Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Following Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Autograft, the Incidence of Anterior Knee Pain Ranges From 5.4% to 48.4% and the Incidence of Kneeling Pain Ranges From 4.0% to 75.6%: A Systematic Review of Level I Studies","authors":"Liam A. Peebles B.A. ,&nbsp;Ramesses A. Akamefula B.S. ,&nbsp;Zachary S. Aman B.A. ,&nbsp;Arjun Verma B.S. ,&nbsp;Anthony J. Scillia M.D. ,&nbsp;Mary K. Mulcahey M.D. ,&nbsp;Matthew J. Kraeutler M.D.","doi":"10.1016/j.asmr.2024.100902","DOIUrl":"10.1016/j.asmr.2024.100902","url":null,"abstract":"<div><h3>Purpose</h3><p>To (1) perform a systematic review of level I randomized controlled trials (RCTs) detailing the incidence of anterior knee pain and kneeling pain following anterior cruciate ligament reconstruction (ACLR) with bone–patellar tendon–bone (BPTB) autograft and (2) investigate the effect of bone grafting the patellar harvest site on anterior knee and kneeling pain.</p></div><div><h3>Methods</h3><p>A systematic review of level I studies from 1980 to 2023 was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The primary outcome evaluated was the presence of donor site morbidity in the form of anterior knee pain or kneeling pain. A secondary subanalysis was performed to assess for differences in the incidence of postoperative pain between patient groups undergoing ACLR with BPTB receiving harvest site bone grafting and those in whom the defect was left untreated.</p></div><div><h3>Results</h3><p>Following full-text review, 15 studies reporting on a total of 696 patients met final inclusion criteria. Patients were followed for an average of 4.78 years (range, 2.0-15.3), and the mean age ranged from 21.7 to 38 years old. The incidence of anterior knee pain, calculated from 354 patients across 10 studies, ranged from 5.4% to 48.4%. The incidence of postoperative pain with kneeling was determined to range from 4.0% to 75.6% in 490 patients from 9 studies. Patients treated with bone grafting of the BPTB harvest site had no significant difference in incidence of any knee pain compared with those who were not grafted, with incidences of 43.3% and 40.2%, respectively.</p></div><div><h3>Conclusions</h3><p>Based on the current level I RCT data, the incidences of anterior knee pain and kneeling pain following ACLR with BPTB autograft range from 5.4% to 48.4% and 4.0% to 75.6%, respectively.</p></div><div><h3>Level of Evidence</h3><p>Level I, systematic review of RCTs.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000208/pdfft?md5=a2a96c54770fdded10b551da9a36b74e&pid=1-s2.0-S2666061X24000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888031","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":"Rotator Cuff Tears Are Related to the Side Sleeping Position","authors":"David P. Richards M.D., F.R.C.S.C. ,&nbsp;Daniel L. Miller M.D. ,&nbsp;E. David MacDonald B.Sc.P.T., M.B.A. ,&nbsp;Quinn F. Stewart B.Sc. ,&nbsp;Stephen D. Miller M.D., F.R.C.S.C.","doi":"10.1016/j.asmr.2024.100886","DOIUrl":"https://doi.org/10.1016/j.asmr.2024.100886","url":null,"abstract":"<div><h3>Purpose</h3><p>To determine whether there was a relationship between sleep position and symptomatic partial- and full-thickness rotator cuff tears.</p></div><div><h3>Methods</h3><p>A consecutive series of patients that met the inclusion/exclusion criteria (n = 58) were in seen in clinic between July 2019 and December 2019. All of these individuals had a significant partial-thickness (&gt; 50%) or full-thickness rotator cuff tear determined by either ultrasound, magnetic resonance imaging, or both. All patients in this series either had an insidious onset of shoulder pain or their symptoms were related to the basic wear and tear of daily activities. Traumatic rotator cuff tears (those associated with a significant traumatic event such as shoulder instability, motor vehicle accidents, sports related injuries, etc.) were excluded. Previous shoulder surgery, recurrent rotator cuff tears, and worker’s compensation cases also were excluded from this series. As part of the history-taking process, the patients were asked what was their preferred sleeping position—side sleeper, back sleeper, or stomach sleeper. A χ² test was conducted to determine the relationship between rotator cuff pathology and sleep position.</p></div><div><h3>Results</h3><p>Of the 58 subjects, 52 of the patients were side sleepers, 4 were stomach sleepers, 1 was a back sleeper, and 1 preferred all 3 positions. Statistical analysis, using the χ² test (<em>P</em> &lt; .0001), demonstrated that rotator cuff tears were most often seen in side sleepers.