Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Indications for Biceps Tenodesis in Injured Overhead Throwing Athletes Lack Consensus: A Systematic Review and Cross-Sectional Survey","authors":"Aaron D. Sciascia Ph.D., A.T.C., P.E.S., S.M.T.C., F.A.S.S.E.T. ,&nbsp;W. Jeffrey Grantham M.D. ,&nbsp;Austin V. Stone M.D., Ph.D. ,&nbsp;Anthony N. Baumann D.P.T. ,&nbsp;John D. Kelly IV M.D. ,&nbsp;W. Ben Kibler M.D.","doi":"10.1016/j.asmr.2025.101113","DOIUrl":"10.1016/j.asmr.2025.101113","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the current clinical practice methods and the reported indications for biceps tenodesis in injured overhead throwing athletes.</div></div><div><h3>Methods</h3><div>This study combined a survey of experienced shoulder surgeons regarding their methods of establishing indications for tenodesis surgery with a systematic review of studies that reported performing biceps tenodesis in overhead throwing athletes. Both the survey and review were designed to identify methods of making the diagnosis to delineate the preoperative and intraoperative factors used to establish biceps involvement as a major component of the clinical presentation, as well as to attempt to establish a consensus for clinical practice.</div></div><div><h3>Results</h3><div>Eleven studies reporting on 249 overhead throwing athletes were analyzed. Elements of the history evaluation were described in 5 studies; physical examination, in 2 studies; advanced imaging, in 7 studies; and diagnostic arthroscopy, in 8 studies. One hundred nineteen responses to the survey showed a similar thought process regarding the reasoning to include biceps tenodesis, but several aspects of the process appeared to not be supported by contemporary literature. Also, there was inconsistent use of diagnostic components, with only 3 of 9 history components and 4 of 9 physical examination components being selected by more than 50% of the respondents.</div></div><div><h3>Conclusions</h3><div>The survey revealed there was an incompletely supported reasoning process regarding indications for tenodesis and there was no consensus regarding individual components of the history or physical examination. The literature review revealed a lack of consensus regarding which elements of the diagnostic process are integral in establishing biceps involvement in injured throwing shoulders.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies and cross-sectional survey.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101113"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year","authors":"Emmitt Hayes M.D.,&nbsp;Sasha Carsen M.D., M.B.A.,&nbsp;Bogdan Matache M.D.,&nbsp;Michael Pickell M.D.","doi":"10.1016/j.asmr.2025.101109","DOIUrl":"10.1016/j.asmr.2025.101109","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate performance following hip arthroscopy in National Hockey League (NHL) players.</div></div><div><h3>Methods</h3><div>NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome measure was wins above replacement per 60 minutes played (WAR/60), with secondary outcomes, including offensive and defensive goals, above replacement per 60 minutes played. A matched cohort was created on the basis of position, draft year, and index season performance. Preinjury and postinjury outcomes were compared using a paired <em>t</em> test.</div></div><div><h3>Results</h3><div>Twenty-eight players underwent 29 eligible procedures. Preinjury, postinjury year 1, and postinjury year 2 WAR/60 were 0.06, 0.01, 0.04, respectively, in cases (<em>P</em> = .01, <em>P</em> = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (<em>P</em> = .35, <em>P</em> = .01, <em>P</em> = 0.82) compared to cases. Offensive goals above replacement per 60 minutes played were decreased compared to presurgery 1 and 2 years postsurgery but only performance 2 years postsurgery met statistical significance (<em>P</em> = .55, <em>P</em> = .03). Defensive goals above replacement per 60 minutes played were decreased compared to presurgery at postsurgery year 1 and 2, but only performance in year 1 was statistically significant (<em>P</em> = 0.01, <em>P</em> = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (<em>P</em> = .03).</div></div><div><h3>Conclusions</h3><div>NHL players who have undergone hip arthroscopy are associated with significantly decreased performance 1 year following surgery when compared with controls, driven primarily by decreased defensive performance. However, performance of major analytic metrics recovers by postinjury year 2.