Current Reviews in Musculoskeletal Medicine最新文献

{"title":"Disparities in Outpatient and Short-Stay Arthroplasty Surgery: a Critical Review and Proposed Equity-Centered Framework.","authors":"Mohamad Halawi","doi":"10.1007/s12178-026-10009-y","DOIUrl":"10.1007/s12178-026-10009-y","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Over the past decade, outpatient and short-stay total joint arthroplasty (TJA) has transitioned from exception to expectation, driven by enhanced recovery protocols, regulatory changes, and the COVID-19 pandemic. This review synthesizes evidence from 2015 to 2025 regarding inequities in this transition, clarifies key definitions and methodological challenges, and examines the contributing factors and controversies surrounding equitable access to ambulatory surgery. RECENT FINDINGS: Evidence indicates a widening gap in access and outcomes based on race, ethnicity, and gender. Black and Hispanic patients remain significantly less likely than White patients to undergo outpatient TJA, even when controlling for clinical comorbidities. Recent data also suggests that residence in socioeconomically disadvantaged neighborhoods is associated with longer lengths of stay and higher early healthcare utilization. Furthermore, sex-based differences have emerged in postoperative pain management, with women demonstrating higher rates of opioid exposure and persistence. While younger, healthier, and privately insured patients have disproportionately benefited from outpatient pathways, those with public insurance or higher comorbidity burdens face persistent structural barriers to candidacy and safe discharge. Achieving equitable outpatient TJA requires a shift from exclusionary risk-screening to an equity-centered framework. This proposed model spans inclusive candidacy, optimization through prehabilitation, care navigation, and the use of site-of-service metrics. Ultimately, mitigating these disparities will require coordinated, multilevel action across policy reform, clinical practice innovation, and community engagement to ensure that the benefits of surgical innovation are accessible to all patient populations. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324971","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":"Residual Acetabular Dysplasia in Young Children: a Comprehensive Review of Diagnosis and Management.","authors":"Luke Sang, Nicholas Kelly, Jillian Neuner, Ishaan Swarup","doi":"10.1007/s12178-026-10015-0","DOIUrl":"10.1007/s12178-026-10015-0","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Residual acetabular dysplasia (RAD) is a common condition where the acetabulum remains shallow or underdeveloped even after treatment for developmental dysplasia of the hip (DDH). Proper management of RAD is crucial in reducing the risk of hip instability and premature arthritis. This review summarizes the most recent evidence related to the diagnosis and management of RAD in patients during their first decade of life, with an emphasis on data that may inform clinical decision-making and highlight areas in need of further investigation. RECENT FINDINGS: Recent studies have shown that rigid abduction bracing significantly improves RAD in patients over six months of age compared to observation only and has minimal treatment complications. Furthermore, bracing has been shown to have a dose-dependent relationship with improvement in acetabular index (AI). Surgical treatment of RAD with pelvic osteotomy significantly improves AI compared to all other treatment approaches, though several studies indicate a reduced effect among older patients. The exact timing and indications for surgical intervention remain controversial. The management of RAD remains an active area of research, particularly regarding the timing and indications for surgical intervention. Recent studies have demonstrated the effectiveness of rigid abduction bracing for patients with RAD over the age of six months to assist in acetabular remodeling, with a low complication rate. Pelvic osteotomy provides the most significant improvement in AI compared to all other approaches, with some evidence suggesting that these procedures become less effective as patients get older. However, as the timeline for surgical intervention remains unclear, there is a need for shared decision-making when managing RAD, along with additional long-term prospective studies. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303130","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":"Complications and Reoperations Following Meniscal Repair and Transplantation.","authors":"Griffin R Rechter, Logan A Reed, Abid M Khan, Marisa Deliso, Mario Hevesi, Aaron J Krych, Bruce A Levy","doi":"10.1007/s12178-026-10013-2","DOIUrl":"10.1007/s12178-026-10013-2","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Meniscal preservation through repair and transplantation is fundamental to modern orthopaedic surgery, with the goal of restoring knee biomechanics and delaying degenerative joint disease. Despite generally favorable outcomes, these procedures are associated with a range of complications and reoperations. This review aims to comprehensively evaluate the current literature on complications and reoperations following meniscal repair and meniscal transplantation, with emphasis on failure mechanisms, risk factors, and management strategies. RECENT FINDINGS: Recent literature reports wide variability in complication and reoperation rates following meniscal repair and transplantation, reflecting heterogeneity in tear morphology, surgical techniques, patient selection, and definitions of failure. Common complications include persistent pain, recurrent mechanical symptoms, repair failure, chondral injury, stiffness, infection, and neurovascular injury. Meniscal transplantation is associated with distinct risks and failure modes, including graft