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High Rate of Clinically Meaningful Achievement in Outcomes After Subacromial Balloon Spacer Implantation for Massive Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-22 Kyle N. Kunze, Jay Moran, Robert Cecere, Samuel A. Taylor, Michael C. Fu, Russell F. Warren, David M. Dines, Lawrence V. Gulotta, Joshua S. Dines
Background:Subacromial balloon spacers have been introduced as a potential treatment option for patients with massive irreparable rotator cuff tears. However, it is important to comprehensively ass...
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Dynamic Superior Capsular Reconstruction for Irreparable Massive Rotator Cuff Tears: Histologic Analysis in a Rat Model and Short-term Clinical Evaluation Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-21 Huaisheng Li, Yatao Liao, Baoyong Jin, Mingyu Yang, Kanglai Tang, Binghua Zhou
Background:Superior capsular reconstruction (SCR) has been demonstrated to be a valuable treatment for patients with irreparable massive rotator cuff tears (IMRCTs). However, the torn medial supras...
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Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-21 Jordan A. Gruskay, Maitland B. Martin, Trevor J. Shelton, Spencer M. Comfort, Hannah K. Day, Marc J. Philippon
Background:Femoroacetabular impingement (FAI) is often a chronic problem, which can lead to a decrease in mental well-being.Purpose/Hypothesis:The purpose of this study was to determine patient men...
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Redefining Trochlear Dysplasia: Normal Thresholds Vary by Measurement Technique, Landmarks, and Sex Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-21 Miho J. Tanaka, Alisha Sodhi, Isha Wadhavkar, Kylynn Kane, Maria V. Velasquez Hammerle, Kartik Mangudi Varadarajan, Paul Tornetta, III
Background:Trochlear dysplasia is a known risk factor for patellar instability. Multiple radiographic measurements exist to assess trochlear morphology, but the optimal measurement technique and th...
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Predictors of Bone Loss in Anterior Glenohumeral Instability Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-20 Carolyn M. Hettrich, Justin A. Magnuson, Keith M. Baumgarten, Robert H. Brophy, Michael Kattan, MOON Shoulder Group, Julie Y. Bishop, Matthew J. Bollier, Jonathan T. Bravman, Gregory L. Cvetanovich, Warren R. Dunn, Brian T. Feeley, Rachel M. Frank, John E. Kuhn, Drew A. Lansdown, C. Benjamin Ma, Robert G. Marx, Eric C. McCarty, Andrew S. Neviaser, Shannon F. Ortiz, Adam J. Seidl, Matthew V. Smith,
Background:Anterior shoulder instability can result in bone loss of both the anterior glenoid and the posterior humerus. Bone loss has been shown to lead to increased failure postoperatively and ma...
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Distraction Gap Needed for Safe Central Compartment Access in Hip Arthroscopy Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-20 Hao-Che Tang, Mohammed Sadakah, I-Jung Chen, Nils Wirries, Michael Dienst
Background:Sufficient distraction of the hip is the key to a safe central compartment (CC) approach in hip arthroscopy. However, an adequate distraction gap has not been scientifically identified.P...
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Distal Clavicle Autograft Versus Traditional and Congruent Arc Latarjet Procedures: A Comparison of Surface Area and Glenoid Apposition With 3-Dimensional Computed Tomography and 3-Dimensional Magnetic Resonance Imaging Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-16 Billy I. Kim, Caroline P. Hudson, Dean C. Taylor, Oke A. Anakwenze, Jonathan F. Dickens, Brian C. Lau
Background:Limited studies have compared graft-glenoid apposition and glenoid augmentation area between the Latarjet procedure and distal clavicle graft in glenohumeral stabilization. Additionally,...
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The Effects of Arthroscopic Labral Repair on Patient-Reported Outcomes in the Setting of Periacetabular Osteotomy Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-16 Alison J. Dittmer Flemig, Ryan S. Selley, Anthony Essilfie, Stacy Robustelli, Brandon L. Schneider, Anil Ranawat, Danyal Nawabi, Bryan T. Kelly, Ernest L. Sink
Background:It is currently unknown whether the addition of arthroscopic labral repair in the setting of periacetabular osteotomy (PAO) provides any clinical benefit.Purpose/Hypothesis:The purpose o...
