Current Reviews in Musculoskeletal Medicine最新文献

{"title":"Hip Arthroscopy After Total Hip Arthroplasty: A Current Review of Indications, Techniques, and Outcomes.","authors":"Justin Harrington, Patrick Castle, Nicholas Morriss, Brian Giordano","doi":"10.1007/s12178-026-10039-6","DOIUrl":"10.1007/s12178-026-10039-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>Persistent pain after total hip arthroplasty (THA) is a common complication requiring extensive diagnostic effort and is often associated with potentially invasive and morbid treatment options. With THA volume expected to steadily increase there is a similarly growing need for creative and effective diagnostic and therapeutic options for these clinically challenging patients. Hip arthroscopy has emerged as a promising tool in the setting of persistent pain after THA with expanding indications and promising outcomes. The purpose of this article was to provide a review of the current state of literature regarding arthroscopic and endoscopic solutions for common causes of persistent pain after THA with a focus on patient selection, indications, surgical considerations, outcomes, and complications.</p><p><strong>Recent findings: </strong>The most common indication for hip arthroscopy after THA is iliopsoas tendinopathy, showing excellent outcomes with symptom resolution in greater than 90% of patients after arthroscopic iliopsoas release or lengthening. The second most common indication is diagnostic arthroscopy in the setting of otherwise negative extensive work-up, which has shown diagnostic value for occult implant loosening, capsular fibrosis, and metal hypersensitivity. Endoscopic decompression for the treatment of ischiofemoral impingement and sciatic nerve decompression has also shown consistent improvements in pain and function. In addition to these well described indications, future utilization of hip arthroscopy for loose body removal, capsular plication for instability, and management of prosthetic joint infection are potentially emerging indications. Hip arthroscopy after THA is a safe and effective tool for the management of common causes of persistent pain after THA with robust support for iliopsoas pathology and emerging evidence and outcomes for less common indications. Future research will both expand and narrow these indications as diagnostic criteria, patient selection, and surgical techniques are refined.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301188","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":"The Management of Acetabular Labral Tears: A Contemporary Review.","authors":"Joseph C Brinkman, Kyle N Kunze, Ty L Monty, Chandler A Sparks, Philip Malloy, Jorge Chahla, Shane J Nho","doi":"10.1007/s12178-026-10035-w","DOIUrl":"10.1007/s12178-026-10035-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>To summarize contemporary evaluation and management of acetabular labral tears, particularly in the setting of femoroacetabular impingement syndrome (FAIS), including diagnosis, nonoperative care, surgical decision-making, and rehabilitation.</p><p><strong>Recent findings: </strong>The acetabular labrum is critical for maintaining hip stability, preserving the suction seal, and distributing load. Evaluation includes history, provocative examination, radiographs to assess CAM and Pincer morphology, and advanced imaging to confirm labral pathology and exclude alternative pain generators. Nonoperative treatment, including activity modification, targeted physical therapy, and selective intra-articular injections, is first-line. Appropriately selected patients often achieve significant pain relief and functional improvement with arthroscopic hip preservation surgery. Current surgical strategies prioritize labral preservation through repair when viable, reconstruction for irreparable tissue, correction of underlying osseous abnormalities, and meticulous capsular management. Acetabular labral tears are a common source of hip pain frequently associated with FAIS. A structured diagnostic approach and stepwise management encompassing nonoperative and appropriately indicated surgical intervention optimize outcomes. Individualized, phase-based rehabilitation with objective testing and sport-specific criteria supports return to activity and sport, with typical return occurring around 6-8 months but varying widely by sport and athlete demands.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13291315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301296","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":"Ossification of the Pediatric Elbow with a Focus on Radial Head Ossification Patterns.","authors":"Tina H Tran, Hannah Chi, Tiffany C Liu, Bamidele Kammen, Ishaan Swarup","doi":"10.1007/s12178-026-10047-6","DOIUrl":"10.1007/s12178-026-10047-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>Accurate interpretation of pediatric elbow imaging depends on understanding the developmental relationship between the radial head and the capitellum. While the traditional sequence of pediatric elbow ossification centers provides a useful framework, it does not capture morphologic variability, asynchronous maturation, and eccentric ossification patterns that may mimic pathology. This review synthesizes current evidence on pediatric elbow ossification with particular emphasis on normal and variant radial head development. The following key questions are addressed: (1) How frequently does eccentric radial head ossification occur on MRI? (2) What is its magnitude and relationship to age and sex? (3) How should normal variants be distinguished from pathology?