Orthopaedic Journal of Sports Medicine最新文献

{"title":"Visibility During Elbow Arthroscopy Using Needle Arthroscope: A Cadaveric Study.","authors":"Sho Yamauchi, Tetsuya Takenaga, Atsushi Tsuchiya, Satoshi Takeuchi, Keishi Takaba, Jumpei Inoue, Tomoya Ono, Kaisei Kuboya, Masahiro Nozaki, Hiroaki Fukushima, Hideki Murakami, Masahito Yoshida","doi":"10.1177/23259671251351326","DOIUrl":"10.1177/23259671251351326","url":null,"abstract":"<p><strong>Background: </strong>The visibility of the elbow joint during needle arthroscopy with 0° viewing is unknown. Moreover, the surgeon's level of experience required to perform needle arthroscopy with adequate proficiency has not been established.</p><p><strong>Purpose: </strong>To clarify visibility during elbow needle arthroscopy and investigate how the surgeon's experience affects it.</p><p><strong>Study design: </strong>Descriptive laboratory study.</p><p><strong>Methods: </strong>Twenty elbow specimens from 11 cadavers were used. A 1.9-mm needle arthroscope with a 0º viewing angle was inserted into 4 standard portals (anterolateral [ALP], anteromedial [AMP], lateral [LP], and posterior [PP]) to observe 18 different anatomic landmarks. The procedure was performed by 3 surgeons with >15 years of experience (ME) and 3 surgeons with lesser experience (LE) in elbow arthroscopy, defined as having performed ≤5 procedures. Each examiner evaluated 10 elbows. The observation times of all checkpoints from each portal were recorded and the mean durations compared.</p><p><strong>Results: </strong>The percentage of each structure that was adequately visualized using the ALP and AMP were 100% for each group. Successful visualization of structures through the LP was 100% in the ME group and ranged from 86.7% to 100% in the LE group. Visualization through the PP ranged from 56.7% to 86.7% in the ME group and from 53.3% to 83.3% in the LE group. The percentage of visibility for the posterior aspect of the lateral epicondyle was significantly lower in the ME group (56.7%; <i>P</i> = .008), and that for the border between the trochlear cartilage (56.7%; <i>P</i> = .008) and olecranon fossa (53.3%; <i>P</i> = .003) was significantly lower in the LE group. No significant differences in visibility rates were observed between the ME and LE groups across all 18 checkpoints. The mean observation times were not significantly different between groups for all portals.</p><p><strong>Conclusion: </strong>The needle arthroscope is a valuable tool for the arthroscopic examination of the anterior joint space and humeroulnar joints; however, visualizing the posterior joint space can be challenging, regardless of the surgeon's experience level. No significant difference was observed in the visibility probability based on experience.</p><p><strong>Clinical relevance: </strong>The needle arthroscope can be beneficial for the management of elbow diseases in the anterior joint space and humeroulnar joints, regardless of the surgeon's experience level, and enables more precise diagnosis and treatment planning.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251351326"},"PeriodicalIF":2.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874415","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":"Reliability and Reproducibility of the EOS 3D Imaging System in Measuring TT-TG Distance in Patients With Recurrent Patellar Dislocation.","authors":"Xian Zhang, Boming Zhao, Jiang Zheng, Bo Ren","doi":"10.1177/23259671251361493","DOIUrl":"10.1177/23259671251361493","url":null,"abstract":"<p><strong>Background: </strong>In clinical practice, preoperative radiographic assessment of the tibial tuberosity-trochlear groove (TT-TG) distance in patients with recurrent patellar dislocation (RPD) typically relies on conventional computed tomography (CT). A novel EOS imaging system may be a new option for measuring the TT-TG, which provides less radiation and costly time to perform.</p><p><strong>Purpose: </strong>To determine the reliability and reproducibility of the EOS 3-dimensional (3D) imaging system to measure TT-TG values.</p><p><strong>Study design: </strong>Cohort study (Diagnosis); Level of evidence, 2.</p><p><strong>Methods: </strong>Data from 34 patients (36 knees) diagnosed with RPD in our sports medicine department were retrospectively analyzed. Two senior radiologists independently measured the alignment of the patients' lower limbs via EOS images. The TT-TG values measured by EOS 3D images and CT scans were compared. To evaluate intrareader reliability, measurements were repeated on 2 separate occasions ≥3 days apart and intraclass correlation coefficients (ICCs) and Bland-Altman plots were calculated.