</p></div><div><h3>Conclusions</h3><p>In our study, there appeared to be a relationship between the preference of being a side sleeper and the presence of a rotator cuff tear.</p></div><div><h3>Level of Evidence</h3><p>Level IV, prognostic case series.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X2400004X/pdfft?md5=64688679ee9da78569d3ff802018b195&pid=1-s2.0-S2666061X2400004X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675719","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":"Manipulation Under Anesthesia and Lysis of Adhesions Are the Most Commonly Reported Treatments for Arthrofibrosis of the Knee After Arthroscopy or Anterior Cruciate Ligament Reconstruction in Both Pediatric and Adult Patients","authors":"Ravali Reddy B.S. ,&nbsp;Christopher Bernard M.D. ,&nbsp;Armin Tarakemeh B.A. ,&nbsp;Tucker Morey B.S. ,&nbsp;Mary K. Mulcahey M.D. ,&nbsp;Bryan G. Vopat M.D. ,&nbsp;Matthew L. Vopat M.D.","doi":"10.1016/j.asmr.2024.100896","DOIUrl":"10.1016/j.asmr.2024.100896","url":null,"abstract":"<div><h3>Purpose</h3><p>To systematically review the literature and provide a detailed summary of the current treatments and outcomes for arthrofibrosis following knee arthroscopy and anterior cruciate ligament reconstruction (ACLR) and to compare the treatment strategies in pediatric and adult populations.</p></div><div><h3>Methods</h3><p>A systematic review was performed in March 2022 using PubMed, EMBASE, and Cochrane Library Databases per Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Search terms consisted of variations of the following: (“arthrofibrosis” OR “stiffness” OR “stiff” OR “complications”) AND (“arthroscopy” OR “arthroscop” OR “ACL” OR “anterior cruciate”) AND (“treat” OR “care” OR “management” AND “knee”). The inclusion criteria were studies that were written in English, were published since 2000, and that reported outcomes of knee arthroscopy or ACLR for treatment of arthrofibrosis of the knee. The study quality was assessed, and data about the patients and treatments were recorded. Treatments were compared between pediatric and adult patients.</p></div><div><h3>Results</h3><p>A total of 1,208 articles were identified in the initial search, 42 (3.48%) of which met eligibility criteria, involving treatment regimens for arthrofibrosis following knee arthroscopy or ACLR. Of the 42 studies included, 29 (69.0%) were reported data for adults and 13 (31.0%) reported data for pediatric patients. Thirty-nine studies (92.8%) discussed manipulation under anesthesia and/or lysis of adhesions (LOA) as treatment for arthrofibrosis of the knee, whereas 2 (4.8%) described the use of medications.</p></div><div><h3>Conclusions</h3><p>Within orthopaedic sports medicine literature, there is variability in the reported treatment options for arthrofibrosis of the knee. Most studies identified manipulation under anesthesia and/or LOA as the treatment among both adult and pediatric patients. Other variants include notchplasty, open posterior arthrolysis, total graft resection, removal of hardware with LOA, dynamic splinting, casting in extension, bracing, and medications.</p></div><div><h3>Level of Evidence</h3><p>Level IV, systematic review of Level I-IV studies.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000142/pdfft?md5=a558f2cf1b9d38b34580d6e79a92590b&pid=1-s2.0-S2666061X24000142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139685054","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":"Resident Performance on the Fundamentals of Arthroscopic Surgery Training (FAST) Workstation Does Not Predictably Improve With Postgraduate Year","authors":"Michael Chapek B.A. ,&nbsp;Peters T. Otlans M.D., M.P.H. ,&nbsp;Taylor Buuck M.D. ,&nbsp;Joseph T. Nguyen M.P.H. ,&nbsp;Jaron P. Sullivan M.D. ,&nbsp;Brian M. Grawe M.D. ,&nbsp;Gregg T. Nicandri M.D. ,&nbsp;Jacqueline M. Brady M.D.","doi":"10.1016/j.asmr.2023.100866","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100866","url":null,"abstract":"<div><h3>Purpose</h3><p>To identify differences in performance on the Fundamentals of Arthroscopic Surgery Training (FAST) workstation between residents across different postgraduate years and training sites.</p></div><div><h3>Methods</h3><p>During the 2018-2019 academic year, 102 orthopaedic surgery residents from 4 training sites completed 6 FAST modules. Failure was defined as either completion time exceeding benchmark time or commission of task-specific errors. With the exception of knot tying, each module was completed by participants twice—once with each hand serving as the camera hand. Time to completion (except for knot tying) and errors were recorded for each of the modules. Completion times and failure rates were compared between postgraduate years, seniority groups, and training sites.