</p><p><strong>Recent findings: </strong>Recent findings reveal that the capitellum commonly ossifies eccentrically before centralizing with growth. In our cohort of 66 children, radial head ossification was eccentric in 68-71% of cases in both sagittal and coronal planes. Offsets were small (average magnitude < 3%), predominantly posterior and radial, and generally did not correlate with age except for progressive centralization in the coronal plane among males. The radiocapitellar line remained reliable on the lateral view but demonstrated expected lateral offset on AP views. Eccentric radial head ossification represents a common physiologic pattern that does not reliably centralize with age. Recognition of this variant can reduce misdiagnosis and unnecessary intervention, and has implications for fracture assessment, surgical planning, and longitudinal research. Future studies should include prospective MRI tracking across diverse populations to establish normative ranges and develop quantitative tools for clinical applications.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301136","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":"Management of Labral Tears Associated with Glenohumeral Instability in Athletes.","authors":"Mina Entessari, Azra N Dees, Sarah E Watson, Dyrian D Wandick, Brian R Waterman","doi":"10.1007/s12178-026-10044-9","DOIUrl":"10.1007/s12178-026-10044-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>Glenoid labral tears account for more than 10% of surgically managed shoulder injuries and are classified and managed depending on location, mechanism, associated bone loss, and patient-specific risk factors. The purpose of this review is to examine the current literature on the evaluation and management of labral pathology with associated glenohumeral instability, with a focus on rehabilitation and return to sport.</p><p><strong>Recent findings: </strong>While the management of anterior labral tears has historically been emphasized, recent studies demonstrate that posterior and combined capsulolabral injuries are more common than previously recognized. Advances in management include reduced time to surgical treatment, lower thresholds of critical glenohumeral bone loss, evolving surgical techniques with both bony and soft tissue reconstruction, as well as personalized rehabilitation protocols with a focus on periscapular and rotator cuff strengthening. Operative stabilization demonstrates superior outcomes compared to nonoperative treatment, especially in high-risk patients (e.g young age, contact sport participation, hyperlaxity). However, recurrent instability remains a persistent problem, necessitating a comprehensive approach to management in order to optimize outcomes. Optimal functional outcomes in managing labral tears require a multifaceted, patient-specific approach. Treatment decisions, rehabilitation protocols, and return to sport testing should consider individual risk factors, account for combined pathology and bone loss, and consider psychological readiness to prevent recurrent instability and optimize long-term outcomes.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276412","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":"Social Deprivation as a Driver of Disparities in Arthroplasty: A Contemporary Review.","authors":"Rimel N Mwamba, Shannon Stover, Anna Lavernia, Rachel Bergman, Linda Suleiman","doi":"10.1007/s12178-026-10046-7","DOIUrl":"10.1007/s12178-026-10046-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>While social determinants of health are known to contribute to disparities in orthopaedic care, associations between social deprivation and total joint arthroplasty (TJA) outcomes remain unclear. This review assessed the relationship between social deprivation and multiple aspects of total joint arthroplasty, including access to care, early postoperative outcomes, resource utilization, and patient-reported functional recovery.</p><p><strong>Recent findings: </strong>Recent studies have increasingly used composite deprivation indices including the Area Deprivation Index (ADI), Social Vulnerability Index (SVI), Social Deprivation Index (SDI), and Distressed Communities Index (DCI) to examine disparities in TJA care. Higher levels of social deprivation were consistently associated with reduced arthroplasty utilization, increased early postoperative complications, longer hospital stays, higher costs, and greater likelihood of non-home discharge. Associations with emergency department use were frequent, whereas findings related to readmissions were mixed. Relationships between deprivation and patient-reported outcomes were less consistent. Across multiple studies, deprivation was not uniformly associated with failure to achieve clinically meaningful improvement but was more frequently linked to failure to achieve patient-acceptable symptom states and challenges in sustaining functional recovery. Social deprivation is an important determinant of access, perioperative outcomes, and healthcare utilization following TJA, with ADI demonstrating the most consistent association. Although socially deprived patients generally achieve meaningful postoperative improvement, they are less likely to reach optimal recovery thresholds. Incorporating deprivation measures into perioperative planning may help identify patients who would benefit from targeted interventions. Future studies should standardize index use and evaluate strategies to reduce socioeconomic disparities in arthroplasty outcomes.