Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Number of Patient-Reported Allergies and Other Mental Health Measures Correlate With Symptom Severity at Time of Hip Arthroscopy for Femoroacetabular Impingement Syndrome","authors":"Joshua T. Finerty B.S. ,&nbsp;Nicholas R. Kossoff B.S. ,&nbsp;Allison R. Garden B.S. ,&nbsp;Joshua S. Everhart M.D., M.P.H.","doi":"10.1016/j.asmr.2025.101293","DOIUrl":"10.1016/j.asmr.2025.101293","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine whether patient-reported allergies (a proposed indirect measure of mental health) or direct measures of mental health are associated with preoperative symptom scores, as measured by the 12-item International Hip Outcome Tool (iHOT-12) in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed prospectively collected data from consecutive patients undergoing outpatient hip arthroscopy for femoroacetabular impingement syndrome by a single surgeon. Patients completed the iHOT-12 preoperatively. Number of allergies, medication classes with allergic reactions, and reaction types were documented. Mental health was assessed via pre-existing psychiatric diagnoses, EQ-5D-5L anxiety/depression score, and Mental Health Inventory-5 (MHI-5) score. Associations between mental health measures (including allergies) and iHOT-12 scores were determined using bivariate and multivariate regression with forward selection.</div></div><div><h3>Results</h3><div>Ninety-one patients were included (69.2% male, 30.8% female), with a mean age of 36.6 (±13.7) years. In bivariate analysis, mental health measures associated with lower iHOT-12 scores were number of allergies (−1.91 per allergy, SE = 0.62; <em>P</em> = .002), MHI-5 score (+0.87 per point, SE = 0.38; <em>P</em> = .03), EQ-5D-5L anxiety/depression score (−3.87 per point, SE = 1.71; <em>P</em> = .03), and nonphysiologically appropriate allergic reactions (−3.78 per reaction, SE = 1.72; <em>P</em> = .03). Independent predictors of iHOT-12 scores in multivariate analysis were number of allergies (−1.16 points per allergy, SE = 0.58; <em>P</em> = .04), EQ-5D-5L anxiety/depression score, (−3.68 per 1 point increase, SE = 1.51; <em>P</em> = .02), and UCLA activity score (2.83 per 1-point increase, SE = 0.71; <em>P</em> = .001).</div></div><div><h3>Conclusions</h3><div>Number of self-reported allergies is a simple, easily accessible measure that clinicians can use as a proxy measure of mental health that is predictive of patient-reported outcome measures prior to hip arthroscopy.</div></div><div><h3>Level of Evidence</h3><div>Level III, Retrospective cross-sectional.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101293"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808435","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":"Favorable Outcomes After Arthroscopic Posterior Bankart Repair for Traumatic Posterior Shoulder Instability in Collision Athletes","authors":"Daisuke Yamashita M.D. ,&nbsp;Atushi Tasaki M.D., Ph.D. ,&nbsp;Takayuki Oishi M.D., Ph.D. ,&nbsp;Taiki Nozaki M.D., Ph.D. ,&nbsp;Shota Mashimo P.T., M.P.H. ,&nbsp;Nobuto Kitamura M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101264","DOIUrl":"10.1016/j.asmr.2025.101264","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To investigate the postoperative results of arthroscopic posterior Bankart repair for traumatic posterior shoulder instability in collision sports athletes and their clinical characteristics, including injury mechanism, symptoms, physical examination findings, and imaging features.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Between January 2011 and April 2022, a retrospective review was conducted of collision-sport athletes who underwent arthroscopic posterior Bankart repair for traumatic posterior shoulder instability at a single institution. The inclusion criteria were posterior instability caused by trauma, absence of generalized joint laxity, and arthroscopic posterior Bankart repair. All the patients had a minimum follow-up of 24 months. Patient demographics, injury mechanisms, imaging findings (evaluated using radiographs, computed tomography, and magnetic resonance imaging, including posterior labral tears, posterior glenoid bone loss, glenoid retroversion, and reverse Hill-Sachs lesions), return-to-play rates, recurrence, and postoperative shoulder pain and Rowe score were evaluated. Pre- and postoperative Rowe scores were compared using the Wilcoxon signed-rank test. A &lt;em&gt;P&lt;/em&gt; value of &lt; .05 was considered statistically significant.