Orthopaedic Journal of Sports Medicine最新文献

{"title":"Pseudoaneurysm of the Superficial Femoral Artery Secondary to Exostosis-like Lesion Trauma After Hamstring Tear: A Case Report.","authors":"Andrew LaValle, Austin Yu, Zachary Butler, Edward Bowen, Alexandre D'audiffret, Charles Bush-Joseph, Alan T Blank","doi":"10.1177/23259671251376545","DOIUrl":"10.1177/23259671251376545","url":null,"abstract":"","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251376545"},"PeriodicalIF":2.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of the 2-Image Lateral Trochlear Inclination to Determine Patellar Instability Due to Trochlear Dysplasia.","authors":"J Lee Pace, Tanner E James, Nicholas R Anable, Olubusola A Brimmo, John P Abt","doi":"10.1177/23259671251371276","DOIUrl":"10.1177/23259671251371276","url":null,"abstract":"<p><strong>Background: </strong>Trochlear dysplasia is frequently seen in young patients and can be a cause of patellar instability (PI). A lateral trochlear inclination (LTI) of 11° or less has long been utilized to discriminate between patients with and without some degree of trochlear dysplasia that is likely to contribute to recurrent PI. The traditional methodology for this radiographic measure has been described via a single-image technique. Recently, a 2-image technique was introduced to better account for distal femoral orientation relative to proximal trochlear cartilage. However, further work is required to determine the validity of the 2-image LTI technique in introducing a new diagnostic threshold value for trochlear dysplasia.</p><p><strong>Purpose/hypothesis: </strong>The purpose of this study was to evaluate the validity of the novel 2-image LTI measurement technique in determining a diagnostic cut-off value for trochlear dysplasia that is likely to result in recurrent PI. It was hypothesized that this would yield a different value than the historical 11° cutoff determined through the single-image technique.</p><p><strong>Study design: </strong>Cohort study (Diagnosis); Level of evidence, 3.</p><p><strong>Methods: </strong>After institutional review board approval, medical records were retrospectively reviewed to form a PI group and a control (no PI) group. The 2-image LTI was first measured by 2 raters to determine intrarater and interrater reliability. A receiver operating characteristic curve was created to determine a diagnostic cut-off value. After applying this cutoff between the groups, the resultant sensitivity and specificity were calculated.</p><p><strong>Results: </strong>The 2-image LTI measurements demonstrated excellent intrarater and interrater reliability. The PI group had a mean LTI of 2.58°, while the control group had a mean LTI of 17.26°. A diagnostic threshold LTI value of 13.7° was determined, discriminating between patients with and without recurrent PI due to trochlear dysplasia, with a sensitivity of 0.889 and a specificity of 0.780. The area under the curve was 0.887.</p><p><strong>Conclusion: </strong>Utilizing the 2-image LTI measurement technique, a threshold value of 13.7° was determined as optimal for discerning between patients with and without trochlear dysplasia that is likely to lead to recurrent PI. This value can thus be used for accurate diagnoses of trochlear dysplasia, which can help to inform management, patient counseling, and research in the future.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251371276"},"PeriodicalIF":2.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression Is Associated With Recurrent Instability and Inferior Outcomes After Shoulder Stabilization Surgery.","authors":"Benjamin L Brej, Collin P Todd, Kyle S Huntley, Brent L Henderson, George F Matta, Louis W Barry, Erryk S Katayama, Grant L Jones, Ryan C Rauck, Julie Y Bishop, Gregory L Cvetanovich","doi":"10.1177/23259671251378777","DOIUrl":"10.1177/23259671251378777","url":null,"abstract":"<p><strong>Background: </strong>Depression is prevalent among patients undergoing arthroscopic shoulder procedures and is associated with worse patient-reported outcomes after shoulder stabilization surgery. However, recurrent shoulder instability after stabilization among patients with depression has yet to be investigated.</p><p><strong>Hypothesis: </strong>Patients with depression experience higher rates of recurrent shoulder instability and inferior functional outcomes compared with patients without depression.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>This single-institution retrospective study (2009-2023) identified 531 patients undergoing primary shoulder stabilization surgery for recurrent shoulder instability. Patients were stratified into 2 cohorts based on depression status. Primary procedures included arthroscopic or open Bankart repair, remplissage, open Latarjet, and open distal tibial allograft. Data from electronic medical records included demographics and clinical outcomes.