</p></div><div><h3>Results</h3><p>In all modules for which time was recorded, except for the suture-passage module, there was no significant difference in time to completion based on seniority (<em>P</em> &lt; .01 for suture passage and <em>P</em> &gt; .05 for all others). Significant differences in completion time were observed between sites for all modules except for the suture-passage module (<em>P</em> = .957 for suture passage and <em>P</em> &lt; .05 for all others). Site predicted failure by at least 1 measure (time or technical error) for all modules (<em>P</em> &lt; .05) except for number probing and suture passage. Failure rate across training years varied for each module.</p></div><div><h3>Conclusions</h3><p>Time to completion and rate of failure did not predictably decrease with level of training. Training site proved to be a significant predictor of performance. Factors such as hand dominance and familiarity with the equipment proved to be important considerations for some modules.</p></div><div><h3>Clinical Relevance</h3><p>Objective assessment of arthroscopic skills among orthopaedic trainees is difficult. Using reproducible methodology to assess trainees on specific skills at all postgraduate years and at multiple training sites may provide important information about orthopaedic training.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002171/pdfft?md5=89da90ae6549078da07462d3970d9924&pid=1-s2.0-S2666061X23002171-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653493","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":"A Posteromedial Portal Allows Access to the Posteromedial Knee, While a Posterolateral Portal Risks Common Fibular Nerve Injury: A Cadaveric Analysis","authors":"Kelsi Greenwood B.Sc., M.Sc. ,&nbsp;Nkhensani Mogale B.Med.Sc., B.Sc., M.Sc., Ph.D. ,&nbsp;Reinette Van Zyl B.Sc., M.Sc. ,&nbsp;Natalie Keough Ph.D. ,&nbsp;Erik Hohmann M.B.B.S., F.R.C.S., F.R.C.S. (Tr&Orth), Ph.D., M.D.","doi":"10.1016/j.asmr.2023.100880","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100880","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the safety and accessibility of direct posterior medial and lateral portals into the knee.</p></div><div><h3>Methods</h3><p>This study was a controlled laboratory study that comprised a sample of 95 formalin-embalmed cadaveric knees and 9 fresh-frozen knees. Cannulas were inserted into the knees, 16 mm from the vertical plane between the medial epicondyle of the femur and the medial condyle of the tibia, and 8 (females) and 14 mm (males) from the vertical plane connecting the lateral femoral epicondyle and lateral tibial condyle. Landmarks were identified in full extension, and cannula insertion was completed with the formalin-embalmed knees in full extension and the fresh-frozen knees in 90 degrees of flexion. The posterior aspects of the knees were dissected from superficial to deep to assess potential damage caused by the cannula insertion.</p></div><div><h3>Results</h3><p>The incidence of neurovascular damage was 9.6% (n = 10): 0.96% for the medial cannula and 8.7% for the lateral cannula. The medial cannula damaged 1 small saphenous vein (SSV). The lateral cannula damaged 1 SSV, 7 common fibular nerves (CFNs), and both the CFN and lateral cutaneous sural nerve in 1 specimen. All incidences of damage occurred in formalin-embalmed knees. The posterior horns of the menisci were accessible in all specimens.</p></div><div><h3>Conclusions</h3><p>A direct posterior portal into the knee with reference to the medial bony landmarks of the knee proved safe in 99% of the cadaveric sample and allowed access to the posterior horn of the medial meniscus. A direct posterior portal with reference to the lateral bony landmarks demonstrated a higher risk of neurovascular damage in the embalmed sample but no damage in the fresh-frozen sample. Given the severe consequences of common fibular nerve injury, recommending this approach at this stage is not advisable.</p></div><div><h3>Clinical Relevance</h3><p>Direct posterior arthroscopy portals are understudied but may allow safe visualization of the posterior knee compartments and may also assist to manage repair of ramp lesions and posterior meniscus pathology.