Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Knee Fellowships Improve Clinical Practice and Scientific Activity","authors":"Riccardo D’Ambrosi M.D. ,&nbsp;Andy Williams M.B., B.S., F.R.C.S. (Orth.). ,&nbsp;Bertrand Sonnery-Cottet M.D., Ph.D. ,&nbsp;Christian Fink M.D.","doi":"10.1016/j.asmr.2025.101100","DOIUrl":"10.1016/j.asmr.2025.101100","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the benefits of completing a knee fellowship for orthopaedic surgeons specializing in the treatment of sports injuries.</div></div><div><h3>Methods</h3><div>An online survey was conducted to assess changes in clinical practice, and scientific activity in knee surgery, with special focus on the anterior cruciate ligament (ACL) before and after a knee fellowship.</div></div><div><h3>Results</h3><div>A total of 74 of 102 (72.54%) fellows completed the survey. The mean age of the respondents was 36.85 ± 5.0 years (range 28-47 years). Sixty-nine (93.24%) were male, and 5 were female (6.75%). Before the fellowship, only 6 (8.10%) surgeons had performed more than 50 ACL surgeries yearly as the first operator, whereas more than 60% (46) had performed fewer than 10 ACL surgeries; after the fellowship, more than 50% (41) of the surgeons performed more than 50 ACL surgeries yearly as the first operator (<em>P</em> &lt; .001). Before the fellowship, 57 (77.02%) surgeons did not perform anterolateral procedures or performed in less than 20% of their cases, whereas after the fellowship, almost 40% (31) performed anterolateral procedures in most of their cases (<em>P</em> &lt; .001). A significant increase was also noted in the number of publications developed during the fellowship and conference presentations given between the period before and after the fellowship (<em>P</em> &lt; .001). More than 90% (70%-94.59%) answered that they would do the fellowship again.</div></div><div><h3>Conclusions</h3><div>Knee fellowships in highly specialized centers improve surgical activity in terms of surgical procedures and scientific production; furthermore, almost all the fellows reported that they would pursue such a fellowship again.</div></div><div><h3>Clinical Relevance</h3><div>The results of this study may provide fellowship directors with important feedback about the strengths and weaknesses of the experience from participants.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101100"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481236","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":"Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty","authors":"Pakpoom Ruangsomboon M.D., M.Sc. ,&nbsp;Onlak Ruangsomboon M.D., M.Sc. ,&nbsp;Chirathit Anusitviwat M.D. ,&nbsp;Bheeshma Ravi M.D., Ph.D., F.R.C.S.C. ,&nbsp;Aasis Unnanuntana M.D., M.Sc.","doi":"10.1016/j.asmr.2025.101104","DOIUrl":"10.1016/j.asmr.2025.101104","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate changes in physical performance tests (PPTs) and patient-reported outcome measures (PROMs) at baseline, 1 year after total knee arthroplasty (TKA), and a minimum of 5 years after TKA.</div></div><div><h3>Methods</h3><div>We enrolled patients who underwent TKA between 2013 and 2015 performed by a single arthroplasty surgeon at Siriraj Hospital, Mahidol University, Bangkok, Thailand. We evaluated PPTs and PROMs over a minimum 5-year follow-up period to assess changes over time, identified independent factors associated with PPT deterioration, and determined TKA survivorship.</div></div><div><h3>Results</h3><div>The study included 126 participants with a mean age of 77.8 years. The average follow-up time was 7.4 ± 2.3 years. PPTs and PROMs changed significantly over time from baseline. However, the 2-minute walk test and timed up-and-go test results slightly declined after 1 year but did not attain minimal clinically important differences, and PROMs were maintained and showed no clinically significant changes after 1 year. Hospitalizations owing to complex medical conditions or trauma were independently associated with PPT deterioration. There was a 98.8% survivorship rate at 7.6 years.