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective case-control study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101109"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internet Searches Related to Anterior Cruciate Ligament Injury and Surgery Predominantly Relate to Management, Technical Details, and Recovery, but Quality of Websites Is Poor","authors":"John T. Streepy M.S.,&nbsp;Morgan L. Angotti M.D.,&nbsp;Johnathon R. McCormick M.D.,&nbsp;Colton C. Mowers B.S.,&nbsp;Braedon R. Urie B.S.,&nbsp;Alexander J. Hodakowski M.D.,&nbsp;Brian J. Cole M.D.,&nbsp;Nikhil N. Verma M.D.,&nbsp;Jorge Chahla M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101112","DOIUrl":"10.1016/j.asmr.2025.101112","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze the content of the most common “People Also Ask” questions regarding anterior cruciate ligament (ACL) injuries and ACL surgery and to assess the scientific validity of the associated websites that provide answers.</div></div><div><h3>Methods</h3><div>Search terms were entered into Google regarding ACL tear and ACL surgery. The 300 most asked questions for each query were categorized with the Rothwell classification. The associated webpage information was collected from the “People Also Ask” section, and qualitative analysis was performed with the <em>Journal of the American Medical Association</em> (<em>JAMA</em>) benchmark criteria.</div></div><div><h3>Results</h3><div>The Rothwell classification of questions for ACL tear/ACL surgery included fact (53%/54%), policy (37%/30%), and value (16%/10%). Questions related to technical details were significantly more common for the ACL tear group than ACL surgery (<em>P</em> = .015). Academic websites were significantly more common in the ACL tear group (<em>P</em> = .006), and commercial websites were significantly more common in the ACL surgery group (<em>P</em> = .045). The mean <em>JAMA</em> score for all the websites was 1.22 ± 1.1. Websites classified as journal had the highest mean <em>JAMA</em> scores (3.8 ± 0.4), with legal websites and medical practices websites having the lower <em>JAMA</em> scores (0 ± 0, 0.5 ± 0.7).</div></div><div><h3>Conclusions</h3><div>The most frequently asked questions on Google pertaining to ACL tear and ACL surgery are related to indications/management, technical details, and timeline of recovery. The quality of information provided by webpages, as measured by <em>JAMA</em> benchmark score, was poor (mean <em>JAMA</em> score 1.22). Academic and medical practice webpages were the most accessed for ACL tear and surgery, respectively.</div></div><div><h3>Clinical Relevance</h3><div>It is important to continually analyze the validity and quality of information patients find on the Internet. The information gained from this study may help surgeons understand the type of information patients may find about ACL injuries and ACL surgeries.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101112"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data","authors":"Alex G. Chun B.S. ,&nbsp;Eli M. Snyder B.S. ,&nbsp;Kyle K. Obana M.D. ,&nbsp;Beth G. Ashinsky M.D., Ph.D. ,&nbsp;Robert L. Parisien M.D. ,&nbsp;Thomas S. Bottiglieri D.O. ,&nbsp;Christopher S. Ahmad M.D. ,&nbsp;David P. Trofa M.D.","doi":"10.1016/j.asmr.2025.101140","DOIUrl":"10.1016/j.asmr.2025.101140","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine lower extremity youth soccer injuries presenting to US emergency departments.</div></div><div><h3>Methods</h3><div>Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition. Raw data were used to calculate national estimates (NEs) based on the assigned statistical sample weight of each hospital.</div></div><div><h3>Results</h3><div>A total of 503,169 lower extremity injuries were diagnosed in US emergency departments (57.2% male; 42.8% female). On average, there was a decrease in 3,124 injuries per year from 2013 to 2022 (95% confidence interval, –5,324 to –925; <em>P</em> = .01) and 2,384 per year from 2013 to 2022 excluding 2020 (95% confidence interval, –3,452 to –1,315; <em>P</em> &lt; .01). The ankle (NE = 196,592; 39.1%), knee (NE = 147,364; 29.3%), and foot (NE = 58,999; 11.7%) were the most commonly injured. The most common mechanisms of injury were not specified (NE = 188,653; 37.5%), ankle roll (NE = 71,992; 14.3%), and player-to-ground (NE = 581,90; 11.6%). The three most common diagnoses were strain/sprain (NE = 247,274; 49.1%), other/not stated (NE = 91,355; 18.2%), and contusion/abrasion (NE = 74,552; 14.8%).</div></div><div><h3>Conclusions</h3><div>Youth lower extremity soccer injuries presenting to US emergency departments decreased from 2013 to 2022. Sex-specific analyses showed that there were significant differences in proportions of injuries between male and female participants for mechanism, diagnoses, and body parts injured.</div></div><div><h3>Clinical Relevance</h3><div>This study provides insight into the epidemiology of lower extremity youth soccer injuries presenting to US emergency departments over a 10-year period.