Orthopaedic Journal of Sports Medicine最新文献

{"title":"Lead and Back Hip Flexion-Extension Excursion: A Biomechanical Analysis in High School Baseball Pitchers.","authors":"Joseph E Manzi, Brittany Dowling, Kyle Kunze, Nicolas Trauger, Srino Bharam, Etan P Sugarman, Stephen J Nicholas, Joshua S Dines","doi":"10.1177/23259671251335979","DOIUrl":"10.1177/23259671251335979","url":null,"abstract":"<p><strong>Background: </strong>Relationships between the back leg's lumbopelvic control and throwing arm kinetics have been established in throwing athletes. However, little literature has established normative values for in-pitch hip flexion parameters as well as the role that hip flexion-extension excursion may play in the generation of throwing arm kinetics and ball velocity.</p><p><strong>Purpose: </strong>(1) To establish normative values for lead and back hip flexion for high school (HS) pitchers and (2) to investigate the relationship of lead and back hip flexion-extension excursion with throwing arm kinetics, full body kinematics, and ball velocity.</p><p><strong>Study design: </strong>Descriptive laboratory study.</p><p><strong>Methods: </strong>A total of 56 HS pitchers, who were instructed to throw 8 to 12 fastball pitches, were evaluated with 3-dimensional motion capture. The mean normative values of lead and back hip flexion-extension excursion were calculated and compared with an internal database of professional pitchers for comparison. HS pitchers were then divided into quartiles based on \"high\" and \"low\" lead and back hip flexion-extension excursion. Multiple regression models examined the association of lead and back hip excursion, controlling for anthropometric parameters, with ball velocity and throwing arm kinetics.</p><p><strong>Results: </strong>HS pitchers had decreased lead hip (43°± 14° vs 48°± 14.6°, respectively; <i>p</i> = .038) and back hip (50°± 18° vs 56°± 15°, respectively; <i>p</i> = .009) flexion excursion compared with professional pitchers. Pitchers with low lead hip and low back hip excursion also had significantly less shoulder internal rotation torque (3.5%BW × BH vs 4.5%BW × BH and 4.4%BW × BH, respectively; <i>P</i> <sub>max</sub> = .03), shoulder anterior force (30.4%BW vs 36.3%BW and 35.8%BW, respectively; <i>P</i> <sub>max</sub> = .03), elbow varus torque (3.3%BW × BH vs 4.3%BW × BH and 4.2%BW × BH, respectively; <i>P</i> <sub>max</sub> = .02), and elbow medial force (27.1%BW vs 35.5%BW and 34.1%BW, respectively; <i>P</i> <sub>max</sub> = .03) compared with pitchers with high lead hip and high back hip excursion as well as pitchers with high lead hip and low back hip excursion. When controlling for anthropometric parameters, lead and back hip excursion were not strongly predictive for ball velocity (<i>P</i> > .05). Only back hip excursion was moderately predictive for shoulder anterior force (<i>P</i> = .04; B = 0.118 [confidence interval 0.006-0.230]; β = 0.272).</p><p><strong>Conclusion: </strong>HS pitchers had less lead and back hip flexion-extension excursion compared with professional pitchers. Lead and back hip flexion-extension excursion likely play small roles in ball velocity for HS pitchers; however, increased back hip flexion-extension excursion may be a risk factor for higher shoulder anterior force.</p><p><strong>Clinical relevance: </strong>Establishing normative values for hip flexion","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251335979"},"PeriodicalIF":2.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554096","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":"Transcatheter Arterial Embolization of Abnormal Neovessels for Patellar Tendinopathy: A Safety Evaluation: A Proof-of-Concept Study.","authors":"Shohei Inui, Kentaro Onishi, Anderson Tomoyuki Kochi, Masahiko Shibuya, Koichi Miyazaki, Masaya Nakata, Atsuhiko Kawabe, Takashi Nakasone, Nobuaki Sakai, Yuji Okuno","doi":"10.1177/23259671251337093","DOIUrl":"10.1177/23259671251337093","url":null,"abstract":"<p><strong>Background: </strong>Patellar tendinopathy (PT) is common among athletes, and the current care is largely palliative.</p><p><strong>Purpose: </strong>To evaluate the safety of transcatheter arterial embolization (TAE) in patients with PT refractory to nonoperative treatments.</p><p><strong>Study design: </strong>Case series; Level of evidence, 4.