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Preoperative Synovial Tissue and Synovial Fluid Biomarkers as Predictors for Outcomes After Knee Arthroscopy and ACL Reconstruction: A Narrative Review Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-15 Julia R. Gottreich, Jeffrey N. Katz, Morgan H. Jones
Background:Biomarkers collected in synovial tissue and fluid have been identified as potential predictors of outcomes after arthroscopy.Purpose:To provide a narrative review of the current literature that assesses the associations between preoperative biomarkers in the synovial fluid or synovial tissue and patient outcomes after knee arthroscopy.Study Design:Narrative review.Methods:We searched the
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Effect of Varus-Producing Distal Femoral Osteotomy and High Tibial Osteotomy on Compartment Pressures and Contact Area at Varying Degrees of Knee Flexion Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-15 Jordan Liles, Justin Brown, Justin Hollenbeck, Michael Foster, Charles Su, Matthew Vopat, Alex Garcia, Armando Vidal
Background:In patients with valgus alignment and degenerative changes in the lateral compartment, both distal femoral osteotomy (DFO) and high tibial osteotomy (HTO) can be used to unload the lateral compartment. Prior studies have shown that in valgus knees, the tibial wear is posterior and DFO exerts the greatest effect in extension; however, its effect is decreased as flexion angle rises.Hypothesis:Medial
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Identifying Risk Factors for Preexisting or Developing Low Back Pain in Youth, High School, and Collegiate Lacrosse Players Using 3-Dimensional Motion Analysis Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-14 Joseph G. Wasser, Michelle L. Bruner, Cong Chen, Heather K. Vincent
Background:Low back pain (LBP) is a common condition that can affect athletes of all ages. The risk factors for LBP onset and worsening associated with the lacrosse shooting motion are not yet known.Purpose:To identify training and biomechanical factors associated with preexisting LBP and development of LBP over 6 months in youth, high school, and collegiate lacrosse players.Study Design:Case-control
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Combination of Superior and Posterior Capsular Release Versus Superior Capsular Release Alone in Arthroscopic Repair of Large-to-Massive Rotator Cuff Tears Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-13 Jung-Taek Hwang, Yong-Been Kim, Min-Soo Cho, Su-Jung Seo, Myung Sun Hong
Background:Superior capsular release has been used to reduce tendon tension, especially in arthroscopic repair of large-to-massive rotator cuff tears. Some clinicians have used a more extensive release of capsules in arthroscopic cuff repair for adequate reduction of torn tendons to footprints.Purpose:To explore the effects of additional posterior capsular release for superior capsular release in arthroscopic
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In Vivo 3-Dimensional Dynamic Evaluation of Shoulder Kinematics After the Latarjet Procedure: Comparison With the Contralateral Healthy Shoulder Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-13 Jisu Park, Doo Sup Kim, Hyungkyu Huh, Won Gil Cho, HyunWoo Kim, Dong-Woo Lee
Background:Researchers have attempted to understand the underlying mechanism of the Latarjet procedure; however, its effects on shoulder kinematics have not been well studied.Purpose/Hypothesis:The purpose was to analyze shoulder kinematics after the Latarjet procedure. It was hypothesized that the nonanatomic transfer of the coracoid process during the procedure would affect normal shoulder kinematics
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Identifying Anterior Cruciate Ligament Injuries Through Automated Video Analysis of In-Game Motion Patterns Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-12 Attila Schulc, Chilan B.G. Leite, Máté Csákvári, Luke Lattermann, Molly F. Zgoda, Evan M. Farina, Christian Lattermann, Zoltán Tősér, Gergo Merkely
Background:Failure to diagnose anterior cruciate ligament (ACL) injury during a game can delay adequate treatment and increase the risk of further injuries. Artificial intelligence (AI) has the potential to be an accurate, cost-efficient, and readily available diagnostic tool for ACL injury in in-game situations.Purpose:To develop an automated video analysis system that uses AI to identify biomechanical
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Epidemiology of Shoulder Dislocation Treated at Emergency Departments in the United States Between 1997 and 2021 Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-12 Brittany Becker, Stephen Spadafore, Lauren Oberle, Jack Spittler, Morteza Khodaee
Background:The exact incidence of shoulder dislocation in the general population of the United States (US) has yet to be well studied.Purpose:To establish the current incidence and patterns of shoulder dislocations in the US, especially regarding sports-related activity.Study Design:Descriptive epidemiology study.Methods:This was a retrospective analysis of shoulder dislocations encountered in emergency
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Clinical Outcomes of Arthroscopic Superior Capsular Reconstruction Using Fascia Lata Autograft Versus Reverse Shoulder Arthroplasty in Patients 65 Years and Older With Irreparable Rotator Cuff Tears: A Retrospective Cohort Study Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-12 Sang-Pil So, Erica Kholinne, Hui Ben, Jun-Bum Lee, Hood Alsaqri, Hyun June Lee, Kyoung Hwan Koh, In-Ho Jeon
