Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Open Surgical Repair of Proximal Hamstring Tears Results in High Rates of Hamstring Strength Recovery and Return to Preinjury Activity.","authors":"Mohammad Mesfer Alzahrani, Brendon Swift, Zaid A Alzaid, Abdulhamid Alyousef, Michael Pickell, Geoffrey P Wilkin, Steven R Papp, Allan S Liew","doi":"10.1002/ars2.70150","DOIUrl":"https://doi.org/10.1002/ars2.70150","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical and patient-reported outcomes after open operative management of proximal hamstring ruptures.</p><p><strong>Methods: </strong>Retrospective chart review was completed for patients who underwent open surgical repair of a proximal hamstring rupture at a single academic center (The Ottawa Hospital) with a minimum of 1-year follow-up between June 2017 and August 2022. Demographic, injury, and surgical data were collected. Patient-reported outcomes, including the Lower Extremity Function Score and International Hip Outcome Tool, at final follow-up were collected and analyzed for all patients.</p><p><strong>Results: </strong>A total of 41 patients (58.5% men) with a mean age of 49.5 ± 11.7 years (range: 20-70 years old) with a mean follow-up of 46.8 ± 17.6 months (range 13-74 months) were included in the study. The most common mechanism of injury (31.7%) was a fall while skating or skiing. A 3-tendon injury was the most common pattern (82.9%), with the majority being retracted at least 6 cm (51.2%). Postoperative complications were observed in 12.2% of patients and included sensory nerve injury, repair failure, and postoperative admission for intractable pain. Most patients regained full hamstring strength (87.8%) and returned to preinjury activity levels (70.7%), with a mean follow-up of 46.8 months. Patient-reported outcomes at final follow-up were excellent, as 87.8% of the patients scored >90 on Lower Extremity Function Score and 82.9% scored >90 on International Hip Outcome Tool.</p><p><strong>Conclusions: </strong>In this study, patients who underwent open surgical repair of proximal hamstring tendon avulsion had high rates of hamstring strength recovery and return to preinjury activity, with favorable patient-reported outcomes and low complication rates.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic retrospective study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70150"},"PeriodicalIF":0.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence Predicts Failure of Nonoperative Treatment in Degenerative Posterosuperior Rotator Cuff Tears.","authors":"Santiago Gabardo, Natalia Martínez-Catalán, José María Belmonte Martínez, Gregorio Bernabé García, José Manuel García Carrasco, Cristina Delgado, María Valencia-Mora, Gonzalo Luengo-Alonso, Emilio Calvo","doi":"10.1002/ars2.70124","DOIUrl":"10.1002/ars2.70124","url":null,"abstract":"<p><strong>Purpose: </strong>To develop an artificial intelligence-based algorithm to predict success of nonoperative treatment in degenerative posterosuperior tears and to identify the most influential features.</p><p><strong>Methods: </strong>Patients with degenerative rotator cuff tears initially treated nonoperatively were enrolled prospectively from January 2022 to November 2024. Exclusion criteria included age >75 years; <24 months of follow-up; massive, traumatic, and partial tears; arthritic changes (Hamada >2); and severe fatty degeneration (Goutallier >2). All patients followed a standardized physiotherapy protocol and could choose surgery if symptoms persisted; failure was defined as opting for surgery. Collected variables included demographics, comorbidities (diabetes, dyslipidemia, hypertension, hypothyroidism, and smoking), magnetic resonance imaging tear characteristics (size; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine classification; associated cuff involvement; and biceps pathology), corticosteroid injection history, and functional scores (American Shoulder and Elbow Surgeons score, Subjective Shoulder Value, and the visual analog scale). First, a standard statistical analysis between groups was performed. Later, the dataset was split into a train (80%) and test (20%), and a random forest algorithm model was developed. Finally, SHapley Additive exPlanations values were computed to assess feature importance.