</p><p><strong>Methods: </strong>This was a multicenter, retrospective study in which recalcitrant PT was treated using TAE. TAE was performed by infusing temporary embolic material through a catheter inserted into the targeted genicular artery. Complications, numeric rating scale (NRS) for pain, Victorian Institute of Sport Assessment for the patella (VISA-P), time to return to training, and ultrasound findings were reported.</p><p><strong>Results: </strong>Between March 2017 and February 2023, a total of 98 patients with PT underwent TAE. Nine patients were lost to follow-up, and the remaining 89 patients (69 male; mean age, 26.1 ± 11.9 years) were followed up for 1 to 7 years (mean, 31.2 ± 16.1 months) after TAE. No major complications were observed. Mean VISA-P score improved from 24.9 ± 15.3 at baseline to 43.2 ± 21.6, 55.2 ± 22.3, and 67.4 ± 24.7, at 1, 3, and 6 months of follow-up, respectively. Mean NRS for pain improved from 7.6 ± 1.4 at baseline to 4.5 ± 2.3, 3.5 ± 2.4, and 2.7 ± 2.4 at the corresponding time points. VISA-P and NRS scores were 74.6 ± 26.2 and 2.3 ± 2.7, respectively, at the final follow-up. Mean times for return to light and full training were 7.8 ± 8.7 and 14.3 ± 11.5 weeks, respectively. Ultrasound demonstrated decreased patellar tendon thickness (9.5 ± 1.8 mm at baseline vs 6.6 ± 1.3 mm at the final follow-up) without tendon ruptures.</p><p><strong>Conclusion: </strong>TAE can be considered a safe alternate to existing treatment options for recalcitrant PT. A randomized controlled trial is required to elucidate its efficacy.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251337093"},"PeriodicalIF":2.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554119","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":"Is There a Relationship Between Grip Strength and Injuries in Professional Baseball Players: Response.","authors":"Brandon J Erickson, Paul Buchheit, Joseph Rauch, Michael G Ciccotti, Ryan W Paul, Steven B Cohen","doi":"10.1177/23259671251342817","DOIUrl":"10.1177/23259671251342817","url":null,"abstract":"","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251342817"},"PeriodicalIF":2.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554094","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":"Open Versus Arthroscopic Fixation of Tibial-Sided Posterior Cruciate Ligament (PCL) Avulsion Fractures in Pediatric and Adolescent Athletes.","authors":"Evan W Beatty, Joshua H Pang, Michael Quinn, Yi-Meng Yen, Dennis E Kramer, Mininder S Kocher, Benton E Heyworth","doi":"10.1177/23259671251350304","DOIUrl":"10.1177/23259671251350304","url":null,"abstract":"<p><strong>Background: </strong>Posterior cruciate ligament (PCL) avulsion fractures pose unique technical challenges for surgical fixation in the pediatric and adolescent population. Both arthroscopic and open management have been pursued; nonetheless, the literature is devoid of comparative studies elucidating factors for technique selection or relative outcomes.</p><p><strong>Purpose: </strong>To compare the demographic characteristics, presenting features, clinical course, return to sports (RTS), patient-reported outcomes (PROs), and complications associated with open and arthroscopic fixation cohorts of pediatric patients who sustained an isolated tibial-sided PCL avulsion fracture.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>A medical record review was performed for all patients aged 8 to 19 years who underwent operative fixation of a tibial-sided PCL avulsion fracture between 2003 and 2021 at a single pediatric tertiary referral center. Patients were excluded if they sustained a femoral-sided avulsion fracture, underwent a PCL reconstruction, or presented with multiligamentous knee injury requiring surgical intervention for >1 ligament. All patients were sent 3 PRO instruments validated for children: Pediatric International Knee Documentation Committee, Knee injury and Osteoarthritis Outcome Score-Child, and Hospital for Special Surgery Functional Activity Brief Scale.</p><p><strong>Results: </strong>A total of 20 patients met the inclusion criteria, of whom 10 patients were treated with open fixation and 10 with arthroscopic fixation. Also, 15 (75%) patients (7 open, 8 arthroscopic) returned PROs. No differences were detected in demographic characteristics, RTS, or PROs between cohorts. One patient in the open cohort developed a deep-tissue infection in the popliteal fossa, requiring open irrigation and debridement. One patient in the arthroscopic cohort eventually required PCL reconstruction for fracture nonunion associated with persistent instability.