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Effect of Posterior Tibial Slopes on Graft Survival Rates at 10 Years After Primary Single-Bundle Posterior Cruciate Ligament Reconstruction Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-16 Kyoung Ho Yoon, Jong-Hwan Lee, Sang-Gyun Kim, Jae-Young Park, Hee-Sung Lee, Sang Jin Kim, Yoon-Seok Kim
Background:Recent biomechanical studies have reported that stress on the posterior cruciate ligament (PCL) graft increases as the posterior tibial slope (PTS) decreases (flattened) in knees with si...
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A Modified Lemaire Lateral Extra-articular Tenodesis in High-Risk Adolescents Undergoing Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft: 2-Year Clinical Outcomes Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Daniel W. Green, Sofia Hidalgo Perea, Christopher M. Brusalis, Danielle E. Chipman, Lori A. Asaro, Frank A. Cordasco
Background:The incidence of anterior cruciate ligament (ACL) reconstruction (ACLR) in children and adolescents has increased significantly, and many such patients are at increased risk for ACL rete...
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Role of the Anterior Cruciate Ligament, Anterolateral Complex, and Lateral Meniscus Posterior Root in Anterolateral Rotatory Knee Instability: A Biomechanical Study Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Lukas Willinger, Kiron K. Athwal, Sander Holthof, Andreas B. Imhoff, Andy Williams, Andrew A. Amis
Background:Injuries to the anterior cruciate ligament (ACL), Kaplan fibers (KFs), anterolateral capsule/ligament (C/ALL), and lateral meniscus posterior root (LMPR) have been separately linked to a...
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Repairing Avascular Meniscal Lesions by Recruiting Endogenous Targeted Cells Through Bispecific Synovial-Meniscal Aptamers Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Zhong Chen, Xing-Hao Deng, Chuan Jiang, Jing-Song Wang, Wei-Ping Li, Ke-Long Zhu, Yu-Heng Li, Bin Song, Zheng-Zheng Zhang
Background:Tissue engineering is a promising treatment option for meniscal lesions in the avascular area, but a favorable cell source and its utilization in tissue-engineered menisci remain uncerta...
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Current Definitions of Failure in Lateral Ankle Instability Surgery: A Systematic Review Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Johnathan Dallman, Megan R. Wolf, Tanner Campbell, Trent Herda, Jacob White, Armin Tarakemeh, Bryan G. Vopat
Background:“Failure” is a term that is frequently used to describe an unfavorable outcome for patients who undergo surgical treatment for lateral ankle instability (LAI). A standard definition of f...
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Exosomes Derived From Kartogenin-Preconditioned Mesenchymal Stem Cells Promote Cartilage Formation and Collagen Maturation for Enthesis Regeneration in a Rat Model of Chronic Rotator Cuff Tear Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Jiangyu Cai, Junjie Xu, Zipeng Ye, Liren Wang, Ting Zheng, Tianlun Zhang, Yufeng Li, Jia Jiang, Jinzhong Zhao
Background:Poor tendon-to-bone healing in chronic rotator cuff tears (RCTs) is related to unsatisfactory outcomes. Exosomes derived from mesenchymal stem cells reportedly enhance rotator cuff heali...
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Biomechanical Comparison of Anterior Cruciate Ligament Reconstruction Using a Single-Bundle Round or Ribbon-like Hamstring Tendon Graft Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Jean-Romain Delaloye, Christoph Hartog, Samuel Blatter, Michel Schläppi, Dominic Müller, Thorsten Schwenke, Jozef Murar, Peter P. Koch
Background:Persistent instability of the knee is reported in up to 30% of patients after anterior cruciate ligament (ACL) reconstruction. Based on anatomic findings showing that ACL is a flat ribbo...