</div></div><div><h3>Conclusions</h3><div>In an Asian population undergoing TKA, PPTs and PROMs are maintained within acceptable ranges for at least 5 years after primary TKA. Trauma or hospitalizations arising from complex medical conditions were found to be associated with functional decline. A combined evaluation of PPTs and PROMs is advocated for a comprehensive assessment of patients after TKA.</div></div><div><h3>Level of Evidence</h3><div>Level III, cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101104"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481237","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":"Sitting Pain Is More Common Than Standing Hip Pain Regardless of Diagnosis of Femoroacetabular Impingement Syndrome Versus Hip Dysplasia: A Prospective Comparative Study","authors":"Matthew J. Kraeutler M.D. ,&nbsp;Brian Q. Nguyen B.A. ,&nbsp;Carson Keeter M.S. ,&nbsp;Kyle S.J. Jamar B.S. ,&nbsp;Kristian Samuelsson M.D., Ph.D. ,&nbsp;Jessica H. Lee M.D. ,&nbsp;Omer Mei-Dan M.D.","doi":"10.1016/j.asmr.2025.101116","DOIUrl":"10.1016/j.asmr.2025.101116","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore a possible correlation between sitting versus standing hip pain and a primary diagnosis of femoroacetabular impingement syndrome (FAIS) versus hip dysplasia.</div></div><div><h3>Methods</h3><div>All new patients presenting to a hip preservation clinic starting in September 2023 were prospectively asked, “Do you have more hip pain with sitting or standing for a long time?” Patients were divided into two groups based on primary diagnosis: FAIS or hip dysplasia. Primary diagnosis was based on a combination of history, physical examination, and imaging. Patients with concomitant FAIS and dysplasia were given a primary diagnosis of dysplasia if they were recommended to undergo a periacetabular osteotomy (PAO), although patients with concomitant dysplasia and a large cam lesion were excluded. Logistic regression analysis was performed to determine if any variables were significantly associated with sitting versus standing hip pain.</div></div><div><h3>Results</h3><div>A total of 115 patients (118 hips) were included (30 male, 88 female). FAIS and hip dysplasia were the diagnoses in 71 and 47 hips, respectively. Mean age at initial presentation was 34 years. Overall, regardless of diagnosis, sitting pain (n = 74; 62.7%, 95% CI 53.7-70.9) was found to be more likely than standing hip pain (n = 44; 37.3%, 95% CI 29.1-46.3). There was no evidence of a difference in the odds of experiencing sitting versus standing hip pain between the FAIS and hip dysplasia groups (<em>P</em> = .85). There was also no evidence that age, sex, lateral center edge angle, femoral torsion angle, or alpha angle contribute to the odds of experiencing sitting versus standing pain.</div></div><div><h3>Conclusions</h3><div>Sitting pain is more common than standing pain regardless of diagnosis of FAIS versus hip dysplasia, with no evidence of an association between FAI/sitting pain and dysplasia/standing pain.</div></div><div><h3>Level of Evidence</h3><div>Level II, consecutive series diagnostic study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101116"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480283","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":"Traumatic Onset of Medial Meniscus Posterior Root Tears Is Associated With Younger Age While Insidious Onset Is Associated With Chronic Overload and Bone Bruising","authors":"Rodrigo Saad Berreta B.A. ,&nbsp;Lucas Pallone M.D. ,&nbsp;Enzo S. Mameri M.D. ,&nbsp;Felipe Gonzalez M.D. ,&nbsp;Jared Rubin B.A. ,&nbsp;Ashwinee Manivannan B.Sc. ,&nbsp;Juan Bernardo Villarreal-Espinosa M.D. ,&nbsp;Salvador Ayala B.S. ,&nbsp;José Rafael Gracia B.S. ,&nbsp;Felicitas Allende M.D. ,&nbsp;Nikhil N. Verma M.D. ,&nbsp;Jorge Chahla M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101118","DOIUrl":"10.1016/j.asmr.2025.101118","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate clinical and radiographic findings for medial meniscus posterior root tears (MMPRTs) and investigate their associations with traumatic and insidious etiologies.