</p><p><strong>Conclusion: </strong>No differences in outcomes were detected in this study between cohorts of pediatric patients undergoing open and arthroscopic fixation of tibial-sided PCL avulsion injuries. Regardless of surgical technique, most patients healed without complications and returned to high activity levels. Given the postoperative complications seen in the arthroscopic cohort, further research is needed to investigate the potential biomechanical superiority of open technique fixation constructs.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251350304"},"PeriodicalIF":2.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529137","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":"Differences in Glenohumeral Range of Motion, Shoulder Strength, and Humeral Torsion Between Right- and Left-handed High School Baseball Pitchers.","authors":"Hitoshi Shitara, Tsuyoshi Tajika, Tsuyoshi Ichinose, Tsuyoshi Sasaki, Noritaka Hamano, Masataka Kamiyama, Ryosuke Miyamoto, Kurumi Nakase, Fukuhisa Ino, Takuma Kachi, Yuhei Hatori, Koichiro Yanai, Atsushi Yamamoto, Kenji Takagishi, Hirotaka Chikuda","doi":"10.1177/23259671251349721","DOIUrl":"10.1177/23259671251349721","url":null,"abstract":"<p><strong>Background: </strong>Differences in shoulder range of motion (ROM), shoulder muscle strength, and humeral torsion between left- and right-handed high school baseball pitchers remain poorly characterized.</p><p><strong>Hypothesis: </strong>Similar differences in shoulder ROM, strength, and humeral torsion between right-handed pitchers (RHPs) and left-handed pitchers (LHPs) observed in professionals will also be present in high school pitchers, with potential variations due to developmental stages.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>The authors included 921 high school baseball pitchers (706 RHPs and 215 LHPs) and evaluated their age, height, weight, body mass index, baseball experience, shoulder ROM, and muscle strength. Humeral torsion was measured in 211 RHPs and 57 LHPs. The Mann-Whitney <i>U</i> test was performed to determine the differences between the RHPs and LHPs and between the dominant and nondominant sides in each group. Pearson correlation analysis was performed to test the relationship between humeral torsion and shoulder ROM. Logistic regression analysis was conducted to determine the independent factors associated with LHP.</p><p><strong>Results: </strong>LHPs exhibited increased nondominant external rotation (ER) (103.1° vs 100.0°; <i>P</i> = .004), dominant horizontal adduction (HA) (23.0° vs 19.6°; <i>P</i> = .015), and side-to-side ratio in prone internal rotation (PIR) strength (107.6% vs 98.3%; <i>P</i> < .001) compared with RHPs. Additionally, LHPs were shorter (171.4 vs 172.9 cm; <i>P</i> = .002) with lower side-to-side differences in ER (5.7° vs 8.9°; <i>P</i> < .001) and HA (-6.5° vs -11.3°; <i>P</i> < .001), dominant prone ER (PER) strength (15.4 vs 16.8 kgf; <i>P</i> = .040), side-to-side ratio in PER strength (93.1% vs 103.7%; <i>P</i> < .001), and side-to-side differences in humeral torsion (5.8° vs 9.9°; <i>P</i> = .011) compared with RHPs. After adjusting for confounding factors, a smaller side-to-side ratio in PER strength (<i>P</i> < .001; OR, 0.911) and larger side-to-side ratio in PIR strength (<i>P</i> < .001; OR, 1.031) were independent factors associated with being an LHP.</p><p><strong>Conclusion: </strong>LHPs have a decreased side-to-side ratio in PER strength and increased side-to-side ratio in PIR strength compared with RHPs. These findings suggest that shoulder-related biomechanical differences between right- and left-handed pitchers are evident in high school athletes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251349721"},"PeriodicalIF":2.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529134","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 the 2021 MLB Foreign Substance Policy on Pitcher Injury Rates and Statistics.","authors":"S Andrew Samborski, Neal ElAttrache, Steven Karnyski, Brooke Bergeron, Karen Ladnier, Michael Banffy","doi":"10.1177/23259671251346984","DOIUrl":"10.1177/23259671251346984","url":null,"abstract":"<p><strong>Background: </strong>Major League Baseball (MLB) implemented a new foreign substance policy in June 2021. The effect of the new policy on pitcher injuries, wild pitches, hit batters, and pitching statistics is unknown.