Background:Arthroscopic superior capsular reconstruction (ASCR) and reverse shoulder arthroplasty (RSA) have both shown favorable outcomes in patients with irreparable rotator cuff tears (IRCTs).Purpose:To (1) compare the clinical outcomes of ASCR versus RSA in patients aged ≥65 years with IRCTs and (2) compare serial changes in clinical outcomes between treatment groups.Study Design:Cohort study;
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Reliability of Markerless Motion Capture Systems for Assessing Movement Screenings Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-11 Jonathan D. Hauenstein, Alan Huebner, John P. Wagle, Emma R. Cobian, Joseph Cummings, Caroline Hills, Megan McGinty, Mandy Merritt, Sam Rosengarten, Kyle Skinner, Michael Szemborski, Leigh Wojtkiewicz
Background:Movement screenings are commonly used to detect unfavorable movement patterns. Markerless motion capture systems have been developed to track 3-dimensional motion.Purpose:To determine the reliability of movement screenings assessed using a markerless motion capture system when comparing the results of multiple systems and multiple collection periods.Study Design:Descriptive laboratory study
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Use of Tibial Cortical Autograft for the Osteotomy Site in Medial Opening-Wedge High Tibial Osteotomy Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-11 Cumhur Cevdet Kesemenli, Serdar Demiroz, Kaya Memisoglu, Cengiz Erdemir, Ömer Yonga, Faruk Temez, Emre Karadeniz
Background:Medial opening-wedge high tibial osteotomy (OWHTO) is a useful treatment option in patients with medial compartment osteoarthritis. Typically, the osteotomy site is filled with material such as autologous bone graft, allograft, or synthetic bone substitute. However, all these options have disadvantages.Purpose/Hypothesis:The purpose of this study was to describe tibial cortical autograft
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Influence of Surgeon Experience and Clinic Volume on Subjective Knee Function and Revision Rates in Primary ACL Reconstruction: A Study from the Swedish National Knee Ligament Registry Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-11 Dzan Rizvanovic, Markus Waldén, Magnus Forssblad, Anders Stålman
Background:Anterior cruciate ligament reconstruction (ACLR) performed by high-volume surgeons/clinics has been associated with increased graft individualization and decreased operating times, complication rates, and total costs.Purpose:To investigate the influence of surgeon/clinic volume on subjective knee function and revision surgery rates at 2 years after primary ACLR.Study Design:Cohort study;
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Comparison of Outcomes After Primary Versus Salvage Osteochondral Allograft Transplantation for Femoral Condyle Osteochondritis Dissecans Lesions Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-07 Clayton W. Nuelle, Kylee Rucinski, James P. Stannard, Richard Ma, Mauricio Kfuri, James L. Cook
Background:Osteochondral allograft transplantation (OCAT) allows the restoration of femoral condyle osteochondritis dissecans (OCD) lesions using an osteochondral unit. When OCD lesions are irreparable, or treatments have failed, OCAT is an appropriate approach for revision or salvage surgery. Based on its relative availability, cost-effectiveness, lack of donor site morbidity, and advances in preservation
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Patient Perception of Social Media Use by Orthopaedic Surgeons: A Pilot Study Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-07 Alexander J. Johnson, Benjamin R. Wharton, Elisabeth H. Geraghty, Hannah Bradsell, Andrew Ishikawa, Eric C. McCarty, Jonathan T. Bravman, Rachel M. Frank
Background:Social media (SM) use by orthopaedic surgeons is becoming increasingly common; nonetheless, it needs to be clarified how patients perceive the content posted by physicians.Purpose:To characterize SM content posted by orthopaedic surgeons while investigating patient perceptions of this content and how it may influence their health care decisions.Study Design:Cross-sectional study.Methods:Posts
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Clinical Use of Tranexamic Acid in High Tibial Osteotomy: A Systematic Review and Meta-analysis Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-06 Zheshu Xu, Lixun Li, Peng Xie, Juyuan Gu, Kai Kang, Xiaozuo Zheng
Background:High tibial osteotomy (HTO) can cause postoperative hemorrhage. The use of tranexamic acid to reduce the hemorrhage is still controversial.Purpose:To investigate the efficacy and safety of tranexamic acid in HTO.Study Design:Systematic review; Level of evidence, 4.Methods:Using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, the authors conducted a
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Tibiofemoral Subluxation on Radiograph as a Predictor of Location and Size of Osteochondritis Dissecans Lesions of the Knee Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-06 Marco-Christopher Rupp, Felix Hochberger, Daniel P. Berthold, Lukas N. Muench, Andreas B. Imhoff, Sebastian Siebenlist, Lukas Willinger
Background:Lower limb malalignment has been associated with osteochondritis dissecans (OCD). However, the location of the OCD lesion often is not concordant with the mechanical leg axis. Other potentially modifiable alignment parameters may influence the propensity for impingement of the femoral condyles.Purpose:To assess differences in lower limb alignment (LLA) and relative tibiofemoral position
