Orthopaedic Journal of Sports Medicine最新文献

{"title":"How to Manage the Spinoglenoid Notch Cyst: A Systematic Review and Meta-analysis.","authors":"Abdullah B Chandasir, Ryan M Lew, Lord J Hyeamang, Asim A Khan, Nurudeen K Alli, Zaamin B Hussain, Gregory P Nicholson, Grant E Garrigues","doi":"10.1177/23259671261456937","DOIUrl":"10.1177/23259671261456937","url":null,"abstract":"<p><strong>Background: </strong>Spinoglenoid notch cysts can cause suprascapular nerve compression, posterior shoulder pain, and infraspinatus weakness. Although multiple open and arthroscopic operative approaches have been described, the optimal management strategy remains unclear.</p><p><strong>Purpose: </strong>To (1) analyze existing evidence on the management of spinoglenoid notch cysts, (2) compare outcomes among different operative approaches, and (3) provide a practical management algorithm based on cyst characteristics.</p><p><strong>Study design: </strong>Systematic review and meta-analysis; Level of evidence, 4.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using the PubMed, Scopus, and Embase databases from inception to August 2025. Eligible studies included clinical reports on the operative or nonoperative management of spinoglenoid notch cysts, with postoperative outcomes. Data on patient characteristics, procedures, patient-reported outcome measures, recurrence, reoperation, and complication rates were extracted. Random- and common-effects models were used for pooled analyses. Risk of bias was assessed using the Methodological Index for Non-Randomized Studies criteria.</p><p><strong>Results: </strong>A total of 32 studies comprising 562 shoulders met the inclusion criteria. Overall risk of bias was moderate. Arthroscopic decompression with labral repair was the most common intervention (n = 271 [48%]). Across all studies, significant improvements were observed in the American Shoulder and Elbow Surgeons, Constant-Murley, and visual analog scale pain scores. Meta-analysis revealed the lowest cyst recurrence rate for arthroscopic decompression with labral repair (3% [95% CI, 0.02-0.06]), compared with arthroscopic decompression alone (12%), arthroscopic labral repair alone (6%), and open decompression (12%). Reoperation rates were lowest with open decompression (0%) and arthroscopic labral repair (3%-4%), and highest with arthroscopic decompression without labral repair (9%). Complication rates were uniformly low across all techniques (<5%).</p><p><strong>Conclusion: </strong>Arthroscopic decompression with concurrent labral repair demonstrated favorable outcomes and low recurrence rates in properly selected patients with spinoglenoid notch cysts. Both arthroscopic and open approaches yield excellent pain relief and functional recovery. Arthroscopic decompression with labral repair offers a safe, effective, and minimally invasive option for nonloculated cysts. For very large and/or loculated cysts, open decompression with removal of the cyst structure itself should be considered.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 8","pages":"23259671261456937"},"PeriodicalIF":2.9,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13438244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679633","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 \"Foot and Ankle Contributions to Noncontact ACL Injury Risk: A Systematic Review\".","authors":"","doi":"10.1177/23259671261475309","DOIUrl":"https://doi.org/10.1177/23259671261475309","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23259671261463141.].</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 8","pages":"23259671261475309"},"PeriodicalIF":2.9,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13438249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679623","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":"Overcoming Limitations in Tibial Tubercle-Trochlear Groove Distance Measurement: A Study of Its Reproducibility and Reliability in High-Grade Trochlear Dysplasia.","authors":"Lucia Angelelli, David Mazy, Nicolas Cance, Tomas Pineda, Edoardo Giovannetti de Sanctis, David H Dejour","doi":"10.1177/23259671261460677","DOIUrl":"10.1177/23259671261460677","url":null,"abstract":"<p><strong>Background: </strong>In cases of high-grade trochlear dysplasia, identifying the reference point of the trochlear groove can be challenging when measuring the tibial tubercle-trochlear groove (TT-TG) distance.</p><p><strong>Purpose/hypothesis: </strong>The purpose of this study is to evaluate the reliability of TT-TG measurements obtained at different trochlear reference levels. It was hypothesized that TT-TG measurements would remain feasible even in cases of high-grade trochlear dysplasia when alternative trochlear reference levels are used.