</p><p><strong>Purpose: </strong>To determine the effect of the new foreign substance policy regarding grip enhancement before and after its implementation on pitcher injury rate, wild pitches, hit batters, base on balls, strikeouts (SO), and home runs (HR).</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Methods: </strong>MLB pitchers from the 2019 season were retrospectively compared with the pitchers from the 2022 season. Data were retrospectively collected on injuries and pitching statistics utilizing publicly available data. Primary outcome measures included pitcher injury rate, wild pitches, and hit batters. Secondary outcome measures included base on balls, SO, and HR. A nonparametric Wilcoxon rank-sum test was utilized for computing <i>P</i> values when comparing unadjusted non-normally distributed continuous outcomes and covariates between 2019 and 2022, which was adjusted for number of batters faced using either a linear regression model for adjusting means or a quantile regression model for adjusting medians.</p><p><strong>Results: </strong>In total, 828 pitchers in the 2019 season and 867 pitchers in the 2022 season were evaluated and included in this analysis. Pitcher overall injury rate per 1000 batters faced, hit batters, and SO did not show a statistical difference (<i>P</i> > .05). There was a statistically significant decrease in the adjusted number of wild pitches (2.9 vs 2.51; <i>P =</i> .04), adjusted earned run average (ERA) (4.51 vs 3.75; <i>P</i> < .01), adjusted base on balls (22.6 vs 21.1; <i>P =</i> .04), and adjusted HR (8.1 vs 6.1; <i>P</i> < .01) between the 2019 and 2022 seasons (<i>P</i> < .05).</p><p><strong>Conclusion: </strong>Our study showed that the effect of MLB policy enforcement regarding grip enhancement did not demonstrate a change in pitcher injury rate, hit batters, or SO; however, there was a significant decrease in wild pitches, ERA, and base on balls. As a result, the new policy appears to maintain previous injury rate and pitching statistics while attempting to control for foreign substance use.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251346984"},"PeriodicalIF":2.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529165","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":"Heated Irrigation Fluids Did Not Reduce the Prevalence of Rectally Measured Hypothermia During Hip Arthroscopic Surgery Compared With Room-Temperature Fluids: A Prospective Randomized Trial.","authors":"Ahmet Fırat, Enejd Veizi, İlknur Kalaycı, Başak Sinem Sezgin, Yasin Erdoğan, Safa Gürsoy, Bruno Capurro-Soler, Christos Koutserimpas","doi":"10.1177/23259671251350401","DOIUrl":"10.1177/23259671251350401","url":null,"abstract":"<p><strong>Background: </strong>Close monitoring and heated irrigation fluids have been frequently used to avoid hypothermia and associated complications during hip arthroscopic surgery. Saline fluids are used extensively in hip arthroscopic surgery, but they are routinely stored at room temperature and are cooler than the patient's core temperature.</p><p><strong>Purpose: </strong>To investigate the efficacy of heated irrigation fluids to prevent hypothermia during hip arthroscopic surgery and whether the core temperature measured rectally during hip arthroscopic surgery differs from the core temperature measured at the temporal region.</p><p><strong>Study design: </strong>Randomized controlled trial; Level of evidence, 2.</p><p><strong>Methods: </strong>Patients who underwent hip arthroscopic surgery for the treatment of femoroacetabular impingement syndrome between 2021 and 2023 were prospectively enrolled and divided into 2 groups: those whose irrigation fluids were stored at room temperature (group 1) and those whose irrigation fluids were heated to 36°C to 38°C (group 2). A probe inserted in the rectal mucosa was used to measure the patient's body temperature every 15 minutes. The patient's temperature was also measured at the temporal region with a laser thermometer. A body temperature <36°C, detected by either method, was considered as hypothermia. The method that detected hypothermia more quickly was investigated, and the effect of the heated irrigation fluids was explored. Statistical analyses were conducted to compare temperature measurements and the incidence of hypothermia between the groups using appropriate tests for categorical and continuous variables based on the data distribution.