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Clinical Outcomes and Return to Preinjury Sports After Anatomic Reconstruction With a Gracilis Autograft Versus the Modified Broström Procedure in Patients With Generalized Joint Laxity Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-06 Anhong Wang, Yanfang Jiang, Tong Su, Xing Xie, Chen Jiao, Yuelin Hu, Zhu Zhang, Qinwei Guo, Dong Jiang
Background:Generalized joint laxity (GJL) is a risk factor for inferior outcomes after the modified Broström procedure for chronic lateral ankle instability, while anatomic reconstruction with tendons is more inclined to be recommended. However, whether anatomic reconstruction could achieve better results than the modified Broström procedure in patients with GJL is unknown.Purpose:To compare clinical
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Relationship Between Hip Capsular Thickness and Instability After Previous Hip Arthroscopic Surgery: A Matched-Cohort Analysis Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-05 Suzanna M. Ohlsen, Allan K. Metz, Devin L. Froerer, Alexander J. Mortensen, Tyler R. Smith, Joseph Featherall, Reece M. Rosenthal, Stephen K. Aoki
Background:Thinner anterior hip capsules are associated with hip laxity, but there is little known about the impact of capsular thickness on the development of instability after primary hip arthroscopic surgery.Purpose:To investigate the relationship between hip capsular thickness as measured on preoperative magnetic resonance imaging (MRI) and the development of hip instability after hip arthroscopic
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Intermediate Outcomes of Medial Ulnar Collateral Ligament Reconstruction Using Gracilis Allograft in Adolescent Patients Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-05 Leonie Campbell, Tracey P. Bryan, Eric W. Edmonds
Background:Autograft palmaris has been the primary choice for the reconstruction of the medial ulnar collateral ligament (UCL) in the elbow. Agenesis of the palmaris tendon is not rare, and outcomes of allograft reconstruction in the breadth of athlete types found in the adolescent population are lacking.Hypothesis:Allograft tendon reconstruction of the medial UCL in the young elbow would have low
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Treatment Algorithm for the Resorption of Calcific Tendinitis Using Extracorporeal Shockwave Therapy: A Data Mining Study Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-05 Wen-Yi Chou, Jai-Hong Cheng, Yu-Jui Lien, Tian-Hsiang Huang, Wen-Hsien Ho, Paul Pei-Hsi Chou
Background:Although evidence indicates that extracorporeal shockwave therapy (ESWT) is effective in treating calcifying shoulder tendinitis, incomplete resorption and dissatisfactory results are still reported in many cases. Data mining techniques have been applied in health care in the past decade to predict outcomes of disease and treatment.Purpose:To identify the ideal data mining technique for
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Differences in Patellofemoral Alignment Between Static and Dynamic Extension Positions in Patients With Patellofemoral Pain Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-04 Yurou Chen, Jia Li, Haitao Yang, Fajin Lv, Bo Sheng, Furong Lv
Background:Considering that patellofemoral pain (PFP) is related to dynamic factors, dynamic extension on 4-dimensional computed tomography (4-DCT) may better reflect the influence of muscles and surrounding soft tissue than static extension.Purpose:To compare the characteristics of patellofemoral alignment between the static and dynamic knee extension position in patients with PFP and controls via
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The Top 100 Most Impactful Articles on the Achilles Tendon According to Altmetric Attention Score and Number of Citations Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-04 Joseph M. Bano, William R. Rate, Matthew D. Civilette, Trevor J. Wyand, Eric R. Samuelson, Blake M. Bodendorfer, Heath P. Gould, Walter C. Hembree
Background:Achilles tendon injuries often generate substantial discussion in the mainstream media. The Altmetric Attention Score (AAS) measures the online dialogue pertaining to Achilles tendon research that occurs outside scientific journals, which traditional citation-based metrics fail to capture.Purpose:To characterize the top 100 most-cited Achilles tendon articles and compare them with the 100
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Contributions of the Abductor Muscles to Rotational and Distractive Stability of the Hip in a Biomechanical Cadaveric Model Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-04 Daniel P. Lim, Lionel E. Lazaro, Justin F. Kyhos, Michael M. Chau, Karen J. Ladnier, Trevor J. Nelson, Samuel A. Eberlein, Michael B. Banffy, Melodie F. Metzger
Background:The gluteus minimus (GMin) and gluteus medius (GMed) are important dynamic stabilizers of the hip, but quantitative data on their biomechanical roles in stabilizing the hip are currently lacking.Purpose:To (1) establish a reproducible biomechanical cadaveric model of the hip abductor complex and (2) characterize the effects of loading the GMin and GMed on extraneous femoral rotation and
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Incidence of Septic Arthritis After Vancomycin Soaking of the Graft During Arthroscopic Anatomic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-04 Grégoire Rougereau, Sammy Kassab Hassan, Eugénie Valentin, Sacha Jehan, Thomas Bauer, Nicolas Baudrier, Alexandre Hardy