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>A retrospective analysis of magnetic resonance imaging scans from patients presenting with patellar instability between 2019 and 2023 was performed. For each patient, the TT-TG distance was measured at 3 levels on axial magnetic resonance imaging: high (_hTT-TG), middle (_mTT-TG), and low (_lTT-TG). The TT-posterior cruciate ligament (TT-PCL) distance was also measured. TT-TG values were compared across the 3 reference levels. Inter- and intraobserver reliability were assessed using the intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>A total of 136 knees were included, of which 64% presented with high-grade trochlear dysplasia (37 Dejour type B and 50 type D). No statistically significant differences were observed between TT-TG measurements obtained at the 3 reference levels. The _hTT-TG could be measured in 115 of 136 knees. Among the 21 knees in which _hTT-TG could not be measured, 16 were associated with Dejour type D dysplasia, 1 with type C, 3 with type B, and 1 with type A dysplasia. The _lTT-TG was measurable in all patients. Interobserver ICC values were good and excellent for _lTT-TG, _mTT-TG, and _hTT-TG (0.877, 0.929, and 0.892, respectively), and intraobserver ICC values were also excellent (0.976, 0.976, and 0.954, respectively). The interobserver reliability for TT-PCL was moderate (ICC, 0.606), whereas intraobserver reliability remained excellent (ICC, 0.925).</p><p><strong>Conclusion: </strong>TT-TG measurements remained feasible and reproducible in this cohort of patients with patellar instability, including a high proportion of high-grade trochlear dysplasia, when a slightly more distal trochlear reference level was used. TT-PCL remains a potential alternative although its interobserver reliability was lower than that of TT-TG in the present study.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 8","pages":"23259671261460677"},"PeriodicalIF":2.9,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13438242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679647","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":"Sport Injury Profile and Influence of Playing Position in Egyptian Professional Soccer Players: A Prospective Cohort Study.","authors":"Haitham K Haroun, Sherif A El Ghazaly, Dina S Elzifzaf, Mohamed A Elsayed, Hossam S Labib","doi":"10.1177/23259671261464701","DOIUrl":"10.1177/23259671261464701","url":null,"abstract":"<p><strong>Background: </strong>Despite soccer's popularity in Egypt, no comprehensive epidemiological studies have examined injury distribution by playing position.</p><p><strong>Purpose: </strong>To characterize the injury profile of Egyptian professional soccer players and assess differences by playing position.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 2.</p><p><strong>Methods: </strong>A prospective cohort study was conducted across 12 soccer clubs in the Egyptian professional league during the 2022 to 2023 season. Player exposure was recorded using a standardized form. Injuries were documented by medical staff. Data were collected on player demographics, injury profile, and diagnostic modalities. Associations between categorical injury variables and position were assessed using chi-square tests with Cramér V, followed by post hoc analysis using adjusted residuals.</p><p><strong>Results: </strong>Among 384 male players, midfielders were the largest group (38.5%), followed by forwards (27.9%), defenders (22.1%), and goalkeepers (11.5%). There were 422 time-loss injuries (incidence: 2.36/1000 player-hours). Goalkeepers were taller (182 ± 5 cm) and heavier (74.5 ± 3.9 kg) than defenders (178 ± 4 cm; 70.2 ± 5.1 kg), midfielders (175 ± 3 cm; 67.2 ± 4.8 kg), and forwards (175 ± 4 cm; 67.1 ± 5.5 kg); all <i>P</i> < .001. Exposure hours differed by position (<i>P</i> = .007): goalkeepers, 403.7 ± 112.9 h; defenders, 405.1 ± 108.5 h; midfielders, 447.3 ± 106.7 h; and forwards, 411.8 ± 108.9 h. Injury incidence showed no positional variation (<i>P</i> = .07): goalkeepers, 2.54 (IQR, 2.1-3.2); defenders, 2.38 (IQR, 2.2-3.2); midfielders, 2.19 (IQR, 1.9-3.1); and forwards, 2.38 (IQR, 2.1-3.2) per 1000 h. Goalkeepers sustained more nervous system/soft tissue injuries, upper limb/head injuries, contact injuries, first-time training injuries, and minimal degree injuries, and were more often diagnosed by imaging. Among outfield players, defenders were taller and heavier, midfielders had more overstretch injuries with shorter layoffs, and forwards had more severe injuries. Outfield injuries relied more on clinical assessment (36.1%).