</p><p><strong>Results: </strong>There were 60 patients randomized and allocated to group 1 and 56 patients to group 2. Hypothermia, defined as a temperature <36°C, occurred in 32 patients (53.3%) in group 1 and 24 patients (42.9%) in group 2. There was no difference between the groups using heated or room-temperature fluids in the onset of hypothermia (<i>P</i> = .425). Significantly more hypothermia cases were detected by the rectal temperature measurement than by the temporal temperature measurement (54 vs 2 patients, respectively; <i>P</i> < .001). The rectal temperature measurement was also quicker in detecting hypothermia (69.6 ± 47.2 vs 138.2 ± 56.8 minutes, respectively; <i>P</i> < .001).</p><p><strong>Conclusion: </strong>This study demonstrates that the usage of either room-temperature or heated irrigation fluids did not influence the incidence of hypothermia. Rectal measurements of core body temperature detected hypothermia earlier during hip arthroscopic surgery.</p><p><strong>Registration: </strong>NCT05396924 (ClinicalTrials.gov).</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251350401"},"PeriodicalIF":2.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529136","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":"Partial Transphyseal All-Inside Anterior Cruciate Ligament Reconstruction in Skeletally Immature Adolescent Patients: Two-Year Minimum Follow-up Clinical and Radiologic Results.","authors":"Alessandro Carrozzo, Edoardo Monaco, Adnan Saithna, Matteo Romano Cantagalli, Nicola Carlo Bianco, Serena Ciacio, Alessandro Annibaldi, Nicola Maffulli","doi":"10.1177/23259671251350298","DOIUrl":"10.1177/23259671251350298","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Anterior cruciate ligament (ACL) injuries in pediatric and adolescent populations have seen an uptick due to increased competitive sports participation. Treatment paradigms have shifted from nonoperative management to early reconstruction to prevent meniscal and cartilage damage. However, no consensus exists on the optimal reconstruction technique, particularly in skeletally immature patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose/hypothesis: &lt;/strong&gt;The purpose of this study was to evaluate the efficacy and safety of a limited transphyseal all-inside ACL reconstruction (ACLR) technique, hypothesizing that it would yield favorable clinical results without growth disturbances, graft failure, or complications at minimum 2-year follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Case series; Level of evidence, 4.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Consecutive patients aged between 10 and 18 years undergoing ACLR at Sant'Andrea University Hospital of Rome from January 2015 to June 2021 were enrolled. Exclusion criteria were closed physes, previous knee surgeries, and multiligament injuries. The limited transphyseal all-inside technique was used to minimize physeal damage during ACLR by carefully controlling tunnel size, orientation, and depth. Patients underwent standardized follow-ups at 2 and 6 weeks and at 3, 6, 12, and 24 months postoperatively. In addition, all patients were recalled for a final evaluation between February and August 2023. The final assessment included a physical examination (range of motion, pivot shift, Lachman test, Rolimeter-measured laxity, limb-length discrepancy, and deformity) and completion of patient-reported outcome measures (PROMs). Postoperative longstanding anteroposterior radiographs were obtained to evaluate radiographic growth disturbance. A comprehensive magnetic resonance imaging (MRI) assessment was performed by measuring the signal-to-noise quotient (SNQ), tunnel widening, graft healing, and graft maturity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, 24 patients met inclusion criteria, with a mean age of 14.2 years. At a mean follow-up of 53.1 months (range, 28-90), the graft rupture rate was 12.5%, and the contralateral ACL rupture rate was 8.3%. Overall, the incidence of growth disturbances was 15.8% in patients who underwent radiologic evaluation. These included cases of angular deformity of &gt;5° or limb-length discrepancy of &gt;10 mm. The mean limb-length discrepancy was 0.31 cm, with no significant differences in limb alignment. MRI analysis revealed a mean tibial tunnel widening of 5.1%, and the mean SNQ was 2.85 ± 0.91 (range, 1.5-4.4). Graft maturity, assessed using the Howell grading system, was classified as grade 1 in 50% of patients and grade 2 in the remaining 50%, while graft healing was graded as 1 in 60% and 2 in 40%; in both, lower grades indicated better results. PROMs showed high scores for Knee injury and Osteoarthritis Outcome Score, International Knee Documentation Committee, and Ly","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251350298"},"PeriodicalIF":2.