</p><p><strong>Results: </strong>Of 531 patients, 110 (21%) had a preoperative diagnosis of depression. Compared to patients without a diagnosis of depression, depression patients were older (29.9 vs 24.2 years; <i>P</i> < .001), had higher body mass index (28.5 vs 26.6; <i>P</i> = .005), and greater comorbidities (American Society of Anesthesiologists and Charlson Comorbidity Index scores, smoking rates, and rates of comorbid mental health disorders) (all <i>P</i> < .001). The depression cohort had lower range of motion (ROM) in all measures before surgery, and ROM in external rotation remained lower postoperatively (<i>P</i> < .001). Patients with depression had worse postoperative Single Assessment Numeric Evaluation (82 vs 88; <i>P</i> > .04) and American Shoulder and Elbow Surgeons (79 vs 89; <i>P</i> = .02) scores. Lifetime recurrent instability rates were higher in the depression group compared with the nondepression group (23% vs 14%; <i>P</i> = .03), and instability-free survival at 2, 5, and 10 years was lower in patients with depression (<i>P</i> = .02).</p><p><strong>Conclusion: </strong>Patients with depression have increased rates of recurrent instability and lower patient-reported outcome scores after shoulder stabilization surgery. Shoulder stabilization surgery is an effective treatment option for patients with depression, but depression evaluation should be considered in the preoperative assessment to aid in patient and physician education on the risks of inferior clinical outcomes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251378777"},"PeriodicalIF":2.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time to Return to Play After Arthroscopic Elbow Osteocapsular Arthroplasty in Professional and Elite Baseball Players.","authors":"Sun-Hwan Kwon, Keun-Bae Hong, Hong-Keun Park, Kyung-Soo Oh, Jin-Young Park","doi":"10.1177/23259671251365973","DOIUrl":"10.1177/23259671251365973","url":null,"abstract":"<p><strong>Background: </strong>Although many reports have described the outcomes of elbow arthroscopic procedures in athletes, a literature review did not identify any study on the outcomes of arthroscopic osteocapsular arthroplasty in baseball players.</p><p><strong>Purpose: </strong>To evaluate the clinical outcomes of elite and professional baseball players who underwent arthroscopic elbow osteocapsular arthroplasty to treat degenerative arthritis.</p><p><strong>Study design: </strong>Case series; Level of evidence, 4.</p><p><strong>Methods: </strong>Of 421 elite and professional baseball players who underwent arthroscopic elbow spur resection between January 2007 and March 2023, the study included 17 for whom spurs were removed from both the anterior and posterior compartments. After surgery, players who participated in at least 1 officially recognized game were considered to exhibit return to play (RTP). Players who participated in >10 official games were considered to evidence \"solid\" return to play (sRTP). The RTP and sRTP rates were analyzed according to player position and the time to RTP after surgery. The average duration of competition after surgery but before retirement was also investigated.</p><p><strong>Results: </strong>Of the 17 baseball players (mean age, 26.2 years), 13 were pitchers, 2 were catchers, and 2 were fielders. The RTP and sRTP rates of pitchers were 92.3% and 84.6%, respectively; the values were all 100% for both catchers and fielders. The overall RTP and sRTP rates were 94.1% and 88.2%, respectively. The mean time to RTP after surgery was 7.9 months (8.3, 7.5, and 6 months for pitchers, catchers, and fielders, respectively). The mean time to retirement was 4.4 years; 8 players still compete.</p><p><strong>Conclusion: </strong>Arthroscopic elbow osteocapsular arthroplasty demonstrated a favorable sRTP rate of 88.2% in elite and professional baseball players with degenerative arthritis.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251365973"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concomitant Cervical Spine Disease Worsens PROMIS Outcomes in Patients Undergoing Arthroscopic Rotator Cuff Repair.","authors":"Hashim J F Shaikh, Michaela L Malin, Andrew Jeong, Devon E Anderson, Gregg T Nicandri, Brian D Giordano, Ilya Voloshin, Michael D Maloney, Sandeep Mannava","doi":"10.1177/23259671251372618","DOIUrl":"10.1177/23259671251372618","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Rotator cuff disease is one of the most common causes of shoulder disability. Pathologic conditions of the shoulder are often complicated by concomitant conditions such as cervical spine (C-spine) disease.