Orthopaedic Journal of Sports Medicine最新文献

{"title":"Social Risk Factors for an Injury in Paralympic Athletes: Examining Time to Access the Training Facility and Time to Prepare Before and After Training.","authors":"Maxime Luiggi, Rémi Richard, Valentine Duquesne, Hélène Joncheray","doi":"10.1177/23259671251320986","DOIUrl":"10.1177/23259671251320986","url":null,"abstract":"<p><strong>Background: </strong>No previous study has analyzed the associations between Paralympic athletes' sociocultural factors and injury risk.</p><p><strong>Purpose/hypothesis: </strong>The purpose of this study was to examine the associations of time to access the main training facility (TAF) and time to prepare before and after training (TPT) with the injury risk while controlling for sport, impairment type, and performance level. It was hypothesized that a longer TAF and TPT would be associated with an increased injury risk.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>A retrospective questionnaire was sent to 186 French athletes in 11 Paralympic sports who were identified by their sports federations as qualified to compete at the 2021 Tokyo Paralympic Games. The level of performance was determined according to past performance in international championships and the Paralympic Games. Impairment type was self-reported by athletes and then reclassified by a certified physician (limb deficiency, visual impairment, spinal cord-related disorder, central neurological disorder, short stature, peripheral neurological and muscular disorder). TAF and TPT were assessed by 2 self-reported questions. Injuries in the past 12 months were assessed using the latest consensus statement for the recording and reporting of self-reported epidemiological data on injuries in sports. Logistic regression analyses were performed to evaluate the relationship of TAF and TPT with the injury risk while controlling for sport, impairment type, and performance level.</p><p><strong>Results: </strong>A total of 126 athletes (response rate: 67.7%) agreed to participate. The prevalence of injuries was 35.7% (95% CI, 33.3%-38.2%); it was lower among athletes with a high level of performance compared with those with a low level of performance. Athletes who reported a TAF ≥40 minutes were 5.5 times (95% CI, 1.2-30.5) more likely to have sustained an injury than those who reported <10 minutes. Athletes who reported a TPT ≥1 hour and 30 minutes were 6.3 times (95% CI, 1.1-44.4) more likely to have had an injury than those who reported 15 minutes.</p><p><strong>Conclusion: </strong>Our study demonstrated that Paralympic athletes who reported a longer TAF and TPT had a higher risk of injuries. Future studies are needed to understand the exact mechanism that would explain these results and to assist in the prevention of injuries in this population of athletes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251320986"},"PeriodicalIF":2.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249071","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":"Long-Term Health-Related Quality of Life After Sport-Related Injury in Youth Athletes: A Longitudinal Cohort Study.","authors":"Rajiv Verma, Alexandria Render, Mario Ramirez, Neeta Shenvi, Kirk A Easley, Cynthia LaBella, Andrea Stracciolini, Neeru Jayanthi","doi":"10.1177/23259671251341467","DOIUrl":"10.1177/23259671251341467","url":null,"abstract":"<p><strong>Background: </strong>Long-term effects of sport-related injury (SRI) on health-related quality of life (HRQoL) in young athletes are unknown.</p><p><strong>Purposes: </strong>To compare 2-year long-term HRQoL outcomes between injured young athletes and available normative data for healthy youth (NDHY) and evaluate these outcomes by sex, age, surgical status, and sport attrition status.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>Patients ages 8 to 18 years who presented to 1 of 3 sports medicine clinics with SRI were included in the study. Baseline sport and injury history were collected. HRQoL was measured at 1, 12, and 24 months after injury via the PROMIS Pediatric-25 v2.0. Six HRQoL domains were analyzed by injury type (acute, overuse, concussion) with a mixed model for repeated measures. Scores >0.5 standard deviations from the reference mean were considered statistically significant.