</p><p><strong>Results: </strong>When lower-limb alignment was measured with EOS, there were no statistically significant differences in the femoral and tibial lengths (<i>P</i> = .87 and <i>P</i> = .78, respectively), femoral offset (<i>P</i> = .83), knee joint varus and valgus angles (<i>P</i> = .73), femoral and tibial mechanical angle (<i>P</i> = .70 and <i>P</i> = .83, respectively), and femorotibial torsion angles (<i>P</i> = .82) measured by the 2 radiologists. Excellent intraobserver ICC (>0.75) was observed. The TT-TG measurements using EOS 3D were 18.4 ± 4.2 mm (radiologist 1) and 18.4 ± 3.5 mm (radiologist 2), while the corresponding values from CT were 19.2 ± 4.0 mm and 18.5 ± 3.7 mm, respectively. The measurements between EOS and CT showed good intrarater consistency (ICC > 0.7). Bland-Altman analysis revealed mean differences of 0.743 mm and 0.081 mm between the 2 methods, with >91% of data points falling within ±1.96 SD, indicating strong agreement between the 2 measurement techniques.</p><p><strong>Conclusion: </strong>Our study showed that the EOS 3D imaging system provides reliable and reproducible TT-TG measurements comparable with CT. This technology has the potential to serve as an alternative method for assessing lower-limb alignment and TT-TG values in patients with RPD.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251361493"},"PeriodicalIF":2.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874445","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":"Red Staining of the LHB and the Rotator Interval on Arthroscopy-A Valid Indicator of Symptomatic Inflammation? A Machine Learning Assisted Investigation.","authors":"Maria A Bernstorff, Norman Schumann, Charlotte Cibura, Ole Somberg, Thomas Rosteius, Thomas A Schildhauer, Matthias Koenigshausen","doi":"10.1177/23259671251360363","DOIUrl":"10.1177/23259671251360363","url":null,"abstract":"<p><strong>Background: </strong>Tendinopathies of the long head of the biceps (LHB) are a common issue in shoulder surgery.</p><p><strong>Purpose/hypothesis: </strong>The purpose of this study is to determine whether the red discoloration observed in the LHB and synovial rotator cuff interval during arthroscopy invariably indicates significant inflammation, which is frequently used to guide therapeutic decisions about LHB tenotomy or tenodesis. Red coloration of the LHB and the surrounding rotator cuff interval would not necessarily be related to the clinical symptoms of the patient.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>Patients undergoing arthroscopy for symptomatic LHB pathology were included in the study if they met the inclusion criteria. Images of patients who were undergoing arthroscopy for other shoulder pathologies, but who did not exhibit LHB symptoms, were designated as the control group. Standardized imaging and video techniques were employed to identify the LHB and to calculate an objective measure of the total red component of the respective LHB. Machine learning (ML) was utilized to enumerate the respective red component in pixel count for each LHB, along with the redness of the synovial rotator cuff interval. The extent of effusion within the bicipital groove (as evident from axial slides of preoperative magnetic resonance imaging) was noted and subsequently correlated. The ranges into which the red hue of the LHB and the surrounding rotator cuff interval were divided included >60%, 60% to 31%, 30% to 11%, and <10%.</p><p><strong>Results: </strong>A total of 124 patients (men = 84, women = 40) were included, with a collective sum of 36,941 arthroscopy images (both standalone images and video frames). A total of 31 superior labral lesions, from anterior to posterior lesions, and 10 pulley lesions were detected. Moreover, 46 lesions were subjectively assessed by the surgeon as having LHB tendinitis based on LHB red \"inflammation\" staining intraoperatively. ML-based quantification revealed >60% LHB redness in 17 instances, between 60% to 31% in 22, between 30% to 11% in 33, and <10% in 52 instances. However, it could not be established that a significant statistical correlation exists between the intensity and extent of LHB redness, or the associated redness in the rotator interval, and their corresponding clinical symptoms related to LHB pathologies. In addition, there was no positive correlation between the effusion area and the LHB red staining, the surrounding sulcus bicipitalis area, or indications of pain.</p><p><strong>Conclusion: </strong>No positive correlation was found between the redness/intensity of the LHB on arthroscopy and the clinical symptoms within the LHB tests. The assessment of visually detectable \"inflammation\" of the LHB within arthroscopy as a therapeutic criterion must be questioned.