Background:Vancomycin soaking of the graft during arthroscopic anterior cruciate ligament reconstruction has been shown to be effective in reducing the rate of postoperative infection.Purpose/Hypothesis:The present study aimed to (1) analyze the effect of vancomycin-soaked grafts during arthroscopic anatomic reconstruction of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament
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Outcomes of Concomitant Glenohumeral Stabilization After Arthroscopic Rotator Cuff Repair in Military Patients Younger Than 40 Years Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-01 Clare K. Green, John P. Scanaliato, Alexis B. Sandler, Cole M. Patrick, John C. Dunn, Nata Parnes
Background:While concomitant rotator cuff and inferior labral tears are relatively uncommon in young civilians, military populations represent a unique opportunity to study this injury pattern.Purpose:To (1) evaluate the long-term outcomes after combined arthroscopic rotator cuff and inferior labral repair in military patients <40 years and (2) compare functional outcomes with those after isolated
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Association of Increased Lateral Femoral Condylar Ratio With Lateral Meniscus Posterior Root Tear in Noncontact ACL Injury Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-01 Nam-Hong Choi, Bong-Seok Yang, Dong-Min Lee, Choong-Ryul Lee
Background:In the setting of anterior cruciate ligament (ACL) injury, lateral meniscus posterior root tears (LMPRTs) are less readily diagnosed on preoperative magnetic resonance imaging (MRI). Therefore, to predict LMPRTs in ACL injuries, it is necessary to understand the risk factors associated with them.Purpose/Hypothesis:The purpose of this study was to investigate the association of lateral femoral
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Effects of Scapular Angular Deviations on Potential for Rotator Cuff Tendon Mechanical Compression Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-03-01 Rebekah L. Lawrence, Laura B. Richardson, Hannah L. Bilodeau, Dane J. Bonath, Daniel J. Dahn, Mary-Ann Em, Sanjay Sarkar, Jonathan P. Braman, Paula M. Ludewig
Background:One proposed mechanism of rotator cuff disease is scapular motion impairments contributing to rotator cuff compression and subsequent degeneration.Purpose:To model the effects of scapular angular deviations on rotator cuff tendon proximity for subacromial and internal mechanical impingement risk during scapular plane abduction.Study Design:Descriptive laboratory study.Methods:Three-dimensional
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The Effect of Concavity Restoration on Glenohumeral Stability in a Glenoid Bone Loss Model: Comparing the Distal Tibial Allograft Reconstruction and the Latarjet Procedure Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Carl Cirino, Amir Jahandar, Andreas Kontaxis, Joshua Dines, David Dines, Theodore Blaine, Michael Fu, Russell Warren, Lawrence Gulotta, Brittany Ammerman, Amy Lu, Samuel Taylor, Matthew Fury
Objectives:Glenoid bone loss occurs in more than 80% of patients with recurrent glenohumeral instability. The Latarjet procedure has become the gold standard for restoration of bone loss despite a high (15-30%) complication rate.1–3 Distal tibial allograft (DTA) reconstruction has recently gained interest due to its ability to restore width and concavity to the glenoid while providing a cartilage surface
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Predictors of Anterior Cruciate Ligament Re-tear and Return to Sport in Adolescent Athletes Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Kallie Chen, Penelope Halkiadakis, Andrew Paliobeis, Jacob Calcei, James Voos, Bhargavi Maheshwer
Objectives:The purpose of this study was to characterize recent epidemiologic trends of ACL injuries and re-tear rates in high school adolescents and determine variables associated with sustaining secondary ACL injury. We hypothesized protective rehabilitation factors (i.e., greater time to return to sport, formal sport clearance, and physical therapy compliance) would decrease the risk of secondary
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Intra-articular VEGF and MMP-1 are the Primary Drivers of Worse Baseline KOOS Symptoms and Quality of Life Subscores at Time of Knee Chondroplasty Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Erik Haneberg, Corey Beals, Navya Dandu, Johnathon McCormick, Zachary Wang, Alexandra Walker, Brian Cole, Adam Yanke, Tristan Elias
Objectives:Biomarkers are a topic of interest in orthopaedics in the setting of osteoarthritis and patients undergoing knee arthroscopy for any reason. However, in patients undergoing knee arthroscopy for chondral defects, the influence of cytokines on patient pain and function is not fully understood. The purpose of this study is to investigate the concentrations of synovial inflammatory cytokines
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Radiographic Incidence of Knee Osteoarthritis After Isolated ACL Reconstruction Versus Combined ACL and ALL Reconstruction: A Prospective Matched Study from the SANTI Study Group Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Benjamin Freychet, Graeme Hopper, Bennoit Coulin, Abdo El Helou, Jaesung An, Thais Dutra Vieira, Bertrand Sonnery-Cottet, Jobe Shatrov
Objectives:The aim of this study was to evaluate the incidence of OA with isolated ACLR in comparison with ACLR with ALLR at medium-term follow-up. We hypothesized that there would be no differences between the groups.Methods:Patients who underwent ACLR 1 ALLR with hamstring tendon autograft between January 2011 and March 2012 were propensity matched to patients who underwent isolated ACLR with bone–patellar