</p><p><strong>Conclusion: </strong>Our study showed that injury patterns among Egyptian professional soccer players vary significantly by playing position. While muscle/tendon and lower limb injuries are common overall, the 4 positions exhibit distinct anthropometric, injury mechanism, site, severity, and diagnostic profiles. These findings recommend position-specific injury prevention and rehabilitation in Egyptian professional soccer.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 8","pages":"23259671261464701"},"PeriodicalIF":2.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673780","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 of Lateral Extra-Articular Tenodesis With Graft Failure and Return to Sport in Pivoting Athletes: A Multicenter Comparative Study of Augmented and Isolated ACL Reconstructions.","authors":"Horacio Rivarola, Jorge Chahla, Pablo Ramos, Mario Figueroa, Cristian Collazo, Marcos Meninato, Francisco Endara, Logan D Moews, Gonzalo Arteaga, Santiago Zuñiga, Gustavo Portela","doi":"10.1177/23259671261449998","DOIUrl":"10.1177/23259671261449998","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament (ACL) rupture is common in high-risk pivoting sports, with rerupture threatening athletic careers. Lateral extra-articular tenodesis (LET) has been proposed to reduce graft failure; nonetheless, comparative multicenter data across graft types remain limited.</p><p><strong>Purpose: </strong>To compare graft failure, return to sport, and functional outcomes after primary anterior cruciate ligament reconstruction using bone-patellar tendon -bone or semitendinosus autografts, with or without lateral extra-articular tenodesis, in competitive pivoting athletes.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>The authors conducted a multicenter, prospective, intention-to-treat cohort study of 1260 competitive football and rugby athletes who underwent primary ACL reconstruction between 2018 and 2019. Participants were nonrandomly allocated to 4 groups according to graft choice and LET use, as determined by 16 individual treating surgeons: bone-patellar tendon-bone (BPTB) with modified Lemaire, semitendinosus tendon autograft (STRI) with modified Lemaire, isolated BPTB, and isolated STRI. At 5 years, evaluable follow-up data were available for 1186 of the 1260 athletes (94.1%). The primary endpoint was clinically relevant symptomatic knee instability consistent with graft failure, confirmed by imaging or revision surgery, defined as symptomatic knee instability confirmed by imaging or revision surgery. Follow-up included in-person medical examination with clinical stability testing when feasible and structured patient-reported questionnaires assessing knee stability and functional outcomes.</p><p><strong>Results: </strong>Graft failure rates were similarly low in both augmented groups (0.8% for BPTB + Lemaire vs 0.9% for STRI + Lemaire groups), with no statistically significant difference between graft types and significantly lower than in nonaugmented reconstructions (<i>P</i> < .001). Return to sport (RTS) at the preinjury level at 18 months was achieved in 88.1% of athletes in the BPTB + Lemaire group and 82.7% in the STRI + Lemaire group, compared with 79.8% and 75.9% in isolated BPTB and STRI reconstruction groups, respectively (<i>P</i> < .001). Functional outcomes were similarly high in augmented groups, with mean International Knee Documentation Committee scores of 90.8 ± 6.8 for the BPTB + Lemaire group and 89.6 ± 7.2 for the STRI + Lemaire group, with no statistically significant differences between augmented graft types (<i>P</i> > .05).</p><p><strong>Conclusion: </strong>LET was associated with significantly reduced clinically relevant graft failure and reliable RTS in pivoting athletes, independent of graft type.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 8","pages":"23259671261449998"},"PeriodicalIF":2.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673821","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 Preinjury Level of Military Duty After Anterior Cruciate Ligament Reconstruction in Jordanian Military Personnel.","authors":"Mohammad A Yabroudi, Rowa Almomany, Zakariya H Nawasreh, Almuthanna S Alyamani","doi":"10.1177/23259671261451757","DOIUrl":"10.1177/23259671261451757","url":null,"abstract":"<p><strong>Background: </strong>Return to preinjury level of activity after anterior cruciate ligament reconstruction (ACLR) in the general population has been widely studied in the literature. However, the rate of return to military duty (RTMD) after ACLR is still not well determined. Furthermore, reasons for not returning to the preinjury level of military duty remain uncertain.</p><p><strong>Purpose: </strong>To determine (1) the rate of RTMD after ACLR and (2) factors associated with returning to the preinjury level of military duty after ACLR.