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002316/pdfft?md5=2a8b9f29743949ed3a43459c7fe93dea&pid=1-s2.0-S2666061X23002316-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653497","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":"Anterior Cruciate Ligament Hybrid Remnant Preservation Reconstruction Demonstrates Equivalent Patient-Reported Outcomes and Complications as Traditional Anterior Cruciate Ligament Reconstruction After 1 Year","authors":"Vasilios Moutzouros M.D.,&nbsp;Joshua P. Castle M.D.,&nbsp;Matthew A. Gasparro B.S.,&nbsp;Eleftherios L. Halkias B.S.,&nbsp;Justin Bennie B.S.","doi":"10.1016/j.asmr.2023.100875","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100875","url":null,"abstract":"<div><h3>Purpose</h3><p>To compare the outcomes of anterior cruciate ligament (ACL) Hybrid Remnant Preservation Reconstruction (HRPR) with traditional anterior cruciate ligament reconstruction (ACLR) and determine differences in patient-reported outcomes, range of motion (ROM), and complications after 12 months.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of patients undergoing ACLR by a single surgeon from December 2020 to January 2022 was conducted. Patients undergoing ACL-HRPR were compared with control patients undergoing traditional ACLR with bone−patellar tendon−bone autograft. Preoperative and postoperative Patient-Reported Outcome Measurement Information System scores, International Knee Documentation Committee, and patient acceptable symptom state were recorded over 12 months. Any complications occurring 12 months postoperatively were collected.</p></div><div><h3>Results</h3><p>The final analysis included 104 patients, with 39 undergoing ACL-HRPR compared with 65 ACLR controls. Patients who received HRPR were on average 19.46 ± 5.01 years old, with 51.28% being female, whereas control patients were, on average, 21.92 ± 7.71 years old with 50.77% being female. Total ROM was equivalent between groups, with complete terminal extension at 12 months. No significant differences were found for patient acceptable symptom state; Patient-Reported Outcome Measurement Information System-Physical Function, -Pain Interference, or -Depression; or International Knee Documentation Committee at 6 months and 12 months postoperatively. Total ROM was similar between the HRPR and control groups. No differences were found for timed 6-meter hop test, hop for distance, or KT-1000 side-to-side differences. Over the 12-month period, complication rates were similar between groups (10% vs 12% <em>P</em> = .75) were similar.</p></div><div><h3>Conclusions</h3><p>ACL HRPR is associated with equivalent patient-reported outcomes, full ROM, and no differences in complications rates after 1 year compared with control patients in the present retrospective study.</p></div><div><h3>Level of Evidence</h3><p>Level III, retrospective cohort study.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002262/pdfft?md5=2959bb2339aaf3b9380ded1f24d410af&pid=1-s2.0-S2666061X23002262-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674978","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":"Inaccurate Citations Are Prevalent Within Orthopaedic Sports Medicine Literature","authors":"Daniel Homeier M.D.,&nbsp;Mason Adams D.O.,&nbsp;Thomas Lynch M.D.,&nbsp;Daniel Cognetti M.D.","doi":"10.1016/j.asmr.2023.100873","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100873","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the peer-reviewed orthopaedic sports medicine literature for reference errors within 2 high-impact journals.</p></div><div><h3>Methods</h3><p>In total, 769 references with 1,082 in-line citations were assessed from 20 randomly selected peer-reviewed articles published in 2 high-impact orthopaedic sports medicine journals, <em>Arthroscopy</em> and the <em>American Journal of Sports Medicine</em>. Full-text copies of references were obtained through online literature subscription databases. Two investigators evaluated each citation for agreement between the reference’s study design, methods, data, discussion, and conclusion with the citing authors’ claims. Error rates, interobserver agreement, and association between error rates and journal demographics were assessed.</p></div><div><h3>Results</h3><p>Cohen’s κ coefficient representing interobserver agreement was 0.61. The mean citation error rate across 20 articles from 2 orthopaedic sports medicine journals was 6.6%. The most common error was failure to support the authors’ assertions within the citing article, accounting for 32% of errors. There was no significant association between error rate and journal impact factor, number of cited references or total references, ratio of in-line citations to cited references (citation ratio), and number of authors. There was no significant relationship between error rate and journal, study type, and level of evidence.