Journal of Orthopaedic Reports最新文献

{"title":"Glycemic thresholds for surgical site infection risk in orthopaedic trauma: Insights from patients with diabetes mellitus and stress-induced hyperglycemia","authors":"Eyad Z. Mansour,&nbsp;Samir Alkhouri,&nbsp;Alexander Baur,&nbsp;Albert D. Mousad","doi":"10.1016/j.jorep.2025.100863","DOIUrl":"10.1016/j.jorep.2025.100863","url":null,"abstract":"<div><h3>Background</h3><div>HbA1c and blood glucose measurements are used to assess diabetes mellitus (DM) and stress-induced hyperglycemia (SIH) in risk stratification of surgical site infection (SSI). However, heterogeneity among various studies reveal that there is no uniform standardized threshold for HbA1c and blood glucose to predict risk and management of SSI in postoperative orthopaedic trauma procedures. This narrative review will (1) identify studies that found an increased SSI risk in patients with diabetes (PWD) using a spectrum of different HbA1c and blood glucose thresholds; and (2) determine whether SIH in patients without diabetes (PWOD) displays comparable trends.</div></div><div><h3>Methods</h3><div>Between January 2013 and August 2024, a structured search of PubMed, Embase, and the Cochrane Library was performed to identify studies evaluating the association between glycemic markers and SSI risk in orthopaedic trauma PWD and PWOD. Studies reported HbA1c and/or blood glucose thresholds in the context of SSI occurrence following orthopaedic trauma procedures.</div></div><div><h3>Results</h3><div>HbA1c thresholds for elevated SSI risk in PWD ranged from ≥7.0% to 8.0%, while fasting and random blood glucose cutoffs ranging from ≥130 to 140 mg/dL and 188 to 200 mg/dl. In PWOD, SIH was associated with infection with fasting blood glucose as low as ∼125 mg/dL, with infection rates rising at fasting blood glucose levels &gt;200 mg/dL.</div></div><div><h3>Conclusions</h3><div>The wide variability in reported HbA1c and glucose cutoffs underscores the need for standardized thresholds to aid clinicians with perioperative glucose management strategies to optimize surgical outcomes regardless of diabetic status.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100863"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148745573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An investigation into the 10-year outcomes of revision total hip arthroplasty: a single centre study of 758 patients","authors":"Ethan Gilkinson,&nbsp;Geoff Crozier-Shaw,&nbsp;Ben Murphy,&nbsp;Fergal Moran,&nbsp;Patrick Kenny,&nbsp;John O'Byrne","doi":"10.1016/j.jorep.2025.100825","DOIUrl":"10.1016/j.jorep.2025.100825","url":null,"abstract":"<div><h3>Background</h3><div>With the incidence of primary total hip arthroplasty (THA) expected to increase over the coming years, the volume of revisions &amp; re-revisions is subsequently predicted to rise. While revision THAs have proven to be clinically effective and achieve high patient satisfaction, the procedure is technically more difficult and is associated with a higher complication rate.</div></div><div><h3>Methods</h3><div>The aim of this retrospective cohort study is to evaluate the implant survivorship and Patient Related Outcome Measures (PROMS) in revision THAs over a 10-year period. Institutional ethical approval was obtained prior to the review of all revision THAs performed in a single tertiary orthopaedic institution between 2005 and 2011.</div></div><div><h3>Results</h3><div>A final cohort of 758 patients was noted, with an equal number of males and females and an average age of 65.52 ± 12.5 years. Aseptic loosening was the main indication for undergoing both index revision (40 %) or re-revision (34 %) surgery. Implant survival rate for revision THAs at 10 years was 0.85 (CI: 0.79–0.89). At 5 years, the mean SF-36 score was 65.7 ± 18.7 (19.8–98.13) [P value 0.0001], with the mean WOMAC score noted as 29.9 ± 20.5 (0–96) [P value 0.0001] at 10 years in 349 patients.</div></div><div><h3>Conclusion</h3><div>Our study highlights the efficiency of revision hip surgery by demonstrating strong implant survival over a long follow up period. The maintenance of PROMs at 5 and 10 years was also favourable. The importance of a National Joint Registry was noted after numerous gaps within a historical database was revealed.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100825"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148745629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative antibiotic sensitivity testing for total joint replacement","authors":"William Allen,&nbsp;Carter Powell,&nbsp;Robert J. Ferdon,&nbsp;Matthew Stein,&nbsp;Harry Demos,&nbsp;Frank Voss,&nbsp;Erik Hansen","doi":"10.1016/j.jorep.2025.100878","DOIUrl":"10.1016/j.jorep.2025.100878","url":null,"abstract":"<div><h3>Background</h3><div>Prosthetic joint infections are dreaded complications of total joint arthroplasty. Overreported antibiotic allergies have led to the avoidance of first-line antibiotics. This study assessed the efficacy of antibiotic sensitivity testing preoperatively in patients undergoing arthroplasty surgery.