Current Reviews in Musculoskeletal Medicine最新文献

{"title":"A Brief Overview and Update of Regenerative Medicine for the Treatment of Musculoskeletal Conditions.","authors":"Matthew Negaard, Michael Kelleher","doi":"10.1007/s12178-026-10030-1","DOIUrl":"10.1007/s12178-026-10030-1","url":null,"abstract":"","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962350","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":"Pain Management Strategies in Reverse Total Shoulder Arthroplasty.","authors":"Wyatt B David, Luke Sang, Ryan T Halvorson, Brian T Feeley","doi":"10.1007/s12178-026-10034-x","DOIUrl":"10.1007/s12178-026-10034-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Reverse total shoulder arthroplasty (rTSA) is a commonly utilized procedure for rotator cuff arthropathy, irreparable rotator cuff tears, and complex proximal humerus fractures. Although rTSA significantly improves long-term pain and function, postoperative pain remains common and is closely associated with increased opioid consumption, prolonged hospitalization, delayed recovery, and reduced patient satisfaction. Within the modern context of the opioid epidemic, optimizing pain control while minimizing narcotic usage is essential. This review summarizes recent evidence on pain management strategies for rTSAs, with emphasis on regional anesthesia techniques, multimodal analgesia, periarticular injections, Enhanced Recovery After Surgery (ERAS) protocols, and patient-specific factors influencing pain outcomes.</p><p><strong>Recent findings: </strong>Recent studies demonstrate that interscalene nerve blocks provide effective early postoperative analgesia and reduce opioid requirements, though complications such as phrenic nerve paralysis and rebound pain persist. Alternative regional techniques, including combined suprascapular and axillary nerve blocks, could offer comparable analgesia with reduced adverse risks in select patients. Multimodal analgesia protocols consistently decrease opioid consumption, improve early pain scores, and shorten hospital length of stay, although outcomes vary based on regimen composition. Periarticular injections further enhance analgesia when used alone or as adjuncts to regional anesthesia. ERAS protocols are associated with improved postoperative outcomes in hip and knee arthroplasty, but evidence of their application remains limited in rTSA. Patient-level factors, including preoperative opioid use, mental health conditions, and comorbidity burden, strongly predict postoperative pain and prolonged opioid dependence. Postoperative pain management after rTSA has evolved toward a multimodal, patient-centered approach integrating approaches such as regional anesthesia, non-opioid multimodal analgesia, and periarticular injections. Despite recent advances, optimal regional anesthetic techniques and the implementation of standardized ERAS protocols in rTSA remain areas of necessary future investigation.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147947936","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":"Risk Factors for Failure of Meniscal Repair.","authors":"Nathan Graden, David Clark, Jacob D Mikula, Adam J Tagliero","doi":"10.1007/s12178-026-10032-z","DOIUrl":"10.1007/s12178-026-10032-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>Meniscal preservation is a cornerstone of modern knee surgery given the meniscus's essential role in load transmission, joint stability, and cartilage protection. As indications for meniscal repair have expanded, understanding the factors associated with repair failure has become increasingly important. The purpose of this review is to synthesize contemporary evidence regarding risk factors for failure of meniscal repair, clarify how failure is defined and evaluated, and outline current strategies for management of failed repairs to guide clinical decision-making.</p><p><strong>Recent findings: </strong>Recent literature supports meniscal repair as a joint-preserving procedure with superior long-term outcomes compared with meniscectomy, though failure and reoperation remain clinically relevant concerns. Failure risk is influenced by a combination of patient-related factors, including smoking status, limb alignment, and medical comorbidities; tear characteristics such as vascular zone, tear pattern, chronicity, and meniscal laterality; and surgical variables including isolated repair versus concomitant ligament reconstruction, repair technique, and postoperative rehabilitation. Advances in repair devices, imaging, and biologic augmentation have improved healing potential, and growing evidence supports revision meniscal repair in select patients with favorable tissue quality and tear morphology. Meniscal repair failure is multifactorial and cannot be attributed to surgical technique alone. Successful outcomes depend on appropriate patient selection, careful assessment of tear biomechanics, selection of an optimal repair strategy, and individualized rehabilitation. Revision meniscal repair remains a viable option for preserving meniscal function in appropriately selected patients. Future research should prioritize standardized definitions of failure, comparative studies of repair techniques, and biologic strategies to further improve healing and long-term joint preservation.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147940469","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":"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":"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":5.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13156359/pdf/","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":"OA","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":5.0,"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":"<p><p>PURPOSE OF REVIEW: condition among collision and contact athletes, frequently resulting in significant time away from sport and long-term functional limitations. Due to the high physical demands and risk of recurrent injury in this population, accurate diagnosis and treatment are essential. This review provides a comprehensive overview of the clinical assessment and management of shoulder instability in these high-risk athletes. RECENT FINDINGS: Shoulder instability can be managed non-operatively or operatively. Recurrent instability is common with non-operative treatment, particularly in young male contact and collision athletes. Surgical management significantly reduces recurrence and improves return-to-sport outcomes. Anterior instability treated with arthroscopic Bankart repair generally demonstrates good