Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Prevalence of Cam Femoroacetabular Lesions in Medieval (1200-1600 CE) and Postmedieval (1600-1850 CE) Dutch Skeletal Collections.","authors":"Nouschka Bosch, Sarah Schrader, Daniel Cooperman, Randall T Loder","doi":"10.1002/ars2.70032","DOIUrl":"10.1002/ars2.70032","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate medieval and postmedieval Dutch skeletal collections for signs of cam impingent.</p><p><strong>Methods: </strong>The medieval collections from Alkmaar Paardenmarkt and Klaaskinderkerke and the postmedieval period from Middenbeemster were studied. Standard osteological methods for sex and age estimation were used. From digital photographs of the femora, the apparent neck shaft angle, true neck shaft angle, angles of version and inclination, and the <i>α</i> and <i>β</i> angles of Nötzli were measured with ImageJ software.</p><p><strong>Results: </strong>The time spans were ~1448 to 1573 for Alkmaar Paardenmarkt, ~1286 to 1573 for Klaaskinderkerke, and 1615 to 1866 for Middenbeemster. Femora exhibiting signs of trauma, disease, or poor preservation were excluded. There were 116 individuals (186 femora) available for study: 21 individuals (35 femora) from Alkmaar Paardenmarkt, 38 individuals (52 femora) from Klaaskinderkerke, and 57 individuals (99 femora) from Middenbeemster. There were 104 male and 68 female femora (sex not known in 14). Using an <i>α</i> angle of ≥50°, ≥55°, and ≥60°, the prevalence of cam deformity was 25%, 16%, and 10%, respectively. The cam deformity prevalence (<i>α</i> ≥ 50°) was higher in the medieval group (39%) than the postmedieval group (13%) (<i>P</i> < .001) and in male individuals (35%) compared with females (9%) (<i>P</i> < .001). The prevalence of cam deformity was 46% in Klaaskinderkerke, 29% in the Alkmaar Paardenmarkt, and 13% in the Middenbeemster collection (<i>P</i> < .001). There were no differences by laterality, paired/unpaired femora, or individual/comingled burials. The prevalence of cam deformity correlated with the physical activities of the individuals. The highest prevalence was in the Klaaskinderkerke (46%) collection and soldiers (62%) from the Alkmaar Paardenmarkt collection. With increasing urbanization and a concomitant decrease in self-sufficiency, the prevalence dropped to 13% in the Middenbeemster collection.</p><p><strong>Conclusions: </strong>Cam deformities that correlate with physical activity levels were found in historical Dutch skeletal specimens.</p><p><strong>Clinical relevance: </strong>Cam deformity is considered an adaptive response to modern athletic activity. Evaluation of historical specimens will provide a fuller understanding of this condition by revealing whether cam deformity was present in historical skeletal specimens.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 3","pages":"e70032"},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362707","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":"Most Upper Extremity Injuries in Elite Summer League Baseball Players Occur From Overuse, Affect the Shoulder, and Result in Missed Playing Time.","authors":"David F Painter, Matthew Quinn, Ryan Snow, Edward J Testa, Rory A Byrne, Michele Marie Pavlu, Brett D Owens","doi":"10.1002/ars2.70028","DOIUrl":"10.1002/ars2.70028","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the epidemiology of upper extremity injuries among elite college baseball players in 1 league over 5 seasons.</p><p><strong>Methods: </strong>Deidentified arm injury reports were recorded from the 2018, 2019, 2021, 2022, and 2023 Cape Cod Baseball League (CCBL) seasons. Included injuries were those that happened to CCBL players during the above 5 seasons, impacted the upper extremity, occurred during official CCBL practice or gameplay settings, and were recorded by League athletic trainers. Injuries were recorded by team athletic trainers according to a standardized reporting guide and then reviewed and compiled by the league's athletic training coordinator. Data were analyzed with descriptive and inferential statistics, including chi-square tests of independence and linear regression.