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The Modified Assessment Tool Based on Scapular Y-View for Global Fatty Infiltration in the Supraspinatus Muscle: Correlation, Predictive Performance, and Reliability Analyses Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-14 Junjie Xu, Beibei Liu, Kang Han, Zipeng Ye, Xiuyuan Zhang, Yi Qiao, Yuchen Jin, Jia Jiang, Wei Su, Yuehua Li, Jinzhong Zhao
Background:The accurate evaluation of rotator cuff (RC) fatty degeneration after tears is critical for appropriate surgical decision making and prognosis. However, there is currently no reliable an...
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Retrotilt of the Pelvis During Periacetabular Osteotomy: How to Avoid a Systematic Error Resulting in Acetabular Retroversion and Possible Femoroacetabular Impingement Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-06 Nicolas Vuillemin, Malin Kristin Meier, Angela Maria Moosmann, Klaus Arno Siebenrock, Simon Damian Steppacher
Background:Pelvic tilt directly influences acetabular version on radiographs. Changes of pelvic tilt potentially affect acetabular reorientation after periacetabular osteotomy (PAO).Purpose:(1) To ...
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Medial Discoid Meniscus in Children: A Multicenter Case Series of Clinical Features and Operative Results Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-06 Kathryn G. Anderson, Sasha Carsen, Zachary Stinson, Indranil Kushare, Craig J. Finlayson, Marie-Lyne Nault, R. Jay Lee, Brian M. Haus, PRiSM Meniscus Research Interest Group, Gregory A. Schmale
Background:The discoid medial meniscus is a rare congenital anomaly of the knee. The literature is limited to small case series.Purpose/Hypothesis:Our purpose is to report the clinical manifestatio...
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Anatomic Features of Patients With Recurrent Peroneal Tendon Dislocation Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-06 Akinobu Nishimura, Shigeto Nakazora, Yoshiyuki Senga, Aki Fukuda, Akihiro Sudo
Background:There are several anatomic variations of the peroneal muscles and lateral malleolus of the ankle that may play an important role in the onset of peroneal tendon dislocation.Purpose:To in...
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Estimation Failure Risk by 0.5-mm Differences in Autologous Hamstring Graft Diameter in Anterior Cruciate Ligament Reconstruction: A Meta-analysis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-06 Masafumi Itoh, Junya Itou, Ken Okazaki, Kiyotaka Iwasaki
Background:Because grafts are made in 0.5-mm increments clinically for anterior cruciate ligament (ACL) reconstruction, it is important to clarify how the failure rate decreases as the diameter inc...
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Return to Sport After Nonoperative Management of Elbow Ulnar Collateral Ligament Injuries: A Systematic Review and Meta-analysis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-06 Varun Gopinatth, Anjay K. Batra, Zeeshan A. Khan, Garrett R. Jackson, Harkirat S. Jawanda, Enzo S. Mameri, Johnathon R. McCormick, Derrick M. Knapik, Jorge Chahla, Nikhil N. Verma
Background:Elbow ulnar collateral ligament (UCL) injuries can result in significant functional impairment in throwing and overhead athletes. UCL reconstruction and repair are proven treatments to r...
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Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-03 Jay Moran, Michael S. Lee, Kyle N. Kunze, Joshua S. Green, Lee D. Katz, Annie Wang, William M. McLaughlin, Stephen M. Gillinov, Andrew E. Jimenez, Timothy E. Hewett, Robert F. LaPrade, Michael J. Medvecky
Background:Bone bruises are commonly seen on magnetic resonance imaging (MRI) in acute anterior cruciate ligament (ACL) injuries and can provide insight into the underlying mechanism of injury. The...
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Immobilization in External Rotation Versus Arthroscopic Stabilization After Primary Anterior Shoulder Dislocation: A Systematic Review of Level 1 and 2 Studies Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-03 Andrew G. Potyk, John W. Belk, Jonathan T. Bravman, Adam J. Seidl, Rachel M. Frank, Eric C. McCarty
Background:Arthroscopic stabilization has been established as a superior treatment option for primary glenohumeral instability when compared with immobilization in internal rotation. However, immob...