</p><p><strong>Study design: </strong>Case series; Level of evidence, 4.</p><p><strong>Methods: </strong>Patients who have served and/or are currently serving in the military and who underwent a primary ACLR and were within 1 to 5 years postoperatively were eligible to participate in the study. All participants completed a questionnaire that inquired about patients' characteristics, including age, sex, tobacco usage, military rank, and preinjury military and physical activities. Return to preinjury level of military duty was determined by using a multidomain definition of RTMD that includes the type and frequency of military activities, as well as standing hours (defined as a continuous measure of total duration per duty day spent standing, walking, or moving). Individuals who did not return to their prior level of military duty were asked to report the reasons for not returning.</p><p><strong>Results: </strong>A total of 94 male military personnel with a mean age of 30.3 ± 5.7 years participated in the study. Only 11 (11.7%) individuals returned to their preinjury level of military duty using the authors' comprehensive definition at a mean follow-up of 1.83 ± 0.76 years. Of the 94 participants, 51 (54.3%) returned to their preinjury standing hours, 32 (34.0%) to their preinjury type of military activity, and 30 (31.9%) to their preinjury frequency of military activity. Of those who did not RTMD, 83% reported fear of reinjury or lack of confidence as a reason for not returning, while 76% reported persistent knee problems.</p><p><strong>Conclusion: </strong>The rate of return to preinjury level of military duty in Jordanian military personnel after ACLR using a comprehensive definition for return to duty is only 11.7%. Fear of reinjury or lack of confidence in the injured knee and ongoing knee problems are the most commonly reported reasons for not returning to the prior level of military duty.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 7","pages":"23259671261451757"},"PeriodicalIF":2.9,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654180","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":"Reconstruction After an Anterior Cruciate Ligament Injury Does Not Reduce the Osteoarthritis Risk But Lowers the Total Knee Arthroplasty Rate: A Systematic Review and Meta-analysis.","authors":"Benjamin Blackman, Matey Juric, Seth Ybema, Marc Daniel Bouchard, Matthew Macciacchera, Bogdan A Matache, Jihad Abouali","doi":"10.1177/23259671261451241","DOIUrl":"10.1177/23259671261451241","url":null,"abstract":"<p><strong>Background: </strong>An anterior cruciate ligament (ACL) rupture is a common and debilitating knee injury. Although surgical management restores knee stability, its effectiveness in preventing long-term joint degeneration compared with nonoperative management remains unclear.</p><p><strong>Purpose/hypothesis: </strong>The purpose of this study was to compare the long-term incidence of radiographic knee osteoarthritis (OA) after the operative versus nonoperative management of ACL injuries. It was hypothesized that operative management would lead to lower rates of OA.</p><p><strong>Study design: </strong>Systematic review and meta-analysis; Level of evidence, 3.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. PubMed, Embase, and Scopus were searched through June 2025 for comparative studies evaluating the development of OA after an ACL injury that was treated with operative or nonoperative management. Radiographic OA was defined as Kellgren-Lawrence grade ≥2 or equivalent. Random-effects meta-analyses were performed to compare radiographic OA, secondary meniscal surgery, and total knee arthroplasty (TKA) rates between treatment groups. Study quality was assessed using the MINORS (Methodological Index for Non-Randomized Studies) instrument and the Cochrane RoB 2 (risk of bias tool). The certainty of evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework.</p><p><strong>Results: </strong>A total of 18 studies comprising 33,540 patients (mean follow-up, 12.3 years) were included. A meta-analysis of 15 studies found no significant difference in radiographic OA between the ACL reconstruction (ACLR) and nonoperative groups (risk ratio [RR], 1.01 [95% CI, 0.79-1.27]; <i>I</i> ² = 92%; <i>P</i> = .96). A sensitivity analysis of level 1 to 2 studies with low heterogeneity yielded similar findings (RR, 1.14 [95% CI, 0.87-1.48]; <i>I</i> ² = 34%; <i>P</i> = .33). A meta-analysis of 2 studies assessing OA prevalence in the ACL repair versus nonoperative group also found no statistically significant difference, with moderate heterogeneity (RR, 0.78 [95% CI, 0.54-1.12]; <i>I</i> ² = 55%; <i>P</i> = .18). Rates of secondary meniscal surgery did not differ significantly (RR, 0.79 [95% CI, 0.52-1.21]; <i>I</i> ² = 56%; <i>P</i> = .29). However, ACLR significantly reduced the risk of TKA (RR, 0.17 [95% CI, 0.07-0.43]; <i>I</i> ² = 59%; <i>P</i> = < .001).