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360363"},"PeriodicalIF":2.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874444","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":"Rotator Cuff Muscular Edema in Human: A Clinical and Radiological Analysis From the LaTour Group.","authors":"Jeanni Zbinden, Frank C Kolo, Alberto Guizzi, Hugo Bothorel, Léo Lädermann, Alexandre Lädermann","doi":"10.1177/23259671251360351","DOIUrl":"10.1177/23259671251360351","url":null,"abstract":"<p><strong>Background: </strong>Early formation of muscle edema after rotator cuff injury has previously been demonstrated in an animal model.</p><p><strong>Purpose: </strong>To describe the same phenomenon in humans through analysis of rotator cuff muscle edema on magnetic resonance imaging/arthrography (MRI/MRA).</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>Demographic, clinical, and radiological characteristics of patients with both a history of trauma and clear muscle edema of the rotator cuff were analyzed. Two groups were established based on the degree of concomitant fatty infiltration: (1) an acute group with little to no fatty infiltration of the rotator cuff muscle, and (2) an acute-on-chronic group with significant presence of fatty infiltration.</p><p><strong>Results: </strong>Of the 71 shoulders, 45 (63.4%) were identified as acute lesions and 26 (36.6%) as acute-on-chronic lesions. Patients in the acute group were younger (60 ± 11 years [range, 38-83 years] vs 68 ± 11 years [range, 52-90 years]; <i>P</i> = .006) and received earlier MRIs compared with patients in the acute-on-chronic group (23 ± 21 [range, 0-87) vs 42 ± 40 [range, 4-179]; <i>P</i> = .019). No other radiological characteristics studied-such as edema location, lesion type, tendon retraction, and other radiological signs-were able to distinguish the groups.</p><p><strong>Conclusion: </strong>Muscle edema of retraction helps to distinguish new traumatic rotator cuff injury from acute extensions of preexisting lesions via fatty infiltration and age at presentation. The difference in time between symptom onset and MRI/MRA is also a discriminating factor.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360351"},"PeriodicalIF":2.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874413","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":"Return to Play in Adolescent Baseball Players After SLAP Repair.","authors":"Roland Howard, Emma Johnson, Somnath Rao, Taylor D'Amore, Robert Jack, Christopher C Dodson, Michael G Ciccotti, Steven B Cohen","doi":"10.1177/23259671251360398","DOIUrl":"10.1177/23259671251360398","url":null,"abstract":"<p><strong>Background: </strong>Superior labral anterior-posterior (SLAP) tears are increasingly common shoulder injuries in adolescent athletes participating in overhead throwing.</p><p><strong>Purpose/hypothesis: </strong>The purpose was to evaluate outcomes, satisfaction, and competitive level progression in adolescent baseball athletes who underwent SLAP repair. It was hypothesized that pitchers may experience inferior outcomes compared with nonpitchers, and collegiate athletes may have decreased outcomes compared with lower-competition-level athletes.</p><p><strong>Study design: </strong>Case series; Level of evidence, 4.</p><p><strong>Methods: </strong>Patients aged 10 to 19 years who underwent SLAP repair from 2008 to 2018 with a minimum 2-year follow-up were identified from a single institution's medical records. Nonbaseball athletes and nonthrowing shoulders were excluded. Patients were contacted via telephone to complete patient-reported outcome (PROs) scores, including the Western Ontario Shoulder Instability Index (WOSI), Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score, 12-item Short Form Survey Mental Component Summary and Physical Component Summary, Single Assessment Numeric Evaluation, and a custom return-to-play (RTP) questionnaire.</p><p><strong>Results: </strong>A total of 59 baseball players met the inclusion criteria, and 76.3% (45/59) were successfully contacted for follow-up. All patients were male, with a mean age of 17.4 ± 1.5 years (range, 14-19 years). The mean follow-up was 5.3 ± 2.6 years (range, 2.1-12.1 years). The overall RTP rate was 75.6% (34/45), with a mean time from surgery to initiation of throwing of 5.9 ± 2.0 months (range, 2-12 months) and a mean time of 11.3 ± 3.5 months (range, 6-22 months) until full competition. Athletes continued competitive baseball for a mean of 2.9 ± 1.9 years (range, 0.5-8.0 years) after surgery. At the time of final follow-up, 71.1% (32/45) of players had stopped playing baseball and 22% (10/45) attributed cessation to subjective shoulder limitations. No significant differences were found in RTP rates or PROs, although pitchers reported worse postoperative performance (<i>P</i> = .013).