Current Reviews in Musculoskeletal Medicine最新文献

{"title":"Evidence-Based Risk Factors for Failure of Arthroscopic Labral Repair.","authors":"Alexander C Hayden, John J Kelly, Adam J Tagliero","doi":"10.1007/s12178-026-10031-0","DOIUrl":"https://doi.org/10.1007/s12178-026-10031-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>Arthroscopic labral repair, including Bankart and related capsulolabral and bony augmentation procedures, are the mainstay treatment for anterior shoulder instability in young, active patients but is limited by clinically meaningful failure rates. This review synthesizes contemporary evidence to define patient-, lesion-, and technique-related risk factors for failure after arthroscopic labral repair and links these risks to functional outcomes, return-to-sport (RTS), and patient-reported outcome measures (PROMs) to guide counseling and procedure selection.</p><p><strong>Recent findings: </strong>Recurrent instability after modern arthroscopic Bankart repair ranges from approximately 15-30% at mid- to long-term follow-up, with age < 20 years emerging as a dominant predictor of failure. Glenohumeral bone loss, off-track or near-track Hill-Sachs lesions and joint hyperlaxity increase risk for failure. Technical factors such as using fewer than three anchors, and suboptimal anchor placement are linked to failure. Across adult, pediatric, and athletic cohorts, stable shoulders achieve good-to-excellent PROMs and high RTS rates, whereas recurrent instability worsens patient satisfaction. Failure after arthroscopic labral repair is driven by several patient- and surgical technique-specific risk factors. Quantification of bone loss and glenoid track, and incorporation of tools such as the Instability Severity Index Score and Pittsburgh Instability Tool can stratify risk and identify patients who may benefit from bone augmentation or remplissage. Despite high lifetime recurrence in some subgroups, most patients without failure achieve durable improvements in pain, function, and RTS, underscoring the importance of tailoring surgical strategy to individual risk profiles to optimize stability and PROMs over the long term.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injuries in Cricket: A Review.","authors":"Oman Nawabi, Nirav Pandya","doi":"10.1007/s12178-026-10029-8","DOIUrl":"10.1007/s12178-026-10029-8","url":null,"abstract":"<p><strong>Purpose of review: </strong>The objective of this review is to synthesize the current evidence that is available within the literature regarding injuries in cricket. This stems from epidemiology, mechanisms, management, prevention strategies, and the long-term outcomes of musculoskeletal injuries induced by cricket.</p><p><strong>Recent findings: </strong>Prior literature has emphasized the importance of lumbar spinal health in fast bowlers with pathology onset. Yet, there is now an increased body of literature examining community cricket and adolescent players. Furthermore, injury prevention and workload monitoring for players, particularly female cohorts have also gained more recent attention as well. Synthesizing information from the literature has shown that fast bowlers tend to experience the highest injury rate. Most specifically, lumbar stress injuries and hamstring strains. Various other forms of injuries exist as well, such as to the shoulder and hand, and related fractures. There has traditionally been minimal research within the domain of female cohorts as well as adolescents. The biomechanics of cricket is gaining more awareness, and more studies are coming from sources outside of the UK and Australia.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Shoulder Instability in the Contact and Collision Athlete.","authors":"Emily N Lau, Cortez L Brown, Rachit Saggar, Joseph Mullen, Abdulganeey Olawin, Kiera Lunn, Albert Lin, Justin J Hicks","doi":"10.1007/s12178-026-10011-4","DOIUrl":"10.1007/s12178-026-10011-4","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence and its Current Role in Clinical Outcome Prediction, Musculoskeletal Imaging, and Economic and Ethical Considerations within Orthopedics and Sports Medicine.","authors":"Emmett O'Malley, Bryan Soth, Alex Capitano, Alessandro Bensa, Joshua Eskew, Malik Dancy, Benedict Nwachukwu","doi":"10.1007/s12178-026-10019-w","DOIUrl":"10.1007/s12178-026-10019-w","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic-Assisted Total Knee Arthroplasty in Complex Primary and Revision Cases: A Systematic Review.","authors":"Emmanuel Olaonipekun, Kourosh Movahedi, Prushoth Vivekanantha, Paul Kooner, Seper Ekhtiari","doi":"10.1007/s12178-026-10026-x","DOIUrl":"10.1007/s12178-026-10026-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>This study systematically reviews outcomes of robotic-assisted total knee arthroplasty (rTKA) in complex primary and revision cases, compared with conventional TKA (cTKA). Complex cases include severe coronal deformity, high BMI, fixed flexion deformity, and revision arthroplasty. Outcomes assessed included coronal alignment, perioperative metrics, and patient-reported outcomes.