Orthopaedic Journal of Sports Medicine最新文献

{"title":"Corrigendum to \"External Validation of a Novel Landmark-Based Deep Learning Automated Tibial Slope Measurement Algorithm Applied on Short Radiographs Obtained in Patients With ACL Injuries\".","authors":"","doi":"10.1177/23259671251357595","DOIUrl":"https://doi.org/10.1177/23259671251357595","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23259671251333607.].</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251357595"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650046","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":"Does Patient Age Matter for Medial Patellofemoral Ligament Reconstruction? Patients ≥30 Years of Age Compared With Younger Patients.","authors":"John Heyniger, Jacob Ward, David C Flanigan, Eric M Milliron, Parker A Cavendish, Christopher C Kaeding, Robert A Magnussen","doi":"10.1177/23259671251324495","DOIUrl":"10.1177/23259671251324495","url":null,"abstract":"<p><strong>Background: </strong>Medial patellofemoral ligament (MPFL) reconstruction is a common procedure to treat recurrent patellar instability. Outcomes in older patients after this procedure have been less frequently reported in the literature.</p><p><strong>Hypothesis: </strong>Patients ≥30 years of age would demonstrate similar subsequent dislocation risk and patient-reported outcomes (PROs) after MPFL reconstruction to younger patients.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>A retrospective review was undertaken to identify patients who underwent isolated MPFL reconstruction between 2008 and 2020. Patients were categorized into 2 groups based on age ≥30 years or <30 years at the time of surgery. Subsequent patellar dislocation risk and PROs (Knee injury and Osteoarthritis Outcome Score [KOOS], Norwich score, and Marx activity score) were compared between groups. PROs were compared controlling for anatomic and other demographic differences between groups.</p><p><strong>Results: </strong>A total of 228 patients underwent isolated MPFL reconstruction in the study period; 177 patients (78%) were assessed for subsequent patellar dislocation a minimum of 1 year postoperatively (median, 3.4 years). The study included 140 patients <30 years of age at surgery and 37 patients ≥30 years of age at surgery. Subsequent dislocation occurred in 9 patients (5.1%), including 7 patients <30 years (5.0% subsequent dislocation risk) and 2 patients ≥30 years (5.4% subsequent dislocation risk; <i>P</i> > .99). In total, 147 patients completed PRO score surveys at a median of 3.8 years postoperatively. Patients ≥30 years at surgery (n = 31) had poorer KOOS pain (82.1 vs 91.7; <i>P</i> = .03), KOOS activities of daily living (94.1 vs 97.1; <i>P</i> = .04), and Marx activity score (1 vs 7; <i>P</i> < .001) compared with the patients <30 years (n = 116). After adjusting for anatomic and demographic factors, KOOS pain subscale values were significantly poorer for patients ≥30 years (β = -4.3; 95% CI, -8.3 to -0.2; <i>P</i> = .04). No differences in Norwich score or other KOOS subscale values were noted.</p><p><strong>Conclusion: </strong>Patients ≥30 years at the time of MPFL reconstruction demonstrate similar subsequent dislocation risk but poorer KOOS pain subscale and Marx activity values than patients <30 years at the time of MPFL reconstruction.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251324495"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650047","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 Suture Fixation of the Lateral Meniscus to the Popliteal Tendon: A Biomechanical Evaluation.","authors":"Sina Gräber, Josephine Becker, Andrzej Jasina, Jan-Oliver Sass, Jessica Hembus, Rainer Bader, Parisa Pourostad, Thomas Tischer, Christoph Lutter","doi":"10.1177/23259671251338306","DOIUrl":"10.1177/23259671251338306","url":null,"abstract":"<p><strong>Background: </strong>Lesions of the posterolateral parts of the lateral meniscus are commonly treated with all-inside suture repair. The popliteal tendon is one of the few anatomic structures available to attach these anchor systems. However, this method is controversial and its biomechanical effects are unknown.</p><p><strong>Hypothesis: </strong>Suture fixation of the lateral meniscus to the popliteal tendon significantly affects the mobility of both structures involved.</p><p><strong>Study design: </strong>Descriptive laboratory study.