Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Dynamic Warm-ups Play Pivotal Role in Athletic Performance and Injury Prevention","authors":"Derek Sople P.T., D.P.T., O.C.S.,&nbsp;Reg B. Wilcox III P.T., D.P.T., M.S., M.B.A., O.C.S.","doi":"10.1016/j.asmr.2024.101023","DOIUrl":"10.1016/j.asmr.2024.101023","url":null,"abstract":"<div><div>Dynamic warm-ups (DWs) are being increasingly used before athletic performance because of their perceived potential to promote readiness to play, enhance performance, and reduce injury across the recreational and elite athlete populations. There has been widespread adoption of warm-ups before athletic activity and evolving literature suggesting best practices including the role of static versus dynamic stretching and combination of pre-performance activities. DWs have gained traction as a preferred warm-up approach over static stretching because of the increased potential to improve athletic performance and reduce injury by enhancing the musculoskeletal, neurologic, cardiovascular, and psychological systems before performance. In this article, we aim to discuss the physiological and potential athletic performance benefits of DWs, key differences compared with prior widely adopted pre-activity static stretching, injury reduction benefits, and recommendations for implementing DWs into pre–athletic performance activities including crucial components of a multifaceted sport-specific approach.</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 101023"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845215","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":"Most Patients Report Acceptable Knee Function, Satisfaction, and Clinical Outcomes at a Minimum Ten Years After Quadriceps Free Tendon Anterior Cruciate Ligament Reconstruction","authors":"Cory Hewitt M.D. ,&nbsp;Regina Kostyun Ph.D., A.T.C. ,&nbsp;John P. Fulkerson M.D. ,&nbsp;Matthew E. Shuman M.D. ,&nbsp;Clifford G. Rios M.D.","doi":"10.1016/j.asmr.2024.101062","DOIUrl":"10.1016/j.asmr.2024.101062","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the long-term outcomes of anterior cruciate ligament reconstruction (ACLR) with quadriceps-free tendon autograft (QFT) in terms of subjective function, clinical outcomes, and knee satisfaction.</div></div><div><h3>Methods</h3><div>A retrospective chart review design with prospective descriptive survey was used to determine clinical and subjective outcomes for patients treated with a QFT-ACLR from 2000 to 2013. Patients with multiligament reconstructions were excluded. The primary outcomes were clinical outcomes (reinjury of indexed knee, ACL injury to contralateral knee after indexed surgery), subjective function (International Knee Documentation Committee subjective score, Lysholm score), knee satisfaction (single assessment numeric evaluation), and global health and wellbeing (Patient-Reported Outcomes Measurement Information System Global-10).</div></div><div><h3>Results</h3><div>In total, 34 patients were contacted (average: 18.2 years, range: 10-23 years) after surgery (response rate, 17.3%). The mean age at time of surgery was 32.3 ± 11.1 years, and 50.4 ± 11.6 years at follow-up. For clinical outcomes, 23.5% of patients reported a reinjury of their QFT reconstructed ACL. Contralateral ACL injuries were reported in 17.6% of patients. No differences in subjective function and knee satisfaction were identified between patients with and without concomitant procedure at the time of surgery. Nearly two-thirds of patients reported strong mental health and physical function on the PROMIS Global Health.</div></div><div><h3>Conclusions</h3><div>This study presents a minimum of 10-year follow-up on QFT-ACLR, revealing 74% of patients reporting no reinjury, 67% of patients reporting acceptable-exceptional subjective knee function, and 74% indicating better physical and mental health compared to the general population. No differences were observed in knee function or satisfaction scores among patients who underwent a concomitant cartilage procedure at the time of QFT-ALCR with patients without these concomitant injuries.</div></div><div><h3>Level of Evidence</h3><div>Level IV, therapeutic case-series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101062"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845272","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":"External Fixator Application, 2-Stage Procedures, and Postoperative Infection Risk Are Higher in Multiligamentous Knee Injuries After Frank Knee Dislocations","authors":"Adam V. Daniel M.D.,&nbsp;Taylor A. Johnson M.D.,&nbsp;Katherine F. Druskovich M.D.,&nbsp;Warren A. Williams M.D.,&nbsp;Daniel Miller M.D.,&nbsp;Stanley J. Kupiszewski M.D.","doi":"10.1016/j.asmr.2024.101070","DOIUrl":"10.1016/j.asmr.2024.101070","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine outcomes after surgical treatment of multiligamentous knee injuries (MLKIs) in patients with dislocated versus non-dislocated knees.