Orthopaedic Journal of Sports Medicine最新文献

{"title":"Inside-Out Repair Technique Results in Less Medial Meniscal Extrusion Than All-Inside Repair Technique for Complete Radial Tears of the Medial Meniscus Posterior Segment: A Cadaveric Study.","authors":"Kazushi Horita, Tomoaki Kamiya, Kousuke Shiwaku, Yuta Mori, Kodai Hamaoka, Yasutoshi Ikeda, Yohei Okada, Makoto Emori, Kota Watanabe, Hiromichi Fujie, Atsushi Teramoto","doi":"10.1177/23259671251356695","DOIUrl":"10.1177/23259671251356695","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of medial meniscal extrusion (MME) under physiological loads is crucial because of the influence of MME on meniscal function. Reducing the MME is essential for meniscal function. Few studies have compared the extent of MME in cases of complete radial tears of the posterior segment of the medial meniscus (MM) treated using basic meniscal repair techniques: the inside-out and all-inside techniques.</p><p><strong>Purpose: </strong>To compare the extent of MME after the treatment of complete radial tears of the posterior segment using inside-out and all-inside meniscal repair techniques in a cadaveric model.</p><p><strong>Study design: </strong>Controlled laboratory study.</p><p><strong>Methods: </strong>Six fresh-frozen human cadaveric knees were subjected to a compression load of 250 N using a 6 degrees of freedom robotic system under ultrasound evaluation. The MME was evaluated at 30° and 90° knee flexion in 4 meniscal conditions: (1) intact; (2) complete radial tear in the posterior segment of the MM; (3) inside-out repair technique; and (4) all-inside repair technique using 1 horizontal suture. Conditions 3 and 4 were performed on the same knee in a randomized order. Measurements were obtained at the center of the superficial medial collateral ligament (MCL) (central image) and 1 cm posterior to the superficial MCL (posterior image). Statistical analysis was conducted using a 2-factor repeated-measures analysis of variance with Bonferroni post-hoc correction, with significance level set at <i>P</i> < .05.</p><p><strong>Results: </strong>The amount of MME under compression load after inside-out repair was significantly lower than that after all-inside repair (mean ± SD values for the central image: 30°, 1.93 ± 0.26 mm vs 2.45 ± 0.34 mm; 90°, 2.02 ± 0.29 mm vs 2.53 ± 0.42 mm; for the posterior image: 30°, 1.98 ± 0.30 mm vs 2.43 ± 0.35 mm; 90°, 2.45 ± 0.26 mm vs 3 ± 0.42 mm; <i>P</i> < .001 for all comparisons).</p><p><strong>Conclusion: </strong>Although the inside-out repair technique reduced the amount of MME to a greater extent than the all-inside repair technique using a single horizontal stitch for MM posterior segment tears, neither technique was able to reduce MME to the same level as that of the intact state; furthermore, the change in MME was relatively small.</p><p><strong>Clinical relevance: </strong>The findings indicate that the inside-out repair technique should be used to repair complete radial tears in the posterior segment of the MM.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251356695"},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963621","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":"Autologous Osteochondral Transfer Demonstrates Satisfactory Clinical Outcomes and Durable Cartilage Properties: A Mean 4-Year Follow-up Using Quantitative MRI.","authors":"Hyo Yeol Lee, Jong-Min Kim, Bum-Sik Lee, Ju-Ho Song, Seong-Il Bin","doi":"10.1177/23259671251356267","DOIUrl":"10.1177/23259671251356267","url":null,"abstract":"<p><strong>Background: </strong>Autologous osteochondral transfer (AOT) is preferred because of its ability to replace defective cartilage with hyaline cartilage. However, longitudinal changes in hyaline cartilage after AOT and their correlation with clinical outcomes remain unclear.</p><p><strong>Purpose/hypothesis: </strong>The purpose of the study was to evaluate the short- to midterm outcomes of AOT and to investigate the correlation between clinical outcomes and the morphologic and qualitative findings of cartilage. It was hypothesized that cartilage would remain stable over the follow-up period and that clinical outcomes would correlate with cartilage status.</p><p><strong>Study design: </strong>Case series; Level of evidence, 4.</p><p><strong>Methods: </strong>Patients who underwent AOT between 2002 and 2021 and were followed for a minimum of 2 years were retrospectively reviewed. Clinical outcomes were assessed at postoperative early term (1-2 years postoperatively) and at the short- to midterm period (2-6 years postoperatively) using the Lysholm score, International Knee Documentation Committee (IKDC) score, Tegner activity scale, and visual analog scale (VAS) for pain. Morphology of cartilage was evaluated using MOCART (magnetic resonance observation of cartilage repair tissue) 2.0 scores, and quality was assessed using quantitative magnetic resonance imaging (MRI) T2 mapping. In those who were assessed with serial MRIs at early term and short-to-midterm intervals, correlation analysis was performed to assess the relationship between MRI and clinical outcomes.