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529138","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":"Disparities Research in Sports Medicine Lacks Qualitative Studies, Community Engagement, and Original Interventions.","authors":"Jasmin S Vargas, Abdullah Arif, Amin M Alayleh, Peter C Shen, Eric H Durudogan, Neeraj M Patel","doi":"10.1177/23259671251350400","DOIUrl":"10.1177/23259671251350400","url":null,"abstract":"<p><strong>Background: </strong>Across the health care landscape, patients experience disparities based on insurance, sex, gender, race, and other determinants. Such findings have been reported in orthopaedic sports medicine; nonetheless, the overall quality of the literature, including its limitations and impact, is unknown. Understanding this will allow researchers to address areas of need and ultimately reduce disparities.</p><p><strong>Purpose: </strong>To explore trends in orthopaedic sports medicine disparities research, with attention to study design, community engagement, and the development of interventions.</p><p><strong>Study design: </strong>Scoping review; Level of evidence, 3.</p><p><strong>Methods: </strong>The Clarivate Web of Science platform was queried for English-language articles in the orthopedics and sports sciences categories between 2013 and 2022 with the following keywords: \"disparities,\"\"disparity,\"\"inequity,\"\"inequities,\"\"diversity,\"\"socioeconomic,\"\"sex,\"\"gender,\"\"insurance,\"\"race,\" and \"neighborhood.\" Abstracts were reviewed manually to determine study inclusion. Bibliometric data were collected, as was information on the area of focus, study design, determinants of interest, funding sources, and intervention design. Descriptive statistics were recorded.</p><p><strong>Results: </strong>The query yielded 7274 articles, of which 86 addressed disparities or diversity topics in sports medicine. A total of 57 (66.3%) articles were published between 2019 and 2022, and 24 (27.9%) were published in 2022. Predominant journals included the <i>Orthopaedic Journal of Sports Medicine</i> (23.3%) and the <i>American Journal of Sports Medicine</i> (12.8%). Also, 29 articles (33.7%) focused on anterior cruciate ligament (ACL) injuries, and 12 (14%) on rotator cuff tears. Of the 80 observational research articles, the majority (63.8%) were retrospective, and there was a lack of randomized controlled trials or qualitative/mixed methods designs. No studies primarily utilized a community-engaged approach. A total of 31 publications (36%) studied multiple determinants or descriptive data, while 30.2% focused on sex or gender, and 18.6% on insurance. Only 2 (2.3%) studied neighborhood factors. Notably, only 1 study focused on an intervention. Further, only 3 studies (3.5%) were supported directly by the National Institutes of Health funding.</p><p><strong>Conclusion: </strong>This study provides insights into the evolving landscape of sports medicine disparities research. Although the volume of this research has increased substantially in recent years, the literature consists mostly of retrospective studies with a lack of qualitative methodology, community engagement, and development of interventions to reduce disparities. These findings highlight areas for future research.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251350400"},"PeriodicalIF":2.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529135","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 Association of Foot Arch Variations With Patellofemoral Pain Syndrome in Recreational Athletes\".","authors":"","doi":"10.1177/23259671251353162","DOIUrl":"https://doi.org/10.1177/23259671251353162","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23259671251334776.].</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251353162"},"PeriodicalIF":2.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507269","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}