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of 517 shoulders operated on for instability, 21 (4.1%) had posterior instability. After excluding 8 cases, 17 shoulders from collision sports athletes were analyzed. The mean age of the athletes was 21.1 years. All patients had a positive posterior apprehension test, and 62% had a positive anterior apprehension test. Imaging revealed posterior glenoid bony defects in 85% of cases. The mean glenoid retroversion angle was 1.6° ± 3.6° as measured on axial computed tomography images. The mean follow-up period was 40.5 ± 22.9 months, and all patients returned to their preinjury level of sports activity at a mean of 6.5 ± 1.0 months postoperatively. At the time of injury, 6 patients experienced a posterior dislocation, one experienced a subluxation, and 6 reported only posterior shoulder pain. Before surgery, 7 patients had no history of complete dislocation, while 6 patients had recurrent dislocations (≥2 times). The mean interval from the first dislocation or symptom onset to surgery was 21.8 ± 20.8 months. The Rowe score improved significantly from 55 (range: 25-75) preoperatively to 95 (range: 50-100) postoperatively (&lt;em&gt;P&lt;/em&gt; &lt; .01). The minimum clinically important difference for the Rowe score was 13.4 points, and 92% of patients exceeded this threshold. However, one patient (8%) experienced redislocations, and 4 patients (31%) reported residual pain, with 3 of these cases involving glenoid cartilage lesions at the time of surgery. Although postoperative pain was more common in patients with cartilage lesions (60%) than in those without (13%), this difference did not reach statistical significance (&lt;em&gt;P&lt;/em&gt; = .217).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Co","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101264"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808364","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":"Intratendinous Normal Saline Injection of Quadriceps and Patellar Tendon Allografts Does Not Reduce Mechanical Strength at Time Zero","authors":"Evan A. Jacquez M.D. ,&nbsp;Kyle P. Zielinski B.S. ,&nbsp;John M. Etchart B.S. ,&nbsp;Layla Dawit ,&nbsp;Sarah L. Lucas M.D. ,&nbsp;Gregory T. Perraut M.D. ,&nbsp;Kyle W. Zittel M.D. ,&nbsp;Stephen C. Saddler M.D. ,&nbsp;Bryan W. Cunningham Ph.D.","doi":"10.1016/j.asmr.2025.101260","DOIUrl":"10.1016/j.asmr.2025.101260","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the tensile strength of human cadaveric quadriceps tendon (QT) and bone–patellar tendon–bone (BTB) allografts augmented by intratendinous saline injection.</div></div><div><h3>Methods</h3><div>Thirty-three QT and 14 BTB allografts harvested from fresh-frozen human cadaveric knees were tested using a servohydraulic test system. One half of all grafts were injected with 2 mL of intratendinous 0.9% saline, acting as a substitute for PRP, whereas the other half were soaked in saline as a control. Tensile testing was then performed and the ultimate load at failure (N) was measured. Statistical analysis, including descriptive, analysis of variance, and post hoc Tukey analysis, was performed. A <em>P</em> value less than .05 was considered significant.</div></div><div><h3>Results</h3><div>The mean ultimate load at failure was not significantly different for treated QT grafts and control QT grafts (330 ± 179 N vs 291 ± 195 N, <em>P</em> = .94). The mean ultimate load at failure was also not significantly different for treated BTB grafts and control BTB specimens (553 ± 195 N vs 656 ± 242 N, <em>P</em> = .76).</div></div><div><h3>Conclusions</h3><div>Intratendinous normal saline injection compared with passive normal saline exposure was not associated with any significant differences in ultimate load at failure for quadriceps and patellar tendon allografts at time zero.</div></div><div><h3>Clinical Relevance</h3><div>Graft rupture is a feared complication of anterior cruciate ligament reconstruction. The current study may provide surgeons with added confidence that intratendinous therapeutic injections of nonviscous substances do not significantly impair the tensile strength of QT and BTB allografts used in ACL reconstruction at time zero.