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101140"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Rehabilitation and Return-to-Sport Criteria Lack Standardization Following Surgical Repair of Metacarpal Fractures: A Systematic Review","authors":"Brian M. Phelps M.D. ,&nbsp;Nikhilesh Mehra B.S. ,&nbsp;Kihoon Bohle B.S. ,&nbsp;Austin Hagen B.S. ,&nbsp;Andrew George M.D. ,&nbsp;Shari R. Liberman M.D. ,&nbsp;Robert A. Jack II M.D.","doi":"10.1016/j.asmr.2025.101107","DOIUrl":"10.1016/j.asmr.2025.101107","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify any postoperative rehabilitation parameters, as well as return-to-sport criteria after surgically treated fractures of the second through fifth metacarpals.</div></div><div><h3>Methods</h3><div>Level I to IV studies that examined nonthumb metacarpal fractures treated surgically, had a minimum 12-month follow-up, and provided explicit return-to-sport (RTS) criteria were reviewed. The selected studies were evaluated for RTS criteria, RTS outcomes, and methodologic quality.</div></div><div><h3>Results</h3><div>Out of 1,688 studies initially identified, 3 met inclusion criteria. These studies comprised 91 patients from 6 distinct sports. The time frame for RTS varied from 1.8 to 3.4 weeks after surgery. Rehabilitation protocols emphasized range-of-motion exercises and bracing (67%). All studies included a rehabilitation protocol and subjective RTS criteria. However, none suggested specific objective measurement for RTS following metacarpal fracture surgery.</div></div><div><h3>Conclusions</h3><div>In the literature, there is a lack of agreement on the criteria for rehabilitation and returning to sport after surgical repair of metacarpal fractures. Each included study described the use of early ROM progression, and most reported using splint immobilization or bracing when returning to training or play. Subjective parameters for RTS were more widely reported than a specific postoperative amount of time, but these parameters varied based on sport and surgeon preference.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III to IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101107"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"YouTube Videos on Lateral Epicondylitis Often Lack High-Quality, Reliable Information","authors":"Jacob Q. Lin B.S. ,&nbsp;Jacob Christopher B.A. ,&nbsp;Monty Khela B.A. ,&nbsp;Erastus Thuo B.A. ,&nbsp;Harmon Khela B.S. ,&nbsp;Dennis Chakkalakal Ph.D.","doi":"10.1016/j.asmr.2025.101150","DOIUrl":"10.1016/j.asmr.2025.101150","url":null,"abstract":"<div><h3>Purpose</h3><div>To measure the quality and reliability of information from YouTube videos related to lateral epicondylitis (LE).</div></div><div><h3>Methods</h3><div>The first 50 videos obtained from a YouTube search for \"lateral epicondylitis\" were evaluated. Video reliability was assessed using the <em>Journal of the American Medical Association</em> (JAMA) benchmark criteria (range 0-5). The videos’ reliability and quality was evaluated using the Global Quality Score (GQS) (range 0-4), and the Lateral Epicondylitis Specific Score (LESS). Analysis of variance was used to examine differences in reliability and quality across content types and uploaders. Multivariate stepwise regressions were conducted to understand how specific video characteristics influence JAMA benchmark criteria, GQS, and LESS scores.</div></div><div><h3>Results</h3><div>The 50 videos had a total viewership of 15,491,927, with an average of 309,838 views per video (range 1,492-2,814,670). Most videos focused on disease-specific information (40%). Nonphysician medical professionals created most of the content (56%), followed by physicians (28%). The mean JAMA benchmark criteria, GQS, and LESS scores were 2.69 (±.59) of 4.0, 2.64 (±.87) of 5.0, and 4.91 (±1.0) of 7.0, respectively. Analysis showed that academic sources had greater LESS scores (<em>P</em> = .035); physicians had higher JAMA benchmark criteria scores than non-physicians (<em>P</em> = .025); nonphysicians had greater GQS than commercials (<em>P</em> = .031); and nonphysicians had greater VPI than physicians (<em>P</em> = .020). Linear regression analysis showed longer duration videos correlated with greater GCS scores (β: 0.656, <em>P</em> &lt; .001) and greater LESS (β: 0.614, <em>P</em> &lt; .001), whereas commercial content types had with lower GCS (standardized beta -0.280, <em>P</em> = .045).</div></div><div><h3>Conclusions</h3><div>Although YouTube videos related to lateral epicondylitis have millions of views, the information covered had low to moderate quality and reliability as measured by JAMA benchmark criteria, GQS, and LESS.</div></div><div><h3>Clinical Relevance</h3><div>Lateral epicondylitis is a common condition that patients may research online. As the content on YouTube is continually increasing and its popularity remains high, it is important to continually investigate the quality of information available on this platform.