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276332","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":"Management of Ulnar Collateral Ligament Injuries of the Elbow.","authors":"Patrick M Ryan, Julia Beyer, Hayden Hartman, Humza Ismail, Mazin Alam, Steven F DeFroda","doi":"10.1007/s12178-026-10042-x","DOIUrl":"10.1007/s12178-026-10042-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Ulnar collateral ligament (UCL) injuries are increasingly prevalent among overhead throwing athletes, with reconstruction rates rising 193% from 2002 to 2011 and an annual 9% increase among adolescents. This review synthesizes current evidence on the anatomy, biomechanics, clinical evaluation, and management of UCL injuries, with a focus on comparative outcomes across nonsurgical and surgical treatment strategies.</p><p><strong>Key findings: </strong>Nonsurgical management achieves return to sport in 80-100% of non-throwing athletes, while outcomes in overhead throwers are highly dependent on tear location, with proximal tears yielding superior success rates (89.7%) compared to distal tears (41.2%). Platelet-rich plasma remains controversial. UCL reconstruction achieves 80-97% return to play at 12-14 months; however, return to pre-injury performance is less consistent (67-87%). Primary repair with internal brace augmentation offers comparable return-to-play rates (98%) with a faster recovery timeline (9.2 versus 13.4 months) in appropriately selected patients with acute avulsion injuries. Treatment decisions should be individualized based on injury characteristics, tear location, tissue quality, and patient competitive goals. The proposed treatment algorithm stratifies management by tear location to facilitate evidence-based decision-making and realistic preoperative counseling.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239107","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":"Rehabilitation Protocols Following Patellar Instability Surgery: A Structured Review of Published Recommendations and AI Generated Guidance.","authors":"Matias Vidra, Jonathan Sigal, Ilan Y Mitchnik, Oscar Carvajal Masis, Netanel Krugliak, Gil Rachevsky, Ran Atzmon, Ron Gilat","doi":"10.1007/s12178-026-10036-9","DOIUrl":"10.1007/s12178-026-10036-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>To review postoperative rehabilitation protocols after surgery for patellar instability, including medial patellofemoral ligament reconstruction (MPFLR), tibial tubercle osteotomy (TTO), trochleoplasty, and combined procedures. A secondary aim was to compare published recommendations with guidance generated by selected artificial intelligence (AI) platforms.</p><p><strong>Recent findings: </strong>Sixty three protocol entries were included: 35 isolated MPFLR, 9 isolated TTO, 4 isolated trochleoplasty, and 15 combined procedures. Isolated MPFLR showed the most consistent rehabilitation pattern, favoring immediate weight bearing as tolerated (66%, p < 0.001), locked bracing for up to 6 weeks (63%, p < 0.001), and full ROM by 6 to 12 weeks (51%, p = 0.002). Isolated TTO protocols recommended delayed or non weight bearing (56%), locked brace duration greater than 6 weeks (67%), and full ROM by 6 to 12 weeks (44%), with no significant predominance (all p > 0.05). Trochleoplasty protocols were too few and heterogeneous. Combined procedures were mostly protective but variable overall. RTS criteria were mostly time, functional, and strength based (76%-89%), whereas psychological readiness (43%) and physician approval (22%) were infrequent. AI generated protocols broadly reproduced MPFLR rehabilitation principles but lacked procedure specific differentiation. Rehabilitation protocols following patellar instability surgery remain highly variable, particularly for non MPFLR procedures. Isolated MPFLR protocols generally follow a more structured and accelerated pathway, whereas rehabilitation after TTO, trochleoplasty, and combined procedures remains less clearly defined and more protective. RTS decisions rely mainly on time, strength, and functional based criteria, whereas psychological readiness remains underutilized. AI based tools may serve as supportive decision making aids but currently require integration with clinical judgment and procedure-specific expertise.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197587","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":"Management and Outcomes of Osteochondritis Dissecans of the Knee in the Pediatric and Adolescent Population.","authors":"Samuel I Rosenberg, Nikhil B Patel, Eileen A Crawford","doi":"10.1007/s12178-026-10040-z","DOIUrl":"10.1007/s12178-026-10040-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>Osteochondritis dissecans (OCD) of the knee is a complex condition in pediatric and adolescent patients, and management relies heavily on lesion characteristics including size, stability, and fragmentation. The purpose of this review is to inform readers of the current understanding, treatment options, and outcomes of the disorder in pediatric and adolescent patients.