</p></div><div><h3>Conclusions</h3><p>Inaccurate claims and citations are common within the orthopaedic sports medicine literature, occurring in every reviewed article and 6.6% of all in-line citations. Failure to support the assertions of the article in which a reference is cited is a common error. Authors should take care to rigorously assess references with particular attention to accurate citation of primary sources.</p></div><div><h3>Clinical Relevance</h3><p>This study highlights the prevalence of citation errors within a random sampling of high-level orthopaedic sports medicine articles. Given science is cumulative, these errors perpetuate inaccuracies and are at odds with evidence-based practice.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002249/pdfft?md5=c394e8c35d8bfc32fb93bf94528545e1&pid=1-s2.0-S2666061X23002249-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653495","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":"The Most Impactful Articles on the Shoulder Labrum From the United States or Europe, and Decreased Level of Evidence Is Associated With Increased Altmetric Attention Score","authors":"Amar S. Vadhera B.S. ,&nbsp;Lilah Fones M.D. ,&nbsp;William Johns M.D. ,&nbsp;Anne R. Cohen B.A. ,&nbsp;Adeeb Hanna B.S. ,&nbsp;Fotios P. Tjoumakaris M.D. ,&nbsp;Kevin B. Freedman M.D.","doi":"10.1016/j.asmr.2023.100876","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100876","url":null,"abstract":"<div><h3>Purpose</h3><p>To use the top 100 articles pertaining to the shoulder labrum to understand the impact that social medial platforms have on the dissemination of shoulder research and to highlight bibliometric factors associated with Altmetric Attention Scores (AAS) to offer insight into the impact that social media platforms have on the dissemination, attention, and citation of shoulder research publications.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study. In January 2023, the Altmetric database was searched using the PubMed Medical Subject Headings terms “shoulder labrum.” Articles with the greatest AAS were screened to exclude other topics unrelated to the labrum of the shoulder. The top 100 articles that met inclusion criteria were used in the final analysis. Bibliometric factors pertaining to each study were collected for further analysis of article characteristics in accordance with previous studies.</p></div><div><h3>Results</h3><p>The Altmetric Database query yielded 619 studies. The top 100 articles with highest AAS were identified, mean Attestation Score was 24.85 ± 55.51, with a range of 7 to 460. The included articles represented 35 journals, with 57 articles attributed to 3 journals: <em>American Journal of Sports Medicine</em> (AJSM; 29%), <em>Arthroscopy</em>: <em>The Journal of Arthroscopic &amp; Related Surgery</em> (Arthroscopy; 19%), and the <em>Journal of Shoulder and Elbow Surgery</em> (JSES; 9%). There was a significant increase in AAS for every decrease in the numerical Level of Evidence value for a study (<em>P</em> = .011) but no association between score and citation rate (<em>P</em> &gt; 005).</p></div><div><h3>Conclusions</h3><p>Top articles on the shoulder labrum, as defined by high AAS score, are most commonly original clinical research published in 1 of 3 sports medicine journals and performed in the United States or Europe. A decreased numerical Level of Evidence is associated with an increase in AAS score, but there is no association between AAS score and citation rate.</p></div><div><h3>Clinical Relevance</h3><p>The increasing amount of science and health information shared freely through open-access journals, online servers, and numerous social media channels makes it difficult to measure the impact of research. Using measures such as the Altmetric Attention Score, in isolation or addition to measures of researcher or journal impact, has the potential to provide comprehensive information about the impact of research in the modern world.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002274/pdfft?md5=9607bdd57ff2a3a5d04e2b0d20fc4cae&pid=1-s2.0-S2666061X23002274-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139653496","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":"Supratrochlear Rim is Correlated with Isolated Patellar Chondromalacia on Magnetic Resonance Imaging of the Knee","authors":"Artur Banach Ph.D. ,&nbsp;Nobuhiko Hata Ph.D. ,&nbsp;Ross Crawford M.D., Ph.D. ,&nbsp;Tomasz Piontek M.D., Ph.D.","doi":"10.1016/j.asmr.2023.100855","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100855","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the relationship between the supratrochlear rim and isolated patellar chondromalacia (PC) using magnetic resonance imaging (MRI) scans of the knee.