</p><p><strong>Results: </strong>357 patients completed baseline surveys (36% male, 64% female; mean age, 14.4 years) at 1 month after injury. There were 119 (33.3%) acute injuries, 42 (11.8%) concussions, and 196 (54.9%) overuse injuries. Of the sample, 336 (94.2%) were athletes and 21 (5.8%) were nonathletes. Cohort retention was 64% (228/357) at 12 months and 35% (126/357) at 24 months. Patients with overuse injury showed worse mobility at 1 month after injury compared with NDHY (mean [95% CI], 44.4 [43.1-45.6]), with resolution of this finding at 12- and 24-month follow-up (50.8 [48.9-52.7] and 51.8 [49.4-54.2], respectively). Patients who were older, were female, quit sport, or underwent surgery showed worse mobility compared with NDHY at 1 month after injury (44.0 [41.9-46.1], 44.7 [43.5-45.9], 40.8 [38.4-43.2], 34.3 [30.6-37.9], respectively), with similar resolution at 12- and 24-month follow-up. Female patients showed worse anxiety/fear, depression/sadness, and pain interference than male patients at 1-month follow-up (<i>P</i> = .002, <i>P</i> = .001, and <i>P</i> = .021, respectively), 12-month follow-up (<i>P</i> < .001, <i>P</i> = .001, <i>P</i> = .009), and 24-month follow-up (<i>P</i>≤ .001, <i>P</i> = .001, <i>P</i>≤ .001) but were no worse than NDHY at 12- and 24-month follow-up.</p><p><strong>Conclusion: </strong>SRI in youth athletes does not negatively affect long-term HRQoL outcomes 24 months after injury. Female sex was found to be associated with worse short- and long-term HRQoL outcomes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251341467"},"PeriodicalIF":2.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249068","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":"Meniscus Root Repairs Are Associated With High Rates of Postoperative Deep Vein Thrombosis.","authors":"Colin Joseph Carroll, Mikhail Klimstra, Davishia Henderson, Christopher Shultz, Gehron Treme","doi":"10.1177/23259671251340988","DOIUrl":"10.1177/23259671251340988","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of research specifically looking at the rates of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients undergoing meniscal repair. Many studies view arthroscopic knee surgery as a single group including meniscal debridement, meniscal repair, and chondral surgery, as well as ligament reconstruction.</p><p><strong>Hypothesis: </strong>Patients who underwent meniscal repair, specifically meniscus root repair, at >40 years old would have higher rates of DVT and PE than those who underwent meniscal debridement regardless of age and meniscal repair at ≤40 years old.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>This study analyzed patients between the ages of 8 and 80 years who underwent arthroscopic meniscal repair versus meniscectomy at a single center. These 2 groups were then subdivided into patients who were >40 years of age and those ≤40 years of age. The 4 groups then had the rates of postoperative DVT and PE recorded and compared and the risk factors for DVT and PE analyzed.</p><p><strong>Results: </strong>Patients who underwent meniscal repair at >40 years of age were found to have significantly higher rates of DVT (<i>P</i> < .01) than those who underwent debridement regardless of age and those that underwent repair ≤40 years old (<i>P</i> = .02). All DVTs and PEs in the meniscal repair group >40 years old were in patients who had meniscus root repairs with a DVT incidence of 10.7% and PE incidence of 3.6%. Risk factors for the development of DVT were age as well as history of DVT.</p><p><strong>Conclusion: </strong>Meniscal repairs, specifically root repairs, in patients aged >40 years had high rates of DVT, which has not been documented in the literature.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251340988"},"PeriodicalIF":2.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of the Arabic Translated Version of the Norwich Patellar Instability Score and the Banff Patellar Instability Instrument 2.0.","authors":"Abdulaziz Z Alomar, Faisal A Alghamdi, Ahmed S Alhowimel, Faris Alodaibi, Dalia Alimam","doi":"10.1177/23259671251340989","DOIUrl":"10.1177/23259671251340989","url":null,"abstract":"<p><strong>Background: </strong>The Banff Patellar Instability Instrument 2.0 (BPII 2.0) and Norwich Patellar Instability (NPI) score are reliable, valid patient-reported outcome (PRO) measures for evaluating patellofemoral instability. Both have been translated and culturally adapted to various languages to document PROs accurately. However, no validated Arabic versions of these PRO measures exist.