</p><p><strong>Recent findings: </strong>While management of OCD of the knee is tailored highly to patient- and lesion-specific factors, broad management pathways are dictated first by lesion stability, and further by salvageability of unstable lesions. Lesion appearance on MRI and arthroscopy are critical in informing appropriate management. Stable lesions, especially in skeletally immature patients, should undergo 3-6 months of nonoperative management, with an initial 4-6 week period of nonweightbearing and avoidance of high impact or repetitive stress for a minimum of 3 months. Patients with stable lesions who fail nonoperative treatment are candidates for retro- or trans-articular drilling of the lesion to promote healing. Unstable lesions may be amenable to salvage approaches including arthroscopic or open fixation with metallic screws, bioabsorbable implants, autograft, and suture bridge constructs. When not salvageable, osteochondral autograft transfer, osteochondral allograft transplantation, or autologous chondrocyte implantation is recommended and pursued depending on lesion size and subchondral involvement. All techniques have good potential for success in healing, patient reported outcomes, and return to activity when applied in the appropriate circumstances. Significant heterogeneity exists in management and outcomes of OCD of the knee, largely attributed to the varying presentation and treatment modalities. Management pathway should be patient-specific, however there is a paucity of robust comparative trials within specific populations.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175488","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":"Rehabilitation of Arthrogenic Muscle Inhibition in Patients with Knee Osteoarthritis and after Knee Arthroplasty.","authors":"Georgios Kakavas, Claudia Sasse, Aleksandra Królikowska, Stephanie Wong, Roland Becker, Robert Prill","doi":"10.1007/s12178-026-10038-7","DOIUrl":"10.1007/s12178-026-10038-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Arthrogenic muscle inhibition (AMI) is a key neurophysiological mechanism that impairs voluntary quadriceps activation following total knee arthroplasty (TKA), potentially limiting functional recovery despite technically successful surgery. This review aims to synthesize current evidence on the neurophysiological mechanisms underlying AMI and to propose a mechanism-based rehabilitation framework targeting these inhibitory processes.</p><p><strong>Recent findings: </strong>Emerging evidence indicates that AMI is mediated by altered afferent input from the joint, leading to changes in spinal reflex excitability and supraspinal motor control. Mechanisms such as presynaptic inhibition, reduced α-motoneuron excitability, and impaired γ-loop function contribute to diminished quadriceps activation. In addition, recent studies suggest that AMI may manifest at the level of motor unit recruitment and firing behavior, reflecting persistent neuromuscular adaptations. These inhibitory processes are further influenced by joint effusion, pain, and pre-existing neuromotor deficits in patients with knee osteoarthritis. AMI represents a multilevel sensorimotor dysfunction that may act as a major limiting factor in postoperative recovery after TKA. A targeted rehabilitation approach addressing peripheral, spinal, and supraspinal mechanisms-including effusion control, neuromuscular electrical stimulation, blood flow restriction training, and sensorimotor retraining-may improve quadriceps activation and functional outcomes. Integrating neurophysiological principles into rehabilitation strategies may enhance recovery trajectories and should be a focus of future clinical research.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175528","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":"Meniscus Pathology in the Setting of Revision ACL Surgery: Unique Considerations.","authors":"Adam V Daniel, Sophia Mavrommatis, Aaron J Krych, Patrick A Smith","doi":"10.1007/s12178-026-10027-w","DOIUrl":"10.1007/s12178-026-10027-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>Similar to primary anterior cruciate ligament reconstruction (ACLR), meniscal pathology is frequently encountered during revision ACLR (RACLR). In the revision setting, however, meniscal disease often presents a greater challenge because tissue quality may be compromised, particularly when prior meniscal treatment was performed at the index ACLR. This review highlights key considerations and treatment strategies for managing extensive, complex meniscal lesions in the setting of RACLR.</p><p><strong>Recent findings: </strong>Graft failure significantly increases the incidence of meniscal tears. Furthermore, graft insufficiency may result in extensive, complex, and sometimes, irreparable meniscal tears. Meniscal treatment strategies, and ultimately joint preservation, have been studied to restore appropriate knee anatomy and biomechanics. Furthermore, special considerations must be made to best treat a wide range of meniscal pathologies in the RACLR, especially in a suboptimal joint environment. Graft failure requiring revision ACL reconstruction is often accompanied by extensive, complex meniscal tearing. Meniscus-preserving strategies may help restore knee anatomy and biomechanics and, in turn, may slow the progression of osteoarthritis.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148903","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}