</p><p><strong>Results: </strong>A total of 45 patients with a mean age of 36.6±14.0 years (range, 16-63 years) were included. The mean follow-up period was 4.3±1.2 years. The mean MOCART score was 84.0±11.5 at early term and 78.1±21.0 at midterm, with no significant changes between follow-up intervals. T2 value also remained unchanged between postoperative follow-ups. Significant improvements in the Lysholm, IKDC, and VAS scores observed at the early term improved further through the midterm period. The MOCART score at the postoperative early term was correlated with VAS improvement (<i>P</i> = .003); however, no significant correlation was found between other clinical and MRI outcomes.</p><p><strong>Conclusion: </strong>Postoperative improvements in clinical and MRI outcomes after AOT at the early term follow-up were maintained through a mean follow-up of 4 years. The further improvement in clinical outcomes, despite stable MRI findings, suggests a limited correlation between structural and clinical outcomes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251356267"},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963747","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":"Hamstring Injuries in Major League Soccer: A 10-Year Analysis of Injury Rate, Return to Play, and Performance Metrics by Player Position.","authors":"Brian Forsythe, Camden Bohn, Catherine Hand, Francis Hand, Daanish Khazi-Syed, Joshua Chang, Harmanjeet Singh, Andrew Savoia, Jonathan Spaan, Kyle Borque, Rachel Frank","doi":"10.1177/23259671251360422","DOIUrl":"10.1177/23259671251360422","url":null,"abstract":"<p><strong>Background: </strong>Hamstring injuries are common in athletes performing high-intensity sports, such as soccer, impacting performance and return to play (RTP) times. This study aimed to evaluate the effect of hamstring injuries on RTP and performance among Major League Soccer (MLS) players over 10 years.</p><p><strong>Purpose: </strong>To evaluate the effect of hamstring injuries on RTP times and performance metrics among MLS players over 10 years, with a focus on injury characteristics, rehabilitation practices, and positional differences.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>From 2010 to 2021, 2715 MLS players with hamstring injuries were identified by the MLS Injury Surveillance Database and analyzed. RTP times, injury rates, and reinjury rates were compared between the 2010-2015 and 2016-2021 cohorts. Performance metrics (games, minutes, goals, and assists) were extracted. Uninjured controls were matched 2 to1 by position, age, and experience. <i>T</i> tests were used to assess postinjury performance differences.</p><p><strong>Results: </strong>Game-related injuries required longer RTP than practice injuries (27.8 vs 21.9 days; <i>P</i> = .023), and acute noncontact injuries took more time to recover than chronic injuries (24.9 vs 13.2 days; <i>P</i> < .0001). RTP times increased in the 2016-2021 cohort compared with the 2010-2015 cohort for minimal/first-degree injuries (15.09 ± 31.29 vs 10.13 ± 28.53 days; <i>P</i> = .018) and overall (20.26 vs 13.60 days; <i>P</i> = .002), despite stable injury rates (<i>P</i> = .405). Reinjury rates decreased nonsignificantly (<i>P</i> = .603); however, RTP after reinjury was longer in the 2016-2021 cohort (25.05 vs 10.03 days; <i>P</i> = .025). Defenders saw reduced minutes played 2 years after injury compared with controls (-221.60 ± 833.66 vs -34.80 ± 792.11; <i>P</i> = .007). RTP times were unaffected by playing surface grass versus turf (<i>P</i> = .620) or player position (forward, midfielder, defender, and goalkeeper) (<i>P</i> = .900).</p><p><strong>Conclusion: </strong>Injury rates were unchanged in the 2010-2015 and 2016-2021cohorts; however, RTP times increased in the latter cohort, especially for recurrent injuries. Game-related and acute noncontact injuries required longer RTP, and defenders showed the greatest performance decline. Future studies are needed to further highlight mechanisms of injury and treatment for preventative protocols.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360422"},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963858","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 \"Outperformance of Combined Artificial Anterolateral Ligament and ACL Reconstruction Compared With Isolated Artificial ACL Reconstruction in Knees With Anterolateral Structure and ACL Deficiency: A Biomechanical Analysis\".","authors":"","doi":"10.1177/23259671251372215","DOIUrl":"10.1177/23259671251372215","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23259671241309270.].