstruction (ACLR). Type 3 lesions are not visible by the transnotch approach without superior debridement, making the management debate even more problematic.Purpose/Hypothesis:The purpose of this study was to evaluate the rate of secondary surgical interventions according
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Reinjury Anxiety and Return to Sport After Anterior Cruciate Ligament Reconstruction: A Cluster Analysis and Prospective Study Among 162 Athletes Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-23 Benjamin Caumeil, Eric Laboute, Emmanuel Verhaeghe, Sébastien Pérez, Greg Décamps
Background:Recent studies have investigated the effect of psychological factors on return to sport (RTS), but none has tested the existence of psychological profiles linked to reinjury anxiety and its links with RTS and reinjury.Purpose:To assess the effect of different psychological profiles on RTS and reinjury.Study Design:Cohort study; Level of evidence, 2.Methods:The study screened patients who
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Long-term Outcomes of Primary Hip Arthroscopy: Multicenter Analysis at Minimum 10-Year Follow-up With Attention to Labral and Capsular Management Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-22 Alexander M. Boos, Allen S. Wang, Abhinav Lamba, Kelechi R. Okoroha, Cedric J. Ortiguera, Bruce A. Levy, Aaron J. Krych, Mario Hevesi
Background:Hip arthroscopy is rapidly advancing, with positive published outcomes at short- and midterm follow-up; however, available long-term data remain limited.Purpose:To evaluate outcomes of primary hip arthroscopy at a minimum 10-year follow-up at 2 academic centers by describing patient-reported outcomes and determining reoperation and total hip arthroplasty (THA) rates.Study Design:Case series;
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Incidence of Complications After Tibial Tubercle Osteotomy and Tibial Tubercle Osteotomy With Distalization Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-22 Aakash K. Shah, Tyler J. Uppstrom, Morgan E. Rizy, Andreas H. Gomoll, Sabrina M. Strickland
Background:Tibial tubercle osteotomy (TTO) is a well-established surgical treatment option for patellofemoral instability and pain. TTO with distalization (TTO-D) is indicated for patients with patellofemoral instability, patellar malalignment, and patella alta. The current literature demonstrates several complications that may be associated with TTO, with reportedly higher rates of complications associated
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The Global Track Concept for Assessment of Engaging Hill-Sachs Defects in Anterior Shoulder Instability Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-20 Philipp Moroder, Doruk Akguen, Alp Paksoy, Henry Gebauer, Nicolas Barthod-Tonnot, Mattia Lupetti, Viktoria Markova, Oliver Zettinig, Stephen Parada, Katrin Karpinski
Background:The glenoid track concept is used to determine preoperatively whether a Hill-Sachs defect is engaging or not. Currently, the glenoid track concept relies on measurements of bony structures as well as on the confines and elasticity of the rotator cuff as a reference point, which varies extensively among individuals and therefore limits the reliability and accuracy of this concept.Purpose:To
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Noninvasive and Reliable Quantification of Anteromedial Rotatory Knee Laxity: A Pilot Study on Healthy Individuals Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-20 Lukas Willinger, Armin Runer, Romed Vieider, Lukas N. Muench, Sebastian Siebenlist, Philipp W. Winkler
Background:Anteromedial rotatory instability (AMRI) of the knee is a complex and severe condition caused by injury to the anterior cruciate ligament and/or the medial collateral ligament. Clinical studies dealing with AMRI are rare, and objective measurements are nonexistent.Purpose/Hypothesis:The objectives of this study were, first, to quantify anteromedial rotatory knee laxity in healthy individuals
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Differences in Osseous Shoulder Morphology, Scapulothoracic Orientation, and Muscle Volume in Patients With Constitutional Static Posterior Shoulder Instability (Type C1) Compared With Healthy Controls Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-15 Doruk Akgün, Henry Gebauer, Alp Paksoy, Frederik Schafer, Eva Herbst, Daniel Karczewski, Marc-Frederic Pastor, Philipp Moroder
Background:Constitutional static posterior humeral decentering (type C1 according to ABC Classification) has been recognized as a pre–osteoarthritic deformity that may lead to early-onset posterior decentering osteoarthritis at a young age. Therefore, it is important to identify possible associations of this pathologic shoulder condition to find more effective treatment options.Purpose:To perform a
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The Effect of Primary ACL Reconstruction on Career Longevity in English Premier League and Championship Soccer Players Compared With Uninjured Controls: A Matched Cohort Analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-15 Kyle A. Borque, Mitzi S. Laughlin, Vítor Hugo Pinheiro, Dylan Ngo, Madison Kent, Ganesh Balendra, Mary Jones, Andy Williams
Background:Because of the multitude of variables that affect the retirement decisions of professional soccer players, it has proven difficult to isolate the effect of undergoing anterior cruciate ligament (ACL) reconstruction (ACLR) on career longevity.Purpose:To compare the career longevity of professional soccer players after a primary ACLR with that of an uninjured matched control cohort.Study Design:Cohort