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose/hypothesis: &lt;/strong&gt;The purpose of this article is to assess whether patients with concomitant C-spine disease undergoing arthroscopic rotator cuff repair (ARCR) demonstrate lower absolute values in Patient-Reported Outcomes Measurement Information System (PROMIS) scores compared with those without C-spine disease and whether it affects the achievement of the minimal clinically important difference (MCID). It was hypothesized that patients with C-spine disease undergoing ARCR demonstrate lower absolute values in PROMIS scores compared with those without concomitant C-spine disease, but those patients experience a similar improvement and achievement of MCID after ARCR surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Cohort study; Level of evidence, 3.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 1387 patients who underwent ARCR at a single institution were identified. A retrospective chart review of a prospectively collected database was conducted to capture PROMIS Pain Interference (PI), Physical Function (PF), and Depression (Dep) scores. Patients were stratified into 2 groups based on the presence of concomitant C-spine disease at the time of surgery. The MCID was calculated using a distribution-based methodology.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the total, 528 patients met inclusion criteria for final analysis, 120 of whom had concomitant C-spine disease. Unadjusted analysis of descriptive variables revealed no significant differences between the C-spine and control groups. Both cohorts showed significant improvement at final follow-up compared with their preoperative PROMIS values for PF, PI, and Dep (&lt;i&gt;P&lt;/i&gt; &lt; .001). Compared with patients without it, those with concomitant C-spine disease had statistically worse preoperative PROMIS scores for PI (62.6 ± 6.8 vs 60.1 ± 6.8; &lt;i&gt;P&lt;/i&gt; = .001), Dep (50.4 ± 9.8 vs 47.6 ± 9.8; &lt;i&gt;P&lt;/i&gt; = .004), and PF scores (39.5 ± 7.3 vs 42.6 ± 8.4; &lt;i&gt;P&lt;/i&gt; = .001), as well as worse postoperative scores for PI (53.9 ± 7.9 vs 50.5 ± 8.1; &lt;i&gt;P&lt;/i&gt; = .001), Dep (43.4 ± 9.4 vs 41.1 ± 7.8; &lt;i&gt;P&lt;/i&gt; = .003), and PF (45.6 ± 7.6 vs 48.6 ± 7.9; &lt;i&gt;P&lt;/i&gt; = .001). Notably, these differences while statistically significant were not clinically significant due to the overlap between the C-spine and control group PROMIS scores in each domain. No significant difference was found in the achievement of MCID between the 2 groups for PF, PI, or Dep. Regression analysis revealed that C-spine disease was not a significant predictor of achievement of MCID in any of the 3 PROMIS domains.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study underscores the broad applicability of ARCR for patients with complex musculoskeletal pathology such as concomitant C-spine disease. The findings high","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251372618"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibrin Scaffold With Concentrated Growth Factor and Stromal Vascular Fraction: A Novel Approach for Repairing Chronic Rotator Cuff Tears in a Rabbit Model.","authors":"Ahmet Keskin, Hilal Kabadayi Ensarioglu, Hafize Seda Vatansever, Serhat Gurbuz, Yasin Guler, Bülent Karslioğlu, Samed Ozer, Yunus Imren, Ergun Bozdag, Kerem Bilsel, Suleyman Semih Dedeoglu","doi":"10.1177/23259671251366686","DOIUrl":"10.1177/23259671251366686","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tears (RCTs) represent a significant challenge in orthopaedic care, particularly in chronic cases where tendon healing is suboptimal. Novel biological therapies such as concentrated growth factor (CGF) and stromal vascular fraction (SVF) offer promising solutions for enhanced tendon repair.</p><p><strong>Hypothesis: </strong>This study hypothesized that a fibrin scaffold enriched with CGF and SVF would improve tendon healing by reducing fatty degeneration, increasing vascularization, and enhancing biomechanical properties in a chronic RCT rabbit model.</p><p><strong>Study design: </strong>Controlled laboratory study.</p><p><strong>Methods: </strong>A chronic RCT model was developed in the subscapularis tendon of 28 male New Zealand rabbits. In the first phase (week 0), the chronic injury model was created surgically. At week 6, in addition to the transosseous repair technique, biological materials were applied into the bone tunnel in each group as follows: hydrogel (group 1), fibrin gel with CGF (group 2), CGF+SVF-enriched fibrin scaffold (group 3), and no repair (group 4). At week 12, animals were euthanized, and samples were collected for macroscopic, histological, immunohistochemical, and biomechanical analysis.