</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251372215"},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963766","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":"Evaluating Cost Disparities and Utilization of Shoulder Arthroscopy: A National Analysis of Racial, Ethnic, and Socioeconomic Determinants.","authors":"Timothy A Reiad, Peter V Dinh, David Bruni, Cameron Thomson, Brett D Owens, Stephen E Marcaccio","doi":"10.1177/23259671251360437","DOIUrl":"10.1177/23259671251360437","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Shoulder arthroscopy is increasingly common for treating various shoulder pathologies, but racial, ethnic, and geographic disparities in its use persist, especially as more procedures move to ambulatory surgery centers. Identifying and addressing these disparities is crucial for ensuring equitable orthopaedic care in the United States.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Hypothesis/purpose: &lt;/strong&gt;It was hypothesized that racial and ethnic disparities exist in shoulder arthroscopy utilization. The purpose of this study was to assess these disparities and their contributing factors in greater detail.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Descriptive epidemiology study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study used the 2019 National Ambulatory Surgery Sample (NASS) to evaluate utilization patterns for shoulder arthroscopy in the United States. Age-standardized utilization rates were calculated for racial and ethnic subgroups. Multivariate Poisson regression models were used to assess disparities, incorporating patient demographics, socioeconomic factors, and facility characteristics as covariates. Differences in total charges were also analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;An estimated 340,892 shoulder arthroscopy surgeries were performed nationwide in 2019, with a mean charge of $32,910. The patient cohort was 57.34% male and 80.26% White, and 78.4% of the patients were older than 45 years. The most common indications for shoulder arthroscopy in this patient cohort were rotator cuff injury (59.96%), labral tear (8.17%), and impingement syndrome (8.32%). There were notable disparities in shoulder arthroscopy by race and ethnicity. White patients had higher utilization rates for shoulder arthroscopy (138.7/100,000) compared with Black (73.0), Hispanic (50.7), and Asian/Pacific Islander (36.5) patients, with an adjusted rate ratio (aRR) of 1.29. White patients were charged less on average for shoulder arthroscopy procedures ($32,183) compared with non-White patients ($35,474). Disparities persisted across all indications, with White patients showing higher utilization rates for rotator cuff repairs (aRR = 1.17) and shoulder instability (aRR = 1.22) and consistently lower charges ($34,438 vs $37,175 for rotator cuff repair; $32,568 vs $35,732 for instability). Geographic disparities were observed, with mean charges of $28,657 in the Northeast and Midwest and $36,309 in the South and West. Black (15.38%), Hispanic (13.15%), and Asian/Pacific Islander (11.24%) patients had higher Medicaid rates than White patients (7.3%). Black (42.9%) and Hispanic (28.97%) patients were more likely to live in low-income areas compared with White patients (20.52%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;There are well-defined disparities in the use of orthopaedic surgery among different patient populations in the United States. Differences in utilization rates, costs incurred, and patient-reported outcomes of shoulder arthroscopy mirror those of hip and kne","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360437"},"PeriodicalIF":2.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963935","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":"Deltoid Muscle Volume After Superior Capsule Reconstruction in Patients With Irreparable Rotator Cuff Tears: A 3-Dimensional Magnetic Resonance Imaging Analysis.","authors":"Nor Zarini Yusoff, Teruhisa Mihata, Akihiko Hasegawa, Kazuomi Sugamoto","doi":"10.1177/23259671251355170","DOIUrl":"10.1177/23259671251355170","url":null,"abstract":"<p><strong>Background: </strong>Shoulder function improvement after superior capsule reconstruction (SCR) for irreparable rotator cuff tears is thought to be due primarily to increased efficiency of the remaining shoulder muscles and to restoration of glenohumeral superior stability. However, the role of the deltoid muscle after SCR remains unclear.</p><p><strong>Purpose: </strong>To investigate deltoid muscle volume change after SCR and its association with clinical outcomes.</p><p><strong>Study design: </strong>Case series; Level of evidence: 4.