</p><p><strong>Methods: </strong>Six fresh-frozen human knee specimens were tested using a biaxial servohydraulic testing machine. Ten loading cycles of ±10° internal-external rotation were performed under 100 N axial load and 30° joint flexion. The popliteal muscle was constantly loaded with 44 N. A 3-dimensional optical measurement system recorded the movement of the lateral meniscus, popliteal tendon, and lateral femoral condyle. The resultant torque was also measured. Each knee joint was tested without and with suture fixation of the lateral meniscus to the popliteal tendon. All-inside suture repairs were performed under arthroscopic control.</p><p><strong>Results: </strong>Fixation of the lateral meniscus to the popliteal tendon resulted in a significant reduction in both (absolute and relative) movement of the components involved. On average, the absolute displacement of the lateral meniscus decreased by 34.3% (1.2 mm; <i>P</i> < .001) and that of the popliteal tendon proximal to the suture by 18.8% (0.3 mm; <i>P</i> = .02). There was a 23.5% (0.8 mm; <i>P</i> < .001) reduction in relative movement between the lateral femoral condyle and lateral meniscus, a 17.1% (0.6 mm; <i>P</i> = .004) reduction between the lateral femoral condyle and popliteal tendon distal to the suture, and a 25.0% (0.7 mm; <i>P</i> < .001) reduction between the lateral meniscus and popliteal tendon proximal to the suture. Regarding the measured torque, a significant reduction of 2.0 Nm (18.2%; <i>P</i> = .04) was measured for femoral internal rotation.</p><p><strong>Conclusion: </strong>All-inside suture fixation of the lateral meniscus to the popliteal tendon shows significant biomechanical effects.</p><p><strong>Clinical relevance: </strong>Our results suggest increased tension on the suture with possible implications for meniscal healing. These findings may require adaptation of postoperative management, considering more restrictive treatments or resorbable suture anchors.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251338306"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650045","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 Use of the H-index and Research Interest Score as Indices for Rank and Promotion in Academic Sports Medicine Orthopaedic Surgery in the United States.","authors":"Jonathan P Clausen, Maksym Bartashevskyy, Ross Clarke, Jeffery H Choi, Emily J Curry, Molly M Vora, Daniel Pare, Noorullah Maqsoodi, Robert L Parisien, Xinning Li","doi":"10.1177/23259671251351331","DOIUrl":"10.1177/23259671251351331","url":null,"abstract":"<p><strong>Background: </strong>The h-index helps quantify an individual's academic contributions and is widely used for academic promotion. A new bibliometric, called the Research Interest (RI) score, is now also being used to measure academic productivity.</p><p><strong>Purpose: </strong>To (1) determine whether the h-index and the RI score are associated with academic rank and other common metrics considered in academic promotion for sports medicine orthopaedic surgeons in the United States; (2) conduct a secondary analysis to find any correlations between patient satisfaction and h-index, RI score, or academic rank.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A list of 183 orthopaedic surgery residency programs was generated using the American Medical Association's Fellowship and Residency Interactive Database Access System. Academic sports medicine orthopaedic surgeons were identified through institutional and personal websites/profiles. The Scopus database was queried to determine the h-index for each surgeon. RI scores were identified through the ResearchGate website. Patients' satisfaction scores were obtained with Vitals and HealthGrade.</p><p><strong>Results: </strong>In total, 835 academic sports medicine orthopaedic surgeons were identified in the United States. H-indices increased with higher academic rank: 6.5 for instructors/other, 6.8 for assistant professors, 14.4 for associate professors, and 29.9 for professors. RI scores also increased with higher academic rank: 363, 503.3, 850.1, and 2893.6, respectively. However, there was no correlation between the h-index and the RI score (<i>r</i> < .001). The mean h-indices for each region of the country (West, Midwest, South, and Northeast) were found to be 16.27, 15.26, 11.49, and 15.74, respectively. South versus West and South versus Northeast had significant differences. No correlation was found between patients' satisfaction scores and h-index, RI score, and academic rank.