</p><p><strong>Conclusion: </strong>Adolescent baseball players undergoing SLAP repair had favorable RTP rates and PROs, with no significant differences between pitchers and position players. Despite pitchers reporting worse postoperative performance, overall satisfaction rates were high. Adolescents who stopped playing baseball generally discontinued play for reasons other than postsurgical shoulder function. These findings can help orthopaedic surgeons set realistic expectations for adolescent baseball players undergoing SLAP repair.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360398"},"PeriodicalIF":2.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874446","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":"All-Inside Versus Inside-Out Suture Techniques in Athletes Undergoing Arthroscopic Meniscal Repair: A Systematic Review and Meta-analysis.","authors":"Adam C Miller, Alexis J Batiste, Kade S McQuivey, Eric C McCarty","doi":"10.1177/23259671251361488","DOIUrl":"10.1177/23259671251361488","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Meniscal tears are a common knee injury in athletes, necessitating effective repair techniques. Despite the prevalence of meniscal tears, there is limited literature comparing the efficacy of the 2 primary suture methods-all-inside and inside-out-in the athletic population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To evaluate the postoperative outcomes and failure rates of the all-inside versus inside-out suture techniques in meniscal repairs among athletes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Systematic review; Level of evidence, 4.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a comprehensive search was conducted across the PubMed, Cochrane, and Embase databases on July 26, 2023, yielding 245 studies, of which 7 were included in this review. Studies reporting postoperative outcomes and failure rates of both suture techniques were included. Failure was defined as the need for subsequent surgery due to a persistent meniscal tear. Outcome measures included the Tegner, Lysholm, and International Knee Documentation Committee scores. Differences between groups and subgroups were assessed using the Welch &lt;i&gt;t&lt;/i&gt; test and the odds ratio. Wilcoxon tests were used as a sensitivity analysis to confirm the results of the Welch &lt;i&gt;t&lt;/i&gt; tests. Heterogeneity was assessed with the &lt;i&gt;I&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; statistic and the Bartlett test. All statistical analyses were done using R.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Seven studies-published between 2009 and 2023-met the inclusion criteria, including 469 operations in 458 patients. A total of 199 operations used the all-inside technique, and 270 operations used the inside-out technique. Of the 469 operations, 377 had documentation on laterality (medial meniscal repair versus lateral meniscal repair), with 167 patients undergoing medial meniscal repair and 210 patients undergoing lateral meniscal repair. Each all-inside repair was done with the Fast-Fix device. The all-inside technique showed a statistically significant increase in failure rate compared with the inside-out technique (23.1% vs 12.2%; &lt;i&gt;P&lt;/i&gt; = .003). This trend was exaggerated in all-inside repairs for the medial meniscus versus the lateral meniscus (58.1% vs 11.8%; &lt;i&gt;P&lt;/i&gt; = 2.6 × 10&lt;sup&gt;-5&lt;/sup&gt;). When excluding all radial tears, the all-inside technique again had an increased rate of failure compared with the inside-out repairs (20.7% vs 8.3%; &lt;i&gt;P&lt;/i&gt; = .01). No significant difference was found in postoperative Tegner scores between all-inside and inside-out repairs (5.9 vs 6.5; &lt;i&gt;P&lt;/i&gt; = 0.45).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our review demonstrated that medial meniscal repairs with the all-inside technique using the Fast-Fix device had a higher failure rate compared with those with the inside-out technique; this trend is not seen for lateral meniscal repairs. Based on the findings of this study, surgeons should consider the inside-out","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251361488"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848231","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":"Corrigendum to \"The Effect of Trauma History and Symptom Duration on Repair Integrity in 2335 Consecutive Arthroscopic Rotator Cuff Repairs\".","authors":"","doi":"10.1177/23259671251365592","DOIUrl":"https://doi.org/10.1177/23259671251365592","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23259671251355125.].