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Hip Arthroscopy in Recreational Athletes: Risk Factors For Failure to Return to Sport and Factors That Influence Psychological Readiness to Return to Sport Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Kiera Kingston, Molly Day, Reena Olsen, Audrey Wimberly, Anil Ranawat, Bryan Kelly, Danyal Nawabi, KJ Hippensteel
Objective:High level athletes achieve high rates of return to play and improved patient reported outcomes (PROMs) after hip arthroscopy for femoroacetabular impingement (FAI). However, few studies have evaluated return to sport rates in recreational athletes, risk factors for failure to return to sport, and the effect of psychological readiness to return to sport (RTS) within this population. We hypothesize
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Patients with Borderline Hip Dysplasia Undergoing Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome Demonstrate Lower Outcome Scores but Comparable Survivorship to Non-Dysplastic Controls: A Propensity-Matched Study with Minimum 10-Year Follow-up Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Reagan Chapman, Jordan Larson, Thomas Fenn, Corey Beals, Shane Nho
Background:Patients with borderline hip dysplasia (BHD) have demonstrated similar outcomes following primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) compared to equivalent patients without dysplasia at short- and mid-term follow-up. However, outcomes in these groups have not yet been compared at long-term follow-up.Objectives:To compare long-term clinical outcomes following
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The Effect of Pelvic Incidence on Outcomes Following Hip Arthroscopy for Femoroacetabular Impingement and Acetabular Labral Tears Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Christopher Eberlin, Nathan Cherian, Michael Dean, Kieran Dowley, Zachary LaPorte, Michael Kucharik, Stephen Gillinov, Bilal Siddiq, Scott Martin, Kaveh Torabian
Objectives:Left untreated, femoroacetabular impingement (FAI) poses an elevated risk for the early progression of degenerative joint disease. As a result, the utilization of hip arthroscopy has increased to counteract the maladaptive effects of FAI, as femoroacetabular osteoplasties have been shown to reconcile deleterious loading patterns caused by CAM and pincer lesions. However, variations in the
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To Remplissage or Not to Remplissage Part 1: Prognostic Factors Influencing Recurrent Shoulder Instability in High-Risk Individuals with On-Track Shoulders Undergoing Primary Arthroscopic Anterior Stabilization Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Stephanie Boden, Ehab Nazzal, Matthew Como, Romano Sebastiani, Jonathan Hughes, Mark Rodosky, Adam Popchak, Volker Musahl, Bryson Lesniak, Dharmesh Vyas, Albert Lin, Shaquille Charles
Objectives:Recent studies have shown that a subset of on-track Hill-Sachs lesions (HSL), defined as near-track lesions, may have a high risk of failure after primary arthroscopic Bankart repair (ABR) alone. The aim of this study was to evaluate rates of recurrent shoulder instability among patients with on-track HSL who underwent primary ABR with and without remplissage in the setting of numerous risk
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Mosaicplasty/Osteochondral Autograft Transfer Remains a Durable Solution for Symptomatic Chondral Defects of the Knee: Two to Ten-Year Follow-up Analysis Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Arjun Khorana, Prem Ramkumar, Riley Williams, Kelms Amoo-Achampong
Objectives:Little to no long-term data exist following mosaicplasty/osteochondral autograft transfer (OATS). The purpose was to assess the long-term outcomes of osteochondral autograft transfer in terms of patient-reported outcomes, reoperation rates, and conversion to arthroplasty.Methods:Between September 1999 through April 2021, 63 patients who underwent mosaicplasty were queried from an institutional
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Range of motion at 6 weeks is an independent risk factor for non-healing at 6 months after arthroscopic supraspinatus repair. Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Marko Nabergoj, Alexandre Laedermann, Hugo Bothorel, Anthony Pernoud, Philippe Collin, Tiago Martinho
PURPOSE: This study aimed to analyze the effect of the range of motion (ROM) progression pattern on healing after supraspinatus (SSN) repair.HYPOTHESIS: We hypothesized that a faster ROM recovery in the immediate postoperative period would be detrimental for tendon healing.Methods:This was a retrospective study of prospective collected data. All primary arthroscopic SSN repairs for full-thickness tears
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To Remplissage or not to Remplissage Part 2: Recurrent Instability After Primary Stabilization Surgery (RIPSS) Risk Tool Assesses Preoperative Failure Rates in On-track Shoulders Undergoing Primary Arthroscopic Anterior Stabilization with or without Remplissage Augmentation Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Stephanie Boden, Ehab Nazzal, Matthew Como, Romano Sebastiani, Jonathan Hughes, Mark Rodosky, Adam Popchak, Volker Musahl, Bryson Lesniak, Dharmesh Vyas, Albert Lin, Shaquille Charles