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101260"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808445","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":"Cartilage Scaffolds Implanted Without Subchondral Drilling Are Associated With Improved Outcomes and Fewer Complications Compared to Scaffolds Implanted With Subchondral Drilling in the Treatment of Isolated Patellar Cartilage Lesions","authors":"Romir P. Parmar B.S. ,&nbsp;Sailesh V. Tummala M.D. ,&nbsp;Sachin S. Pathuri B.S. ,&nbsp;Jainam Shah B.S. ,&nbsp;Jai Khurmi B.S. ,&nbsp;Kostas J. Economopoulos M.D.","doi":"10.1016/j.asmr.2025.101299","DOIUrl":"10.1016/j.asmr.2025.101299","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To compare clinical outcomes between augmented subchondral drilling (aSCD) and nonsubchondral drilling (NoSCD) techniques, both using a cartilage scaffold, in the treatment of isolated patellar cartilage lesions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A retrospective cohort study was conducted on patients who underwent surgical treatment for isolated patellar cartilage using either an aSCD technique (a subchondral drilling augmented with a particulated cartilage allograft scaffold or a flexible osteochondral allograft scaffold) or a NoSCD technique (a particulated juvenile articular cartilage scaffold or a flexible osteochondral allograft scaffold implanted without performing a subchondral drilling). Patients were included if they had a minimum 2-year follow-up and excluded if they underwent concomitant meniscal or ligamentous procedures. While tibial tubercle osteotomy (TTO) was commonly performed, it was not a strict inclusion criterion. All procedures were performed through arthrotomy with a standardized postoperative rehabilitation protocol. Clinical outcomes included International Knee Documentation Committee (IKDC) and Lysholm scores, reoperation rates, conversion to total knee arthroplasty, and complications.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 65 knees were included: 31 in the aSCD group and 34 in the NoSCD group, with a mean follow-up of 50.4 months (range, 24-88 months). In the aSCD group, particulated allograft cartilage hydrated with platelet-rich plasma was used in 80.7% of cases and flexible osteochondral allograft in 19.3%, while the NoSCD group was treated with Cartiform (Arthrex) in 70.6% and particulated juvenile articular cartilage in 29.4% of cases. TTO was performed in 87.0% of aSCD and 91.2% of NoSCD cases. Average defect sizes were 3.7 cm&lt;sup&gt;2&lt;/sup&gt; (aSCD) and 4.0 cm&lt;sup&gt;2&lt;/sup&gt; (NoSCD). At final follow-up, the NoSCD group had significantly better outcomes, with higher median IKDC scores (81.0 vs 74.0; &lt;em&gt;P&lt;/em&gt; &lt; .001) and median Lysholm scores (83.0 vs 77.0; &lt;em&gt;P&lt;/em&gt; &lt; .001). A significantly greater proportion of NoSCD patients exceeded the minimal clinically important difference for IKDC (100% vs 80.6%; &lt;em&gt;P&lt;/em&gt; = .024) but not for Lysholm (97.1% vs 93.5%; &lt;em&gt;P&lt;/em&gt; = .935) at final follow-up. In multivariable regression adjusting for scaffold type, TTO, and defect size, aSCD remained a significant independent predictor of lower final IKDC (β = –8.97; &lt;em&gt;P&lt;/em&gt; = .001) and Lysholm (β = –12.71; &lt;em&gt;P&lt;/em&gt; &lt; .001) scores. The aSCD group had a significantly higher rate of repeat surgery (45.2% vs 14.7%; &lt;em&gt;P&lt;/em&gt; = .015). There was no significant difference in conversion to total knee arthroplasty between groups (&lt;em&gt;P&lt;/em&gt; = .432).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;For the treatment of isolated patellar cartilage lesions, a nonsubchondral drilling technique with scaffolding was associated with improved patient-reported outcomes and fewer complications compared to","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101299"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808460","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":"Inferior Clinical Outcomes and Increased Conversion to Total Hip Arthroplasty Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Patients With Inflammatory Joint Disease: A Minimum 5-Year Matched Cohort Study","authors":"Ady H. Kahana-Rojkind M.D. ,&nbsp;Andrew R. Schab B.S. ,&nbsp;Drashti Sikligar M.Eng. ,&nbsp;Roger Quesada-Jimenez M.D. ,&nbsp;Benjamin D. Kuhns M.D. ,&nbsp;Benjamin G. Domb M.D.","doi":"10.1016/j.asmr.2025.101258","DOIUrl":"10.1016/j.asmr.2025.101258","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate midterm clinical outcomes of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in patients with inflammatory joint diseases (IJD) compared to a matched control group without IJD.