</div></div><div><h3>Methods</h3><div>Patients who underwent antibiotic testing before shoulder, hip, or knee arthroplasty at our institution from December 2020 to November 2023 were retrospectively identified using current procedural terminology (CPT) coding. Primary outcomes were allergy test results and perioperative antibiotic received. Patients were divided into cohorts based on reported allergy, type of testing received, testing results, and perioperative antibiotic received. Descriptive analysis was performed.</div></div><div><h3>Results</h3><div>We identified 83 patients with a reported antibiotic allergy who received preoperative allergy testing before joint arthroplasty. Of these, 63 (75.9 %) patients reported penicillin allergy, 4 (4.8 %) reported cefazolin allergy, 1 (1.2 %) reported vancomycin allergy, 12 (14.5 %) reported an allergy to another cephalosporin, and 3 (3.6 %) reported allergies to a combination of penicillin and cephalosporins. Of the 83 patients, 6 (7.2 %) had a confirmed allergy according to allergy testing. A total of 78 (94.0 %) patients received cefazolin. Of the 5 patients who received an alternative to cefazolin, all had a confirmed allergy during sensitivity testing.</div></div><div><h3>Conclusion</h3><div>Preoperative antibiotic sensitivity testing highlights the disparity between reported and confirmed allergies. This study confirmed most patients with antibiotic allergies do not have true allergies and are able to receive cefazolin prophylaxis. Preoperative allergy testing is a valuable tool to ensure patients receive the standard of care, while still detecting patients with true allergies.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100878"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-scooter-related injuries: will the new Italian Highway Code slow the epidemic?","authors":"Andrea Fidanza,&nbsp;Gianluca Cera,&nbsp;Domenico Topa,&nbsp;Michele Dell’Orfano,&nbsp;Daniele De Meo,&nbsp;Giuseppe Rovere,&nbsp;Marco Mugnaini,&nbsp;Giovanni Longo","doi":"10.1016/j.jorep.2026.100906","DOIUrl":"10.1016/j.jorep.2026.100906","url":null,"abstract":"<div><h3>Background</h3><div>Electric scooters (e-scooters) have become a common means of urban transport, with a parallel rise in associated traumatic injuries. This increase in lesions is leading governments to update their road regulations. This study describes the epidemiology, mechanisms, and injury patterns of e-scooter–related trauma in a large metropolitan setting.</div></div><div><h3>Methods</h3><div>A retrospective double-center observational analysis was conducted in two trauma departments in Rome, including all patients who presented with e-scooter–related injuries between 2018 and 2024 and required specialized videat. Demographic, temporal, clinical and surgical data were collected from electronic medical records.</div></div><div><h3>Results</h3><div>A total of 441 patients were included (mean age 29.9 years; 71% male). Most riders were aged 15–35 years (70%). Accidental falls represented the leading mechanism (78%), often caused by uneven or slippery surfaces or rider distraction; collisions accounted for 22% of cases. Only 36 riders wore a helmet. Incidents occurred throughout the week, with a peak on Fridays. Seasonally, 63% of cases occurred in warm months, particularly in September (87 cases). Craniofacial, maxillofacial, dental, or neurosurgical injuries affected 24% of patients. Orthopaedic trauma was identified in 79% of cases: the upper limb was involved in 205 cases and the lower limb in 129, with nine patients sustaining injuries to both. Overall, 170 fractures (49%) and 16 dislocations (5%) were recorded. The most frequent fracture sites were the wrist, radial head, clavicle, and proximal humerus in the upper limb, and the ankle, tibial plateau, patella, and tibial shaft in the lower limb. Surgical treatment was required in 27% of upper limb and 25% of lower limb fractures.</div></div><div><h3>Conclusions</h3><div>E-scooter use is associated with significant trauma, particularly among young adults, with frequent craniofacial and upper limb involvement. The high fracture rate, limited protective equipment use, and substantial need for surgery underline the importance of preventive measures and improved urban safety policies. Several European cities have already significantly restricted the use of e-scooter sharing services in city centers.