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Autograft Demonstrates Superior Outcomes for Revision Anterior Cruciate Ligament Reconstruction When Compared With Allograft: A Systematic Review Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-03 John W. Belk, Connor P. Littlefield, John-Rudolph H. Smith, Patrick C. McCulloch, Eric C. McCarty, Rachel M. Frank, Matthew J. Kraeutler
Background:Multiple studies have compared outcomes among patients undergoing revision anterior cruciate ligament reconstruction (ACLR) with autograft versus allograft, but these data are inconsiste...
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Large Versus Small Opening Wedge High Tibial Osteotomies Performed With a Protective Wire Over the Lateral Hinge: Incidence of Lateral Hinge Fracture and Early Clinical Outcomes Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-01 Don Thong Siang Koh, Junwei Soong, William Yeo, Marcus Wei Ping Tan, Shao Jin Teo, Adrian Wilson, Kong Hwee Lee
Background:The incidence of lateral hinge fractures (LHFs) during medial opening wedge high tibial osteotomy (MOW-HTO) is unacceptably high, especially with distractions >10 mm. LHFs result in malu...
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Radiographic Predictors of Reoperation in Adolescents Undergoing Hip Preservation Surgery for Femoroacetabular Impingement Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-01 Philip A. Serbin, Tyler R. Youngman, Benjamin L. Johnson, Philip L. Wilson, Dan Sucato, David Podeszwa, Henry B. Ellis
Background:Femoroacetabular impingement (FAI) is a condition caused by repetitive abutment of a morphologically abnormal proximal femur and/or acetabulum that may result in chondral and labral path...
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Anterior Cruciate Ligament Reconstruction Using a 4-Strand Semitendinosus Tendon Graft or a Doubled Semitendinosus and Gracilis Tendon Graft: A 4.5-Year Prospective, Randomized, Double-Blind, Parallel-Group Study Am. J. Sports Med. (IF 7.01) Pub Date : 2023-03-01 Krzysztof Kuliński, Marcin K. Waśko, Ewa Tramś, Kamila Malesa, Stanisław Pomianowski, Rafał Kamiński
Background:Hamstring tendon grafts are the most common choice for anterior cruciate ligament (ACL) reconstruction (ACLR). Previous studies have provided evidence that offers conflicting opinions co...
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Functional Deficits After Open Latarjet Procedure and Dominance of the Operated Shoulder: An Analysis of 133 Patients Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-27 Isabelle Rogowski, Laurent Nové-Josserand, Arnaud Godenèche, Philippe Colotte, Gabriel Franger, Grégory Vigne, Thais Dutra Vieira, Yoann Blache, Lionel Neyton
Background:Return to sport after stabilization surgery using the open Latarjet procedure remains challenging. Additional knowledge is needed about postoperative shoulder functional deficits in orde...
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Meniscal Ramp Lesions in Adolescent Patients Undergoing Primary Anterior Cruciate Ligament Reconstruction: Significance of Imaging and Arthroscopic Findings Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-27 Katharine F. Hollnagel, Andrew T. Pennock, James D. Bomar, Henry G. Chambers, Eric W. Edmonds
Background:Meniscal ramp lesions are associated with anterior cruciate ligament (ACL) injuries and may affect knee stability when left untreated. The diagnostic accuracy of magnetic resonance imagi...
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The Effects of Rest on Concussion Symptom Resolution and Recovery Time: A Meta-analytic Review and Subgroup Analysis of 4329 Patients Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-27 Anthony P. Kontos, Shawn R. Eagle, Rock Braithwaite, Jonathan Preszler, Lisa Manderino, Rose L. Turner, Sabrina Jennings, Alicia Trbovich, Robert W. Hickey, Michael W. Collins, Michael McCrea, Lindsay D. Nelson, Jeremy Root, Danny G. Thomas
Background:Numerous individual studies suggest that rest may have a negative effect on outcomes following concussion.Purpose:To perform a systematic meta-analysis of the effects of prescribed rest ...