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101150"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Borderline Dysplastic Hips With Femoroacetabular Impingement Syndrome Show Increased Axial Distraction Distance on an Intraoperative Traction Examination","authors":"Joseph Featherall M.D.,&nbsp;Reece M. Rosenthal M.D.,&nbsp;Allan K. Metz M.D.,&nbsp;Benjamin T. Johnson B.S.,&nbsp;Ameen Khalil M.S.,&nbsp;Alexander J. Mortensen M.D.,&nbsp;Travis G. Maak M.D.,&nbsp;Stephen K. Aoki M.D.","doi":"10.1016/j.asmr.2025.101096","DOIUrl":"10.1016/j.asmr.2025.101096","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare distraction profiles of borderline dysplastic hips with hips of normal acetabular morphology.</div></div><div><h3>Methods</h3><div>This study was a retrospective analysis of prospectively collected data. Intraoperative distraction profile, radiographic, and patient demographic data were compiled in a database. All patients with borderline dysplastic hips, as determined by a lateral center-edge angle of 18° to 25°, comprised the borderline dysplastic cohort. A cohort of hips with normal femoral head coverage comprised the normal coverage group. Demographic variables between groups were compared to ensure similarity. Between-group comparisons of axial distraction distance at 25, 50, 75, and 100 pounds-force (lbf) were conducted using the Student <em>t</em> test. A multivariable regression was conducted to control for covariates.</div></div><div><h3>Results</h3><div>We identified 136 hips with normal coverage and 36 hips with borderline dysplasia for comparison. Demographic variables were similar between groups. The dysplastic group showed greater axial distractibility at 75 lbf of traction force (6.47 ± 2.95 mm vs 5.07 ± 3.11 mm, <em>P</em> = .016) and 100 lbf of traction force (9.47 ± 2.00 mm vs 7.95 ± 2.50 mm, <em>P</em> = .001). Multivariable linear regression showed that an increased distraction distance was associated with female patients, smaller alpha angles, and less coverage measured by the lateral center-edge angle.</div></div><div><h3>Conclusions</h3><div>In a population undergoing hip arthroscopy for femoroacetabular impingement syndrome, patients with borderline hip dysplasia showed greater intraoperative axial distraction distances than patients with nondysplastic hips.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101096"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction","authors":"Anthony El Alam M.D. ,&nbsp;Tracy El Khoury M.D. ,&nbsp;Joe Ghanimeh M.D. ,&nbsp;Joeffroy Otayek M.D., M.Sc. ,&nbsp;Sahar Semaan M.D. ,&nbsp;Pascale Salameh Pharm.D., M.P.H., Ph.D., H.D.R. ,&nbsp;Alfred Khoury M.D.","doi":"10.1016/j.asmr.2025.101114","DOIUrl":"10.1016/j.asmr.2025.101114","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the impact of the tibial slope on the severity and location of meniscal tears in patients presenting with anterior cruciate ligament (ACL) rupture.</div></div><div><h3>Methods</h3><div>We conducted a single-center retrospective observational study. We analyzed charts and records of patients who underwent ACL tear surgery between 2018 and 2021, excluding those with multiligamentous knee injuries or osteoarthritis. Posterior tibial slope was measured from lateral radiographs, and data on meniscal tears characteristics were collected, including laterality, anatomical location, blood supply zone, tear type, and treatment modality.</div></div><div><h3>Results</h3><div>We included 749 patients (127 female, 622 male) who underwent ACL reconstruction (hamstring tendons, n = 59; bone−patellar tendon−bone, n = 659; quadriceps tendon, n = 31). Concomitant meniscal tears occurred in 361 patients (medial meniscus, 50.7%; lateral meniscus, 31.9%; both menisci, 17.4%). No correlation was found between posterior tibial slope and meniscal injury overall (<em>P</em> = .8). However, a significant correlation was noted between tibial slope and lateral meniscal body tear (<em>P</em> = .023).</div></div><div><h3>Conclusions</h3><div>Our findings suggest that an increased tibial slope, as measured on lateral radiographs, is not indicative of concomitant meniscal tears. However, in cases in which meniscal tears did occur in patients with a high posterior tibial slope, they predominantly affected the lateral meniscal body.