</div></div><div><h3>Methods</h3><div>Data were prospectively collected on all hip arthroscopies performed between February 2008 and December 2018 at a single center. Patients diagnosed with IJD undergoing primary hip arthroscopy for FAIS with labral tears were included. Exclusion criteria were prior ipsilateral hip conditions (except IJD), hip dysplasia (lateral center-edge angle &lt;18°), and Tönnis grade &gt;1. Patients with a minimum 5-year follow-up were matched 1:3 to controls based on age, sex, body mass index, and Tönnis grade. Patient-reported outcomes (PROs), rates of achieving clinically relevant thresholds, and secondary procedures were compared between groups.</div></div><div><h3>Results</h3><div>A total of 27 hips (23 patients) with IJD were matched to 81 hips (79 patients) in the control group. At a minimum 5-year follow-up, both groups showed significant improvement in all PROs. However, the IJD group had lower postoperative PRO scores and fewer patients meeting patient acceptable symptom state for modified Harris Hip Score and Non-Arthritic Hip Score (29.6% vs 61.7% and 40.7% vs 64.2%). The IJD group had significantly higher odds of requiring a second hip surgery (odds ratio, 3.57; 95% confidence interval, 1.04-12.23; <em>P</em> = .042) and lower odds of maintaining arthroplasty-free survivorship (odds ratio, 0.14; 95% confidence interval, 0.04-0.56; <em>P</em> = .003).</div></div><div><h3>Conclusions</h3><div>Patients with IJD undergoing hip arthroscopy for FAIS experience significant improvement in PROs at midterm follow-up. However, they achieve clinically significant thresholds less frequently, exhibit increased revision arthroscopy rates, and have higher rates of conversion to total hip arthroplasty compared to the control group.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective comparative case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101258"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808474","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":"Artificial Intelligence Has Varied Diagnostic and Predictive Performance in Diagnosing Patellofemoral Osteoarthritis, Trochlear Dysplasia, and Patellofemoral Tracking Abnormalities: A Systematic Review","authors":"Jack Twomey-Kozak M.D.,&nbsp;Mikhail A. Bethell M.S.,&nbsp;Zoe Wiatt Hinton M.D.,&nbsp;Samuel Lorentz M.D.,&nbsp;Lucy Meyer M.D.,&nbsp;Alex Meyer M.D.,&nbsp;Eoghan Hurley M.D.,&nbsp;Damon V. Briggs B.S.,&nbsp;Kendall Bradley M.D.,&nbsp;Jocelyn Wittstein M.D.,&nbsp;Brian Lau M.D.","doi":"10.1016/j.asmr.2025.101269","DOIUrl":"10.1016/j.asmr.2025.101269","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To systematically review and evaluate the diagnostic efficacy and predictive power of artificial intelligence (AI) models in detecting patellofemoral (PF) compartment pathology and to compare their performance against ground-truth human clinical experts when applicable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, the PubMed, Ovid/MEDLINE, and Cochrane Library databases were searched from inception through May 2024 for studies on AI methods for diagnosing trochlear dysplasia, PF osteoarthritis, or PF instability and tracking abnormalities on cross-sectional imaging. AI model choice, knee pathology, input/output data, performance metrics (accuracy, area under the curve [AUC], precision-recall curve average precision, sensitivity, specificity, positive predictive value, and negative predictive value), sample sizes of datasets, image modalities, and limitations were recorded.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of 68 studies screened, 17 met the inclusion criteria. Ten studies investigated AI diagnostics for PF osteoarthritis; four, PF tracking and/or instability; and three, trochlear dysplasia. Various deep learning architectures and machine learning algorithms were used. Input data included computed tomography scans, magnetic resonance imaging scans, and radiographs. Output data included anatomic landmark identification and diagnostic predictions. AUC values ranged from 0.664 to 0.990, and accuracy ranged from 74% to 99%. Model performance was moderate to excellent, with AI models consistently surpassing traditional methods in processing times. Common limitations included small sample size, single-center datasets, limited generalizability, and bias due to imbalanced datasets.