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Functional Interaction of the Cruciate Ligaments, Posteromedial and Posterolateral Capsule, Oblique Popliteal Ligament, and Other Structures in Preventing Abnormal Knee Hyperextension Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-23 Frank R. Noyes, Olivia Clark, Joseph Nolan, Daniel J. Johnson
Background:The ligaments and soft tissue capsular structures of the knee joint that provide a resisting force to prevent abnormal knee hyperextension have not been determined. This knowledge is req...
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Histological and Biomechanical Effects of Local Anesthetics and Steroids on Achilles Tendon: A Study in Rats Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-23 Baris Kafa, Gokhan Cakmak, Mehmet Sukru Sahin, Fatma Helvacioglu, Pinar Ayran Fidan, Teyfik Demir, Ayse Canan Yazici Guvercin
Background:Peritendinous injection of local anesthetics, alone or in combination with corticosteroids, is widely used in the treatment of tendinopathies. Toxicity of local anesthetics has been demo...
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Limited External Rotation and Hip Extension Due to Posterior Extra-articular Ischiofemoral Hip Impingement in Female Patients With Increased Femoral Anteversion: Implications for Sports, Sexual, and Daily Activities Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-22 Adam Boschung, Tiziano Antioco, Simon D. Steppacher, Moritz Tannast, Eduardo N. Novais, Young-Jo Kim, Till Dominic Lerch
Background:Posterior femoroacetabular impingement (FAI) is poorly understood. Patients with increased femoral anteversion (FV) exhibit posterior hip pain.Purpose:To correlate hip impingement area w...
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Effects of Contralateral Trunk Tilt on Shoulder and Elbow Injury Risk and Pitching Biomechanics in Professional Baseball Pitchers Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-22 Rafael F. Escamilla, Jonathan S. Slowik, Glenn S. Fleisig
Background:Baseball pitchers employ various contralateral trunk tilt (CTT) positions when pitching depending on if they have an overhand, three-quarter, or sidearm delivery. There are no known stud...
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Determination of Standard Values for Knee Version in a Healthy Population Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-20 Felix Huettner, Christoph Lutter, Constantin Zuehlke, Mauricio Kfuri, Thomas Tischer, Joerg Harrer
Background:Different measures are used to describe relevant anatomic variations that can result in patellofemoral instability and disorders. Knee version, the relative rotational alignment between ...
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Prospective Randomized Trial of Biologic Augmentation With Bone Marrow Aspirate Concentrate in Patients Undergoing Arthroscopic Rotator Cuff Repair Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-22 Brian J. Cole, Joshua T. Kaiser, Kyle R. Wagner, Lakshmanan Sivasundaram, R. Stephen Otte, Tracy M. Tauro, Gregory M. White, Michael L. Ralls, Adam B. Yanke, Brian Forsythe, Anthony A. Romeo, Nikhil N. Verma
Background:Although initial studies have demonstrated that concentrated bone marrow aspirate (cBMA) injections promote rotator cuff repair (RCR) healing, there are no randomized prospective studies...
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The Minimal Clinically Important Difference Changes Greatly Based on the Different Calculation Methods Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-22 Marco Franceschini, Angelo Boffa, Elettra Pignotti, Luca Andriolo, Stefano Zaffagnini, Giuseppe Filardo
Background:The minimal clinically important difference (MCID) for patient-reported outcome measures (PROMs) expresses both the extent of the improvement and the value that patients place on it. MCI...
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Exploring the Mechanism of Microfracture in the Treatment of Porcine Full-Thickness Cartilage Defect Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-20 Hui Li, Zihao He, Wenjing Li, Jiaying Yao, Cheng Lyu, Yanan Du, Dan Xing, Jianhao Lin
Background:Microfracture has the most extensive clinical application because of its advantages of a single operation, unified process, and low operation cost. Because research on the repair mechani...