</p><p><strong>Results: </strong>A total of 162 upper extremity injuries were reported across 5 summer seasons for a mean of 32.4 ± 4.2 injuries per season. The average upper extremity injury rate across all 5 seasons was 2.22 injuries per 1000 athletic exposures. There was no significant injury trend from 2018 to 2023 (R² = .434, <i>P</i> = .227). Almost 40% (61/154) of injuries were reinjuries, and overuse (120/158, 75.9%) was more common than trauma (38/158, 24.1%) regarding mechanism of injury. Muscles/tendons (e.g., strain) (97/161, 60.2%) were the most injured structure, and the shoulder (92/162, 56.8%) was the most frequently injured anatomic region. More than half (89/158, 56.3%) of injuries occurred in pitchers. Nearly all (146, 90.1%) injuries occurred during games instead of during practice (injury rate ratio = 9.1 [5.5, 15.3]). Significantly more injuries were time-loss injuries (105/162, 64.8%) than non-time-loss (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>Among upper extremity injuries recorded across 5 seasons in the CCBL, injuries were predominantly due to overuse, most often involved shoulder anatomy, and frequently resulted in missed playing time. More than half of the injuries occurred in pitchers, and reinjuries were common.</p><p><strong>Level of evidence: </strong>Level IV, epidemiological case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70028"},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585465","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":"Beighton Scoring System Use in Generalized Joint Hypermobility Studies Has Greater Scientific Rigor Than Joint-Specific or Arthroscopy Joint Hypermobility Studies.","authors":"John Nyland, Essa Gul, Jonathon Lewis, Justin Givens, Ryan Krupp, Jarod Richards","doi":"10.1002/ars2.70000","DOIUrl":"10.1002/ars2.70000","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the scientific rigor of Beighton Scoring System (BSS) use in generalized joint hypermobility (JH) studies (healthy subject injury risk/rate, physiological or kinesiological function determination) and joint-specific or arthroscopy JH studies; to identify the most commonly used BSS score thresholds; and to describe ways to improve BSS score use for improved surgical and clinical decision-making.</p><p><strong>Methods: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, the PubMed, EBSCO Host, and Web of Science databases were searched using \"Beighton score\" and \"sports injury outcome\" terms. Study purpose, publication year, female or male subject number, age and group type, measurement tools, BSS criteria, results, and conclusions data were extracted.</p><p><strong>Results: </strong>Twenty-eight generalized JH studies (43.8%, 28/64) involving 12,138 subjects (6512 females) and 36 joint-specific or arthroscopy JH studies (56.3%, 36/64) involving 7351 subjects (3441 females) were identified. Overall, most studies reported that BSS scores influenced most/all (54.7%, n = 35/64) or some (26.6%, 17/64) study outcomes and most were Evidence Level II (57.8%, n = 37/64) or III (35.9%, n = 23/64). Most generalized JH studies used a BSS score ≥4 (n = 13, 46.4%) or BSS ≥5 (n = 7, 25%) while most joint-specific or arthroscopy JH studies used a BSS score ≥4 (n = 17, 47.2%), a BSS score ≥5 (n = 9, 25%), or the full BSS score scale (n = 7, 19.4%). Joint-specific and arthroscopy JH studies were more recently published (2020.2 ± 3.5 vs 2014.2 ± 6.8, <i>P</i> < .001). Generalized JH studies more frequently reported separate subject sex and age data (53.6%, n = 15/28) while joint-specific or arthroscopy JH studies more often combined this information (92.7%, 33/36) (<i>P</i> = .001). Most generalized JH studies were Evidence Level II (85.7%, 24/28) while most joint-specific or arthroscopy JH studies were Evidence Level III (52.8%, 19/36) (<i>P</i> < .001). Group study quality and bias risk was comparable; however, generalized JH studies had more prospective research designs (96.4%, 27/28 vs 58.3%, 21/36 (<i>P</i> < .001).</p><p><strong>Conclusions: </strong>Generalized JH studies had more prospective research designs, had higher evidence levels, and more frequently reported separate subject age and sex details. Greater use of these characteristics in joint-specific or arthroscopy JH studies may strengthen surgical and clinical decision-making and patient outcome prediction validity.</p><p><strong>Level of evidence: </strong>Level IV, narrative review of Level I to IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 2","pages":"e70000"},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362718","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":"Quadriceps Injuries in Major League Soccer: A 10-Year Analysis of Injury Rate, Return-to-Play, and Performance Metrics.","authors":"Brian Forsythe, Catherine Hand, Camden Bohn, Daanish Khazi-Syed, Joshua Chang, Francis Hand, Harmanjeet Singh, Andrew Savoia, Jonathan Spaan, Eric Giza, Margot Putukian, Bert R Mandelbaum","doi":"10.1002/ars2.70022","DOIUrl":"10.1002/ars2.70022","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate quadriceps injury rates, return-to-play (RTP) durations, and postinjury performance in Major League Soccer (MLS) athletes with quadriceps injuries.