</p><p><strong>Purpose: </strong>To translate the BPII 2.0 and NPI score into Arabic and assess the reliability and validity of the translated questionnaires.</p><p><strong>Study design: </strong>Cohort study (diagnosis); Level of evidence, 3.</p><p><strong>Methods: </strong>The NPI score and BPII 2.0 were translated into Arabic based on standard guidelines recommended by the Consensus-based Standards for the selection of health Measurement Instruments. Patients who underwent patellofemoral stabilization surgery were included in this study. Respondents completed the translated versions of the questionnaires 1 week apart. The validity of the translation was assessed using Cronbach alpha, and Pearson correlation coefficient (<i>r</i>) was used to determine the relationship between the Arabic versions of the NPI score, BPII 2.0, and Kujala Score (KS). Test-retest reliability was assessed using the intraclass correlation coefficient.</p><p><strong>Results: </strong>The translated versions were assessed in 83 patients and found reliable. The response rate was 94.3%. A negative correlation was found between the KS and NPI score (<i>r</i> = -0.80; <i>P</i> < .05) and a positive correlation with BPII (<i>r</i> = 0.84; <i>P</i> < .05). A significant negative correlation was noted between the NPI and the BPII (<i>r</i> = -0.71). For first-time responses, Cronbach alpha for the NPI score was 0.80, with an intraclass correlation coefficient of 0.80 (0.68-0.83), while the BPII was 0.91 (0.87-0.93) and the KS was 0.80 (0.73-0.86). No floor or ceiling effects were observed.</p><p><strong>Conclusion: </strong>The study demonstrated that the translated Arabic versions of the BPII and NPI score are valid and reliable for measuring PROs in Arabic-speaking patients with patellofemoral instability.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251340989"},"PeriodicalIF":2.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249070","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":"Instructional Course Lectures at Orthopaedic Sports Medicine Society Meetings With Female Moderators.","authors":"Idaleen C Ching, Elizabeth Cho, Aidimer Perez, Mia V Rumps, Mary K Mulcahey","doi":"10.1177/23259671251340301","DOIUrl":"10.1177/23259671251340301","url":null,"abstract":"<p><strong>Background: </strong>It has been estimated that only 6.5% of practicing orthopaedic surgeons are female. However, with the number of women in orthopaedic surgery increasing over the past 2 decades as more female medical students are applying to orthopaedic surgery residency, it is important for trainees, mentors, and all stakeholders in the field to understand what variables affect opportunities for career advancement.</p><p><strong>Purpose/hypothesis: </strong>The purpose of this study was to evaluate gender diversity among instructional course lecture (ICL) faculty at recent orthopaedic sports medicine meetings and to determine whether factors such as moderator gender affect selection of ICL panelists. It was hypothesized that there would be more female representation at orthopaedic sports medicine meetings overall compared with previous years, as well as more female faculty on ICLs with female moderators.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Demographic data on ICL moderators and panelists were collected in September 2023 from annual meeting programs for the Arthroscopy Association of North America from 2016 to 2023 and the American Orthopaedic Society for Sports Medicine from 2018 to 2023 via an internet search.</p><p><strong>Results: </strong>ICLs with female moderators were more likely to include female panelists (OR, 4.6; 95% CI, 2.5-8.6; <i>P</i> < .0001). Male moderators had more years in practice (16.8 vs 7.2; <i>P</i> = .0002). Among panelists, men had higher H-indices (36 vs 23; <i>P</i> < .0001), a number used to describe a researcher's productivity and impact, and years in practice (19 vs 16; <i>P</i> = .02). Academic ranks were significantly different between male and female moderators (<i>P</i> < .00001 for professor and associate professor categories). There was no significant difference in departmental leadership between male and female moderators.