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Predictors of Return to Work Following Primary Arthroscopic Rotator Cuff Repair: An Analysis of 1502 Cases Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-20 Ryan S. Ting, Ron Rosenthal, Yaerhim Shin, Mina Shenouda, Hilal S. A. Al-Housni, Patrick H. Lam, George A. C. Murrell
Background:It is undetermined which factors predict return to work after arthroscopic rotator cuff repair.Purpose:To identify which factors predicted return to work at any level and return to prein...
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Bony Remodeling of Adolescent Displaced Clavicle Fractures: A FACTS Study Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-20 Andrew T. Pennock, Tracey P. Bastrom, Kelly E. Boutelle, Alyssa N. Carroll, Eric W. Edmonds, Jeffrey J. Nepple, Samuel G. Polinsky, David D. Spence, Benton E. Heyworth, Crystal Perkins, Samuel C. Willimon, FACTS Study Group, Donald S. Bae, Michael T. Busch, Henry B. Ellis, Katelyn Hergott, Mininder S. Kocher, Ying Li, Nirav K. Pandya, Coleen S. Sabatini, Philip L. Wilson
Background:Bony remodeling of displaced clavicle fractures in adolescents remains poorly understood.Purpose:To evaluate and quantify clavicle remodeling in a large population of adolescents with co...
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Two Novel Clinical Tests for the Diagnosis of Hip Labral Tears Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-20 Farshad Adib, Jacob Hartline, J. Skye Donovan, Kourosh Kalachi, Pegah Dehghan, Derek Ochiai
Background:There are few well-studied clinical tests for the diagnosis of hip labral tears. As the differential diagnosis for hip pain is broad, accurate clinical examination is important in guidin...
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A Knitted PET Patch Enhances the Maturation of Regenerated Tendons in Bridging Reconstruction of Massive Rotator Cuff Tears in a Rabbit Model Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-20 Yuting Zhong, Wenhe Jin, Han Gao, Luyi Sun, Peng Wang, Jian Zhang, Michael Tim Yun Ong, Fu Sai Chuen Bruma, Shiyi Chen, Jun Chen
Background:Although nondegradable synthetic grafts for bridging reconstruction of massive rotator cuff tears (MRCTs) have shown satisfactory clinical outcomes, their function and details on graft-t...
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Sports-Related Concussion Affects Cognitive Function in Adolescents: A Systematic Review and Meta-analysis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-17 Xianyun Hou, Yu Zhang, Xueyin Fei, Qian Zhou, Jie Li
Background:Rates of sports-related concussion (SRC) are high in adolescents. Ambiguity exists regarding the effect of SRC on cognitive function in adolescents.Purpose:To rigorously examine adolesce...
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T Helper 17–Like Regulatory T Cells in Equine Synovial Fluid Are Associated With Disease Severity of Naturally Occurring Posttraumatic Osteoarthritis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-16 Laura E. Keller, Elia D. Tait Wojno, Laila Begum, Lisa A. Fortier
Background:Infiltration of cluster of differentiation (CD) 3+ (CD3+) T cells into the synovium and synovial fluid occurs in most patients with posttraumatic osteoarthritis. During disease progressi...
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The Associations Between Quadriceps Tendon Graft Thickness and Isokinetic Performance Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-15 Michael I. Letter, Rosalia L. Parrino, Will Adams, Zachary Ripic, Michael G. Baraga, Lee D. Kaplan, Tanner Harrah, Julien Tremblay, Dylan Luxenburg, Joseph Conti, Joseph F. Signorile
Background:Anterior cruciate ligament reconstruction (ACLR) using the quadriceps tendon is an increasingly popular technique. Both partial-thickness quadriceps tendon (PT-Q) and full-thickness quad...
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Using an Affordable Motion Capture System to Evaluate the Prognostic Value of Drop Vertical Jump Parameters for Noncontact ACL Injury Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-15 Jason Corban, Nicolaos Karatzas, Kevin Y. Zhao, Athanasios Babouras, Stephane Bergeron, Thomas Fevens, Hassan Rivaz, Paul A. Martineau
Background:Knee kinematic parameters during a drop vertical jump (DVJ) have been demonstrated to be associated with increased risk of noncontact anterior cruciate ligament (ACL) injury. However, st...