</p><p><strong>Conclusion: </strong>The h-index is a valid measure of academic productivity and rank among academic sports medicine surgeons in the United States. Some regional differences exist in the h-index score. Both the h-index and the RI score increased with higher academic rank, but they were not correlated. No correlation was found between patient satisfaction scores and academic productivity indices. The RI score has potential bibliometric use, but further research is warranted on its validity as a productivity measure before its inclusion for academic promotion.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251351331"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659761","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":"Risk Contributors for Shoulder Injuries Among Adolescent Tennis Participants: A Prospective Group Study.","authors":"Pengju Xie","doi":"10.1177/23259671251351322","DOIUrl":"10.1177/23259671251351322","url":null,"abstract":"<p><strong>Background: </strong>Tennis is a popular sport among adolescents, but the repetitive overhead motions can lead to shoulder injuries. The risk factors for shoulder injuries in this population are not well understood.</p><p><strong>Purpose: </strong>To identify risk factors for shoulder injuries in adolescent tennis players and examine potential interactions between these factors.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 2.</p><p><strong>Methods: </strong>Adolescent tennis players (N = 350; aged 12-18 years) were followed for 24 months. Baseline data on demographics, tennis experience, training volume, physical characteristics, and psychological factors were collected. Shoulder injuries (defined as any shoulder pain or dysfunction requiring ≥48 hours of time loss from tennis participation and medical attention) were recorded monthly. Cox proportional HR analysis with univariate and multivariate models was used to identify risk factors, with statistical significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>A total of 88 players (25.1%) sustained shoulder injuries. Significant risk factors included age (hazard ratio [HR], 1.42; 95% CI, 1.16-1.74), years of playing tennis (HR, 1.25; 95% CI, 1.10-1.42), weekly training hours (HR, 1.18; 95% CI, 1.09-1.28), shoulder external/internal rotation strength ratio (HR, 3.12; 95% CI, 1.63-5.98), scapular dyskinesis (HR, 2.76; 95% CI, 1.46-5.22), and high levels of competitive anxiety (HR, 2.15; 95% CI, 1.24-3.73). Playing on hard courts increased injury risk compared with clay (HR, 1.68; 95% CI, 1.05-2.69) or grass courts (HR, 1.92; 95% CI, 1.14-3.24). Significant interactions were found between age and training volume (<i>P</i> = .01) and between shoulder strength ratio and scapular dyskinesis (<i>P</i> = .02).</p><p><strong>Conclusion: </strong>Our study demonstrated that multiple interacting factors contribute to shoulder injury risk in adolescent tennis players. Age, tennis experience, training volume, shoulder muscle imbalance, scapular dyskinesis, competitive anxiety, and playing surface were identified as significant risk factors. These findings can guide the development of targeted prevention strategies to reduce shoulder injury risk in adolescent tennis players.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251351322"},"PeriodicalIF":2.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643127","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":"Opioid Consumption Following Anterior Cruciate Ligament Reconstruction: A Systematic Review.","authors":"Martina E Hale, Michael S Ramos, Collin J Laporte, Theresa Kline, Kurt P Spindler, Michael J Scarcella","doi":"10.1177/23259671251353751","DOIUrl":"10.1177/23259671251353751","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Uniform, data-driven guidelines for oral opioid prescriptions after anterior cruciate ligament reconstruction (ACLR) are lacking.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To provide a concise, systematic review of literature quantifying postoperative opioid pill consumption in patients who underwent ACLR.&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 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a literature search was performed using Ovid MEDLINE, Ovid Embase, Scopus, and Cochrane CENTRAL databases from inception to August 12, 2022. Search terms included \"anterior cruciate ligament reconstruction,\" \"opiate alkaloids,\" \"hydrocodone,\" \"oxycodone,\" and \"narcotics.