</p><p><strong>Results: </strong>Of the 412 patients enrolled, 347 patients met the inclusion criteria. After 24 months, 66 (19%) patients opted for surgery. Mean follow-up was 30.4 months (range, 24-32). Compared with the successful nonoperative treatment group, patients who failed treatment were younger (58.5 vs 64.6 years, <i>P</i> = .001) and had higher body mass index (28.8 vs 27.2, <i>P</i> = .016), greater subscapularis involvement (13.5% vs 3%, <i>P</i> = .042), higher visual analog scale scores (7.7 vs 7.2, <i>P</i> = .018), lower Subjective Shoulder Value (30.9 vs 38.9, <i>P</i> = .003), and lower American Shoulder and Elbow Surgeons scores (40.6 vs 47.1, <i>P</i> = .001). The model achieved an area under the curve of 84%, predicting success rate of the nonoperative treatment with 94% sensitivity, 62% specificity, 89% positive predictive value, and 77% negative predictive value. The most influential variables for the model were age, tear size, and pretreatment functional scores.</p><p><strong>Conclusions: </strong>The artificial intelligence-based algorithm accurately predicted nonoperative treatment outcomes in degenerative posterosuperior rotator cuff tears (area under the curve 0.84, sensitivity 94%). Age, tear size, and function were the main predictors.</p><p><strong>Level of evidence: </strong>Level IV, prognostic retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70124"},"PeriodicalIF":0.0,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13684103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double-Bundle Anterior Cruciate Ligament Reconstruction Provides Superior Short-to-Midterm Rotational Stability But Not Clinically Important Functional Gains Over Single-Bundle: A Systematic Review and Meta-analysis.","authors":"Manuel Alberto Gutierrez-Moreno, Luis Eduardo Arámbula-Torres, Ramon Alonso Prieto-Baeza, Carlos Leal-Contreras, Cristina Alejandra Fuentes-Flores, Edmundo Berumen-Nafarrate","doi":"10.1002/ars2.70102","DOIUrl":"10.1002/ars2.70102","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the biomechanical and functional outcomes between single-bundle and double-bundle (DB) anterior cruciate ligament reconstruction techniques using the most current evidence, stratified by follow-up duration.</p><p><strong>Methods: </strong>PubMed, Embase, and Cochrane databases were searched from 2013 to September 2025 for randomized controlled trials comparing single-bundle versus DB anterior cruciate ligament reconstruction with a minimum follow-up of 24 months. Primary outcomes included anterior tibial translation, rotational stability (pivot shift), and patient-reported outcomes (subjective International Knee Documentation Committee, Lysholm score). Secondary outcomes included return-to-sport and graft failure rate. Continuous outcomes were pooled using inverse-variance random-effects models (DerSimonian-Laird) and dichotomous outcomes using Mantel-Haenszel fixed-effect models, with stratification by follow-up duration (24-48 months vs >48 months). Heterogeneity was assessed using the <i>I</i> ² statistic.</p><p><strong>Results: </strong>Thirteen randomized controlled trials (1041 patients; 536 single-bundle, 505 DB; mean age 30.2 years; 68% men; follow-up 24-122 months) were included. At 24 to 48 months, DB reconstruction significantly reduced the risk of a positive pivot shift (risk ratio 0.60, 95% confidence interval [CI] 0.43-0.84, <i>P</i> = .003; number needed to treat = 10) and showed statistically higher subjective International Knee Documentation Committee (mean difference 5.88 points, 95% CI 0.44-11.33) and Lysholm (mean difference 7.47 points, 95% CI 0.06-14.88) scores; however, neither reached established minimal clinically important difference thresholds (11.5 and 8.9 points, respectively). Anterior tibial translation did not differ significantly between techniques (mean difference -0.34 mm, 95% CI -1.04 to 0.35, <i>P</i> = .327). No study reported sex-disaggregated outcomes or individual-level minimal clinically important difference attainment. Beyond 48 months, no significant differences were observed for any outcome.</p><p><strong>Conclusions: </strong>DB reconstruction shows statistically significant improvements in rotational stability and patient-reported functional scores at 24 to 48 months, but functional differences do not reach established minimal clinically important difference thresholds. No significant differences were observed beyond 48 months, a finding likely influenced by substantial study heterogeneity and graft selection. The current evidence does not support a universal clinical advantage for the DB technique; shared decision-making based on patient activity demands and surgeon experience remains essential.