</p><p><strong>Results: </strong>Group 3 demonstrated a superior result. Fatty degeneration was significantly lower in group 3 compared with group 1 (<i>P</i> = .045). Vascularization and cellularity scores were highest in group 3 (3.7 ± 0.5 and 3.6 ± 0.5, respectively), significantly greater than group 1 (1.4 ± 0.5 and 1.3 ± 0.5, respectively) (<i>P</i> = .024 and <i>P</i> = .004, respectively). Collagen fiber continuity and regularity scores were 3.7 ± 0.5 and 3.6 ± 0.5 in group 3, respectively, significantly better than group 1 (1.4 ± 0.5 and 1.3 ± 0.5, respectively) (<i>P</i> = .006 and <i>P</i> = .003, respectively). Biomechanical testing revealed the highest tensile strength in group 3 (116.14 ± 8.49 N; <i>P</i> < .001). Midsubstance tears, indicating robust healing, were observed in 85.7% of tendons in group 3 compared with 28.6% in group 1 (<i>P</i> = .002). Notably, group 3 also demonstrated superior outcomes compared with group 2, with significantly greater tensile strength (116.14 ± 8.49 N vs 100 ± 6.85 N; <i>P</i> < .001) and improved histological parameters including reduced fatty degeneration, and increased vascularization and collagen fiber regularity.</p><p><strong>Conclusion: </strong>The inclusion of CGF and SVF in fibrin scaffolds significantly enhances tendon healing in chronic RCTs, outperforming the use of CGF alone. This combined biological approach offers a promising therapeutic strategy to optimize tendon repair outcomes.</p><p><strong>Clinical relevance: </strong>These findings support the clinical potential of CGF and SVF in improving repair outcomes in chronic RCT cases in sports medicine.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251366686"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety of Platelet-Rich Plasma for Patients With Meniscal Injury: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Jianshui Liang, Mingzhong Tu, Haitao Li, Wangzhu Chen, Chunjiang Wang","doi":"10.1177/23259671251371233","DOIUrl":"10.1177/23259671251371233","url":null,"abstract":"<p><strong>Background: </strong>Platelet-rich plasma (PRP) is widely used to promote healing and improve function in various musculoskeletal injuries. However, the efficacy and safety of PRP for meniscal injury remain unclear.</p><p><strong>Purpose: </strong>To evaluate the effects of PRP in patients with meniscal injury.</p><p><strong>Study design: </strong>Systematic review; Level of evidence, 2.</p><p><strong>Methods: </strong>A comprehensive search was conducted in PubMed, Embase, Cochrane Library, Web of Science, Wanfang, and CNKI databases. Randomized controlled trials comparing PRP with placebo or no additional treatment in adult patients with meniscal injury were included. Outcome measures included the visual analog scale for knee pain, Lysholm score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee injury and Osteoarthritis Outcome Score (KOOS), treatment failure, and complications. Data were pooled using a random-effects model by incorporating the influence of heterogeneity.</p><p><strong>Results: </strong>This meta-analysis included 18 randomized controlled trials involving a total of 1143 patients. The mean follow-up duration ranged from 3 to 12 months. PRP significantly reduced knee pain (mean difference [MD], -0.73; 95% CI, -0.91 to -0.55) and improved knee function, as indicated by higher Lysholm scores (MD, 6.77; 95% CI, 5.35 to 8.20) and KOOS (MD, 4.34; 95% CI, 1.35 to 7.32), and lower WOMAC scores (MD, -5.33; 95% CI, -8.10 to -2.56). Subgroup analyses suggested similar results in patients with and without concurrent knee osteoarthritis, with single and multiple PRP injection, and with follow-up duration of <12 and ≥12 months. In addition, PRP also reduced treatment failure rates (odds ratio, 0.26; 95% CI, 0.12 to 0.59), with no significant difference in complications.</p><p><strong>Conclusion: </strong>PRP is effective in reducing pain and improving knee function in patients with meniscal injury.</p><p><strong>Registration: </strong>CRD42024601679 (PROSPERO).</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251371233"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cleats May Be a Risk Factor for ACL Tears in Female Lacrosse and Soccer Players.","authors":"Zoe Cass, Spencer Williams, Caitlin Slaminko, Karina Sethi, Alexa Donahue, Paul M Sethi","doi":"10.1177/23259671251365603","DOIUrl":"10.1177/23259671251365603","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament (ACL) tears are common in female athletes, with most injuries caused by noncontact mechanisms. Beyond the sex factor, it is important to identify modifiable risk factors for an ACL tear, such as the type of shoe and playing surface.</p><p><strong>Purpose: </strong>To evaluate the association between shoe type and the risk of ACL injury.</p><p><strong>Study design: </strong>Case-control study; Level of evidence, 3.</p><p><strong>Methods: </strong>A retrospective review of 256 female athletes was conducted: 128 female soccer and lacrosse athletes who had torn their ACLs and 128 age- and sport-matched athletes who had never torn their ACL. Sports, level of competition, mechanism of injury, type of shoe, type of stud in the shoe, and playing surface were identified.