\" In total, 752 unique studies were identified. Studies were included if they quantified postoperative oral opioid consumption for ≥4 postoperative days. Exclusion criteria included pediatric studies, abstracts or conference papers, reviews, unpublished randomized controlled trials, case reports, and papers not in the English language. For each included study, the following data were extracted: number of pills in initial prescription, type of pill prescribed, and size of any additional prescriptions given after initial prescription. We also recorded the intervention or context for which prescription size was being investigated. The methodological index for non-randomized studies criteria were used to evaluate the quality of all included studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 20 articles were included in the study. For all studies, regardless of postoperative period length, oral opioid consumption ranged from 2.3 ± 2.9 tablets of 5-mg oxycodone (17.3 MMEs) to 32.2 ± 15.9 tablets of 5-mg oxycodone (242 MMEs). Specifically, for studies reporting on oral opioid consumption within the first 7 postoperative days, consumption ranged from 3.0 tablets of 5-mg oxycodone to 32.2 tablets of 5-mg oxycodone. No study reported consumption &gt;35 tablets. Effective ways to decrease postoperative opioid consumption included preoperative adductor canal blocks, intraoperative bupivacaine local anesthetic injection, and postoperative multimodal analgesic regimens.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our review demonstrated that several pre- and postoperative interventions, including preoperative regional nerve blocks, use of infiltrative local anesthetics like bupivacaine or a similar agent, as well as multimodal analgesic regimens, can decrease perioperative pain and therefore decrease postoperative oral opioid consumption. Due to the heterogeneity of the available literature, no conclusions can be made as to what single nonopioid analgesic, or combination thereof, is optimal. However, this systematic review sets the foundation for future studies investigating opioid consumption in settings of nonopioid analgesic medications such as ketorolac and multimodal analgesic","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251353751"},"PeriodicalIF":2.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643126","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 Patellar Instability and Increased Supratrochanteric Torsional Malalignment.","authors":"Aytek Hüseyin Çeliksöz, Yakup Alpay, Atakan Ezici, Tahir Koray Yozgatlı, Ali Engin Daştan, Arman Vahabi, Baris Kocaoglu","doi":"10.1177/23259671251353754","DOIUrl":"10.1177/23259671251353754","url":null,"abstract":"<p><strong>Background: </strong>Recurrent patellar dislocation (RPD) is a common condition, particularly in adolescents, with several anatomic factors, such as increased femoral torsion, contributing to its development. Accurate assessment of these factors is essential for effective diagnosis and treatment planning.</p><p><strong>Purpose: </strong>To examine the correlation between femoral torsion and RPD and to measure the level of torsion using magnetic resonance imaging (MRI).</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>A total of 212 individuals were initially screened. Of these, 22 patients (31 femurs) who satisfied the inclusion criteria were included in the final analysis as the study group. The control group consisted of 28 patients (28 femurs) without a history of RPD. MRI measurements were conducted across 3 distinct axial sections. Supratrochanteric torsion (STT) value, infratrochanteric torsion (ITT) value, and femoral anteversion were analyzed utilizing T2-weighted turbo spin-echo sections. The distribution of the variables was determined using the Kolmogorov-Smirnov test. The independent-samples <i>t</i> test and chi-square test were used to analyze quantitative independent data. The Fisher exact test was used when the conditions appropriate for the chi-square test were not met.</p><p><strong>Results: </strong>The mean femoral anteversion was higher in the patellar dislocation group, with a statistically significant difference (20.1 ± 3.8 vs 11.5 ± 1.8; <i>P</i> = .0001). The mean STT was significantly greater in the patellar dislocation group (41.3 ± 7.6 vs 35.2 ± 3.1; <i>P</i> = .0002). The mean ITT values were comparable between the groups (22.7 ± 2.8 vs 23.7 ± 2.3; <i>P</i> = .14).