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100906"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of racial concordance of NBA and MLB upper managerial staff members, professional athletes, and team physicians","authors":"Ethan Bernstein,&nbsp;Andrew Gaetano,&nbsp;Andrew Chen,&nbsp;Samuel Mircoff,&nbsp;Nickolas Garbis,&nbsp;Dane Salazar","doi":"10.1016/j.jorep.2026.100907","DOIUrl":"10.1016/j.jorep.2026.100907","url":null,"abstract":"<div><h3>Background</h3><div>Racial discordance between patient and physician may lead to decreased patient satisfaction and worse clinical outcomes. Racial diversity is uniquely elevated in professional athletics, and previous work demonstrates racial discordance between professional athletes and their team physicians. A bias in team physician appointment by upper managerial staff members may contribute to this discordance. The purpose of this study was to evaluate the racial concordance between the NBA and MLB upper managerial staff, their appointed team physicians, and the professional athletes.</div></div><div><h3>Methods</h3><div>Publicly available data were collected in June to July of 2024 to identify upper managerial staff members. The race and gender of these individuals was determined by 2 independent members of the research team who reviewed demographic information and photographs, and a third member resolved any disagreements.</div></div><div><h3>Results</h3><div>In the NBA and the MLB, there was not a significant difference in the racial composition between the upper managerial staff and their appointed team physicians, despite a difference in the racial composition between the upper managerial staff and the professional athletes.</div></div><div><h3>Conclusions</h3><div>The racial biases of upper managerial staff members of professional athletic organizations may influence the appointment of racially diverse team physicians, which may impact the quality of care received by professional athletes.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100907"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic posterior capsuloplasty for chronic shoulder instability using Lasso-Loop sutures and the Bump effect: Retrospective study of 19 patients","authors":"Abderraouf Elhadi,&nbsp;Mohamad Moussa,&nbsp;Diumu Olenga Doudou,&nbsp;Choukry Dib,&nbsp;Philippe Valenti","doi":"10.1016/j.jorep.2026.100903","DOIUrl":"10.1016/j.jorep.2026.100903","url":null,"abstract":"<div><h3>Background</h3><div>Posterior shoulder instability is an uncommon but challenging condition, representing less than 5% of all shoulder instability cases. Arthroscopic capsuloplasty has progressively replaced open repair; however, the optimal soft-tissue construct to restore posterior capsulolabral anatomy remains debated. The purpose of this study was to report the clinical outcomes of arthroscopic posterior capsulolabral reconstruction using Lasso-Loop sutures combined with a capsulolabral “Bump effect” for chronic posterior shoulder instability. We hypothesized that recreating a reinforced posterior capsulolabral thickening would enhance posterior constraint and stabilize the shoulder.</div></div><div><h3>Methods</h3><div>This single-center retrospective study included 19 patients (mean age 26 ± 8 years; 68% male) treated between 2010 and 2020 for chronic symptomatic posterior shoulder instability without bone loss or glenoid retroversion &gt;10°. The standardized arthroscopic technique used Lasso-Loop sutures with 2.9-mm biocomposite anchors (Biopusclock®) to achieve an anatomic capsulolabral reduction and create a stabilizing capsulolabral thickening (“bump effect”). Functional evaluation included the Constant-Murley, Walch-Duplay, and Rowe scores, shoulder range of motion, the posterior jerk test, and the return-to-sport level (competitive vs recreational).</div></div><div><h3>Results</h3><div>All functional outcomes improved significantly. The Constant–Murley score increased significantly from 55 ± 10 preoperatively to 87 ± 8 postoperatively (mean gain +32; 95% CI 27–36; p &lt; 0.001). Similarly, the Walch–Duplay score improved from 41 ± 9 to 93 ± 7 (gain +52; 95% CI 46–58; p &lt; 0.001), and the Rowe score increased from 39 ± 8 to 92 ± 6 (gain +53; 95% CI 48–57; p &lt; 0.001). Clinical stability was restored in most cases, with the posterior jerk test becoming negative in 18 of 19 shoulders (95%). Shoulder range of motion was largely preserved, with postoperative external rotation reaching 85% of the contralateral side. A total of 14 patients (74%) returned to sports, including 8 patients (42%) who resumed their previous competitive level. One recurrence of posterior subluxation occurred in a hyperlax patient (Beighton ≥4). No intraoperative complications were observed.</div></div><div><h3>Conclusion</h3><div>Arthroscopic posterior capsuloplasty using a Lasso-Loop Bump reconstruction appears to restore the posterior capsulolabral anatomy effectively and provide satisfactory functional recovery in chronic posterior shoulder instability without bone loss or excessive retroversion.