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Risk Factors for Rerupture After Proximal Hamstring Avulsion Injury Including the Optimal Timing for Surgery Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-14 Nicolas Lefèvre, Kinan Freiha, Mohamad K. Moussa, Eugénie Valentin, Yoann Bohu, Alain Meyer, Alexandre Hardy
Background:Despite the prevalence of proximal hamstring avulsion injuries (PHAIs), the understanding of rerupture risk factors and the influence of injury chronicity on these rates remain limited.Purpose:To investigate the rerupture rate after PHAI repair and identify its associated risk factors and the optimal time to primary surgery.Study Design:Case-control study; Level of evidence, 3.Method:This
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Locally Directed Recombinant Adeno-Associated Virus–Mediated IGF-1 Gene Therapy Enhances Osteochondral Repair and Counteracts Early Osteoarthritis In Vivo Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-14 Carolin Peifer, Tamás Oláh, Jagadeesh K. Venkatesan, Lars Goebel, Patrick Orth, Gertrud Schmitt, David Zurakowski, Michael D. Menger, Matthias W. Laschke, Magali Cucchiarini, Henning Madry
Background:Restoration of osteochondral defects is critical, because osteoarthritis (OA) can arise.Hypothesis:Overexpression of insulin-like growth factor 1 (IGF-1) via recombinant adeno-associated viral (rAAV) vectors (rAAV-IGF-1) would improve osteochondral repair and reduce parameters of early perifocal OA in sheep after 6 months in vivo.Study Design:Controlled laboratory study.Methods:Osteochondral
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Association Between Chondrolabral Junction Breakdown and Conversion to Total Hip Arthroplasty After Hip Arthroscopy for Symptomatic Labral Tears: Minimum 8-Year Follow-up Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-13 Michael C. Dean, Nathan J. Cherian, Zachary L. LaPorte, Christopher T. Eberlin, Charles Wang, Kaveh A. Torabian, Kieran S. Dowley, Michael P. Kucharik, Paul F. Abraham, Mark R. Nazal, Scott D. Martin
Background:Arthroscopic treatment of femoroacetabular impingement (FAI) and symptomatic labral tears confers short- to midterm benefits, yet further long-term evidence is needed. Moreover, despite the physiological and biomechanical significance of the chondrolabral junction (CLJ), the clinical implications of damage to this transition zone remain understudied.Purpose:To (1) report minimum 8-year survivorship
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Hamstring Tendon Autograft Is Associated With Increased Knee Valgus Moment After Anterior Cruciate Ligament Reconstruction: A Biomechanical Analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-13 Sailesh V. Tummala, Neeraj Vij, Kaycee E. Glattke, Jeffrey Vaughn, Joseph C. Brinkman, Jenni Winters, Amber Brennan, Hadi Salehi, Sixue Zhao, Anikar Chhabra, John M. Tokish, Heather Menzer
Background:There is limited evidence related to the effects of autograft type on functional performance after anterior cruciate ligament reconstruction (ACLR).Purpose/Hypothesis:This study aimed to compare biomechanical outcomes during a drop vertical jump (DVJ) between patients with a hamstring tendon (HT) autograft, quadriceps tendon (QT) autograft with bone block, QT autograft without bone block
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Medial Collateral Ligament Reconstruction With Autograft Versus Allograft: A Systematic Review Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-13 Nigel O. Blackwood, Jack A. Blitz, Bryan Vopat, Victoria K. Ierulli, Mary K. Mulcahey
Background:Medial collateral ligament (MCL) reconstruction (MCLR) is performed after failed nonoperative treatment or high-grade MCL injury with associated valgus instability.Purpose:To evaluate clinical outcomes after MCLR with autograft versus allograft.Study Design:Systematic review, Level of evidence, 4.Methods:A systematic review was conducted according to the PRISMA (Preferred Reporting Items
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Knee Biomechanics During Cutting Maneuvers and Secondary ACL Injury Risk: A Prospective Cohort Study of Knee Biomechanics in 756 Female Elite Handball and Soccer Players Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-09 Lasse Mausehund, Tron Krosshaug
Background:An athlete who returns to sport after an anterior cruciate ligament (ACL) injury has a substantially high risk of sustaining a new secondary ACL injury. Because ACL injuries most frequently occur during cutting maneuvers, such movements should be at the center of research attention.Purpose:To investigate whether knee biomechanical parameters during side-step cutting maneuvers differ between
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Studying Edema Formation After Release of the Infraspinatus Muscle as an Experimental Model of Rotator Cuff Lesions in Sheep: A Histological Analysis Am. J. Sports Med. (IF 4.8) Pub Date : 2024-03-09 Brigitte von Rechenberg, Rieke S. Gehrke, Karina Klein, Peter Kronen, Salim Darwiche, Jeanni Zbinden, Karl Wieser, Alexandre Lädermann
Background:Muscle edema formation and inflammatory processes are early manifestations of acute rotator cuff lesions in sheep. Histological analysis of affected muscles revealed edema formation, inflammatory changes, and muscle tissue disruption in MRs.Hypothesis:Edema contributes to inflammatory reactions and early muscle fiber degeneration before the onset of fatty infiltration.Study Design:Controlled