</p><p><strong>Conclusion: </strong>Our results indicate that increased femoral anteversion in RPD originates from the supratrochanteric region of the femur. Future large-scale studies, specifically focusing on the relationship between femoral anatomic variables and patellar instability, could yield significant insights into this matter.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251353754"},"PeriodicalIF":2.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643125","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":"Stereophotogrammetry for 3-Dimensional Kinematic Analysis in Rotator Cuff Tears: An Experimental Study Assessing Correlation with Clinical Scores.","authors":"Letizia Mancini, Arianna Carnevale, Matilde Mancuso, Antonio Cerasa, Giovanni Pioggia, Ara Nazarian, Emiliano Schena, Rocco Papalia, Umile Giuseppe Longo","doi":"10.1177/23259671251332964","DOIUrl":"10.1177/23259671251332964","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tears (RCTs) are a significant cause of shoulder pain and disability. In clinical practice, assessing a patient's rotator cuff health status generally includes multiple questionnaire-based clinical scales. Optoelectronic motion capture systems, currently considered the gold standard, can be used to assess shoulder 3-dimensional (3D) kinematics quantitatively. Identifying new, hitherto unexplored relationships between kinematic parameters and clinical scores may help provide new insights into the management of patients with RCTs.</p><p><strong>Purpose: </strong>To investigate the correlations between the most common clinical scores for evaluating patients with RCT and objective kinematic measures retrieved by optoelectronic motion capture systems.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>A total of 102 patients with RCT were enrolled to evaluate correlations between clinical scores (eg, Shoulder Pain and Disability Index [SPADI] score and Oxford Shoulder Score [OSS]) and kinematic measurements (range of motion [ROM] and peaks) obtained using a 3D optoelectronic analysis system while performing 4 tasks. The relationship between these variables was evaluated using the Spearman correlation analysis.</p><p><strong>Results: </strong>The results revealed moderate to weak correlations between some kinematic variables and clinical scales, varying by the kinematic variable type, the task performed, and the specific clinical scale. A moderate correlation was found between the SPADI score and peaks during flexion (ρ = -0.485; <i>P</i> < .001) and abduction (ρ = -0.493; <i>P</i> < .001). Another moderate correlation was found between the OSS and ROM in flexion (ρ = -0.428; <i>P</i> < .001) and abduction (ρ = -0.415; <i>P</i> < .001); additionally, a moderate correlation was found between the OSS and peaks in flexion (ρ = -0.403; <i>P</i> < .001) and abduction (ρ = -0.407; <i>P</i> < .001). Other significant correlations were identified between kinematic measures and clinical outcomes, albeit of fair intensity, between visual analog scale score and ROM and peaks in flexion, abduction, and external rotation.</p><p><strong>Conclusion: </strong>This study emphasizes the necessity of a multidimensional approach to managing RCT, showing that only moderate correlations exist between some kinematic measurements and outcome scores, such as the SPADI score and OSS. Furthermore, measures like the American Shoulder and Elbow Surgeons and visual analog scale scores display even weaker, fair correlations. This discrepancy suggests the need for complementary tools to comprehensively evaluate a patient's rotator cuff health status.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251332964"},"PeriodicalIF":2.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626898","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":"Simulated Biomechanical Analysis of Optimal Knee Alignment for Treating Medial Meniscus Posterior Root Tears.","authors":"Takaaki Hiranaka, Adam Garry Redgrift, Yizhao Li, Larissa Michele Madia, Ryan Willing, Alan Getgood","doi":"10.1177/23259671251344944","DOIUrl":"10.1177/23259671251344944","url":null,"abstract":"<p><strong>Background: </strong>Medial opening-wedge high tibial osteotomy (MOWHTO) is used to correct varus alignment; however, the optimal knee alignment during MOWHTO for medial meniscus posterior root tears (MMPRTs) remains unclear.</p><p><strong>Purpose: </strong>To determine the optimal biomechanical knee alignment for MMPRT treatment during MOWHTO.</p><p><strong>Study design: </strong>Controlled laboratory study.