</p></div><div><h3>Methods</h3><p>Patients without patellofemoral pain (control group) and patients with patellofemoral pain and diagnosed with stage III or IV PC based on MRI (defect group) were retrospectively identified. Patients with a history of patellar subluxation were excluded. We used patient MRI scans to perform 20 anatomical measurements of the patellofemoral joint. We also performed 2 measurements of the anterior femoral curvature. A total of 30 patients (29 ± 8.7 years) were in the control group, and 20 patients were in the defect group (29.4 ± 9.7 years).</p></div><div><h3>Results</h3><p>The maximum curvature (<em>P</em> &lt; <em>.</em>001) and mean curvature (<em>P</em> &lt; .001) of the anterior femoral condyle were found statistically significantly different between the groups. Patellotrochlear index (<em>P</em> = .03) and Insall-Salvati index (<em>P</em> &lt; .001) were also found statistically significantly different between the 2 groups. Patella type III and trochlear dysplasia grade B were found more common in the defect group.</p></div><div><h3>Conclusions</h3><p>In this Level III prognostic, case-control study, we have shown through MRI knee measurements that the isolated patellar chondromalacia in patients without a history of patellar subluxation and dislocation is correlated with the increased anterior femoral curvature in combination with patella alta.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002067/pdfft?md5=be61d6e9151f987da7d4ff30d6372644&pid=1-s2.0-S2666061X23002067-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674966","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 and Magnetic Resonance Arthrography Are Both Reliable and Similar When Measuring Hip Capsule Thickness in Patients With Femoroacetabular Impingement Syndrome","authors":"Devin L. Froerer B.S. ,&nbsp;Ameen Z. Khalil M.S. ,&nbsp;Allan K. Metz M.D. ,&nbsp;Reece M. Rosenthal B.S. ,&nbsp;Joseph Featherall M.D. ,&nbsp;Travis G. Maak M.D. ,&nbsp;Stephen K. Aoki M.D.","doi":"10.1016/j.asmr.2023.100874","DOIUrl":"https://doi.org/10.1016/j.asmr.2023.100874","url":null,"abstract":"<div><h3>Purpose</h3><p>To propose an accurate method of measuring hip capsular thickness in patients with femoroacetabular impingement syndrome and to compare the reliability of these measurements between magnetic resonance imaging (MRI) and magnetic resonance arthrography (MRA).</p></div><div><h3>Methods</h3><p>A previously established database of patients with femoroacetabular impingement syndrome (FAIS) was used to identify candidates with preoperative MRI or MRA from November 2018 to June 2021. Two reviewers independently examined preoperative imaging for 85 patients. Capsular thickness was measured in 12 standardized locations. Intraclass correlation coefficients (ICCs) were calculated using an absolute-agreement, 2-way random-effects model. Using the same method, 30 patients were randomly selected for repeat measurements by 1 reviewer following a washout period. Ten additional patients with preoperative MRI and MRA of the same hip were identified to compare measurements between modalities using paired samples <em>t</em> test.</p></div><div><h3>Results</h3><p>ICCs for measurements on MRIs and MRAs using these proposed measurements to compare inter-rater reliability were 0.981 and 0.985. ICCs calculated using measurements by a single reviewer following a washout period for intrarater reliability were 0.998 and 0.991. When comparing MRI and MRA measurements in the same patient, <em>t</em> test for all pooled measurements found no difference between modality (<em>P</em> = .283), and breakdown of measurements by quadrant found no difference in measurements (<em>P</em> &gt; .05), with the exception of the inferior aspect of the capsule on coronal sequences (<em>P</em> = .023).</p></div><div><h3>Conclusions</h3><p>In patients with FAIS, both MRI and MRA have excellent reliability for quantifying hip capsular thickness. A difference in capsular thickness was found only when comparing MRI and MRA on inferior coronal aspects of the hip capsule, indicating interchangeability of these imaging modalities when measuring the clinically important aspects of the hip capsule.</p></div><div><h3>Level of Evidence</h3><p>Level IV, diagnostic case series.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002250/pdfft?md5=2652da4b11c954f4f7eef962071d8512&pid=1-s2.0-S2666061X23002250-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675015","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}