results, but risk factors for failure include multiple dislocations, hyperlaxity, glenoid bone loss, and delayed intervention. Augmentation with remplissage improves outcomes over Bankart repair alone and yields results comparable to the Latarjet procedure, which is reserved for critical glenoid bone loss but is technically demanding. Posterior instability treated with arthroscopic posterior capsulolabral repair shows high return-to-sport rates and superior patient-reported outcomes compared with conservative management. Clinical decision-making should prioritize restoring stability, regaining function, and facilitating a safe return to sport. Patient-specific factors such as age, level of play, athletic goals, risk of recurrence, and extent of bone loss must also be carefully considered. A thorough understanding of shoulder instability in this population is essential to guide management and minimize the risk of recurrent instability, progressive bone loss, and long-term shoulder dysfunction. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"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":"<p><p>PURPOSE OF REVIEW: Artificial intelligence (AI) has emerged as a useful tool across the field of orthopedic surgery. This review highlights recent literature on AI’s role in surgical outcome prediction, musculoskeletal imaging, economic and ethical considerations, with a focus on its integration in sports medicine workflow and procedures. RECENT FINDINGS: Machine learning AI models have demonstrated superior accuracy in predicting orthopedic related patient-reported outcomes, surgical complications, and the utilization of healthcare compared to traditional, non-AI methods. Within imaging, AI applications now produce automated measurements for clinical and presurgical planning with precision equivalent to expert-level measurements. Large language AI models are increasingly used for clinical documentation, research workflows, and administrative support for healthcare delivery and effectiveness. Despite increasing integration of AI into orthopedics and its subspecialties, challenges in validation, accessibility due to cost, and ethical considerations remain. Orthopedic surgery and sports medicine are particularly well suited for AI applications due to their well-defined, measurable clinical outcomes. Emerging AI tools and models show promise in enhancing patient outcomes, surgical planning, and healthcare efficiency. Continued AI research must prioritize external validation, ethical implementation, and educational integration to ensure responsible, effective, and reproducible use. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"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":5.0,"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":"<p><p>PURPOSE OF REVIEW: To provide a comprehensive overview of the indications for lateral extra-articular tenodesis in addition to anterior cruciate ligament reconstruction (ACLR), followed by a discussion on the existing techniques with their perceived advantages and disadvantages. RECENT FINDINGS: Recent evidence has shifted lateral extra-articular tenodesis (LET) from a routine “add-on” to a selective adjunct for patients at higher risk of residual rotatory instability and ACL graft failure after isolated ACLR. Level I clinical evidence suggests that adding an iliotibial (ITB) – based LET can meaningfully reduce graft rupture rates while improving control of pivot shift – type instability. The 2025 International Consensus on lateral extra-articular procedures (LEAPs) supports LET/anterolateral augmentation particularly for revision ACLR, high-grade pivot shift, generalized laxity or hyperextension/recurvatum, and young athletes returning to pivoting/contact sports. The consensus also mentions that modern LEAPs have low complication rates, do not typically require altered rehabilitation, and have not shown a consistent signal for increased lateral compartment osteoarthritis when contemporary technique principles are followed. Finally, despite the variety of described constructs (modified Lemaire variants, other ITB-based tenodeses, and anatomic ALL reconstruction), current literature does not demonstrate a single universally superior technique. Instead, success appears to be linked to correct patient selection, adherence to key technical principles (appropriate graft routing & low-tension fixation), and age or skeletal – maturity – appropriate modifications. When applied selectively in high-risk patients, adding a lateral extra-articular tenodesis to ACL reconstruction can improve rotational control and reduce re-injury, but current evidence does not support a single universally superior LET construct. Optimal results depend on appropriate indications, careful technique, and tailoring the approach to patient factors such as age, sport demands, laxity profile, and skeletal maturity. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"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":"<p><p>PURPOSE OF REVIEW: This manuscript comprehensively reviews the most recent studies on preoperative and intraoperative factors that positively or negatively influence the clinical and radiological outcomes of arthroscopic partial meniscectomy (APM). RECENT FINDINGS: Initial research focused on baseline demographic (e.g., age, sex, BMI) and meniscal tear characteristics to predict short- and medium-term outcomes. Recent investigations, however, have broadened this scope to include previously overlooked ancillary elements, such as socio-economic and psychological factors. Furthermore, non-meniscal anatomical features—including bony alignments and morphology, and joint stability—have been studied, along with surgical-related elements like the volume of resected tissue and the impact of specific surgical techniques. Crucially, long-term studies, some with over 20 years of follow up, are now available, offering a clearer understanding of the rates of symptomatic and asymptomatic osteoarthritic progression based on different baseline characteristics. While precisely predicting the clinical and radiological outcomes of APM remains challenging, this manuscript provides a comprehensive review of the most current evidence. It aims to help surgeons more adequately treat and counsel patients presenting with meniscal tears. Future research should prioritize developing and validating predictive algorithms that integrate the multitude of success and failure factors discussed in this review. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"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}