</div></div><div><h3>Level of evidence</h3><div>IV, Retrospective case series.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100903"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conservative management of trigger finger with steroid injections: A narrative literature review","authors":"Matthew Hatter,&nbsp;Janae Rasmussen,&nbsp;Shaunton Stubbs,&nbsp;Rohit Mohindra,&nbsp;Marc Trzeciak","doi":"10.1016/j.jorep.2025.100850","DOIUrl":"10.1016/j.jorep.2025.100850","url":null,"abstract":"<div><h3>Objective</h3><div>Trigger finger (stenosing flexor tenosynovitis) is a common cause of painful digital locking and functional impairment. Corticosteroid injection is the most widely used nonoperative treatment, though its effectiveness varies depending on patient and disease characteristics. This narrative literature review synthesizes findings from 33 studies evaluating corticosteroid injection outcomes, predictors of success and failure, comparisons with other nonoperative treatments, variations in injection technique and dosage, repeat injection efficacy, and rates of surgical progression.</div></div><div><h3>Methods</h3><div>A structured PubMed search was performed on September 1, 2025 to identify articles related to the outcomes of first and repeat injections for the treatment of trigger finger. The search yielded 92 articles, with 33 deemed relevant after title and abstract screening and backward citation searching.</div></div><div><h3>Results</h3><div>Reported success rates for initial injection ranged from 45 % to 80 %, with repeat injections achieving long-term relief in approximately 39 % of cases. Predictors of reduced success included multiple digit involvement, advanced disease stage, and metabolic syndrome. Notably, diabetes alone was not consistently associated with poorer outcomes. Higher corticosteroid doses (20 mg triamcinolone) improved short-term response (3 and 6 months), but long-term differences diminished with regard to this dose-dependent improvement effect (near equivalent with 5 mg, 10 mg triamcinolone at one year). While surgical release remains the most definitive treatment, corticosteroid injections provide a safe and cost-effective first-line therapy for most adults with trigger finger.</div></div><div><h3>Conclusion</h3><div>Corticosteroid injection is an effective and safe first-line therapy for adult trigger finger, with many patients achieving durable relief and avoiding surgery. Predictive factors such as multiple digit involvement, advanced Quinnell stage, and metabolic syndrome help identify patients at risk for treatment failure. Compared with splinting, NSAID injection, and physiotherapy, corticosteroid injection offers superior short-term symptom improvement but carries higher recurrence rates.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100850"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative mental health status measured by the SF12 questionnaire correlates with patient reported outcomes one year after total knee arthroplasty","authors":"Jordi Faig-Martí,&nbsp;Robert Ferrer-Rivero,&nbsp;Adriana Martínez-Catasús","doi":"10.1016/j.jorep.2025.100852","DOIUrl":"10.1016/j.jorep.2025.100852","url":null,"abstract":"<div><h3>Introduction</h3><div>Preoperative mental health status affects the clinical outcome of total knee arthroplasty (TKA). The first objective of our study was to investigate whether the mental health component of the SF12 questionnaire (SF12-MCS) could predict clinical outcomes one year after TKA. The second objective was to determine the influence of the questionnaire on postoperative Oxford and WOMAC scores one year after surgery.</div></div><div><h3>Methods</h3><div>A prospective study of patients who received the same model of total knee arthroplasty was conducted at a single surgical center. The SF12, Oxford and WOMAC questionnaires were used to evaluate patient-reported outcome measures (PROMs). The statistical analysis included Wilcoxon rank-sum test, Pearson's correlation method and regression analysis via R project software.</div></div><div><h3>Results</h3><div>A total of 138 patients were included in the final analysis; the preoperative SF12-MCS score was moderately correlated with the Oxford score one year after surgery (r = 0.39, p value &lt; 0.05). All patients improved their clinical status as measured by PROMs, regardless of their preoperative SF12-MCS score, but patients with a higher SF12-MCS score had higher scores on the final evaluation of the Oxford and WOMAC questionnaires. The difference in the measured outcomes was not significant between the groups with or without depression.