</div></div><div><h3>Methods</h3><div>Patients who underwent arthroscopic isolated MMPRT repair by one fellowship-trained surgeon from 2019 to 2023 were retrospectively identified. Clinical variables included history of present illness (HPI), medical history, and physical examination findings. Radiographic variables included Kellgren-Lawrence grade, bone bruise, ghost sign, truncation sign, linear hyperintensity perpendicular to the meniscus, meniscal extrusion, tibial slope, and mechanical axis. Patients were stratified by inciting event versus insidious onset for subgroup analysis.</div></div><div><h3>Results</h3><div>Of 72 patients (mean age 56.7 ± 8.9 years, mean BMI 32.3 ± 5.7 k/m²), recollection of an inciting event was reported in 45.8% of patients. The most prevalent findings in the HPI were knee swelling (72.2%) followed by mechanical symptoms (62.5%) and episodes of perceived instability (45.8%), whereas medial joint line tenderness (93.1%) and a positive McMurray’s test (69.4%) were commonly observed on physical examination. On MRI, ghost sign was identified in 91.7% of cases followed by truncation sign (83.3%) and a linear signal perpendicular to the meniscus (68.1%). The average measured meniscal extrusion was 4.18 ± 1.09 mm. Cases with an inciting event were more likely to be younger (<em>P</em> = .021), present acutely (<em>P</em> = .039), and have a positive McMurray test (<em>P</em> = .036). Cases with an insidious presentation were found to have higher rates of bone bruising at the medial femoral condyle (<em>P</em> = .016) and medial plateau (<em>P</em> = 0.029).</div></div><div><h3>Conclusions</h3><div>Patients with MMPRT associated with an inciting event are typically younger and more likely to present acutely, with a positive McMurray’s test. Conversely, patients with insidious presentation are older, present chronically, and exhibit higher rates of bone bruising, particularly when there is varus malalignment.</div></div><div><h3>Level of Evidence</h3><div>Level IV, prognostic case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101118"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480287","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":"Patient-Reported Outcomes Differentially Worsen in Patients With Greater Obesity Classes After Hip Arthroscopy","authors":"Gregory Perraut M.D. ,&nbsp;Madison Thompson B.A. ,&nbsp;Emily Krisanda M.D. ,&nbsp;Seleem Elkadi M.D. ,&nbsp;Shankar Thiru B.A. ,&nbsp;Danny Chamaa B.A. ,&nbsp;Evan Michaelson M.D. ,&nbsp;William Postma M.D.","doi":"10.1016/j.asmr.2024.101072","DOIUrl":"10.1016/j.asmr.2024.101072","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the association between obesity classification and patient-reported outcomes (PROs) in hip arthroscopy.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included patients who underwent hip arthroscopy and completed at least 1 preoperative and corresponding postoperative PRO—the modified Harris Hip Score (mHHS), visual analog pain scale (VAS), or Veterans RAND 12 (VR-12)—between December 2018 and August 2023. Exclusion criteria included previous ipsilateral hip surgery, incomplete or missing PROs, missing body mass index (BMI) data, follow-up &lt;2 weeks, inflammatory arthritis, hip dysplasia, or avascular necrosis. Nonobesity was defined as BMI &lt;30 and obesity as BMI ≥30, further classified as class I/II (BMI 30-40) or class III (BMI ≥40). Significance was set at alpha = 0.05.</div></div><div><h3>Results</h3><div>In total, 349 cases were included in this study. Average BMI was 25.87 and age was 34.42 years. 65% of patients were female. In total, 288 patients (82.5%) did not have obesity and 61 patients (17.5%) had obesity. In the obesity group, 3 patients (4.9%) were defined as having class III obesity. Compared with baseline, patients without obesity demonstrated significant improvements across all 4 PROs at every time point. Similarly, patients classified with class I/II obesity showed significant improvement in the VAS, HHS, and VR-12 Physical but not in the VR-12 Mental score. Patients with class III obesity did not experience any improvement in PROs after 4 weeks and had significantly worse scores compared with both patients with class I/II obesity and patients without obesity at every time point.