extrusion, sizing mismatch, immunologic response, and progression of osteoarthritis. Advances in repair devices, root repair techniques, and biologic augmentation have improved clinical outcomes but have not eliminated procedure-related complications. Increasing attention has been placed on patient-specific factors such as age, activity level, limb alignment, and concomitant pathology. Complications and reoperations following meniscal repair and transplantation remain clinically relevant and multifactorial. Optimizing outcomes requires appropriate patient selection, meticulous surgical technique, and recognition of procedure-specific risk profiles. Standardization of outcome measures and failure definitions is necessary to improve study comparability. Future research should focus on long-term outcomes, biologic optimization, and strategies to reduce reoperation rates while preserving meniscal function </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12929736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275782","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":"Outside-In Meniscal Repair: Contemporary Indications and Surgical Technique.","authors":"James L Pace, Sharif Garra","doi":"10.1007/s12178-026-10008-z","DOIUrl":"10.1007/s12178-026-10008-z","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Meniscus repair has become an important tool for managing meniscal tears due to the essential role each meniscus plays in load distribution, shock absorption, and joint stability. Repair is now favored whenever tissue quality and tear morphology are appropriate and this is supported by strong evidence highlighting the long-term adverse consequences of meniscectomy. Different meniscus repair techniques are available including all-inside, inside-out, and outside in. The purpose of this review is to outline the current clinical role of the outside-in meniscus repair technique, emphasizing its indications and technical considerations. RECENT FINDINGS: Recent literature demonstrates a pronounced shift toward preservation-based management of meniscal tears, supported by robust biomechanical evidence indicating that even limited disruptions of circumferential fibers or meniscal root integrity markedly elevate tibiofemoral contact pressures and potentiate degenerative cartilage changes. Clinical outcomes studies consistently report increased utilization of meniscal repair and a corresponding decline in partial meniscectomy. Moreover, Systematic reviews have confirmed the superior long-term cost-effectiveness and functional outcomes associated with repair. Within this framework of expanding repair indications, advancement in suture-passing instrumentation has enhanced the precision, reproducibility, and efficiency of meniscus repair in general as well as the outside-in technique. The outside-in technique provides reliable access to anterior horn and body meniscus tears and affords secure fixation during meniscal allograft transplantation, thereby establishing it as an essential component of contemporary meniscal preservation techniques. The outside-in technique remains a valuable and cost-effective option, particularly for tears involving the anterior horn and mid-body of the meniscus, where access with all-inside devices may be limited. This method provides reliable fixation and accommodates a range of tear configurations. Although technically demanding for less-experienced surgeons and necessitating an additional skin incision, clinical outcomes remain favorable, with recent reports demonstrates low failure rates and significant functional improvement. As surgeon experience and technical refinement continue to progress, the outside-in technique further established its role as a fundamental tool in comprehensive meniscal preservation strategies. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"17"},"PeriodicalIF":5.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218950","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":"Meniscal Extrusion: A Key Modifiable Driver of Meniscal and Cartilage Degeneration.","authors":"John J Kelly, Adam V Daniel, Patrick A Smith, Aaron J Krych","doi":"10.1007/s12178-026-10006-1","DOIUrl":"10.1007/s12178-026-10006-1","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: To critically examine the evidence addressing whether meniscal extrusion represents a distinct and clinically meaningful pathologic entity, elucidate its underlying biomechanical and anatomic causes, and review current and emerging strategies for diagnosis and management. This review synthesizes contemporary literature on imaging criteria, pathophysiology, and the evolving role of restorative interventions, particularly meniscus centralization, in mitigating extrusion-related joint degeneration. RECENT FINDINGS: Meniscus extrusion (> 3 mm radial displacement) exists as both physiologic and pathologic, associated with root tears, radial tears, and osteoarthritis. Normative values (e.g., < 2 mm in healthy knees) and cut-offs (> 2–3 mm for pathology) vary by imaging (MRI/US). Etiology involves hoop stress loss and meniscotibial ligament disruption. Treatments like root repair and centralization may reduce extrusion, improve biomechanics (e.g., contact pressure/area), and enhance outcomes (e.g., KOOS scores improved by 20–30 points post-centralization). Meniscal extrusion is a real and clinically significant consequence of meniscal biomechanical failure, most commonly related to root disruption and peripheral instability. Treatment paradigms have shifted from symptom management toward biomechanical restoration, with growing evidence that meniscus centralization can reduce extrusion and improve clinical outcomes. Nevertheless, long-term prospective data are required to establish whether these interventions can meaningfully alter the natural history of knee osteoarthritis. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"16"},"PeriodicalIF":5.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218885","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":"Optimizing Meniscus Allograft Transplantation - Reducing Extrusion and Restoring Joint Loading Mechanics: A Systematic Review.","authors":"Katy Lydon, Christopher V Nagelli, Gwen Wilson, Aaron Krych, Daniel Saris","doi":"10.1007/s12178-026-10010-5","DOIUrl":"10.1007/s12178-026-10010-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>Meniscus allograft transplantation (MAT) is associated with good clinical outcomes even though biological mechanical and technical challenges persist. These include early graft shrinkage, extrusion, reoperation due to reoccurrence of pain or mechanical symptoms and progression of osteoarthritis (OA). The purpose of this review is to evaluate the influence of MAT surgical techniques, and novel cell therapies on graft extrusion and tibial femoral contact stresses and how these can be optimized to improve clinical outcomes.</p><p><strong>Recent findings: </strong>Of the 27 articles that met the inclusion and exclusion criteria, 16 (clinical and cadaveric) focused on the impact of surgical fixation techniques on extrusion, joint loading mechanics and clinical outcomes. These studies demonstrated that bony fixation techniques were superior to soft tissue and transossesous suture fixation for restoring joint mechanics and minimizing extrusion. However, clinical outcomes were not significantly impacted by these biomechanical findings. The remaining 11 studies investigated novel cell therapies for meniscus regeneration and improving MAT procedures. Intrameniscal injections into frozen meniscus allografts demonstrated the potential for cell therapy to improve allograft tissue properties. Intraarticular injections and cell sheet transplantation led to tissue regeneration and chondroprotection following a hemi-meniscectomy in preclinical models. Although short-term clinical outcomes and PROMs are not significantly affected by fixation techniques, cadaveric and clinical studies have suggested that suture-only fixation with a traditional transosseous fixation may lead to worsened extrusion and joint mechanics compared to bony fixation methods. However, the implications of these findings on long-term clinical outcomes have not been evaluated. Cell therapy could further improve allograft tissue properties, chondroprotection and graft healing working together with current surgical techniques to restore joint functioning.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"15"},"PeriodicalIF":3.9,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12894558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164487","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":"Epidemiology, Work-Up, and Management of Common Track and Field Injuries.","authors":"Wyatt B David, Luke Sang, Vineet Kumar, Nirav Pandya","doi":"10.1007/s12178-026-10012-3","DOIUrl":"10.1007/s12178-026-10012-3","url":null,"abstract":"<p><p>PURPOSE OF REVIEW : Track and field is one of the most widely played sports worldwide, encompassing a variety of events across different age groups. Injury is extremely common, with data suggesting that up to 2/3 of track and field athletes will sustain an injury in any given season. In this review, we provide an overview of common track and field injuries, including their incidence, workup, management considerations, and return-to-play protocols. RECENT FINDINGS : Track and field athletes experience a wide range of injuries, depending on the event in which they participate, as well as predisposing demographic factors. Such injuries range from catastrophic cervical and head injuries experienced by pole vaulters to shoulder and elbow injuries seen in javelin throwers, and stress fractures and lower extremity muscle strain seen in sprinters and jumpers. The workup of any patient with a suspected injury begins with an appropriate physical examination, followed by advanced imaging, with MRI commonly used to assess for stress fractures and muscle strains. Treatment is individualized based on the patient, with appropriate treatments ranging from non-operative care, including physical therapy and mitigation of baseline factors, to operative intervention for severe injuries. Return-to-play decisions are multifactorial, involving input from athletes, coaches, trainers, and orthopedic surgeons. They commonly utilize functional testing, strength measurements, and imaging evidence of interval healing, with a gradual return to play as tolerated. As track and field continues to evolve with increased year-round performance and higher stress placed on athletes, it is of paramount importance for athletes to undergo appropriate workups and optimization. By understanding the epidemiology, workup, prognostication, and treatment of common track and field injuries, sports medicine physicians may optimize outcomes and improve performance for their athletes. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"14"},"PeriodicalIF":5.