</p><p><strong>Conclusion: </strong>The operative management of ACL injuries did not decrease the long-term risk of developing radiographic OA compared with nonoperative management. ACLR was associated with a lower rate of TKA.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 7","pages":"23259671261451241"},"PeriodicalIF":2.9,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654140","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":"Recovery After Surgery for Insertional Achilles Tendinopathy With and Without Bioinductive Scaffold Augmentation: A Retrospective Comparative Cohort Study.","authors":"Gil Genuth, Peter Stavrou, Lukas D Iselin","doi":"10.1177/23259671261464700","DOIUrl":"10.1177/23259671261464700","url":null,"abstract":"<p><strong>Background: </strong>Insertional Achilles tendinopathy (IAT), often associated with Haglund deformity, is a common cause of posterior heel pain, with up to 40% of patients requiring surgical intervention after unsuccessful conservative treatment. Bioinductive collagen scaffolds have been proposed as a potential adjunct for tendon healing.</p><p><strong>Purpose: </strong>To evaluate clinical and structural outcomes after open IAT surgery with and without scaffold augmentation.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>A retrospective comparative cohort study was conducted between 2021 and 2024, including 30 consecutive patients (30 ankles) who underwent open IAT surgery with Haglund resection and double-row tendon reattachment performed by a single surgeon. Fifteen patients underwent standard repair, and 15 received additional augmentation with a bioinductive collagen scaffold. Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) and Pain Interference (PI) scores were collected preoperatively and at 6, 12, and 18 months postoperatively. Magnetic resonance imaging (MRI) was obtained at study enrolment (baseline) and repeated at 12 months after surgery. Secondary outcomes included time to return to sport (RTS), and all postoperative complications were recorded. Minimal clinically important difference thresholds of 5 to 8 points for PF and 8 to 10 points for PI were applied. Statistical analysis included between-group comparisons at each time point and evaluation of changes over time, with significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>Preoperative PROMIS scores were similar between groups (PF: 39.8 ± 5.7 vs 40.4 ± 6.1; PI: 64.1 ± 6.4 vs 63.7 ± 5.9). At 6 months, both groups improved, with greater change in the scaffold group (PF: 54 ± 5.3 vs 49.5 ± 6; <i>P</i> = .03; PI: 50.6 ± 6.1 vs 55.3 ± 6.4; <i>P</i> = .04). At 12 months, PROMIS scores were similar (PF: 58.1 ± 4.9 vs 57 ± 5.1; <i>P</i> = 0.41; PI: 47.2 ± 5.4 vs 48.5 ± 5; <i>P</i> = 0.38), and this was maintained at 18 months (PF: 59.4 ± 4.7 vs 58.7 ± 4.9; <i>P</i> = 0.67; PI: 45.9 ± 5.1 vs 46.7 ± 4.8; <i>P</i> = .59). Time to RTS was shorter in the scaffold group (8 ± 1.7 vs 9.7 ± 2.1 months; <i>P</i> = .02). MRI at 12 months showed tendon integrity in all cases, and complication rates were low and comparable between groups.</p><p><strong>Conclusion: </strong>Our study shows that bioinductive scaffold augmentation in open IAT surgery is safe and may be associated with earlier improvements in pain, function, and RTS, while longer-term outcomes are similar to standard repair. These findings suggest a potential role for this approach in active individuals seeking a faster recovery.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 7","pages":"23259671261464700"},"PeriodicalIF":2.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654120","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 Rectus Femoris Tendon Graft for ACL Reconstruction: Predictive Anthropometry and Surgical Pearls Based on a Prospective Case Series.","authors":"Bernardo Garcia Barroso, Márcio Cabral Fagundes Rêgo, Marcelo Cabral Fagundes Rêgo, Felipe Silveira Martins, Diego Ariel de Lima, Sergio Marinho de Gusmão Canuto, Camilo Partezani Helito","doi":"10.1177/23259671261463926","DOIUrl":"10.1177/23259671261463926","url":null,"abstract":"<p><strong>Background: </strong>The rectus femoris tendon has recently gained attention as a promising soft tissue autograft for anterior cruciate ligament (ACL) reconstruction. However, there is limited information regarding its graft dimensions, harvesting technique, and safety profile.