</div></div><div><h3>Conclusions</h3><div>Although patients without obesity consistently demonstrated significant improvements across all 4 PROs, outcomes for patients with obesity varied depending on the severity of obesity. Patients with class I/II obesity showed intermittent improvements, with significant gains in some PROs but not all. In contrast, patients with class III obesity did not experience any significant lasting improvements in outcomes after hip arthroscopy.</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 2","pages":"Article 101072"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845173","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":"Greater Detail Is Needed When Reporting Schenck Knee Dislocation V Injuries in the Orthopaedic Literature: A Systematic Review","authors":"Aaron J. Marcel M.S. ,&nbsp;Sarah Levitt B.S. ,&nbsp;Joshua S. Green M.D. ,&nbsp;Jay Moran M.D. ,&nbsp;Peter Jokl M.D. ,&nbsp;Robert C. Schenck M.D. ,&nbsp;Daniel C. Wascher M.D. ,&nbsp;Michael J. Alaia M.D. ,&nbsp;Michael J. Medvecky M.D.","doi":"10.1016/j.asmr.2024.101046","DOIUrl":"10.1016/j.asmr.2024.101046","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine how knee dislocations (KDs) with associated periarticular fractures classified using the Schenck KD V subcategory are reported in the literature.</div></div><div><h3>Methods</h3><div>PubMed, Cumulative Index to Nursing and Allied Health Literature, and Scopus were queried in January 2024. Studies were included if full-text articles in English were available, the Schenck KD classification system was used, and Schenck KD class V was mentioned. The exclusion criteria were as follows: studies in which the Schenck KD classification system was used but only KD classes I to IV were mentioned; systematic reviews, meta-analyses, review articles, commentaries, surgical technique articles, or animal studies; or studies in which pediatric patients were included. Studies were systematically examined for details regarding the descriptions of KD V injuries, including fracture and ligament tear patterns.</div></div><div><h3>Results</h3><div>Seventy-four studies met the inclusion criteria. Of these 74 studies, 45 (60.8%) provided no description of either the ligament tear or fracture patterns that were present in KD V injuries. Fifty-two studies (70.3%) provided no description of the ligament tear patterns and 51 studies (68.9%) provided no description of the fracture patterns associated with KD V injuries. Only 16 of 74 studies (21.6%) included descriptions of ligament tear patterns and fractures present in KD V injuries.</div></div><div><h3>Conclusions</h3><div>Descriptions of Schenck KD class V are poorly represented in the orthopaedic literature.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level II to IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101046"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845224","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":"Elevated Instability Resolution Angle Predicts Inferior Patient-Reported Outcomes in Isolated Medial Patellofemoral Ligament Reconstruction","authors":"Zachary Wang B.S.,&nbsp;Daniel Kaplan M.D.,&nbsp;Navya Dandu M.D.,&nbsp;Erik Haneberg B.S.,&nbsp;Kevin Credille M.D., M.S.,&nbsp;Tristan Elias M.D.,&nbsp;Nikhil Verma M.D.,&nbsp;Brian J. Cole M.D., M.B.A.,&nbsp;Adam B. Yanke M.D., Ph.D.","doi":"10.1016/j.asmr.2024.101066","DOIUrl":"10.1016/j.asmr.2024.101066","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the prognostic utility of an examination under anesthesia (EUA) by evaluating the patient-reported outcome scores (PROs) and failure rates of patients undergoing primary, isolated medial patellofemoral ligament reconstruction (MPFLR) relative to their EUA findings.</div></div><div><h3>Methods</h3><div>A retrospective review was performed on patients who underwent primary, isolated MPFLR between August 2015 and August 2021. During the EUA the instability resolution angle (IRA) was identified by applying a lateral force on the patella through increasing knee flexion and defined by the degree of flexion the patella ceased lateral translation. PROs, including International Knee Documentation Committee (IKDC), Knee Injury and Osteoarthritis Outcome Score Jr, and Kujala, were collected at 1-year and 2-year minimum after surgery. In addition, MPFLR failure was recorded and defined by patellar redislocation.