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;AI models showed variable diagnostic performance in identifying PF pathologies and predicting disease progression, with reported AUCs ranging from 0.664 to 0.990 and accuracies between 74% and 99%. Although some studies suggested that AI outperformed traditional diagnostic methods such as interpretation by musculoskeletal radiologists, manual segmentation, or arthroscopy, the degree of superiority was inconsistent and influenced by significant heterogeneity in model architectures, imaging modalities, and reference standards. Given the broad scope of this review and variability across studies, caution is warranted in interpreting these findings, and specific clinical recommendations cannot be made at this time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Clinical Relevance&lt;/h3&gt;&lt;div&gt;AI-based diagnostic tools show promise in supporting the evaluation of PF joint pathologies by potentially improving efficiency and consistency in image interpretation. However, because of the heterogeneity in current models and study designs, the clinical applicability of these tools remains limited. Further refinement and external validation of AI algorithms are","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101269"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808473","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":"Current Orthopaedic Sports Medicine Fellowships Have a Limited Presence on Social Media","authors":"Ashley Treanor B.S. ,&nbsp;Michelle Shimizu B.Sc. ,&nbsp;Shreya M. Saraf M.S. ,&nbsp;Mary K. Mulcahey M.D.","doi":"10.1016/j.asmr.2025.101270","DOIUrl":"10.1016/j.asmr.2025.101270","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the level of involvement of orthopaedic sports medicine fellowships on social media, the type of content shared, and the overall level of engagement based on the type of content posted.</div></div><div><h3>Methods</h3><div>A web-based systematic approach identifying and analyzing the social media presence of the Accreditation Council for Graduate Medical Education–accredited orthopaedic sports medicine fellowship programs across 3 major platforms—Instagram, Facebook, and X—from the inception of each Instagram and X account to January 30, 2025, and from January 1, 2020, to January 30, 2025, for each Facebook account. Data on each program’s profile and posts were collected. The χ² tests evaluated the variability of content posted between programs. Kruskal-Wallis tests of the mean likes/post/follower evaluated variability in engagement between program profiles.</div></div><div><h3>Results</h3><div>Of the 95 Accreditation Council for Graduate Medical Education–accredited orthopaedic sports medicine fellowship programs identified, 20 (21.1%) posted about their fellowship on Instagram, 13 (13.7%) on X, 9 (9.5%) on Facebook, and 5 (5.3%) on all 3 platforms. On average, Instagram profiles had 148.7 posts (range, 8-985), X profiles had 2,807.0 posts (range, 102-6,747), and Facebook profiles had 527.4 posts (range, 23-1,185). Non-fellowship-related content (national holidays, patient information) was the most common category across all platforms (mean of 103 posts on Instagram, 2,260 on X, and 489 on Facebook), with little variability between programs. Level of engagement did not statistically differ across any platform (Instagram, <em>P</em> = .457; X, <em>P</em> = .446; Facebook, <em>P</em> = .433).</div></div><div><h3>Conclusions</h3><div>Although Instagram was identified as the most favored platform, the overall social media presence of orthopaedic sports medicine fellowships across all platforms was limited. Content analysis revealed a predominant focus on posts unrelated to the program’s orthopaedic sports medicine fellowship.</div></div><div><h3>Clinical Relevance</h3><div>This study highlights the underutilized potential of social media in enhancing visibility, engagement, and communication for orthopaedic sports medicine fellowships.