</div></div><div><h3>Level of Evidence</h3><div>Level IV, prognostic, case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101114"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Anterior Shoulder Stabilization Using a Long Head of the Biceps Transfer and Bankart Repair Improves Clinical Outcomes in Patients With Subcritical Bone Loss: A Systematic Review","authors":"Neil Jain M.D. ,&nbsp;Jonathan McKeeman M.D., M.B.A. ,&nbsp;Margaret Higgins M.D. ,&nbsp;Alexander Johnson M.D. ,&nbsp;Tyler Smith D.O. ,&nbsp;Brian Waterman M.D.","doi":"10.1016/j.asmr.2025.101141","DOIUrl":"10.1016/j.asmr.2025.101141","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the clinical outcomes of dynamic anterior stabilization using a long head of the biceps transfer (DAS-LHB) with Bankart repair for management of anterior shoulder instability with subcritical glenoid bone loss.</div></div><div><h3>Methods</h3><div>Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a review of the PubMed, Scopus, EMBASE, and Medline databases was performed in March 2025. Studies were limited to those reporting outcomes for patients ≥16 years old with subcritical glenoid bone loss (≤20%) and undergoing primary DAS-LHB with Bankart repair. Articles were assessed for range of motion, patient-reported outcomes, recurrent instability, and reoperation rates. The Methodological Index for Non-Randomized Studies scoring criteria were used for study appraisal. Forest plots were created to visualize mean differences in variables of interest.</div></div><div><h3>Results</h3><div>Among the 4 studies evaluated, 90 patients with mean ages of 23.4 to 31.9 years were included. Average follow-up and bone loss ranged from 24.0 to 41.8 months and 8.0% to 10.5%, respectively. Rowe scores showed improvements ranging from 54.5 to 74.0 points, with 87.9% to 100% of patients meeting minimal clinically important difference thresholds. Changes in forward flexion and external rotation ranged from 3° to 23° and –2.3° to 8.3°, respectively. Four patients (4.4%) experienced a recurrence of dislocation, of whom 2 underwent successful revision with a Latarjet procedure. Of all patients, 90.1% to 100.0% were able to return to sport at any level, while 60.0% to 78.8% returned to their preinjury level of athletic involvement.</div></div><div><h3>Conclusions</h3><div>DAS-LHB in conjunction with Bankart repair preserves motion while showing clinically important functional improvements with low rates of recurrent instability or complication in the short-term postoperative period for patients with symptomatic shoulder instability.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101141"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensitivity and Specificity for Physical Examination Tests in Diagnosing Prearthritic Intra-Articular Hip Pathology Are Highly Variable: A Systematic Review","authors":"Jaydeep Dhillon D.O. ,&nbsp;Evan J. Hernandez B.S. ,&nbsp;Carson Keeter M.S. ,&nbsp;Matthew J. Kraeutler M.D.","doi":"10.1016/j.asmr.2025.101117","DOIUrl":"10.1016/j.asmr.2025.101117","url":null,"abstract":"<div><h3>Purpose</h3><div>To perform a systematic review of the accuracy of various physical examination tests for diagnosing prearthritic intra-articular hip pathology.</div></div><div><h3>Methods</h3><div>A systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines by searching PubMed, Embase, and the Cochrane Library to identify studies that measured sensitivity and/or specificity of various physical examination tests for diagnosing prearthritic intra-articular hip pathology such as a labral tear, femoroacetabular impingement (FAI), or microinstability of the hip joint. The search phrase used was <em>hip AND (exam OR examination) AND pain AND (sensitivity OR specificity)</em>. A total of 15 studies (4 Level I, 6 Level II, and 5 Level III) met the inclusion criteria, including a total of 1,378 hips. The patients had a mean age range of 16.0 to 60.2 years, with males ranging from 11% to 100% of the cohort. For diagnosing hip labral tears, the FADIR (flexion, adduction, internal rotation) test showed the highest sensitivity of 100%, and the FABER (Flexion, Abduction, External Rotation) test showed the highest specificity of 100% based on reference standard comparisons of magnetic resonance imaging (MRI) and direct visualization during hip arthroscopy (HA), respectively. For diagnosing FAI, the IROP (Internal Rotation Over Pressure) test showed the highest sensitivity of 91%, and the FADIR test showed the highest specificity of 47% based on reference standard comparisons of MRI and HA, respectively. For diagnosing hip microinstability, the AB-HEER (abduction–hyperextension–external rotation) test showed the highest sensitivity of 80.6%, and the Prone Instability test showed the highest specificity of 97.6% based on reference standard comparisons of MRI and HA, respectively.</div></div><div><h3>Conclusions</h3><div>This study found high variability in the sensitivity and specificity of physical examination tests for diagnosing prearthritic intra-articular hip disorders.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101117"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}