</div></div><div><h3>Results</h3><div>In total, 94 patients met inclusion criteria, with 42 patients having an IRA &lt;60° and 52 patients with an IRA ≥60° of knee flexion. At 2-year minimum follow-up, IKDC and Kujala PROs were significantly lower in patients with IRA ≥60° compared with patients with IRA &lt;60° for both final and delta PROs. Mean tibial tubercle-trochlear groove distance examined on preoperative magnetic resonance imaging was 17.21 ± 5.00 mm for the IRA ≥60° cohort and 14.36 ± 4.89 mm for the IRA &lt;60° cohort (<em>P &lt;</em> .01). Four patients redislocated their patella, and all 4 had an IRA ≥60° (<em>P =</em> .07).</div></div><div><h3>Conclusions</h3><div>Patients who underwent isolated MPFLR with an IRA ≥60° had significantly lower IKDC and Kujala scores than similar patients with IRA &lt;60° of knee flexion at 2-year minimum follow-up. Four (7.7%) patients with IRA ≥60° redislocated their patella, whereas zero patients with IRA &lt;60° experienced redislocation.</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 2","pages":"Article 101066"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845270","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":"Ultra-High Molecular Weight Polyethylene Suture and Tape Show Similar Biomechanical Properties in Inside-Out Repair of Lateral Meniscus Tears in a Porcine Model","authors":"José Leonardo Rocha de Faria M.D., M.Sc. Ph.D. ,&nbsp;Igor Farias de Araújo M.D. ,&nbsp;Arthur Paiva Grimaldi Santos M.Sc. ,&nbsp;Mariana Radulski M.D. ,&nbsp;Douglas Mello Pavão M.D., M.Sc. Ph.D. ,&nbsp;Ari Digiacomo Ocampo More M.D., M.Sc. Ph.D. ,&nbsp;Alan de Paula Mozella M.D., M.Sc. Ph.D. ,&nbsp;Geraldo da Rocha Motta Filho M.D., M.Sc. ,&nbsp;João Antonio Matheus Guimarães M.D., Ph.D. ,&nbsp;Rodrigo Salim M.D., Ph.D. ,&nbsp;Carlos Rodrigo de Mello Roesler Ph.D.","doi":"10.1016/j.asmr.2024.101071","DOIUrl":"10.1016/j.asmr.2024.101071","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the stiffness, laxity, and failure rate of ultra-high molecular weight polyethylene (UHMWPE) suture to suture tape measuring 0.15 × 1 mm used in 2 vertical inside-out suture points for the treatment of longitudinal meniscal lesions.</div></div><div><h3>Methods</h3><div>Twenty-eight porcine knees were selected for this controlled biomechanical evaluation in a laboratory setting. The knees were divided into 2 groups: group S (vertical inside-out meniscal sutures using UHMWPE suture) and group T (vertical inside-out meniscal sutures using UHMWPE tape). A 1.5-cm longitudinal lesion was created in the lateral meniscus, followed by 2 vertical sutures on the femoral surface of the meniscus. Biomechanical analyses were performed using a testing machine, including cyclic loading tests and load-to-failure tests.</div></div><div><h3>Results</h3><div>Stiffness at the 5th cycle was 21.1 ± 1.8 N/mm for group T and 19.2 ± 2.0 N/mm for group S (<em>P</em> = .013). At the 30th cycle, stiffness was 26.1 ± 2.5 N/mm for group T and 23.1 ± 2.4 N/mm for group S (<em>P</em> = .003). At ultimate load to failure, stiffness was 26.5 ± 1.6 N/mm for group CS and 25.0 ± 1.6 N/mm for group T (<em>P</em> = .918). The results showed no significant difference in lesion widening after cyclic testing or in load-to-failure between the 2 groups.</div></div><div><h3>Conclusions</h3><div>Both the meniscal suture tape and the ultra-high strength suture exhibit similar biomechanical behaviors under radial loads, making both viable options for meniscal repair. The suture tape demonstrated significantly greater stiffness during the test cycles, which can offer more stable initial fixation. However, the actual differences were small, which limits the clinical relevance of the findings.</div></div><div><h3>Clinical Relevance</h3><div>The findings of this study provide evidence that, compared with UHMWPE suture, suture tape may offer superior initial stability, which is crucial for the healing process of meniscal tissue.