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149100","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":"Meniscal Root Fixation Method for Meniscus Transplantation: is There a Superior Technique?","authors":"Romed P Vieider, Jasmine Wang, Jacob Hartline, Shu Watanabe, Karina Dias, Joseph Euringer, Seth L Sherman, Volker Musahl","doi":"10.1007/s12178-026-10007-0","DOIUrl":"10.1007/s12178-026-10007-0","url":null,"abstract":"<p><p>PURPOSE: Meniscal allograft transplantation (MAT) is a well-established option for young, active patients with symptomatic functional meniscal deficiency, aiming to restore knee function and delay the progression of degenerative changes. This review provides an overview of available root fixation techniques and contextualizes their clinical outcomes to help surgeons select the most suitable method for individual patients. RECENT FINDINGS: Multiple fixation approaches, including all–soft-tissue, bony fixation (bone plug or bone bridge), and hybrid techniques have demonstrated significant improvements in patient-reported outcomes and pain reduction. Bony fixation may reduce or equalize graft extrusion relative to soft-tissue methods, though the clinical significance of extrusion remains uncertain. While functional outcomes and long-term survivorship appear similar across techniques, soft-tissue fixation may carry a slightly higher rate of graft tears and complications. Long-term follow-up reveals that osteoarthritis progression and graft degeneration can still occur. Hybrid fixation techniques combine bony and all-soft-tissue root fixation to leverage the advantages of both methods. It is important to address related conditions such as bone malalignment and ligament instability. Overall, MAT provides durable improvements in knee function and quality of life regardless of fixation method. Optimal results depend not only on the fixation technique but also on addressing concomitant pathologies, such as ligamentous instability and malalignment, with osteotomy playing a key role in protecting the graft when necessary. As no single fixation method has proven superior, further research is required to clarify the ideal strategy and the true clinical impact of graft extrusion. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"13"},"PeriodicalIF":5.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123265","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 Remplissage Procedure in Addition to Arthroscopic Stabilization for Non-Engaging Hill Sachs Lesions: A Systematic Review.","authors":"Harjind Singh Kahlon, Helena Son, Prushoth Vivekanantha, Marc Daniel Bouchard, Jeffrey Kay","doi":"10.1007/s12178-026-10005-2","DOIUrl":"10.1007/s12178-026-10005-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>To evaluate the clinical outcomes of patients with on-track or non-engaging Hill-Sachs lesions (HSLs) undergoing Bankart repair (BR) versus BR with adjunctive remplissage (BR-R).</p><p><strong>Recent findings: </strong>Three databases (MEDLINE, EMBASE, and PubMed) were searched on August 4th, 2025 for studies assessing outcomes following BR and BR-R. Nine studies involving 1006 patients (20.2% female, mean age 24.4 years, mean follow-up 33.5 months, 682 BR, 324 BR-R) were included. Compared with BR-R, the BR group demonstrated higher rates of recurrent instability (16.1% vs. 3.7%; RR = 3.39, 95% CI 1.96-5.89, p < 0.001, I² = 0%), re-dislocation (8.8% vs. 2.8%; RR = 2.36, 95% CI 1.13-4.95, p = 0.02, I² = 0%), and revision (9.4% vs. 2.8%; RR = 2.85, 95% CI 1.20-6.76, p = 0.02, I² = 0%). RTS was higher after BR-R (RB = 1.16, 95% CI 1.06-1.27, p < 0.001, I² = 0%). ROM was greater after BR in one of three studies. WOSI (MD=-1.77, 95% CI -3.54-0.01, p = 0.05, I² = 36%) and ROWE (MD=-4.86, 95% CI -8.09-1.62, p < 0.001, I² = 91%) scores favored BR-R, while ASES, SANE, VAS, and SSV were comparable. Apprehension was more common after BR (26.8% vs. 12.1%; RR = 2.42, 95% CI 1.45-4.04, p < 0.001, I² = 0%), and other complications were similar. Retrospective data suggests BR-R for on-track HSLs is associated with low risk of complications and offers significantly reduced risk of recurrent instability with similar outcomes compared to BR alone. Further research is needed to understand the indications for adjunctive remplissage in the setting of on-track/non-engaging HSLs.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"12"},"PeriodicalIF":3.9,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12847469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146059799","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":"Surgical Management Results in Lasting Pain Relief in Patients with Ischiofemoral Impingement Refractory to Nonoperative Treatment: A Systematic Review.","authors":"Maria A Mohorea, Fiona Macdougall, Dan Cohen, Tyler M Hauer, Craig S Mauro, Olufemi R Ayeni","doi":"10.1007/s12178-025-10004-9","DOIUrl":"10.1007/s12178-025-10004-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>This study aims to systematically review the current literature on treatment strategies for ischiofemoral impingement (IFI), focusing on the outcomes of nonoperative, arthroscopic, and open surgical interventions.</p><p><strong>Recent findings: </strong>IFI is an uncommon but increasingly recognized cause of posterior hip and deep gluteal pain, resulting from narrowing of the space between the ischial tuberosity and the lesser trochanter. Seven studies (level IV evidence) encompassing 101 patients (107 hips) were identified. Majority of patients were female (91%) with mean ages 26-47 years and follow-up ranging 18-48 months. Image-guided quadratus femoris injections provided short-term pain relief but limited long-term benefit. Arthroscopic lesser trochanter (LT) resection demonstrated consistent improvement in hip function and return to activity, with minimal complications and revision rates. One study on open derotation osteotomy reported significant improvements in range of motion, reduced impingement symptoms, and high patient satisfaction. Both conservative and surgical treatments improve symptoms of IFI, though surgical decompression reports sustained benefit. Arthroscopic LT resection shows promise as a safe and effective intervention. However, current evidence is limited to small, retrospective series without direct comparisons. Future prospective, comparative studies using standardized outcome measures are needed to define optimal management strategies for IFI.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"11"},"PeriodicalIF":3.9,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12830529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028770","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}