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101270"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808462","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":"Full Return to Sport in All Athletes After Suture-Button Fixation for Syndesmotic Injuries; However, Faster Recovery Was Seen in National Collegiate Athletic Association Football Players Compared with National Football League Players","authors":"Alexander Ziedas M.D. ,&nbsp;Momin Nasir M.D. ,&nbsp;Michael Dubé M.D. ,&nbsp;Noah Elagamy M.D. ,&nbsp;Julius Gumma B.S. ,&nbsp;Philip Shaheen M.D. ,&nbsp;Todd Frush M.D.","doi":"10.1016/j.asmr.2025.101220","DOIUrl":"10.1016/j.asmr.2025.101220","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the return-to-sport (RTS) rate and time to RTS for National Collegiate Athletic Association (NCAA) football players and National Football League (NFL) players after suture-button fixation for the treatment of unstable tibiofibular syndesmotic injuries and to identify possible risk factors associated with a delay in RTS.</div></div><div><h3>Methods</h3><div>NCAA and NFL players who underwent suture-button fixation for an isolated syndesmotic ankle injury between 2017 and 2023 were evaluated. All player information and data were retrieved from publicly available internet sources. The following information was gathered on each player's career; NFL participation, number of seasons played before and after surgery, number of games played before and after surgery, and time between surgery and RTS. RTS was defined as the time until the first game after syndesmotic suture-button fixation.</div></div><div><h3>Results</h3><div>Seven NCAA and fourteen NFL players (21 ankles) were included. The mean age at surgery was 24.90 ± 4.66 years (range, 18-34 years). One hundred percent of patients were able to RTS at their level of sport. The mean time between surgery and the first game played was 139.4 ± 123.6 days (range, 12-427 days). Players played in 23.48 ± 21.9 games (range, 3-72 games) after surgery. NCAA players were able to RTS significantly earlier than NFL players (39.0 ± 20.4 days vs 189.6 ± 123.2 days, <em>P</em> = .005, with <em>P</em> &lt; .05 denoting significance). There was no significant difference in workload after surgery for both NCAA and NFL players.</div></div><div><h3>Conclusions</h3><div>In this study, we found that athletes, regardless of whether they were NCAA or NFL players, were able to successfully return to their level of sport after ankle surgery. Whereas NCAA players returned to play significantly faster, both groups were able to achieve similar performance levels postoperatively in terms of the number of games played.</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 6","pages":"Article 101220"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808461","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":"Addition of a 2-Limb Lateral Extra-articular Procedure to Anterior Cruciate Ligament Reconstruction Does Not Increase Early Complications in Pediatric Patients at Minimum 1-Year Follow-Up","authors":"Samuel I. Rosenberg M.D. ,&nbsp;Elizabeth H. Merritt B.S. ,&nbsp;Neeraj M. Patel M.D., M.P.H., M.B.S.","doi":"10.1016/j.asmr.2025.101266","DOIUrl":"10.1016/j.asmr.2025.101266","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the rates and types of early complications in pediatric patients undergoing a 2-limb lateral extra-articular procedure (LEAP) alongside anterior cruciate ligament reconstruction (ACLR) versus ACLR alone.</div></div><div><h3>Methods</h3><div>The records of patients who underwent primary ACLR at a single tertiary children’s hospital were reviewed for this retrospective cohort study, excluding those with multiligament reconstructions, modified MacIntosh reconstructions, or less than 1-year follow-up. The 2-limb LEAP used a strip of iliotibial band autograft that remained attached at the Gerdy tubercle and was first fixed to the femur and then reflected distally and fixed to the tibia, resulting in 1 limb that was similar to the Lemaire tenodesis and another that reconstructed the anterolateral ligament. Demographic data, intraoperative findings and techniques, and postoperative complications were compared between patients who underwent ACLR with LEAP and those who underwent ACLR alone.