</p><p><strong>Recent findings: </strong>Nineteen studies comprising 2,482 patients (2,535 knees: 1,931 rTKA, 604 cTKA) were included. Robotic-assisted TKA consistently restored coronal alignment, with greatest improvements observed in moderate-to-severe varus and valgus deformities. In revision cases, robotic assistance achieved near-neutral hip-knee-ankle alignment (mean deviation - 1.05°), low complication rates (4-17.9%), and high implant survival (97.1%). In obese patients, robotic-assisted TKA improved alignment precision, though functional outcomes were similar to conventional techniques. Robotic systems reduced the need for extensive soft tissue releases and enabled reliable early functional recovery. Most studies were retrospective, with moderate-to-serious risk of bias due to confounding and heterogeneity in patient populations, surgical complexity, and robotic platforms. Robotic-assisted TKA reliably restored coronal alignment and achieved perioperative andpatient-reported outcomes comparable to conventional techniques in complex primary andrevision cases. Alignment advantages were particularly evident in severe deformities oranatomically challenging knees. While these findings are encouraging, they should be3interpreted in the context of predominantly retrospective data, heterogeneous outcomereporting, and limited long-term follow-up. Future prospective, longitudinal randomizedstudies with standardized reporting are needed to confirm the impact of robotic-assistedapproaches on long-term functional outcomes and implant survival, in complex TKA.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147637914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extra-articular Tenodesis for ACL Reconstruction: Who Needs it and is there a Superior Technique?","authors":"Enejd Veizi, Lucy Oliver-Welsh, Christos Koutserimpas, Emrah Imat, Alan Getgood","doi":"10.1007/s12178-026-10028-9","DOIUrl":"10.1007/s12178-026-10028-9","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can we Predict the Outcomes of Arthroscopic Partial Meniscectomy?","authors":"Pietro Conte, Giuseppe Anzillotti, Imrane Gazali, Marco Minelli, Daniele D'Arrigo, Elizaveta Kon, Peter Verdonk","doi":"10.1007/s12178-026-10014-1","DOIUrl":"10.1007/s12178-026-10014-1","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147572750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shoulder Instability from Scapular Dyskinesia: How Rebalancing the Scapula Stabilizes the Shoulder.","authors":"Eric R Wagner","doi":"10.1007/s12178-026-10017-y","DOIUrl":"10.1007/s12178-026-10017-y","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topic: The Role of Trochleoplasty in Treating Patellar Instability Due to High Grade Trochlear Dysplasia.","authors":"J Lee Pace, Sharif Garra","doi":"10.1007/s12178-026-10025-y","DOIUrl":"10.1007/s12178-026-10025-y","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implantable Shock Absorber: Breakthrough or Hype?","authors":"Jared A Nowell, David C Flanigan","doi":"10.1007/s12178-026-10022-1","DOIUrl":"10.1007/s12178-026-10022-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this review is to discuss the current understanding of implantable shock absorbers (ISA) including mechanism of action, usage in patients, patient outcomes and the future of this technology.</p><p><strong>Recent findings: </strong>Since the introduction of the ISA, it mainly has functioned as a surgical option for individuals with symptomatic medial compartment osteoarthritis who are too young, not indicated, or do not wish to proceed with arthroplasty. Biomechanically, ISA reduces peak medial compartment force by 32%. In a Food and Drug Administration (FDA) study, ISA was found superior to HTO, with significant reduction of pain and improvement of function. Survivorship and freedom to conversion to arthroplasty remains 85% at 5 years. Current randomized trial focuses on impact of continued non operative treatment of OA verses ISA. ISA is a reasonable surgical option for the treatment of medial compartment osteoarthritis without the need for disruption of the patient's native anatomy through osteotomy or arthroplasty.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13018497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}