</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251365592"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848232","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":"The Effect of a Hamstring Tendon Autograft With a Diameter ≥8 mm on Graft Failure or Contralateral ACL Ruptures at 2 Years After ACL Reconstruction.","authors":"Connor W Hoban, Chao Zhang, Yuxuan Jin, Paul M Saluan, Lutul D Farrow, James T Rosneck, Morgan H Jones, Anthony Miniaci, Brian M Leo, Richard D Parker, Michael W Kattan, Kurt P Spindler","doi":"10.1177/23259671251321831","DOIUrl":"10.1177/23259671251321831","url":null,"abstract":"<p><strong>Background: </strong>A decreased hamstring tendon (HT) autograft diameter has been associated with higher rates of failure in primary anterior cruciate ligament reconstruction (ACLR).</p><p><strong>Purpose: </strong>To determine whether an HT autograft diameter ≥8 mm has an effect on the risk of graft failure and subsequent knee surgery after ACLR in a prospective cohort.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 2.</p><p><strong>Methods: </strong>Patients undergoing primary ACLR with an HT autograft were included and followed prospectively for 2 years to capture subsequent surgery events performed in either knee. The effect of HT autograft diameter on the risk of subsequent surgery was analyzed using multivariable regression modeling that adjusted for patient age, sex, body mass index, and Marx activity score.</p><p><strong>Results: </strong>Of 421 eligible patients, 381 (90.5%) had a minimum 2-year follow-up and were included in analysis. The median autograft diameter was 8.5 mm (interquartile range, 8.0-9.0 mm); 90.8% of patients received an autograft with a diameter ≥8 mm. There were 59 patients (15.5%) who underwent subsequent ipsilateral knee surgery, including 27 patients (7.1%) who had graft failure and underwent revision ACLR within 2 years. HT autograft diameter was not associated with the risk of all subsequent ipsilateral knee surgery (odds ratio [OR], 0.87 [95% CI, 0.56-1.36]; <i>P</i> = .536) or revision ACLR (OR, 0.71 [95% CI, 0.38-1.33]; <i>P</i> = .286). A Marx activity score ≥12 was associated with an increased risk of all subsequent ipsilateral knee surgery (OR, 2.55 [95% CI, 1.41-4.59]; <i>P</i> = .002). Younger age was associated with an increased risk of revision ACLR (OR, 0.16 [95% CI, 0.05-0.51]; <i>P</i> = .002).</p><p><strong>Conclusion: </strong>A minimum HT autograft diameter of 8 mm was not associated with the risk of revision ACLR or other subsequent surgery in the ipsilateral or contralateral knee. This study may guide intraoperative decision making regarding HT autograft implementation in ACLR.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251321831"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848234","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":"The Current State of American Flag Football Injuries Among Female Athletes: A 10-Year Epidemiological Review of National Injury Data.","authors":"Uma Balachandran, Niklas Koehne, Auston Locke, Charu Jain, Katrina S Nietsch, Mary K Mulcahey, Rachel M Frank, Lisa K Cannada, Robert L Parisien","doi":"10.1177/23259671251360345","DOIUrl":"10.1177/23259671251360345","url":null,"abstract":"<p><strong>Background: </strong>Flag football, a noncontact variant of American football, has gained significant interest in the United States and globally, which has been attributed to its accessibility, low cost, and perceived safety compared with traditional tackle football.</p><p><strong>Purpose: </strong>To identify the trends, primary mechanisms, and distributions of American flag football injuries among female athletes to better inform prevention and safety measures.</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Methods: </strong>Data analyzed in this study were extracted from the National Electronic Injury Surveillance System (NEISS), a public database representing approximately 100 US emergency departments (EDs) that provides national injury estimates. NEISS was queried for all flag football injuries in female patients from January 1, 2014, to December 31, 2023. Descriptive statistics were used to analyze the distribution of injury by age, mechanism, diagnosis, and body region. Linear regression was used to analyze changes in injury rates over time.