</p><p><strong>Methods: </strong>A total of 29 patients who underwent arthroscopic SCR using a fascia lata autograft were included. All received the same postoperative physical therapy. Active shoulder abduction and external rotation and American Shoulder and Elbow Surgeons (ASES) and Japanese Orthopaedic Association (JOA) scores were assessed preoperatively and 2 years postoperatively. Additionally, the acromiohumeral distance (AHD), rotator cuff tear size, and Goutallier/Fuchs and Hamada classifications were evaluated. Preoperative and postoperative deltoid muscle volumes were measured using a 3-dimensional reconstructed model from magnetic resonance imaging scans.</p><p><strong>Results: </strong>Across the whole group, active elevation, active external rotation, ASES score, and JOA score were significantly increased 2 years after SCR (<i>P</i> < .001). The change in deltoid muscle volume after SCR was significantly positively correlated with the change in active elevation (<i>P</i> = .004; <i>r</i> = 0.52), ASES score (<i>P</i> = .03; <i>r</i> = 0.42), and JOA score (<i>P</i> = .005; <i>r</i> = 0.51). Deltoid muscle volume was increased after SCR in 18 patients and decreased in 11. Patients in the increased volume group were significantly younger than those in the decreased volume group at the time of surgery (<i>P</i> = .04). Two years after surgery, the increased volume group had a significantly greater AHD than the decreased volume group (<i>P</i> = .04), although before SCR there was no significant between-group difference in AHD.</p><p><strong>Conclusion: </strong>The change in deltoid muscle volume was significantly positively correlated with the changes in active elevation, ASES score, and JOA score after SCR. This suggests that deltoid muscle strengthening should be recommended to improve shoulder function after SCR. An increase in AHD, which represents the restoration of glenohumeral superior stability, after SCR may be necessary to improve deltoid function.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251355170"},"PeriodicalIF":2.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963920","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":"Adductor Injuries in Major League Soccer: A 10-Year Analysis of Injury Rate and Return to Play, and Performance Metrics by Player Position.","authors":"Brian Forsythe, Catherine Hand, Camden Bohn, Francis Hand, Joshua Chang, Daanish Khazi-Syed, Kyle Borque, Kirk McCullough","doi":"10.1177/23259671251360436","DOIUrl":"10.1177/23259671251360436","url":null,"abstract":"<p><strong>Background: </strong>Adductor injuries are common in professional soccer, leading to prolonged recovery, compromised player performance, high recurrence rates, and variable outcomes despite advancements in injury prevention and management.</p><p><strong>Purpose/hypothesis: </strong>This study aims to assess trends in return-to-play (RTP), reinjury rates, and performance effects in Major League Soccer (MLS) players. It was hypothesized that RTP times and performance metrics after adductor injuries vary by time period (2010-2015 vs 2016-2021) and player position, with changes in injury management influencing outcomes.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>Adductor injuries in MLS players (2010-2021) were analyzed November 8, 2024, using the MLS Injury Surveillance database. All recorded injuries were included and cross-referenced with publicly available data. Injuries were compared across 2 time periods (2010-2015 vs 2016-2021). Injured players were matched 1:2 with noninjured controls by position, age, and MLS experience. RTP duration, reinjury rates, and pre- and postinjury performance metrics were evaluated by time period and player position. Independent <i>t</i> tests and chi-square tests were used to assess differences in RTP duration, reinjury rates, and injury rates. Multivariate regression was performed to identify predictors of RTP.</p><p><strong>Results: </strong>Between 2010 and 2021, a total of 1706 players with adductor injuries were identified. RTP times increased from 14.4 ± 10.1 days (2010-2015) to 19.7 ± 15.2 days (2016-2021; <i>P</i> = .0475). Multivariate linear regression identified significant predictors of prolonged RTP, including injury type, onset, and field surface. Compared with acute contact injuries, acute noncontact injurieswere associated with a 12.5-day shorter RTP (β = -12.50; <i>P</i> = .010) and chronic injuries with an 18.4-day shorter RTP (β = -18.44; <i>P</i> = .001). Osteitis pubis was associated with a 37.2-day increase in RTP duration compared with nonrupture injuries(β = 37.24; <i>P</i> = .007). Injuries occurring on grass were associated with a 9.6-day shorter RTP than those on artificial turf (β = -9.56; <i>P</i> = .010). Reinjury rates remained stable between the 2 time periods (21.14% vs 23.18%; <i>P</i> = .513). After injury, all player positions experienced declines in games played and minutes logged, with defenders exhibiting the most pronounced reductions.