</p><p><strong>Conclusion: </strong>Female faculty were predominantly in academic practices yet were less likely to be in academic or departmental leadership roles. ICLs with a female moderator were more likely to have female panelists. Sports medicine societies should take this into account when considering ways to increase diversity among faculty on ICLs at annual meetings.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251340301"},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of Preoperative MRI in the Prediction of ACL Tear Type.","authors":"David E Kantrowitz, Christon N Darden, Dennis M Bienstock, Hulaimatu Jalloh, Ashley M Rosenberg, Sean McMillan, James N Gladstone, Shawn G Anthony","doi":"10.1177/23259671251339491","DOIUrl":"10.1177/23259671251339491","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament (ACL) injuries are common among active patients and can be managed with primary repair or reconstruction. The most important predictor of good outcomes after primary repair is a more proximal tear location. Preoperative magnetic resonance imaging (MRI) guides surgical decision making, but the accuracy of MRI in identifying tear location is understudied.</p><p><strong>Purpose: </strong>To evaluate the accuracy of preoperative MRI in identifying ACL tear location.</p><p><strong>Study design: </strong>Cohort study (diagnosis); Level of evidence, 2.</p><p><strong>Methods: </strong>Patients who underwent ACL reconstruction or repair by 2 surgeons at a single, urban academic medical center between 2019 and 2024 were collected. Exclusion criteria included previous ACL surgery and inadequate preoperative or intraoperative imaging. The location of the ACL tear on preoperative MRI scan was retrospectively graded using the modified Sherman classification in a blinded manner. Reference diagnosis was the tear location as noted in the surgeon's operative note and confirmed with arthroscopic images. The primary endpoint was the accuracy of MRI for predicting intraoperative tear type.</p><p><strong>Results: </strong>A total of 203 patients were included in this study. MRI accurately predicted the ACL tear type seen arthroscopically only 35.5% (72/203) of the time. When MRI did not match the arthroscopic diagnosis, the MRI was within 1 classification grade 74.8% (98/131) of the time. Of the incorrect gradings, 71.0% (93/131) were overclassifications (MRI tear classification more distal than found during arthroscopy). MRI was more sensitive in detecting proximal third (type II) and midsubstance (type III) tears (43.7% and 51.6%, respectively) than it was for detecting proximal avulsion (type I) tears (2.5%).</p><p><strong>Conclusion: </strong>MRI was unreliable for determining the precise location of an ACL tear. MRI tended to overestimate how distal a tear was compared with arthroscopic findings, which may influence patient counseling, preoperative planning, and surgical decision making.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251339491"},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234733","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 Correlation Between Knee Pain Severity During Early Rehabilitation Exercise After Anterior Cruciate Ligament Reconstruction and Presence of Patellofemoral Joint Degeneration.","authors":"Mei Li, Xia Wang, Mengwei Zhang, Wenzhe Li, Guixian Dong, Shengjie Wang","doi":"10.1177/23259671251340370","DOIUrl":"10.1177/23259671251340370","url":null,"abstract":"<p><strong>Background: </strong>Patellofemoral osteoarthritis is a recognized complication after anterior cruciate ligament (ACL) reconstruction (ACLR). Nevertheless, previous studies have not adequately addressed the connection between pain severity and the presence of early patellofemoral osteoarthritis during initial rehabilitation exercises after ACLR.</p><p><strong>Purpose: </strong>To explore the correlation between knee pain severity during early flexion exercises and chondral changes of the patellofemoral joint.</p><p><strong>Study design: </strong>Cohort study; Level of evidence, 3.</p><p><strong>Methods: </strong>We included 121 patients who underwent ACLR. Patients were categorized into 3 groups based on their Numeric Rating Scale pain scores during rehabilitation exercises. Group A consisted of pain levels <3 points, group B had scores 4 to 6 points, and group C had scores ranging from 7 to 10 points. Magnetic resonance imaging (MRI) assessments were conducted preoperatively and 3 months postoperatively, utilizing T2-mapping MRI sequences to evaluate the composition of patellofemoral articular cartilage. We also performed subjective assessments using International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Lysholm, and Kujala scoring systems preoperatively and postoperatively.