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Diagnostic Accuracy of Conventional Ankle CT Scan With External Rotation and Dorsiflexion in Patients With Acute Isolated Syndesmotic Instability Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-15 João Carlos Rodrigues, Adham do Amaral e Castro, Laercio Alberto Rosemberg, Cesar de Cesar Netto, Alexandre Leme Godoy-Santos
Background:Syndesmotic injury in an athletic population is associated with a prolonged ankle disability after an ankle sprain and often requires a longer recovery than a lateral collateral ligament...
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Clinical Outcomes After Ulnar Collateral Ligament Reconstructions With Concomitant Ulnar Nerve Transposition in Overhead Athletes: A Matched Cohort Analysis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-14 Jeffrey C. Lynch, Emma E. Johnson, Michael C. Ciccotti, Brandon J. Erickson, Christopher C. Dodson, Steven B. Cohen, Michael G. Ciccotti
Background:Injury of the ulnar collateral ligament (UCL) has become increasingly common, particularly in overhead athletes. There is no consensus on management of the ulnar nerve in UCL reconstruct...
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Early Postoperative MRI Evaluation of a Fascia Lata Autograft With and Without Polypropylene Mesh Augmentation After Superior Capsular Reconstruction Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-14 Hui Ben, Erica Kholinne, Chu Hui Zeng, Sang-Pil So, Jun-Bum Lee, Yucheng Sun, Kyoung-Hwan Koh, In-Ho Jeon
Background:Recently, a polypropylene mesh has been introduced and reported to improve clinical outcomes after superior capsular reconstruction (SCR) using a fascia lata autograft (FLA). However, me...
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Higher Association of Pelvis-Knee-Ankle Angle Compared With Hip-Knee-Ankle Angle With Knee Adduction Moment and Patient-Reported Outcomes After High Tibial Osteotomy Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-14 Koji Iwasaki, Yasumitsu Ohkoshi, Yoshiaki Hosokawa, Shuya Chida, Kengo Ukishiro, Kensaku Kawakami, Sho’ji Suzuki, Tatsunori Maeda, Tomohiro Onodera, Eiji Kondo, Norimasa Iwasaki
Background:High tibial osteotomy (HTO) reduces the load distribution of the medial compartment by modifying leg alignment. Knee adduction moment (KAM), a surrogate measure of dynamic loading in the...
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Disagreement Between the Accepted Best-Fit Circle Method to Calculate Bone Loss Between Injured and Uninjured Shoulders Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-14 Woo-Sung Do, Joo-Hyung Kim, Joon-Ryul Lim, Tae-Hwan Yoon, Yong-Min Chun
Background:No study has evaluated whether best-fit circles based on glenoids with defects accurately represent normal inferior glenoids before injury.Purpose:To investigate whether the best-fit cir...
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Aragonite-Based Scaffold Versus Microfractures and Debridement for the Treatment of Knee Chondral and Osteochondral Lesions: Results of a Multicenter Randomized Controlled Trial Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-13 Nir Altschuler, Kenneth R. Zaslav, Berardo Di Matteo, Seth L. Sherman, Andreas H. Gomoll, Scott A. Hacker, Peter Verdonk, Oliver Dulic, Jenel M. Patrascu, Andrew S. Levy, Dror Robinson, Elizaveta Kon
Background:Lesions of the articular cartilage, with or without involvement of the subchondral bone, are a common cause of pain and dysfunction in the knee. Although several treatment options have b...
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Effect of High School Showcase Exposures and Timing of Ulnar Collateral Ligament Tear on Professional Baseball Careers in Elite Pitchers Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-13 John P. Kriz, Steven DeFroda, Steven J. Staffa, Peter K. Kriz
Background:Showcase participation has been considered a risk factor for elbow injuries. It remains unclear whether high school (HS) showcase volume negatively affects pitchers’ career paths. Becaus...