</p><p><strong>Purpose: </strong>To evaluate the dimensions of the rectus femoris tendon graft in patients undergoing ACL reconstruction, identify anthropometric predictors of graft size, describe key technical steps for safe harvesting, and report intraoperative complications.</p><p><strong>Study design: </strong>Case series; Level of evidence, 4.</p><p><strong>Methods: </strong>A total of 211 consecutive patients undergoing ACL reconstruction with rectus femoris tendon autograft were prospectively enrolled across multiple centers. Graft dimensions-length and diameter in 2- and 3-strand configurations-were recorded intraoperatively. Correlations between graft size and patient anthropometry were assessed, and a multivariable regression model was developed to predict graft length. Intraoperative complications during graft harvesting were also documented.</p><p><strong>Results: </strong>The mean graft length was 30.8 ± 3.4 cm, with 99.1% measuring ≥24 cm. Mean diameters were 8.1 ± 0.6 mm (2-strand) and 9.3 ± 0.7 mm (3-strand), with only 1.4% of 3-strand grafts measuring <8 mm. Patient height showed the strongest correlation with graft length (r = 0.563). Complications occurred in 11.4% of cases, mostly minor and during the early adoption phase of this technique.</p><p><strong>Conclusion: </strong>The rectus femoris tendon provides consistent and predictable graft dimensions suitable for multistrand ACL reconstruction, including in patients at higher risk of undersized soft tissue grafts. These morphometric findings support its potential as an autograft option and provide a basis for preoperative planning. Clinical outcomes and donor-site morbidity require evaluation in future studies.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 7","pages":"23259671261463926"},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631146","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":"Radiologic and Clinical Analysis of Posterior Medial Meniscal Root Tears: A Comparative Study of All-Suture Anchor and Transtibial Pullout Techniques.","authors":"Nadhaporn Saengpetch, Piyatat Wisitkamthorn, Chatchawan Lertbutsayanukul, Niyata Chitrapazt, Chaiyanun Vijittrakarnrung","doi":"10.1177/23259671261464696","DOIUrl":"10.1177/23259671261464696","url":null,"abstract":"<p><strong>Background: </strong>Posterior medial meniscal root (PMMR) tears drastically alter knee biomechanics and reduce degenerative risk from a functional meniscectomy. While transtibial pullout (TTP) is a common repair technique, all-suture anchor (ASA) repair alternatively offers a tunnel-less repair construct. This study aimed to compare the radiologic and clinical outcomes of ASA versus TTP repair techniques in patients with PMMR tears.</p><p><strong>Hypothesis: </strong>The ASA technique would yield superior outcomes compared to the conventional TTP method.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>This ambidirectional cohort study analyzed patients who underwent repair for isolated PMMR tears between 2018 and 2024. Participants were divided into the ASA and TTP groups with a 1-year follow-up. Radiologic evaluation included magnetic resonance imaging at 9 months and weightbearing radiographs at 1 year postoperatively to assess medial meniscal extrusion (MME), healing status, and cartilage progression according to the International Cartilage Repair Society grading system. Clinical outcomes were assessed concurrently using the International Knee Documentation Committee (IKDC) scores.</p><p><strong>Results: </strong>The final cohort comprised 36 patients (12 ASAs, 24 TTPs) with comparable baseline characteristics. Radiologically, mean postoperative MME increased in both groups (ASA: 3.63 ± 0.82 mm; TTP: 4.32 ± 1.24 mm), although the difference between groups was not statistically significant (<i>P</i> = .054). Similarly, no significant differences were observed regarding meniscal healing between groups (87.5% vs 66.7%; <i>P</i> = .297) or osteoarthritic cartilage progression. Clinically, both groups achieved significant postoperative IKDC score improvements (<i>P</i> < .05); however, mean improvements were comparable between ASA (20.1) and TTP (20.7) cohorts (<i>P</i> = .859).</p><p><strong>Conclusion: </strong>Both ASA and TTP techniques significantly improve functional outcomes for repairing PMMR tears with comparable clinical efficacy. While both groups experienced postoperative meniscal extrusion, the ASA technique showed a trend toward better extrusion control, without significant differences in healing rates or osteoarthritic progression. These findings suggest that ASA repair is a viable alternative to the transtibial pullout method.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"14 7","pages":"23259671261464696"},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631140","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}