</p><p><strong>Conclusion: </strong>Adductor injuries in MLS athletes were associated with increasing RTP durations over time, with notable position-specific performance effects. Acute contact injuries had the longest RTP duration. RTP durations were significantly longer in 2016-2021 compared with 2010-2015, suggesting evolving trends in injury management. These findings underscore the need for individualized rehabilitation strategies tailored to player position and injury","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360436"},"PeriodicalIF":2.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963784","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":"Cross-Cultural Adaptation and Cutoff Score Determination of the Turkish Version of the Cumberland Ankle Instability Tool in Recreationally Active Individuals.","authors":"Anıl Onur Mercanoğlu, Celil Kaçoğlu, Erdem Atalay","doi":"10.1177/23259671251358407","DOIUrl":"10.1177/23259671251358407","url":null,"abstract":"<p><strong>Background: </strong>Adaptation studies have evaluated ankle instability (AI) across various cultures and sports.</p><p><strong>Purpose/hypothesis: </strong>The Cumberland Ankle Instability Tool (CAIT) is a valid patient-reported outcome measure used to assess the presence and severity of AI. The current study aimed to adapt the CAIT to the Turkish language, test its psychometric properties, and determine cutoff scores in a Turkish population with AI compared with observations in their healthy counterparts.</p><p><strong>Study design: </strong>Cohort study (Diagnosis); Level of evidence, 3.</p><p><strong>Methods: </strong>To evaluate the Turkish version of the CAIT (CAIT-TR), data obtained from 236 recreationally active participants with and without AI were examined. Test-retest reliability, internal consistency, cutoff score, and ceiling and floor effects were assessed.</p><p><strong>Results: </strong>The test-retest reliability of the CAIT-TR was excellent, with an intraclass correlation coefficient of 0.968 and 0.978 for the right and left ankles, respectively. Cronbach α values for the CAIT-TR were calculated as 0.855 and 0.852 for the right and left ankles, respectively. The discriminative ability and cutoff score of the CAIT-TR were determined by defining the receiver operating characteristic curve and calculating the Youden index for the left and right ankles (0.579 and 0.551, respectively), with a cutoff score of 23.5 and threshold of ≤23.</p><p><strong>Conclusion: </strong>Our study demonstrates that the CAIT-TR is a valid and reliable tool for assessing the presence and severity of AI in recreationally active Turkish-speaking individuals. These data should help in providing a practical assessment tool for care in this population.</p><p><strong>Registration: </strong>NCT05977660 (ClinicalTrials.gov identifier).</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251358407"},"PeriodicalIF":2.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963817","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":"Effect of ALPSA Tear Morphology on Redislocation Risk After Arthroscopic Repair.","authors":"Toygun Kagan Eren, Ethem Burak Oklaz, Ahmet Emin Okutan, Baran Sarikaya, Furkan Aral, Asim Ahmadov, Ulunay Kanatli","doi":"10.1177/23259671251360365","DOIUrl":"10.1177/23259671251360365","url":null,"abstract":"<p><strong>Background: </strong>Recent studies have emphasized the importance of lesion location and tear structure for understanding Bankart lesions; however, knowledge on anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion characteristics in anterior shoulder instability remains limited.</p><p><strong>Purpose: </strong>To evaluate the prevalence of various ALPSA lesion patterns and their effect on redislocation rates after labrum repair.</p><p><strong>Study design: </strong>Case-control study; Level of evidence, 3.</p><p><strong>Methods: </strong>Patients with ALPSA lesions who underwent arthroscopic labrum repair between 2015 and 2022 were retrospectively evaluated. Labrum tears were categorized into specific positions: isolated ALPSA lesions (3- to 5-o'clock position), ALPSA lesions with tears extending to the 1 o'clock position (1- to 5-o'clock position), and ALPSA lesions with tears extending into other positions. In addition, transverse tears that disrupted the circular continuity of the labrum were defined as radial tears. Patients were categorized as having no dislocated lesions or having redislocated lesions based on postoperative redislocation history. Descriptive data, tear extensions, radial tears, and patient-reported outcome measures (PROMs) were compared between the 2 groups.