</p><p><strong>Results: </strong>The T2 values demonstrated statistically significant differences between groups A and C in the trochlear lateral condyle (31.5 ± 3.3 vs 34.8 ± 3.0; <i>P</i> < .01), trochlear groove (32.8 ± 3.4 vs 36.1 ± 4.0; <i>P</i> < .01), lateral surface of the patella (32.9 ± 3.2 vs 35.9 ± 3.7; <i>P</i> < .01), and ridge of the patella (32.6 ± 3.3 vs 36.0 ± 3.9; <i>P</i> < .01) at 3 months postoperatively. Significant differences were also noted between groups A and B in the trochlear lateral condyle (31.5 ± 3.3 vs 32.9 ± 3.0; <i>P</i> < .05), trochlear groove (32.8 ± 3.4 vs 34.7 ± 3.9; <i>P</i> < .05), and ridge of the patella (32.6 ± 3.3 vs 34.2 ± 4.0; <i>P</i> < .05). Comparisons between groups B and C further illustrated differences in the trochlear lateral condyle (<i>P</i> < .01) and ridge of the patella (<i>P</i> < .05). Subjective evaluations revealed significant differences between group A and group C in IKDC, KOOS, Lysholm, and Kujala scores 3 months after surgery.</p><p><strong>Conclusion: </strong>This study indicates that knee pain during early rehabilitation exercises after ACL reconstruction is associated with MRI changes in the patellofemoral joint and that more intense pain perception during early rehabilitation exercises is associated with more severe changes.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251340370"},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234734","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 Association of Foot Arch Variations With Patellofemoral Pain Syndrome in Recreational Athletes.","authors":"Ankit Gudi, Ashish John Prabhakar, Charu Eapen, Vijaykumar Paliniswamy, Yogeesh D Kamat","doi":"10.1177/23259671251334776","DOIUrl":"10.1177/23259671251334776","url":null,"abstract":"<p><strong>Background: </strong>Patellofemoral pain syndrome (PFPS) is one of the common causes of anterior knee pain, especially in the young and athletic population. Although there are many intrinsic and extrinsic factors causing PFPS, the foot arch variations have been theorized to be associated with or contribute to the condition.</p><p><strong>Purpose: </strong>To study the association of foot arch variations with PFPS in recreational athletes.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>This study investigated the foot arch index, categorizing the foot as flat foot, high-arch foot, or normal foot in 35 recreational athletes with PFPS and 35 healthy individuals (12 women, 23 men in each group). The foot posture index was calculated by taking the impression of the foot on a paper using ink and uploading it on a computer to determine the area of the foot. The midfoot area was then divided by the total area to obtain the foot arch index. Based on this, the foot was categorized as flat foot, high-arch foot, or normal foot.</p><p><strong>Results: </strong>Using the chi-square test, the authors observed that there were significantly more individuals with foot arch variations in the PFPS group as compared with the healthy individuals. A chi-square test was used to study the association between the foot arch variations and PFPS and found a significant (<i>P</i> < .001) association between the two, and a post hoc comparison showed a significant (<i>P</i> < .001) association of flat foot with PFPS.</p><p><strong>Conclusion: </strong>A more pronated or flat foot is associated with PFPS and should be assessed when evaluating individuals with PFPS. Hence, the evaluation of foot arch may be an important addition to other clinical measurements taken to explore the factors associated with PFPS.</p><p><strong>Registration: </strong>CTRI/2024/01/061538 (Clinical Trials Registry-India code).</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251334776"},"PeriodicalIF":2.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226092","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":"Peripheral Tears of Complete Discoid Lateral Meniscus Follow a Staged Progression.","authors":"Ho Yeon Kim, Jong-Min Kim, Bum-Sik Lee, Jaejung Ryu","doi":"10.1177/23259671251331625","DOIUrl":"10.1177/23259671251331625","url":null,"abstract":"<p><strong>Background: </strong>Peripheral tears of complete discoid lateral meniscus (DLM) display a wide spectrum of clinical manifestations. However, a staging system for such tears has not yet been established.