</p><p><strong>Level of evidence: </strong>Level I, systematic review and meta-analysis of randomized controlled trials.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70102"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes Mellitus Is Associated With Increased Risk for Subsequent Hip Arthroscopy After Index Hip Arthroscopy.","authors":"Nicholas J Morriss, Justin Harrington, Jacob Waldron, Brian Giordano","doi":"10.1002/ars2.70105","DOIUrl":"10.1002/ars2.70105","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether diabetes mellitus is associated with higher systemic and hip-specific complications and to evaluate reoperation rates after hip arthroscopy.</p><p><strong>Methods: </strong>Using the TriNetX Research Network and Current Procedural Terminology and International Classification of Diseases codes, we identified diabetic and nondiabetic patients aged 12 to 65 years who underwent hip arthroscopy between 2005 and 2025. Ninety-day systemic complications and 6-month, 1-year, and 3-year hip-specific outcomes were evaluated. Propensity score matching (1:1) was performed on 35 demographic and comorbidity variables. Risk analyses, Kaplan-Meier curves, and Cox proportional hazards models compared outcomes, with significance set at <i>α</i> = 0.05.</p><p><strong>Results: </strong>After matching, 1784 diabetic and 1784 nondiabetic patients were included. At 90 days, diabetes was associated with a higher hospital admission rate (odds ratio [OR] 1.83, 95% confidence interval [CI] 1.16-2.87, <i>P</i> = .01). Diabetic patients had higher rates of subsequent hip arthroscopy at 1 year (OR 1.42, 95% CI 1.12-1.79, <i>P</i> = .004) and 3 years (OR 1.39, 95% CI 1.14-1.69, <i>P</i> = .001). Rates of arthroscopic irrigation and debridement were higher in patients with diabetes at 6 months (OR 1.81, 95% CI 1.09-3.00, <i>P</i> = .019), 1 year (OR 1.96, 95% CI 1.32-2.92, <i>P</i> = .001), and 3 years (OR 1.75, 95% CI 1.29-2.37, <i>P</i> < .001). Infection diagnoses were also higher among diabetic patients at 6 months (OR 1.64, 95% CI 1.06-2.52, <i>P</i> = .033) and 3 years (OR 1.70, 95% CI 1.24-2.33, <i>P</i> = .008).</p><p><strong>Conclusions: </strong>Diabetes was not associated with higher rates of most early systemic complications after hip arthroscopy, although hospital admissions were more common among patients with diabetes. Diabetes was associated with higher rates of subsequent hip arthroscopy procedures, arthroscopic irrigation and debridement, and infection diagnoses after index hip arthroscopy; however, these findings should be interpreted in the context of database limitations, including the inability to confirm laterality or ipsilateral revision status.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70105"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetic Resonance Imaging Does Not Accurately Estimate the Size of Glenoid Labrum Tears in Patients With Shoulder Instability.","authors":"Samuel K Gerak, Antonia S Caldwell, William A Crites, Cameron Crasto, Benjamin E Jevnikar, Ronak J Mahatme, Shawn A Moore, Susan E Braley, Brian M Grawe","doi":"10.1002/ars2.70125","DOIUrl":"10.1002/ars2.70125","url":null,"abstract":"<p><strong>Purpose: </strong>To compare magnetic resonance imaging (MRI)-based measurements of glenoid labral tears with intraoperative measurements.</p><p><strong>Methods: </strong>A retrospective review was performed of patients that underwent shoulder capsulorrhaphy between 2019 and 2024 at a single academic medical center. All patients with a single labrum tear, an MRI within 6 months of surgery, and historical tear measurements or measurable intraoperative photographs were included in the study. Glenoid labrum tear size was noted using the clockface convention described in \"hours.\" When clockface measurements were not reported on MRI reads, measurements were made by a radiologist. When clockface measurements were not reported in operative notes, measurements were made by an orthopaedic surgeon using intraoperative photographs. A paired <i>t</i> test was used to evaluate any difference between the MRI and intraoperative measurements.</p><p><strong>Results: </strong>Two hundred sixteen glenoid labral tears from 211 patients met inclusion criteria. Average age was 27.2 ± 11.8 years, 68.5% of patients were men, and 56.9% of glenoid labrum tears were right-sided. On average, MRI measurements exceeded intraoperative measurements (4.15 ± 2.90 hours vs 2.80 ± 1.59 hours) with an average difference of 1.36 ± 3.09 hours (95% confidence interval = 0.94-1.77, <i>P</i> < .001) and a correlation of 0.154 (<i>P</i> = .023). A greater difference in measurement was observed among men compared with women (1.64 vs 0.74 hours, <i>P</i> = .044).