</p><p><strong>Methods: </strong>Data from MLS players with quadriceps injuries (2010-2021) were analyzed using the MLS Injury Surveillance database. Injury rates, RTP times, and reinjury rates were compared across 2 periods (2010-2015 vs 2016-2021). Uninjured players matched 2:1 by position, age, and experience served as controls. Postinjury performance metrics including games played, minutes played, goals, assists, and clean sheets were compared longitudinally across 3 seasons.</p><p><strong>Results: </strong>A total of 1550 MLS players were included. The average age of injured players was 25.57 ± 4.03 years. Injury rates slightly decreased from 7.70% (2010-2015) to 6.51% (2016-2021, <i>P</i> = .111). RTP times significantly increased from 14.4 to 23.0 days (<i>P</i> < .001). Reinjury rates declined from 5.08% (2010-2015) to 0.82% (2016-2021) (<i>P</i> = .098). RTP after reinjury was longer in 2016-2021 but nonsignificant (<i>P</i> = .647). Game-related injuries had shorter RTP (16.4 vs 20.7 days, <i>P</i> = .030). Acute contact injuries resulted in shorter RTP (9.55 days) compared with noncontact (27.0 days) or chronic injuries (16.2 days, <i>P</i> < .001). Weather at the time of injury influenced RTP, with shorter durations in rainy/snowy conditions (11.0 vs 18.75 days, <i>P</i> < .0001). Field type had no significant impact (<i>P</i> = .361). Defenders experienced significant declines in minutes played per season and at 3 years after injury (<i>P</i> = .002, <i>P</i> = .004, respectively). No significant differences were found in goals, assists, or clean sheets.</p><p><strong>Conclusions: </strong>In this study, reductions in injury and reinjury rates were not statistically significant. Longer RTP durations may reflect a cautious recovery approach or may also reflect end-of-season timing or off-season transitions. Position-specific rehabilitation, particularly for defenders, may enhance outcomes.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 3","pages":"e70022"},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362666","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":"ChatGPT, Claude Sonnet, and Grok Display Similarly Low Rates of Accuracy in Identifying Image-Based Orthopaedic Sports Pathologies.","authors":"Ahmad R Alhankawi, Collin L Braithwaite, Alejandro M Holle, M Lane Moore, Saad Tarabichi, Anikar Chhabra","doi":"10.1002/ars2.70009","DOIUrl":"10.1002/ars2.70009","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the ability of artificial intelligence (AI) to identify common sports-related pathologies using radiologic imaging and to compare ChatGPT 4.0 with 2 competitors, Grok 2 and Claude 3.5 Sonnet.</p><p><strong>Methods: </strong>ChatGPT 4.0, Grok 2, and Claude 3.5 Sonnet were used. Five common orthopaedic sports pathologies were chosen: anterior cruciate ligament tears, posterior cruciate ligament tears, meniscal tears, chondral pathologies, and rotator cuff tears. Fifty images representing each pathology were collected from a radiologic imaging database when possible, which included radiographic images, computed tomography, and magnetic resonance imaging. Normal images were collected that corresponded to each diagnostic category. Receiver operator characteristic curves and area under the curve values were calculated to assess the accuracy of each AI platform.</p><p><strong>Results: </strong>ChatGPT 4.0, Grok 2, and Claude 3.5 Sonnet accurately identified the pathology in 23.6%, 15.7%, and 17.1% of diseased images, respectively. ChatGPT and Grok were most accurate at identifying meniscus pathologies (ChatGPT: 48%, Grok: 42%), whereas Claude Sonnet was most accurate at identifying anterior cruciate ligament pathologies (30%). The area under the curve for ChatGPT, Grok, and Claude Sonnet was 0.21, 0.16, and 0.15, respectively (ChatGPT 4.0 vs Grok 2, <i>P</i> = .30; ChatGPT 4.0 vs Claude 3.5 Sonnet, <i>P</i> = .24; Grok 2 vs Claude 3.5 Sonnet, <i>P</i> > .99). There were no differences in performance between the 3 platforms overall or within any of the diagnostic categories.