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101071"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845275","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":"Persistent Gender Disparity in Authorship of Arthroscopic Surgery Research","authors":"Uma Balachandran BA,&nbsp;Auston R. Locke MPH,&nbsp;Niklas H. Koehne BA,&nbsp;Charu Jain BA,&nbsp;Camila Vicioso BA,&nbsp;Jiwoo Park BA,&nbsp;Katrina S. Nietsch MS,&nbsp;Alexis C. Colvin MD","doi":"10.1016/j.asmr.2025.101076","DOIUrl":"10.1016/j.asmr.2025.101076","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine how the gender of the first and last authors of annual meeting abstracts and journal articles from a related source have changed between 2012 and 2022.</div></div><div><h3>Methods</h3><div>All abstracts and original research articles published from 2012 to 2022 were extracted from the websites of The Arthroscopy Association of North America and <em>Arthroscopy: The Journal of Arthroscopic and Related Surgery</em>, respectively. The full names of first and last authors were analyzed with the validated Genderize algorithm. Analyses were performed to evaluate authorship of abstracts and articles.</div></div><div><h3>Results</h3><div>Of 850 abstracts, 845 (99.4%) had an identifiable first-author gender and 843 (99.2%) had an identifiable last-author gender. The proportion of female first authors increased from 9.2% in 2012 to 15.2% in 2022, whereas the proportion of female last authors decreased from 13.5% in 2012 to 12.3% in 2022. Of 4,811 articles, 4,744 (98.6%) had an identifiable first author gender and 4,767 (99.1%) had an identifiable last author gender. The proportion of female first authors increased from 10.4% in 2012 to 16.8% in 2022, whereas the proportion of female last authors decreased from 19.0% in 2012 to 9.1% in 2022. For both abstracts and articles, the gender of the last author was not significantly associated with the presence of a female first author.</div></div><div><h3>Conclusions</h3><div>Between 2021 and 2022, there was a significant increase in the proportion of female first authors of both abstracts and articles examined in this study. However, a similar increase was not seen among last authors.</div></div><div><h3>Clinical Relevance</h3><div>It is important to examine gender representation among authors who publish arthroscopic research to understand how a greater balance may be achieved.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101076"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845091","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":"Prevention and Rehabilitation of the Athletic Hamstring Injury","authors":"Adriana Geraci P.T., D.P.T. ,&nbsp;Delaney Mahon P.T., D.P.T. ,&nbsp;Eric Hu B.S. ,&nbsp;Jesus E. Cervantes B.S. ,&nbsp;Shane J. Nho M.D., M.S.","doi":"10.1016/j.asmr.2024.101021","DOIUrl":"10.1016/j.asmr.2024.101021","url":null,"abstract":"<div><div>Hamstring injuries are a common occurrence in both recreational and competitive athletes. Professional athletes have an increased incidence of hamstring-related injuries because most of these injuries are often attributed to movements involving forceful and rapid hamstring lengthening. The incidence of hamstring injuries is particularly high in professional baseball players, likely due to the high-speed running and frequent transition from static standing to dynamic movements inherent to the sport itself. To improve an athlete’s ability to return to sport and minimize days off due to injury, a programmed rehabilitation program combining a range of training parameters that ensure the athlete can work near the limit of their capacity while concurrently allowing sufficient time for the injured tissue to heal is essential. The purpose of this article is to summarize the different features and evaluation of hamstring injuries in athletes, highlight evidence-based rehabilitation interventions, and identify preventative strategies to effectively and efficiently treat athletes, particularly baseball players, with hamstring injuries.</div></div><div><h3>Level of Evidence</h3><div>Level V, expert opinion.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101021"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845163","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}