</div></div><div><h3>Results</h3><div>A total of 268 patients with a mean follow-up period of 2.0 ± 0.8 years were included in the analysis, of whom 49 (18%) underwent a 2-limb LEAP with ACLR. Most of the patients who underwent LEAP (91.8%) received a quadriceps tendon autograft for ACLR, whereas those who underwent only ACLR had a more equal distribution of quadriceps (38.8%), patella (34.2%), and hamstring (26.9%) tendon autografts. The most common short-term complication was persistent pain (i.e., pain lasting &gt;3 months), occurring in 4.1% of patients with LEAP and 5.9% of those with ACLR alone (<em>P</em> &gt; .99). There was no difference in the proportion of patients with arthrofibrosis (10.2% of those with LEAP vs 9.6% of those with ACLR alone, <em>P</em> = .90), superficial wound infection (2.0% with LEAP vs 3.7% with ACLR alone, <em>P</em> &gt; .99), or reoperation for any reason (32.6% with LEAP vs 36.5% with ACLR alone, <em>P</em> = .78). The rate of postoperative cosmetic concerns was significantly different (6.1% of patients with LEAP vs 0.5% of patients with ACLR, <em>P</em> = .02).</div></div><div><h3>Conclusions</h3><div>Children and adolescents undergoing a 2-limb LEAP with primary ACLR reported a higher rate of cosmetic concerns after surgery than those undergoing ACLR alone. However, the addition of the LEAP did not otherwise increase the risk of early postoperative complications at a minimum 1-year follow-up.</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 6","pages":"Article 101266"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808446","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":"No Difference in Clinical Outcomes Between Concomitant Anterior and Posterior Cruciate Ligament Reconstruction With and Without Independent Suture Tape Augmentation","authors":"Adam J. Tagliero M.D. ,&nbsp;Brandon Cabarcas M.D. ,&nbsp;Sanathan Iyer M.S. ,&nbsp;Adam V. Daniel M.D. ,&nbsp;John J. Kelly M.D. ,&nbsp;Aaron J. Krych M.D. ,&nbsp;Bruce A. Levy M.D.","doi":"10.1016/j.asmr.2025.101261","DOIUrl":"10.1016/j.asmr.2025.101261","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare clinical and functional outcomes (including range of motion, clinical laxity, reoperation/revision rates, and patient-reported outcome measures) of combined anterior cruciate ligament/posterior cruciate ligament reconstruction (ACLR/PCLR) with and without suture tape (ST) augmentation via a propensity-matched cohort analysis.</div></div><div><h3>Methods</h3><div>A retrospective review was performed to identify all patients who underwent simultaneous primary ACLR/PCLR between 2001 and 2022. A 1:1 propensity match was performed using patient sex, Schenck classification grade, age ±8 years, and body mass index ±10 to produce 2 cohorts: ACLR/PCLR with and without (control) ST augmentation. Clinical outcomes (visual analog scale [VAS], range of motion, Tegner activity scale, Lysholm score, and International Knee Documentation Committee subjective score) were analyzed.</div></div><div><h3>Results</h3><div>The propensity match produced a final cohort of 50 ACLR/PCLR patients: 25 with ST augmentation and 25 nonaugmented controls. Most patients had a KD3M injury (12 in each cohort), and no significant differences were noted in concomitant neurovascular, meniscal, or chondral injuries between the groups. Forty patients (80%) completed follow-up at a mean of 4.7 years for the ST cohort and 8.5 years for the control cohort (<em>P</em> &gt; .05). Postoperative ST versus control values for outcome measures including VAS at rest (0.9 vs 1.5; <em>P</em> = .71), VAS with use (3.0 vs 2.2; <em>P</em> = .24), International Knee Documentation Committee (75.7 vs 76.3; <em>P</em> = .37), Lysholm (81.8 vs 77.6; <em>P</em> = .91), and Tegner activity (4.8 vs 5.4; <em>P</em> = .37) scores showed no differences (<em>P</em> &gt; .05 for all). There were no differences in excessive postoperative clinical laxity between ST and control cohorts (ST n = 1 vs control n = 2, Lachman 2+, <em>P</em> = .140; ST n = 3 vs control n = 1, posterior drawer 2+, <em>P</em> = .122). The total number of patients who underwent reoperation was 7 of 25 (28%) for the ST cohort and 8 of 25 (32%) for the control cohort (<em>P</em> = .76).</div></div><div><h3>Conclusions</h3><div>Concomitant ACLR/PCLR utilizing ST augmentation showed similarly satisfactory postoperative clinical outcomes at a minimum 2-year follow-up compared to a matched cohort without ST. The use of an independent ST did not limit motion or increase the incidence of complications or revision surgery.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective comparative case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 6","pages":"Article 101261"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808448","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}