</p><p><strong>Conclusions: </strong>MRI overestimated glenoid labrum tear size compared with intraoperative measurements and differed substantially between the 2 modalities on a case-by-case basis, with men displaying a larger discrepancy in measurement difference than women. These findings indicate that MRI may be more appropriately used as a categorical tool for confirming the presence of glenoid labral tears, rather than as a precise measure of tear size.</p><p><strong>Level of evidence: </strong>Level III, retrospective diagnostic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70125"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Irreparable Posterosuperior Rotator Cuff Tears Treated With InSpace Balloon With or Without Arthroscopic Subscapularis Repair: Short-Term Clinical Outcomes in a Multicenter Retrospective Study.","authors":"Yash Sewpaul, Adam Mansour, Alexandra Makenzie, Albert D Mousad, Casey M Beleckas, Komal Singh, Samer S Hasan, Jonathan C Levy, Michael H Amini, Robert U Hartzler","doi":"10.1002/ars2.70101","DOIUrl":"10.1002/ars2.70101","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the short-term clinical outcomes of subacromial balloon implantation and concomitant procedures including subscapularis repair for irreparable posterosuperior rotator cuff tears.</p><p><strong>Methods: </strong>This retrospective multicenter study included patients aged ≥40 years who underwent InSpace Balloon implantation between September 2021 and October 2024, with a minimum 12-month follow-up. Patients undergoing posterosuperior cuff repair were excluded. The primary outcome was the American Shoulder and Elbow Surgeons score. Secondary outcomes included Single Assessment Numeric Evaluation, Simple Shoulder Test, visual analog scale-pain, range of motion, complications, and reoperations. Subgroup analyses compared patients with versus without subscapularis repair, those aged <65 versus ≥65, and those who underwent implantation as a revision procedure. Minimal clinically important difference and Patient Acceptable Symptom State rates were calculated using cohort-specific thresholds.</p><p><strong>Results: </strong>Sixty patients met inclusion criteria (mean age: 68.9 ± 8.5 years; mean follow-up: 22.3 ± 7.9 months). Statistically significant improvements were observed across all patient-reported outcome measures (American Shoulder and Elbow Surgeons: 46.5-72.2; Single Assessment Numeric Evaluation: 37.1-67.7; Simple Shoulder Test: 4.6-7.4; visual analog scale-pain: 5.2-2.3; all <i>P</i> < .001). Range of motion improved minimally. Five patients (8%) underwent revision surgery (4 reverse shoulder arthroplasty, 1 bridging graft). Clinical outcomes did not differ significantly based on subscapularis repair. Patients aged ≥65 achieved higher American Shoulder and Elbow Surgeons scores (77.7 vs 61.2, <i>P</i> < .001). There was no difference in outcomes when used as a primary or as a revision operation (<i>P</i> = .74). Minimal clinically important difference was achieved in 72%; 30% met the Patient Acceptable Symptom State threshold.</p><p><strong>Conclusions: </strong>Subacromial balloon implantation provides significant short-term functional and pain improvements for massive, irreparable posterosuperior rotator cuff tears, regardless of subscapularis repair. Higher clinical outcome scores were observed in patients over age 65.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70101"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return-to-Sport Assessment After Medial Patellofemoral Ligament Reconstruction Shows Substantial Variability in Objective Criteria.","authors":"Louis Kang, Gavin H Ward, Mario Hevesi, Kelechi R Okoroha, Daniel B F Saris, Christopher L Camp, Aaron J Krych, Adam J Tagliero","doi":"10.1002/ars2.70110","DOIUrl":"https://doi.org/10.1002/ars2.70110","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate objective return-to-sport (RTS) outcomes and limb symmetry index (LSI) data after primary medial patellofemoral ligament reconstruction (MPFLR) in patients with patellar instability.</p><p><strong>Methods: </strong>A systematic search of Scopus, PubMed, CINAHL, and Embase (2000-2024) identified studies reporting RTS outcomes and LSI-based performance testing in patients undergoing primary MPFLR. Clinical and observational studies reporting objective metrics such as isokinetic strength and hop testing were included.