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Effect of Anterolateral Ligament Status and Inherent Knee Anatomy on Anterior Tibial Subluxation of the Lateral Compartment After Acute Anterior Cruciate Ligament Injury: A Cohort Study Based on MRI Analysis Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-13 Tong Zheng, Guanyang Song, Chao Wang, Yue Li, Zhijun Zhang, Yanwei Cao, Zheng Feng, Menglinqian Di, Hui Zhang
Background:Anterior tibial subluxation (ATS) of the lateral compartment entails a pathological tibiofemoral alignment in knees with anterior cruciate ligament (ACL) injury. Causes of increased ATS ...
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Incidence of Complications and Revision Surgery After High Tibial Osteotomy: A Systematic Review Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-13 Benjamin Miltenberg, Richard N. Puzzitiello, Verdinand C.B. Ruelos, Raisa Masood, Nicholas R. Pagani, Michael A. Moverman, Mariano E. Menendez, Scott P. Ryan, Matthew J. Salzler, Justin Drager
Background:High tibial osteotomy (HTO) is a well-recognized procedure for its effectiveness in treating symptomatic early knee arthritis and malalignment. Although there are numerous systematic rev...
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Arthroscopic Bankart Repair for Adolescent Anterior Shoulder Instability: Clinical and Imaging Predictors of Revision Surgery and Recurrent Subjective Instability Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-13 Anthony C. Egger, S. Clifton Willimon, Michael T. Busch, Sam Broida, Crystal A. Perkins
Background:Multiple clinical and radiologic risk factors for recurrent instability after arthroscopic Bankart repair have been described. Humeral bone loss has gained more recent attention, particu...
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The Effect of a Formal Nonoperative Management Program Combining a Hip Injection With Structured Adjunctive Exercise Rehabilitation in Patients With Symptomatic Femoroacetabular Impingement Syndrome Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-08 Jay R. Ebert, Antony C. Raymond, Randeep S. Aujla, Peter D’Alessandro
Background:Although the initial treatment recommendations for femoroacetabular impingement syndrome (FAIS) may include nonsurgical therapies such as injections and rehabilitation, many patients und...
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Radiological and Histological Analyses of Nonrigid Versus Rigid Fixation for Free Bone Block Procedures in a Rabbit Model of Glenoid Defects Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-08 Junjie Xu, Chenliang Wu, Kang Han, Xueying Zhang, Zipeng Ye, Jia Jiang, Xiaoyu Yan, Wei Su, Jinzhong Zhao
Background:Nonrigid fixation techniques have been recently introduced in free bone block (FBB) procedures to treat substantial glenoid bone loss in patients with anterior shoulder instability. Howe...
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Platelet-Rich Fibrin–Augmented Gap-Bridging Strategy in Rabbit Anterior Cruciate Ligament Repair Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-08 Pei-Wei Weng, Chih-Hwa Chen, Yi-Cheng Lin, Kuan-Hao Chen, Yi-Yen Yeh, Jen-Ming Lai, Chang-Jung Chiang, Chin-Chean Wong
Background:We assessed the efficacy of a novel platelet-rich fibrin (PRF)–augmented repair strategy for promoting biological healing of an anterior cruciate ligament (ACL) midsubstance tear in a ra...
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Effect of PARP-1 Inhibition on Rotator Cuff Healing: A Feasibility Study Using Veliparib in a Rat Model of Acute Rotator Cuff Repair Am. J. Sports Med. (IF 7.01) Pub Date : 2023-02-06 Michael B. Künzler, Michelle H. McGarry, Masaki Akeda, Hansel Ihn, Agnieszka Karol, Brigitte von Rechenberg, Michael O. Schär, Matthias A. Zumstein, Thay Q. Lee
Background:PARP-1 (poly[ADP-ribose]) was shown to influence the inflammatory response after rotator cuff tear, leading to fibrosis, muscular atrophy, and fatty infiltration in mouse rotator cuff de...