Objectives:Given the high rates of recurrent instability following the initial arthroscopic Bankart repair (ABR), it is crucial to provide recommendations for appropriate surgical interventions for patients at a higher risk of experiencing recurring instability. In Part 1 of the study, it was discovered that on-track Hill-Sachs lesions (HSL) with specific prognostic factors (i.e., younger age, increased
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Patients with Bilateral ACL Reconstruction (ACLR) have 3x the Rate of Posterior Tibial Slope Greater than 12-Degrees Compared to Unilateral ACLR: MRI and Radiographic Evaluation Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-28 Zachary Li, Jairo Triana, Naina Rao, Michael Alaia, Guillem Gonzalez-Lomas, Eric Strauss, Laith Jazrawi, Sharif Garra
Objectives:Increased posterior tibial slope (PTS) is a risk factor for primary anterior cruciate ligament (ACL) tear and graft failure, but PTS has not been well-defined in those who have experienced bilateral ACL injuries. We aimed to compare PTS angles, as well as the rate of elevated PTS (>12° on lateral radiograph; >7° on MRI), between patients who underwent bilateral ACL reconstruction (ACLR)
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Abnormal Lower Limb Biomechanics During a Bilateral Vertical Jump Despite the Symmetry in Single-Leg Vertical Hop Height in Athletes After ACL Reconstruction Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-27 Peng Chen, Ling Wang, Shiyu Dong, Yue Ding, Huiwu Zuo, Shaohui Jia, Guanglan Wang, Can Chen, Cheng Zheng
Background:A limb symmetry index (LSI) of >90% for single-leg horizontal hop distance is recommended as a cutoff point for safe return to sports after anterior cruciate ligament reconstruction (ACLR). Despite achieving this threshold, abnormal lower limb biomechanics continue to persist in athletes after ACLR. Symmetry in single-leg vertical hop height appears to be more difficult to achieve and can
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Association of Concomitant MRI-Determined Anterolateral Complex Injury With Quantitative Measurements of Altered Rotational Tibiofemoral Position on MRI in Patients With ACL Injury Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-27 Zhi-yu Zhang, Yu Yin, Wen-bin Bai, Wei-li Shi, Xiao-yu Pan, Hong-jie Huang, Xin Zhang, Cheng Wang, Jian-quan Wang
Background:Reduced graft failure rates have been reported after anterior cruciate ligament (ACL) reconstruction combined with anterolateral complex (ALC) augmentation. However, the preoperative diagnosis of concomitant ALC injury remains a clinical challenge.Purpose:To identify the altered rotational tibiofemoral position on magnetic resonance imaging (MRI) in ACL-injured patients with concomitant
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Factors Associated With Residual Pivot Shift After ACL Reconstruction: A Quantitative Evaluation of the Pivot-Shift Test Preoperatively and at Minimum 12-Month Follow-up Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-27 Yusuke Kawanishi, Makoto Kobayashi, Sanshiro Yasuma, Hiroaki Fukushima, Jiro Kato, Atsunori Murase, Tetsuya Takenaga, Masahito Yoshida, Gen Kuroyanagi, Yohei Kawaguchi, Hideki Murakami, Masahiro Nozaki
Background:Postoperative residual rotatory laxity remains despite improvement in surgical techniques for anterior cruciate ligament (ACL) reconstruction (ACLR).Purpose:To evaluate factors associated with residual pivot shift after ACLR by quantitative measurement of the pivot shift before and after surgery.Study Design:Case-control study; Level of evidence, 3.Methods:A total of 97 patients who underwent
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Comparison of Conventional Dose Versus Superdose Platelet-Rich Plasma for Knee Osteoarthritis: A Prospective, Triple-Blind, Randomized Clinical Trial Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-26 Sandeep Patel, Shivam Gahlaut, Tarkik Thami, Devendra Kumar Chouhan, Ashish Jain, Mandeep Singh Dhillon
Background:Confusion persists regarding the ideal dosage of platelet-rich plasma (PRP) injection for knee osteoarthritis (OA).Purpose/Hypothesis:The purpose of the study was to compare the efficacy of 2 different single-injection PRP dosages in patients with early knee OA—a conventional 4 mL dose and a superdose of 8 mL. It was hypothesized that 8 mL of PRP would be superior to 4 mL of PRP in this
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Outcomes and Return to Sport After Knee Osteochondral Allograft Transplant in Professional Athletes Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-26 Sachin Allahabadi, Ryan Quigley, Landon Frazier, Kaitlyn Joyce, Brian J. Cole
Background:Limited data are available on the outcomes and return-to-sport rates after osteochondral allograft transplant in professional athletes.Purpose:To evaluate the experience of a single senior surgeon in treating professional athletes with osteochondral allograft transplant, including analyzing clinical outcomes and return to sport.Study Design:Case series; Level of evidence, 4.Methods:The authors
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Factors Associated With a Lateral Ankle Sprain in Young Female Soccer Players: A Prospective Cohort Study Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-26 Shuji Taketomi, Kohei Kawaguchi, Yuri Mizutani, Seira Takei, Ryota Yamagami, Kenichi Kono, Ryo Murakami, Tomofumi Kage, Takahiro Arakawa, Sayaka Fujiwara, Sakae Tanaka, Toru Ogata
Background:Previous studies have attempted to determine if certain risk factors can predict the occurrence of a lateral ankle sprain (LAS) in female soccer players. Unfortunately, there is limited evidence with regard to risk factors associated with an LAS in female soccer players.Purpose:To identify intrinsic risk factors for an LAS among young female soccer players.Study Design:Cohort study; Level