</p><p><strong>Results: </strong>Six studies including 243 patients (64% women, mean age 19.4 years) undergoing primary MPFLR were included. Several studies included patients undergoing concomitant bone procedures (41%), such as tibial tubercle osteotomy or trochleoplasty. Objective RTS testing commonly included isokinetic strength (4 studies), hop testing (3 studies), and Y-Balance testing (2 studies). Follow-up testing ranged from 6 to 8 months postoperatively. Reported LSI values ranged from 83% to 94% for isokinetic flexion, 70% to 96% for isokinetic extension, 85% to 93% for single hop, and 90% to 97% for triple hop. Time to RTS ranged from 6.1 to 8.1 months across studies, with RTS rates from 85% to 100%. However, only 14% to 40% of patients met all study-specific RTS criteria when reported. Testing protocols and thresholds varied across studies, contributing to heterogeneity in outcomes.</p><p><strong>Conclusions: </strong>Few studies reporting RTS outcomes after MPFLR incorporate LSI measures as part of RTS assessment, and only a minority define explicit RTS criteria based on objective testing. Among studies that reported LSI, quadriceps strength frequently remained below 90% LSI at the time of RTS. Despite high reported RTS rates, substantial variability exists in RTS assessment after MPFLR.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level III to IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70110"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Does Not Impact Outcomes of Arthroscopic Treatment of Hip Labral Tears: A Systematic Review and Meta-analysis.","authors":"Anne Gordon, Jacob Adams, Reed Coda, Grace Tideman, Damon Mar, Lisa Vopat, Bryan G Vopat, John Paul Schroeppel, Rachel Long, Sterre Van Den Anker","doi":"10.1002/ars2.70107","DOIUrl":"https://doi.org/10.1002/ars2.70107","url":null,"abstract":"<p><strong>Purpose: </strong>To conduct a systematic review and meta-analysis to evaluate sex-specific outcomes after arthroscopic treatments for hip labral tears.</p><p><strong>Methods: </strong>A review of literature was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Risk of Bias in Non-Randomized Studies-Intervention tool was used for the risk-of-bias assessment. Eligible studies included patients who underwent arthroscopic hip labral repair or reconstruction, reported sex-based outcomes, and were published between 2005 and 2024. Exclusion criteria included studies not written in English, cadaveric and animal studies, and studies that failed to stratify outcomes based on sex. The outcomes of interest were modified Harris Hip Score, Hip Outcome Score-Sport Scale score, Visual Analog Scale for Pain score, revision rates, and return-to-sport (RTS) rates.</p><p><strong>Results: </strong>There were no statically significant differences in Hip Outcome Score-Sport Scale, modified Harris Hip Score, revision rates, and RTS rates. Men and women had similar RTS rates (odds ratio, 1.27 [95% confidence interval, 0.65; 2.48], <i>P</i> = .45, <i>I</i> ² = 0%). Men had lower revision rates between 0% and 7.9% compared with female rates between 0% and 17%, but this difference was not significant (odds ratio, 0.44 [95% confidence interval, 0.23; 0.83], <i>P</i> = .19, <i>I</i> ² = 38%). There was a statistically significant difference in Visual Analog Scale for Pain scores, with slightly higher scores in women; however, the standardized mean difference was small (mean difference, 0.08 [95% confidence interval, -0.24; 0.41], <i>P</i> = .05, <i>I</i> ² = 67%).</p><p><strong>Conclusions: </strong>The equality of outcomes between sexes and the low rates of revision, high rates of RTS, low pain scores, and high functional scores suggest that arthroscopic treatments are beneficial to both sexes. There was no significant difference in functional scores, revision rates, or RTS rates between men and women undergoing arthroscopic treatment for labral tears. The practical relevance of the statistically significant difference in Visual Analog Scale for Pain scores is negligible.</p><p><strong>Level of evidence: </strong>Level IV, systematic review and meta-analysis of Level I to IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70107"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher Preoperative Magnetic Resonance Imaging Use in Asia-Pacific Compared With North America for Pediatric Tibial Eminence Fractures: A Systematic Review.","authors":"Siyuan Zhang, Jorge Hsian Ming Tay, Si Heng Sharon Tan, James Hoi Po Hui, Theodore Ganley","doi":"10.1002/ars2.70115","DOIUrl":"https://doi.org/10.1002/ars2.70115","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate differences in the incidence, diagnosis, and management of pediatric tibial eminence fractures between the Asia-Pacific region and North America.