</p><p><strong>Methods: </strong>This study used 10 fresh-frozen cadaveric legs from human donors (mean age, 61.3 years [range, 33-75 years]). A joint motion simulator assessed the weightbearing line (WBL) from 30% to 70% (0%: medial border; 100%: lateral border), simulating MOWHTO. Tibiofemoral peak contact pressure (PCP) and mean contact pressure (MCP) were measured using a pressure sensor under a 700-N load. MMPRTs were created via a femoral posterior approach and repaired with suture anchors. Measurements were taken in the intact, MMPRT, and repair conditions at alignments of 30% to 70% WBL, with neutral alignment defined as 50% WBL. Statistical analysis was performed using one-way analysis of variance with the Tukey post hoc test.</p><p><strong>Results: </strong>In the medial compartment, PCP was increased by 43% in the MMPRT condition compared with the intact condition at neutral alignment (<i>P</i> = .012). MCP was also significantly increased by 57% in the MMPRT condition compared with the intact condition (<i>P</i> = .006). At varus alignment, PCP and MCP increased in all conditions, with the largest statistically significant differences observed at 30% WBL (<i>P</i> = .002 and <i>P</i> < .001, respectively). PCP and MCP at neutral alignment in the intact condition were comparable with those at 60% to 65% WBL in the MMPRT condition and at 50% to 55% WBL in the repair condition. In the lateral compartment, PCP and MCP increased at valgus alignment, with no significant differences among conditions.</p><p><strong>Conclusion: </strong>MCP at neutral alignment in the intact condition was similar to that at 60% to 65% WBL in the MMPRT condition and at 50% to 55% WBL in the repair condition, indicating optimal biomechanical alignment targets for MOWHTO in patients with MMPRTs. 50-55% WBL corresponds to slight valgus alignment. Neutral alignment was not considered ideal in this context.</p><p><strong>Clinical relevance: </strong>These findings provide biomechanical evidence to guide optimal knee alignment during MOWHTO for MMPRTs, potentially improving patient outcomes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251344944"},"PeriodicalIF":2.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626896","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":"Morphological Condition of the Remnant Tissue of 205 Patients According to the Time After Anterior Cruciate Ligament Injury.","authors":"Dai Sato, Toshifumi Murakami, Eiji Kondo, Norimasa Iwasaki, Masayuki Inoue","doi":"10.1177/23259671251350402","DOIUrl":"10.1177/23259671251350402","url":null,"abstract":"<p><strong>Background: </strong>The adequate preservation of the anterior cruciate ligament (ACL) remnant at the time of ACLR (ACLR) may improve postoperative clinical outcomes.</p><p><strong>Purpose: </strong>To determine the optimal time to perform remnant-preserving ACLR relative to ACL injury and, to this end, to evaluate the condition of the ACL remnant retrospectively at different time points after injury.</p><p><strong>Study design: </strong>Cross-sectional study. Level of evidence 3.</p><p><strong>Methods: </strong>Our study cohort comprised 205 patients who underwent ACLR. The patients were divided into 6 groups according to the time between injury and assessment in 2-week intervals up to 12 weeks. Based on their location and volume of the ACL remnant on arthroscopic images, the remnants were classified as follows using the modified Crain criteria: type 1, scarring to the posterior cruciate ligament; type 2, remnant attached to the notch; type 3, remnant attached to the femoral wall; type 4, resorption of the remnant; and type 5, remnant frayed like a mop end.</p><p><strong>Results: </strong>The time after injury significantly correlated with the remnant tissue condition (<i>P</i> < .0001). Residual analysis revealed that Type 5 remnants were most common (<i>P</i> < .0001) and type 3 remnants were the least common (<i>P</i> < .0001) at 0 to 2 weeks after injury. Type 3A, 3B and 3C remnants were most common at 2 to 4 weeks after injury (<i>P</i> < .0001, <i>P</i> < .0001, and <i>P</i> = .0002, respectively).</p><p><strong>Conclusion: </strong>Adequate remnant tissue (type 3) remained in the subacute phase (2 to 4 weeks) after ACL injury, whereas complete rupture of the remnant (type 4) was observed in the acute phase (0 to 2 weeks).</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 7","pages":"23259671251350402"},"PeriodicalIF":2.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626894","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}