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Systematic Review of Bracing After Proximal Hamstring Repair Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-23 Phillip B. Wyatt, Tiffany D. Ho, Haleigh M. Hopper, James R. Satalich, Conor N. O’Neill, John Cyrus, Alexander R. Vap, Robert O’Connell
Background:Traditionally, postoperative rehabilitation protocols after proximal hamstring repair (PHR) for avulsion of the proximal hamstring tendon from its ischial insertion recommend bracing the hip and/or knee to protect the fixation. However, because of the cumbersome nature of these orthoses, recent studies have investigated outcomes in patients with postoperative protocols that do not include
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Return-to-Golf Rate After Shoulder Arthroplasty: A Systematic Review and Meta-analysis Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-23 Youssef Galal, Mihir Sheth, Evan Lederman, Anup Shah
Background:With advancements in the technology, techniques, and biomechanical understanding of shoulder arthroplasty, higher rates of postoperative return to various sports have been seen in the past decade.Purpose:To observe the return-to-golf rate after various types of shoulder arthroplasty (anatomic total shoulder arthroplasty [TSA], hemiarthroplasty [HA], and reverse total shoulder arthroplasty
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Association of Head-Neck Rotation With History of Pitching-Related Elbow Pain in Youth Baseball Players Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-23 Masumi Yoshimoto, Masashi Kawabata, Toru Miyata, Yosuke Sato, Daichi Naoi, Mitsuaki Ashihara, Nobuyuki Suzuki, Chihiro Ikoma, Hiroaki Tatsuki, Ryota Kuratsubo, Hiroyuki Watanabe, Yohei Kusaba, Daiki Watanabe
Background:Prevention of pitching-related elbow pain in youth baseball players is important. Overhead pitching involves a whole-body motion, including head-neck rotation. A limited range of motion of head-neck rotation may cause inefficient pitching motion; however, this association is unclear.Purpose:To determine whether the range of motion of head-neck rotation is associated with the history of pitching-related
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Differences in Lumbopelvic Alignment in Adolescent Male Soccer Players With Bilateral and Unilateral Lumbar Bone Stress Injuries: An MRI Evaluation Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-22 Toshiharu Tsutsui, Toshinao Kamikubo, Wataru Sakamaki, Seira Takei, Toshihiro Maemichi, Suguru Torii
Background:Differences in the physical characteristics of bilateral and unilateral lumbar bone stress injuries (BSIs) are unknown.Purpose:To compare bilateral and unilateral lumbar BSIs in adolescent male soccer players, with a focus on lumbopelvic alignment.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 78 players (age range, 12-15 years) from a local soccer club who had
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Validity of Material Related to the Anterior Cruciate Ligament on TikTok Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-22 Riccardo D’Ambrosi, Timothy E. Hewett
Background:Video material is one of the most common types of digital information on social media platforms.Purpose:To assess the validity and informational value of TikTok videos with regard to the anterior cruciate ligament (ACL).Study Design:Cross-sectional study.Methods:Using the terms “anterior cruciate ligament” AND/OR “ACL,” 420 TikTok videos were retrieved, of which 100 videos were included
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Effect of Platelet-Rich Plasma at Different Initiation Times on Healing of the Bone-Tendon Interface of the Rotator Cuff in a Mouse Model Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-22 Yundong Peng, Luyu Diao, Juan Wang, Guanglan Wang, Shaohui Jia, Cheng Zheng
Background:Platelet-rich plasma (PRP) has demonstrated beneficial effects on healing of the bone-tendon interface (BTI).Purpose:To determine the optimal initiation time for PRP application after rotator cuff repair in an animal model.Study Design:Controlled laboratory study.Methods:A total of 136 C57BL/6 mice were included; 40 mice were used to prepare PRP, while 96 mice underwent acute supraspinatus
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Clinical Outcomes and Tendon Healing After Arthroscopic Isolated Subscapularis Tendon Repair: Results at Midterm Follow-up Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-21 Ali Ihsan Kilic, Nicholas A. Zuk, Javier Ardebol, Theresa Pak, Mariano E. Menendez, Patrick J. Denard
Background:Few studies have reported clinical outcomes and tendon healing rates after arthroscopic isolated subscapularis (SSC) repair (AISR).Purpose/Hypothesis:The primary purpose of this study was to evaluate clinical outcomes and tendon healing after AISR. It was hypothesized that AISR would result in satisfactory clinical outcomes along with a high rate of tendon healing at the midterm follow-up
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Validating the Glenoid Track Concept Using Dynamic Arthroscopic Assessment Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-21 Mustafa S. Rashid, Saho Tsuchiya, Kristie D. More, Justin LeBlanc, Aaron J. Bois, Cory A. Kwong, Ian K.Y. Lo
Background:Failure after isolated Bankart repair has led surgeons to consider when to address the Hill-Sachs lesion, which is thought to be a contributor to recurrent instability. One approach utilizes the glenoid track concept to determine whether a Hill-Sachs lesion is classified as “off-track,” suggesting that the addition of a remplissage procedure may aid stability. However, the accuracy and reliability