</p><p><strong>Purpose: </strong>To determine whether there is a progression in the pattern of peripheral tears in complete DLM and establish a comprehensive staging system that categorizes these tears into distinct stages.</p><p><strong>Study design: </strong>Cross-sectional study; Level of evidence, 3.</p><p><strong>Methods: </strong>A consecutive series of 298 knees diagnosed with complete DLM between July 2006 and December 2022 were retrospectively reviewed. A staging system based on clinical symptoms, presence of tears on magnetic resonance imaging (MRI), and stability during arthroscopic examination was used to classify patients into seven stages (stage 0-6). Patient demographic data and International Cartilage Regeneration & Joint Preservation Society (ICRS) grade on MRI were assessed.</p><p><strong>Results: </strong>A total of 18 knees were classified as stage 0, 27 as stage 1, 46 as stage 2, 51 as stage 3, 22 as stage 4, 122 as stage 5, and 12 as stage 6. Each stage was defined by characteristic clinical features. A higher ICRS cartilage grade in both the lateral femoral condyle (Spearman coefficient, <i>r</i> = 0.893) and the lateral tibial plateau (<i>r</i> = 0.929) were correlated with an increase in stage.</p><p><strong>Conclusion: </strong>Progressive stages characterize the development of peripheral tears in a complete DLM. Higher stages are associated with more severe displacement of tears and increased cartilage degeneration.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251331625"},"PeriodicalIF":2.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226125","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":"Burnout in National Collegiate Athletic Association Physicians: A Cross-Sectional Study.","authors":"Cooper Root, Levi Aldag, Nick Giusti, Damon Mar, Christopher D Bernard, Luis Salazar, Erik Henkelman, Bryan Vopat, Jeffrey Randall","doi":"10.1177/23259671251327684","DOIUrl":"10.1177/23259671251327684","url":null,"abstract":"<p><strong>Background: </strong>Burnout has been associated with decreased quality of patient care and results in an estimated cost of roughly $5 billion per year. With a growing awareness of burnout prevalence in high-level athletes, the physicians working with the athletic departments of the National Collegiate Athletic Association (NCAA) institutions can be forgotten.</p><p><strong>Purpose: </strong>To assess the prevalence of burnout among physicians of the NCAA teams and assess predictors that may lead to burnout.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A cross-sectional survey using the Professional Fulfillment Index scale with demographic data was sent to multiple Division I NCAA conferences. Eligible participants included any physicians who care directly for Division I NCAA teams. Each item was assessed on a 5-point Likert scale, and comparisons were made between those who did and did not achieve burnout. Linear and logistic regression models were used to assess predictors of burnout score and achievement of burnout, respectively.</p><p><strong>Results: </strong>Of the 89 completed responses, 79 (79/89; 89%) participants qualified as having achieved burnout. No significant differences were identified in burnout achievement based on patient demographics. Specifically, there was no difference in burnout achievement based on specialty (<i>P</i> = .16), taking call (<i>P</i> = .05), or years in practice (<i>P</i> = .12). A linear regression model showed that the only significant predictor of burnout score was specialty, with family medicine-sports medicine and Other both associated with greater burnout scores (<i>P</i> < .001 and <i>P</i> = .002, respectively) compared with orthopaedics.</p><p><strong>Conclusion: </strong>The prevalence of burnout in NCAA physicians is extremely high, even compared with the rate of other physicians, and the lack of predictive factors shows this issue to be multifactorial. Further studies need to be conducted with larger sample sizes, as well as isolating historical factors of burnout, to better improve the health of this unique physician population.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251327684"},"PeriodicalIF":2.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226123","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}