</p><p><strong>Methods: </strong>A systematic review and subjective synthesis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, MEDLINE, and Cochrane databases were searched from inception to May 1, 2025, using the keywords \"tibial eminence\" or \"tibial spine\" or \"anterior cruciate ligament\" and \"fracture or avulsion.\" All original human surgical studies on pediatric tibial eminence fractures published in the Asia-Pacific region and North America were included, and data on the incidence, diagnosis, and treatment of pediatric tibial eminence fractures were collected.</p><p><strong>Results: </strong>A total of 24 studies (9 from Asia-Pacific and 15 from North America) were selected with a total of 1973 patients. Subset analysis (of 6 Asia-Pacific and 3 North American studies) showed a trend toward higher rates of preoperative magnetic resonance imaging use among Asia-Pacific (96.3%-100%) compared with North American patients (36.2%-46.0%). There were also trends toward higher rates of arthroscopic reduction (compared with open reduction) and suture-based fixation (compared with screw fixation and other modalities) observed in Asia-Pacific patients compared with North American patients.</p><p><strong>Conclusions: </strong>Asia-Pacific surgeons reported substantially higher preoperative magnetic resonance imaging use compared with North American surgeons, alongside potential trends toward greater use of arthroscopic reduction and suture-based fixation.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level III and IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70115"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Patellar Chondromalacia Treated With Arthroscopic Chondroplasty Provides Significant Early Improvements in Patient-Reported Outcomes.","authors":"Nathan Sherman, Kelan Queenan, Jillian L Mazzocca, Cale A Jacobs, Elizabeth G Matzkin","doi":"10.1002/ars2.70095","DOIUrl":"https://doi.org/10.1002/ars2.70095","url":null,"abstract":"<p><strong>Purpose: </strong>To report 1-year patient-reported outcomes in retrospectively reviewed patients who underwent isolated arthroscopic patellar chondroplasty and determine preoperative risk factors for not reaching the Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain subscore patient acceptable symptom state (PASS) threshold.</p><p><strong>Methods: </strong>From a surgeon's outcomes registry, patients who underwent isolated arthroscopic patellar chondroplasty were identified. Patients were asked to complete the KOOS, Single Assessment Numerical Evaluation, Pain Visual Analog Scale, Marx Activity Rating Scale, and Veterans RAND 12-Item Health Survey preoperatively and at 3, 6, and 12 months postoperatively. Changes in patient-reported outcomes over time were assessed with repeated-measures analysis of variance. Additionally, we quantified the number of patients who met PASS thresholds for KOOS subscales 12 months postoperatively. To determine if patient demographic or surgical variables were predictive of a patient achieving KOOS Pain PASS, a binary logistic regression was done.</p><p><strong>Results: </strong>Thirty-nine patients with complete pre- and postoperative data were identified and included in the analyses (35 women/4 men, mean age = 31.4 years, mean body mass index = 26.5). Except for Veterans RAND 12-Item Health Survey Mental Component Scores (<i>P</i> = .33) and Marx Activity Rating Scale scores (<i>P</i> = .11), all other outcome measures significantly improved from baseline to 3 months (<i>P</i> < .001), and results were maintained at 12 months. Most patients achieved KOOS PASS threshold scores at 12 months (Pain: 32/39 patients [82.1%], Symptoms: 24/39 [61.5%], Activities of Daily Living: 30/39 [76.9%], Sport and Recreation Function: 35/39 [89.7%], Knee-Related Quality of Life: 29/39 [74.4%]). There were no significant preoperative predictive factors for reaching a KOOS Pain PASS threshold.</p><p><strong>Conclusions: </strong>Isolated patellar chondroplasty provided significant early improvements in patient-reported outcomes as early as 3 months after surgery, with the majority maintaining PASS at 12 months.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70095"},"PeriodicalIF":0.0,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}