</p><p><strong>Conclusions: </strong>ChatGPT 4.0, Grok 2, and Claude 3.5 Sonnet correctly identified the pathology in less than 25% of images of common sports-related pathologies and showed area under the curve values well below 0.5, indicating poor accuracy. Based on these findings, we do not recommend the current use of these generative AI models for image-based diagnosis in orthopaedics.</p><p><strong>Clinical relevance: </strong>As the use of AI becomes more popular within the general public, it becomes increasingly important to make aware the capabilities and limitations of popular AI platforms in regard to their current image-based diagnostic capabilities.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 2","pages":"e70009"},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362651","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":"Minimalist Footwear Acutely Alters Running Kinematics in Runners With Medial Tibial Stress Syndrome.","authors":"Quyet Thang Nguyen, My T Than, Minh Ho Ngoc, Ngoc-Tram Nguyen, Nam Vu Tu, Tien Quang Tran, Dung Tran Trung","doi":"10.1002/ars2.70005","DOIUrl":"10.1002/ars2.70005","url":null,"abstract":"<p><strong>Purpose: </strong>To assess immediate biomechanical changes in runners with medial tibial stress syndrome (MTSS) when transitioning from standard to minimalist running shoes.</p><p><strong>Methods: </strong>Active runners diagnosed with MTSS ran on a treadmill at 10 km/h using standard and minimalist running shoes. Hip, knee, and ankle joint kinematics were captured using a 16-infrared-camera Vicon motion capture system. Strike patterns were estimated from the foot strike angle. Comparison between footwear types was performed using Wilcoxon signed-rank tests for continuous variables and Stuart-Maxwell tests for categorical variables.</p><p><strong>Results: </strong>In total, 25 runners (19 male, 6 female, 30.1 ± 6.4 years old) participated in data collection throughout June 2025. Footwear change resulted in a significant decrease in peak stance-phase flexion of left (1.7° ± 4.7°, <i>P </i> = .040) and right (2.7° ± 6.6°, <i>P</i> = .024) knees, decreased stride length (2.9° ± 3.6 cm, <i>P </i> < .001), and increased cadence (2.7 ± 3.4 steps/minute, <i>P</i>  < .001). No significant alteration was observed for peak stance-phase hip internal rotation, frontal-plane pelvic tilt, and foot strike patterns.</p><p><strong>Conclusions: </strong>Although changes in stride length and cadence were favorable, decreased knee flexion might compromise the knee shock-absorbing function of minimalist running shoes. Absence of change in strike patterns and proximal joint kinematics indicated that short-term footwear modification alone might be insufficient to alter running kinematics in patients with MTSS.</p><p><strong>Clinical relevance: </strong>MTSS, also referred to as shin splints, is a common overuse injury. Adjusting running biomechanics by selecting appropriate footwear has been recommended for injury prevention; however, the best type of footwear remains unknown for this population. The results of this study may help inform evidence-based recommendations and strategic interventions to improve MTSS outcomes in affected runners.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 3","pages":"e70005"},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362637","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":"Provisional Dynamic Hinged External Fixation Enables Arthroscopy-Assisted Circular Frame Reconstruction of Complex Tibial Plateau Fractures.","authors":"Ilan Y Mitchnik, Uri Hazan, Mohammad Shalabi, Yaron Golzman, Najib Chacar, Yakov Odessky, Vitali Aranbitski, Yiftah Beer","doi":"10.1002/ars2.70010","DOIUrl":"10.1002/ars2.70010","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the surgical technique and early operative outcomes of using a provisional dynamic external fixator to facilitate arthroscopic-assisted reduction of complex tibial plateau fractures.</p><p><strong>Methods: </strong>Between 2014 and 2024, we conducted a retrospective single-center case series of Schatzker IV-VI tibial plateau fractures treated with provisional dynamic external fixation and arthroscopy-assisted circular frame fixation, with a minimum 1-year follow-up. The dynamic fixator permitted knee flexion during definitive surgery, facilitating arthroscopic reduction. Collected variables included perioperative metrics, hospitalization course, 1-year radiographic outcomes, complications, time to union, and knee range of motion.