</div></div><div><h3>Conclusion</h3><div>The SF12-MCS proved to be a useful tool for identifying patients who obtained lower PROM scores after TKA. A lower preoperative score on the SF12-MCS does not preclude significant improvement after TKA.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100852"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior cruciate ligament injury in football (soccer) players: A bibliometric review of global sports orthopaedic literature","authors":"Nafih Cherappurath,&nbsp;Muhammed Ali Thoompenthodi,&nbsp;Masilamani Elayaraja,&nbsp;Muneer Pelasseri,&nbsp;Shamshadali Perumbalath,&nbsp;Abhijith Muriyedath,&nbsp;Sanil Puthiya Parambath","doi":"10.1016/j.jorep.2025.100834","DOIUrl":"10.1016/j.jorep.2025.100834","url":null,"abstract":"<div><div>Anterior Cruciate Ligament (ACL) injuries pose a significant concern in football, affecting player health, performance, and career longevity. This bibliometric review analyzes 384 Scopus-indexed publications on ACL injuries in football from 1993 to August 2025, highlighting key contributors, leading institutions, funding bodies, and influential journals, while mapping thematic trends and emerging research directions. Findings reveal a marked increase in research output since 2015, with the USA, Italy, and the United Kingdom emerging as major hubs, and strong international collaborations observed between the UK and Qatar, as well as the USA and the UK. Core research themes identified include ACL reconstruction, injury prevention strategies such as the FIFA 11+ program, rehabilitation protocols, biomechanical and sex-specific vulnerabilities, especially among female football players. Recent studies have increasingly focused on areas such as women's football, return-to-sport assessments, reinjury prevention, and performance tests like the drop vertical jump, hop test, and change-of-direction analysis. Moreover, there is a growing trend toward incorporating technology-driven tools, including wearable sensors, electromyography, and 2D video analysis, to enhance understanding of biomechanics and support personalized rehabilitation and prevention strategies. Future research should refine prevention strategies, emphasize female-specific interventions, integrate technological innovations, explore neurocognitive and motor control factors, and adopt multidisciplinary, mixed-methods approaches to improve long-term functional and psychological outcomes. This review provides a strategic roadmap for researchers, clinicians, and policymakers, synthesizing key contributions and trends in ACL injury research. By fostering global collaboration and methodological innovation, the field can advance toward more effective injury prevention, optimized rehabilitation, and sustainable athlete performance, ultimately promoting safer participation in football worldwide.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100834"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148746262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current concepts: Subclinical dermatologic conditions that increase surgical site infection risk in hand surgery","authors":"Ambrose Loc Ngo,&nbsp;Truong Ho,&nbsp;Niki Gharavi Alkhansari,&nbsp;Hima Patel,&nbsp;Allison Tang,&nbsp;Charles Orth","doi":"10.1016/j.jorep.2025.100862","DOIUrl":"10.1016/j.jorep.2025.100862","url":null,"abstract":"<div><h3>Background</h3><div>Hand surgery, despite being a clean and elective surgery, excluding trauma, still poses challenges such as functional impairment, risk of healing, and infection recovery. Certain conditions, such as psoriasis or dermatitis, can trigger some serious instances of trauma.</div></div><div><h3>Objective</h3><div>This narrative review aims to map how these conditions contribute to surgical-site infections (SSIs), delayed healing, scarring/contracture, and functional or aesthetic impairment. Additionally, we hope to propose practical, interdisciplinary recommendations for preoperative screening and perioperative management tailored to elective hand surgery.</div></div><div><h3>Conclusion</h3><div>From this review, we saw an even bigger risk arises from the Koebner phenomenon. Specific disorders can exacerbate the risk of infection and poor wound healing, impacting functionality and even appearance. Despite efforts from various sources, a standard screening process in dermatology for patients undergoing hand surgery remains elusive. Therefore, future study on more effective collaboration and integrating preoperative procedures into hand surgery protocols holds the most promising prospect for addressing postoperative complications in dermatology, ultimately improving patient support.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"5 4","pages":"Article 100862"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148745576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}