</p><p><strong>Results: </strong>In this study, 75% of participants who tore their ACLs were wearing cleats. In contrast, only 55.5% of the age-matched group with normal ACLs wore cleats. A significant association was found between ACL tear and the type of shoe they were wearing (<i>P</i> < .05). In athletes who tore their ACL, 46.4% of their cleats had conical studs, 14.4% had blades, and 15.2% had a mix of the 2, compared with those who have never torn their ACL, with 30.5% having conical studs, 18.8% blades, and 6.3% mixed. The odds of sustaining an ACL tear while wearing conical studs were 2.02 times higher than wearing blades (95% CI, 0.97-4.20) and 2.87 times higher than wearing turf shoes (95% CI, 1.58-5.23).</p><p><strong>Conclusion: </strong>Female athletes who wore cleats were more likely to tear their ACL when compared with sport- and age-matched athletes who wore turf shoes. Wearing turf shoes as opposed to cleats appears to be associated with a reduced risk of ACL tears in high-level female athletes. Cleats with long, conical studs, especially around the perimeter of the cleat, were associated with increased odds for ACL tear and were more common in the 128 athletes in this study who tore their ACLs. Based on this information, we recommend further exploration for a shoe that prevents shoe wear from being an additional risk factor for ACL injuries in female athletes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 10","pages":"23259671251365603"},"PeriodicalIF":2.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inferior Pubic Ligament Injury: Magnetic Resonance Imaging Assessment in Athletes With Pubic-Related Groin Pain.","authors":"Thomas Mathieu, Francis Van Glabbeek, Luc Van Nassauw, Lenie Denteneer, Jason Bouziotis, Pieter Van Dyck","doi":"10.1177/23259671251380879","DOIUrl":"10.1177/23259671251380879","url":null,"abstract":"<p><strong>Background: </strong>Many athletes experience pubalgia. Although much is known about ligament injuries in other joints, the importance of ligament injuries in the pubic joint remains understudied.</p><p><strong>Purpose: </strong>To determine the frequency of an inferior pubic ligament (IPL) injury on magnetic resonance imaging (MRI) in a population of athletes with isolated pubic-related groin pain and to compare this group with a control group of athletes with adductor-related groin pain to assess the clinical relevance and association of an IPL injury with pubic-related groin pain.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>Inclusion criteria consisted of athletes with pubic-related groin pain. All included participants were given a standardized questionnaire, a clinical examination, and a MRI examination of the pelvis. All MRI scans were reviewed to assess the IPL and other pubic-related pathologies, including pubic bone marrow edema and adductor injuries. The prevalence of an IPL lesion in patients with pubic-related groin pain is reported with the 95% confidence interval (95% CI). A control group with adductor-related groin pain was retrospectively included for comparison. Group characteristics were compared using the Pearson χ² test, Fisher exact test, and Mann-Whitney-Wilcoxon test. Risk factors of IPL injury were analyzed by logistic regression.</p><p><strong>Results: </strong>A total of 60 athletes were included (56 male, 4 female); 18% showed definite MRI signs of IPL injury. In addition, 15% showed an equivocal IPL abnormality. This resulted in an IPL lesion prevalence of 33% (95% CI, 23%-46%) in this group. Of the 20 athletes with an IPL injury, 18 were soccer players and 2 were track and field athletes. All were men. The median age was 30 years (IQR, 26-36). The risk of IPL lesion was significantly higher in patients with trauma (odds ratio, 8.76; 95% CI, 2.56-29.91; <i>P</i> < .001). No IPL lesions were observed in the control group of 28 athletes with adductor-related groin pain (<i>P</i> < .001).</p><p><strong>Conclusion: </strong>On the basis of MRI analysis, there is a relatively high frequency of IPL injuries (33%) in athletes with pubic-related groin pain in addition to pubic bone and adductor pathology. No IPL injuries (0%) were observed in a control group of athletes with adductor-related groin pain. Our findings support the consideration of IPL injury in the diagnostic workup of pubic-related groin pain, particularly in posttraumatic cases. Further research is needed to refine the diagnostic process and to better understand the implications of IPL injury for rehabilitation and return-to-play outcomes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 9","pages":"23259671251380879"},"PeriodicalIF":2.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variability Between Full-Length Lateral Radiographs and Standard Short Knee Radiographs When Evaluating Posterior Tibial Slope in Revision ACL Patients: Response.","authors":"Alfred A Mansour","doi":"10.1177/23259671251374873","DOIUrl":"10.1177/23259671251374873","url":null,"abstract":"","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 9","pages":"23259671251374873"},"PeriodicalIF":2.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}