</p><p><strong>Results: </strong>Eleven patients met criteria and were predominantly healthy middle-aged (mean 46.27 years) men (78%). Continuous passive motion began immediately after provisional fixation. Median operative time was 1 hour and 17 minutes for the dynamic frame and 3 hours and 4 minutes for the arthroscopy-assisted definitive procedure, with low estimated blood loss at both stages (median 5 to 25 mL). Definitive fixation occurred a median of 5 days after injury; median hospital stay was 12 days; 83% were discharged home. At 1 year, mean articular depression was 2.25 mm, condylar widening 0.25 mm, and angulation of 4.46°; the median Rasmussen score was 12. Median time to union was 13 weeks and 3 months for full weight-bearing. After 1 year, range of motion was 0° to 115° on average. Complications within 1 year, included infection in 5/11 (45%)-4 pin-site infections treated with oral antibiotics, and 1 deep infection requiring debridement, foot drop 1/11 (9%) and chronic pain 1/11 (9%); no revision surgeries occurred.</p><p><strong>Conclusions: </strong>This case series shows that provisional fixation with a dynamic hinged external fixator for complex tibial plateau fractures permitted knee motion during the interval before definitive surgery and preserved access for arthroscopy-assisted reduction without requiring frame removal. At 1 year, radiographic outcomes were good, knee range of motion was near full, and there was a low rate of serious complications.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 3","pages":"e70010"},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362631","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":"Female Sports Medicine Fellowship-Trained Academic Orthopaedic Surgeons Earn Significantly Lower Salaries Than Their Male Counterparts.","authors":"Udit Dave, Shreya M Saraf, Mary K Mulcahey","doi":"10.1002/ars2.70013","DOIUrl":"10.1002/ars2.70013","url":null,"abstract":"<p><strong>Purpose: </strong>To identify whether there is a gender-based disparity in salary among sports medicine fellowship-trained academic orthopaedic surgeons.</p><p><strong>Methods: </strong>Deidentified faculty compensation data were obtained from the Association of American Medical Colleges, which are compiled after distributing surveys to 157 Liaison Committee on Medical Education-accredited medical schools through a deidentified internet-based survey application. Mean and median data for the 2023 calendar year was extracted from this dataset for male and female sports medicine fellowship-trained orthopaedic surgeons and stratified in a cross-sectional fashion by position, including assistant professor, associate professor, and professor. Independent sample t-tests and Cohen's <i>d</i> test were performed with Python and shown through a bar graph.</p><p><strong>Results: </strong>A total of 312 orthopaedic surgeons were included in this analysis, with 268 (85.9%) male and 44 (14.1%) female surgeons. Sports medicine fellowship-trained female surgeons earn significantly lower salaries than their male counterparts at the positions of assistant professor ($504,994 vs $654,697; <i>P</i> < .001), associate professor ($617,612 vs 776,754; <i>P</i> < .001), and professor ($486,303 vs $820,406; <i>P</i> < .001). The effect size of the difference between male and female salaries is greatest at the position of professor (<i>d</i> = 7.5), although there is a large difference in means between male and female assistant professors (<i>d</i> = 4.2) and associate professors (<i>d</i> = 3.4).</p><p><strong>Conclusions: </strong>Female sports medicine fellowship-trained academic orthopaedic surgeons earn significantly lower salaries at the assistant professor, associate professor, and professor levels. However, data were not able to be stratified based on additional variables that may influence salary among orthopaedic surgeons such as age, years in practice, geographic location, practice focus, and surgical volume.</p><p><strong>Clinical relevance: </strong>This study shows that gender-based disparities exist in compensation among sports medicine fellowship-trained academic orthopaedic surgeons.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 2","pages":"e70013"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362697","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":"Pediatric Climbers Experience More Upper Extremity Injuries, Geriatric Climbers More Lower Extremity Injuries, and Increased Shoulder Trauma Associated With Male Individuals in an Emergency Department Analysis of Rock Climbing-Associated Musculoskeletal Injuries.","authors":"Titan Z Alexio, Philip M Lee, Nathan N Kim, Keinan B Agonias, Kyle K Obana, Andrew J Luzzi, Jennifer M Weiss","doi":"10.1002/ars2.70015","DOIUrl":"10.1002/ars2.70015","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze epidemiologic trends, injury prevalence, and mechanisms of injury associated with rock climbing.