</p><p><strong>Results: </strong>Across the study period, 605 female patients with flag football injuries were evaluated at US EDs, extrapolating to a national estimate (NE) of 22,666 injuries from 2014 to 2023. The highest frequency of injuries occurred in 2023 (NE = 3531; 15.6%) and the lowest in 2020 (NE = 436; 1.9%). The most common injury diagnosis was found to be strain/sprain (NE = 6835; 30.2%), with adolescents aged 11 to 20 years sustaining the greatest number of injuries across all diagnoses. The most commonly affected body part was the finger (NE = 137; 22.6%). When analyzing the mechanism of injury, the most common cause was fall, including fall on an outstretched hand (NE = 4321; 19.1%). In addition, the majority of patients were treated and released (NE = 22,253; 98.2%).</p><p><strong>Conclusion: </strong>This study demonstrated that from 2014 to 2023, female flag football injuries reported to US EDs remained relatively stable, dropping in 2020 during the COVID-19 pandemic and peaking in 2023. The most common injuries sustained by female athletes playing flag football were strains/sprains and fractures. Given the high prevalence of injuries sustained in the adolescent population, the use of appropriate protective gear should be emphasized to prevent a precipitous rise in injuries as the sport continues to grow in popularity throughout the country.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360345"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848233","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":"Association Between Lateral Femoral Condyle Height and Depth Ratio, Medial Tibial Plateau Slope, and Isolated Posterior Cruciate Ligament Rupture.","authors":"Kaijie Qiu, Canlong Wang, Linxiang Cheng, Yuxuan Zou, Chenchen Zhao, Zhaopeng Tang, Yang Fei, Jia Geng, Weiliang Shen, Guang Yang, Zongyou Pan","doi":"10.1177/23259671251356626","DOIUrl":"10.1177/23259671251356626","url":null,"abstract":"<p><strong>Background: </strong>The morphological features of the femoral condyles have recently attracted attention as a potential risk factor for knee injuries. However, little is known about whether the femoral condylar morphology is related to posterior cruciate ligament (PCL) injury.</p><p><strong>Purpose: </strong>To investigate whether the morphological characteristics of the femoral condyle are risk factors for isolated PCL rupture.</p><p><strong>Study design: </strong>Case-control study; Level of evidence, 3.</p><p><strong>Methods: </strong>From the patients who visited the outpatient clinic of our hospital between 2012 and 2022, we included 78 patients with isolated PCL ruptures and 78 age- and sex-matched controls with knee injury but no structural damage evident on magnetic resonance imaging (MRI). The following parameters were assessed using MRI: the lateral femoral condyle and medial femoral condyle height and depth ratio (LFC-H/D, MFC-H/D), notch width index, intercondylar notch angle, the lateral tibial plateau slope, and medial tibial plateau slope (MTPS), and medial tibial depth. Values were compared between these 2 groups using the independent <i>t</i> test and the Mann-Whitney <i>U</i> test. Univariate logistic regression analysis was subsequently performed to identify independent risk factors. Receiver operating characteristic curves were generated for the morphological indicators and the combination of risk factors.</p><p><strong>Results: </strong>Patients in the isolated PCL rupture group had significantly lower LFC-H/D (0.49 vs 0.52; <i>P</i> < .001) and MTPS (7.34 vs 8.81; <i>P</i> = .012) values compared with the control group. In sex-specific analyses, both male and female patients with isolated PCL rupture had a significantly lower LFC-H/D (female patients: 0.46 vs 0.52; <i>P</i> < .001; male patients: 0.51 vs 0.52; <i>P</i> = .035). In addition, male patients with PCL rupture had a smaller MTPS (6.74 mm vs 8.79 mm; <i>P</i> = .004). Univariate logistic regression analysis further validated LFC-H/D (odds ratio [OR], <0.001; <i>P</i> < .001) and MTPS (OR, 0.889; <i>P</i> = .014) as risk factors for isolated PCL rupture.</p><p><strong>Conclusion: </strong>A decreased LFC-H/D and a reduced MTPS were identified as risk factors for isolated PCL rupture. Sex-specific analysis further suggested that a decreased LFC-H/D was a risk factor for isolated PCL ruptures in both male and female patients, whereas a lower MTPS was a risk factor exclusively in male patients.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251356626"},"PeriodicalIF":2.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835985","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}