</p><p><strong>Results: </strong>The study included 178 patients (mean age, 25.7 ± 7.1 years), with a mean follow-up of 69.4 ± 27.2 months. Of these patients, 35 experienced lesion redislocation, while 143 patients did not experience lesion dislocation. In patients with no lesion dislocation, 43% of lesions were located in the 1- to 5-o'clock position, 36% in the 3- to 5-o'clock position, and 21% in other locations; in patients with lesion redislocation, 60% of lesions were observed in the 3- to 5-o'clock position, 29% in the 1- to 5-o'clock position, and 11% in other locations (<i>P</i> _1-5 = .04, <i>P</i> _3-5 = .001, and <i>P</i> _others = .08). Radial tears were more frequent in the group with lesion redislocation (49%) compared with the group with no lesion dislocation (23%) (<i>P</i> < .001). Regression analysis demonstrated that radial tears (odds ratio [OR], 4.67) and the 3- to 5-o'clock lesion position (OR, 3.65) were significantly associated with redislocation (<i>P</i> = .01, <i>P</i> = .03, respectively). Both groups demonstrated significant improvements in PROMs compared with the preoperative period (<i>P</i> < .001). However, final follow-up PROMs were significantly worse in the group with lesion redislocation (<i>P</i> < .001).</p><p><strong>Conclusion: </strong>The present study demonstrated that an isolated ALPSA lesion at the 3- to 5-o'clock position and the presence of radial tears were independent factors increasing the risk of redislocation after arthroscopic ALPSA repair.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251360365"},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963860","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":"Factors That Influence Female Orthopaedic Surgeons' Decision to Pursue a Career in Sports Medicine: A Mixed-Methods Study.","authors":"Nichelle M Enata, Katherine M Gerull, Ahmed Hanafy, Mary K Mulcahey, Derrick M Knapik, Matthew V Smith","doi":"10.1177/23259671251352193","DOIUrl":"10.1177/23259671251352193","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite the increased percentage of women in medical school and in orthopaedic residency programs, the percentage of women pursuing careers in sports medicine has only increased 3% over the past decade.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To investigate the experiences and perceptions of female orthopaedic surgeons about sports medicine, identifying factors influencing career interest in this surgical subspecialty.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A mixed-methods approach, combining an online survey and qualitative interviews, was utilized to compare the clinical experiences and personal perceptions of women in orthopaedic sports medicine with women in other orthopaedic subspecialties. Surveys were distributed to members of the Ruth Jackson Orthopaedic Society and the Women in Orthopaedics online forum. Descriptive statistics from the survey were compiled, with chi-square and 2-sample &lt;i&gt;t&lt;/i&gt; test used to compare categorical and continuous variables. Purposive sampling was used to select interview participants from survey respondents to ensure diverse perspectives were collected. Interviews were conducted via video conferencing using a semistructured interview guide, and qualitative data were analyzed using grounded theory methods to develop a model of women's interest in sports medicine careers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the 162 online survey respondents, there were no significant differences between sports- and non-sports trained respondents regarding years in practice (&lt;i&gt;P&lt;/i&gt; = .32) and personal athletic participation (&lt;i&gt;P&lt;/i&gt; = .39). Among the 158 respondents who completed the entire survey, 76% (n = 120) perceived sex discrimination from various sources during their clinical training, with no significant difference in perceived sex discrimination between sports- and non-sports trained respondents (&lt;i&gt;P&lt;/i&gt; = .07). Interviews with 22 women revealed that perceived athletic identity, timing of clinical exposure, and features within the scope of practice and cultural considerations all influenced career decision making.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study provides an analysis of women's exposure to sports medicine, revealing perceived sex discrimination from multiple sources during their clinical training. Such discrimination, however, does not directly affect their decision to pursue a career in sports medicine and is comparable with women across orthopaedics in general. Factors influencing women's career decision making in sports medicine include the scope of practice and cultural considerations. These data may serve as the foundation to increase women's representation within sports medicine. Future research comparing the perception of bias and discrimination rates among men within sports medicine and comparison studies with other orthopaedic specialties are necessary to provide additional context to the current trends within women thr","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 8","pages":"23259671251352193"},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963890","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}