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System, a public emergency department database, was queried for rock climbing-related injuries from 2014 to 2023. Data extracted included demographics, anatomic region injured, diagnosis, mechanism of injury, and disposition. Patients were stratified into 4 age groups: pediatric (≲18 years), young adult (19-39 years), middle-aged adult (40-64 years), and geriatric (≳65 years). Mechanisms of injury were categorized and analyzed by fall height where applicable.</p><p><strong>Results: </strong>A total of 1346 cases of rock climbing-related injuries were identified after exclusion criteria. Fractures (30.2%) and sprains/strains (20.2%) were the most common diagnoses. The majority of injuries resulted from falls (61.2%), with fracture incidence increasing with fall height. Pediatric and young adult climbers sustained more upper extremity injuries, while geriatric climbers had a higher proportion of lower extremity injuries.</p><p><strong>Conclusions: </strong>In this study, we found that younger climbers experienced more upper extremity injuries, while older adults more commonly sustained lower extremity injuries. In addition, male rock climbers experienced higher proportions of shoulder injuries compared with female rock climbers. These findings illustrate the potential need for age- and sex-specific injury prevention strategies to guide safe participation in this growing sport.</p><p><strong>Level of evidence: </strong>Level IV, retrospective epidemiological case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 3","pages":"e70015"},"PeriodicalIF":0.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362673","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":"High Return to Activity and Low Rerupture Rates Following All-Inside Quadriceps Tendon Anterior Cruciate Ligament Reconstruction With Bone Marrow Aspirate, Demineralized Bone Matrix, and Suture Tape Augmentation.","authors":"Jake Peterson, Claire Soucier, Jonathan Groves, Andrew L Schaver, Timothy E Hewett, Ethan Hahn, James Nottingham, Dana S Lycans, Chad D Lavender","doi":"10.1002/ars2.70023","DOIUrl":"10.1002/ars2.70023","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate clinical outcomes of anterior cruciate ligament reconstruction (ACLR) using a quadriceps tendon autograft (QTA) with adjunctive bone marrow aspirate concentrate, demineralized bone matrix, and suture tape augmentation.</p><p><strong>Methods: </strong>A retrospective review was conducted using a prospectively maintained registry of patients who underwent all-inside ACLR with QTA, adjunctive bone marrow aspirate concentrate, demineralized bone matrix, and suture tape augmentation between July 2018 and October 2022 at a single institution. Patients with less than a 2-year follow-up were excluded. A telephone survey assessed return to preinjury activity level, and patient-reported outcomes were collected, including the International Knee Documentation Committee subjective score, ACL Return to Sport after Injury score, and Visual Analog Scale for pain. Complications such as graft rerupture and total reoperations were also recorded.</p><p><strong>Results: </strong>One hundred twenty patients (81%) received QTA ACLR, with 98 (81.7%) completing ≥2-year follow-up (37 female, 61 male; mean age 19.4 years, range 15-32). Mean follow-up was 3.4 years (range, 2.0-5.9). All patients were cleared for full activity at 6 months postoperatively. At the time of telephone follow-up, 90 patients (91.8%) reported they had returned to their preinjury activity levels. In all 98 patients, mean International Knee Documentation Committee and ACL Return to Sport after Injury scores were 84.0 ± 7.3 and 93.4 ± 17.2, respectively. There were 3 graft reruptures (3.1%) and 9 contralateral ACL tears (9.2%).</p><p><strong>Conclusions: </strong>All-inside ACLR with QTA, adjunctive bone marrow aspirate concentrate, demineralized bone matrix, and suture tape augmentation showed high rates of return to preinjury activity and low graft rerupture rates at a minimum of 2 years of follow-up.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 1","pages":"e70023"},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362551","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}