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Concussion Rates in Youth Lacrosse Players and Comparison With Youth American Football Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-21 Brandon Macknofsky, Clyde K. Fomunung, Shimron Brown, Jessica V. Baran, Alessia C. Lavin, Vani Sabesan
Background:There has been little focus on concussions in youth lacrosse players in the United States.Purpose:To provide a descriptive analysis of the epidemiology and incidence of concussions in youth lacrosse and compare the results with well-documented analyses of concussions in youth American football.Study Design:Descriptive epidemiology study.Methods:Data on concussions in pediatric patients playing
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Association of Quadriceps Tendon Harvest for ACL Reconstruction With Development of Osteochondritis Dissecans of the Patella in Pediatric Patients Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-20 Sofia Hidalgo Perea, Danielle E. Chipman, Frank A. Cordasco, Kenneth M. Lin, Danielle Gorelick, Lori A. Asaro, Daniel W. Green
Background:There are various reported complications after primary anterior cruciate ligament reconstruction (ACLR) necessitating additional surgery in skeletally immature patients, regardless of technique and autograft type.Purpose:To analyze the rate and type of complications encountered with soft tissue quadriceps tendon autograft (QTA) for ACLR in patients ≤18 years as well as the overall rate of
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Biomechanical Comparison Between Double-Row Repair and Soft Tissue Tenodesis for Treatment of Proximal Rectus Femoris Avulsions Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-20 Haruki Nishimura, Kohei Yamaura, Vera M. Stetzelberger, Alexander R. Garcia, Justin R. Brown, Justin F.M. Hollenbeck, Mitchell S. Mologne, Soshi Uchida, Marc J. Philippon
Background:Some patients with proximal rectus femoris (PRF) avulsions require surgical treatment after failed nonoperative treatment. There is no consensus on the superiority of suture anchor repair with the suture-bridge repair (SBR) technique versus tenodesis repair (TR) for PRF avulsions.Purpose:To compare the failure load and elongation at failure between SBR and TR and to compare the stiffness
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Association of Use of a Mobile Tackling Dummy During College Football Practice With Reduced Sport-Related Concussion: Results of a Pilot Investigation Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-20 Stephen L. Aita, Rohan Muchintala, Advith Suresh, Suraj Patel, Benjamin Schuler, Jonathan D. Lichtenstein
Background:Considering the multifaceted consequences of improperly managed sport-related concussions (SRCs) in American football, identifying efficacious prevention measures for enhancing player safety is crucial.Purpose:To investigate the association of primary prevention measures (no-tackle practices and using a mobile tackling dummy in practice) with the frequency of SRCs within college football
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Outcomes of Isolated Endoscopic Gluteal Tendon Repair Compared With Concomitant Endoscopic Gluteal Tendon Repair and Arthroscopic Hip Labral Repair: A Propensity-Matched Analysis With Minimum 2-Year Follow-up Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-20 Jordan H. Larson, Christopher M. Brusalis, Sachin Allahabadi, Thomas W. Fenn, Reagan S. Chapman, Robert B. Browning, Daniel J. Kaplan, Shane J. Nho
Background:Both gluteal and labral tears are common sources of hip pain, but no studies have evaluated how concomitant arthroscopic labral repair and correction of femoroacetabular impingement syndrome (FAIS) affect outcomes after endoscopic gluteus/minimus repair.Purpose:(1) To compare patient-reported outcomes (PROs) and clinically significant outcomes achievements between patients who underwent
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Effect of Compressive Shoulder Draping With Adhesive Incise Drape on Soft Tissue Swelling in Shoulder Arthroscopy: A Prospective Randomized Trial Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-19 Ofir Uri, Liad Alfandari, Ram Yaron, Amir Kettanie, Gil Laufer, Eyal Behrbalk
Background:Soft tissue swelling in shoulder arthroscopy is common and may lead to complications. Measures aimed at reducing this phenomenon are routinely used with limited efficacy.Purpose/Hypothesis:The purpose of the study was to assess (1) soft tissue swelling of the shoulder (the operated site) and (2) soft tissue swelling of the neck, chest, and arm (the surrounding tissue) in patients with versus
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Optimal Limb Position for the Stress Ultrasound Evaluation of Elbow Valgus Laxity in Baseball Players Orthopaedic J. Sports Med. (IF 2.6) Pub Date : 2024-02-19 Ryuhei Michinobu, Takeshi Ogawa, Yuichi Yoshii, Akira Ikumi, Kazuhiro Ikeda, Hiromitsu Tsuge, Shotaro Teruya, Yuki Hara, Masashi Yamazaki
Background:The optimal limb position during stress ultrasound (SUS) evaluation of elbow valgus laxity has not been standardized.Purpose:To compare 2 elbow positions (at 90° and 30° of flexion) and report which position method better represents the increased valgus laxity characteristics of baseball players.Study Design:Controlled laboratory study.Methods:Eighteen college baseball players with no history