</div></div><div><h3>Methods</h3><div>Patients who were surgically treated for MLKIs between 2008 and 2021 were included in this study. Patients were divided into 2 groups: those with a frank knee dislocation (KD), diagnosed by radiographs or reduction notes in the emergency department, and those without a frank KD (non-KD). The following patient-reported outcome measures were collected: visual analog scale for pain, International Knee Documentation Committee subjective score, and Lysholm knee scoring scale. Additional procedures such as revision ligamentous reconstruction and complications such as infection and arthrofibrosis were also obtained.</div></div><div><h3>Results</h3><div>A total of 88 patients (88 knees; 36 KD vs 52 non-KD) were included in the final analysis. This study included 30 female and 58 male patients, and the mean age was 34.3 ± 12.7 years (range, 10-61 years). The mean follow-up period for the patients who did not receive revision surgery was 9.2 years (range, 3.4-15.3 years). There were no differences in age, sex, mechanism of injury, meniscal/chondral injury, or neurovascular status between the groups. Furthermore, there were no differences in visual analog scale, International Knee Documentation Committee, or Lysholm scores. Significantly more patients in the KD group showed higher KD grades (KD III–KD V, 29 [81%] vs 21 [40%]; <em>P</em> &lt; .001), and significantly more KD I injuries were observed in the non-KD group (48.1% vs 11.1%, <em>P</em> &lt; .001). More patients in the KD group underwent staged procedures (69.4% vs 28.8%, <em>P</em> &lt; .001) and had external fixators applied (50% vs 5.8%, <em>P</em> &lt; .001). The overall complication rate was comparable between groups, with no differences in revision surgery or arthrofibrosis; however, the KD group had a higher postoperative infection rate (16.7% vs 1.9%, <em>P</em> = .017).</div></div><div><h3>Conclusions</h3><div>Patients who experienced frank KDs showed an increased odds of receiving external fixation, showed an increased odds of undergoing a staged procedure, had higher grades of injury, and had a higher risk of postoperative infection compared with those without KDs. At final follow-up, no differences in patient-reported outcomes were noted between the 2 groups.</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 101070"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845274","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":"Long-Term Preoperative Nonsteroidal Anti-inflammatory Drug Use Does Not Impact Revision Rate After Repair of Rotator Cuff, Achilles, Distal Biceps, or Quadriceps Tendon","authors":"Romir Parmar B.S. ,&nbsp;Sailesh V. Tummala M.D. ,&nbsp;Alejandro Holle B.S. ,&nbsp;Jose Iturregui M.D. ,&nbsp;Alexander J. Hoffer M.D. ,&nbsp;John M. Tokish M.D.","doi":"10.1016/j.asmr.2024.101034","DOIUrl":"10.1016/j.asmr.2024.101034","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine whether long-term preoperative nonsteroidal anti-inflammatory drug (NSAID) use affected the revision rates after primary tendon repair for the following common sports medicine surgical procedures: rotator cuff repair (RCR), Achilles tendon repair (ATR), distal biceps repair (DBR), or quadriceps tendon repair (QTR).</div></div><div><h3>Methods</h3><div>A retrospective comparative study using a national insurance database was performed. Patients who underwent major tendon repair, including RCR, ATR, DBR, or QTR, with at least 2-year follow-up were identified. Those who had a diagnosis of long-term NSAID use prior to the index operation were identified and matched 1:4 to controls without NSAID use based on age, sex, specific tendon repaired, and Elixhauser Comorbidity Index. The revision repair rates of the 2 groups were compared.</div></div><div><h3>Results</h3><div>A total of 36,068 patients underwent major tendon repair. Of these, 7,246 (20%) met the long-term NSAID use criteria prior to tendon repair (NSAID users). After RCR, 3.2% of NSAID users (n = 190) and 2.6% of controls (n = 617) underwent revision surgery within 2 years (odds ratio [OR], 1.15; 95% confidence interval [CI], 0.97-1.36; <em>P</em> = .10). After ATR, NSAID users had a revision rate of 3.9% (n = 24) versus 2.5% (n = 62) in the control cohort (OR, 1.47; 95% CI, 0.89-2.38; <em>P</em> = .12). After DBR, both NSAID users and controls had fewer than 11 revision cases (OR, 1.54; 95% CI, 0.49-4.16; <em>P</em> = .42). After QTR, the revision rate was 5.9% (n = 30) for NSAID users compared with 4.8% (n = 95) for the control group (OR, 1.22; 95% CI, 0.77-1.86; <em>P</em> = .38). None of the observed differences in revision rates between NSAID users and controls were significant.</div></div><div><h3>Conclusions</h3><div>Patients with a diagnosis of and coding for long-term preoperative NSAID use do not have greater revision rates within 2 years of primary tendon repair than patients without this diagnosis.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective case-control study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101034"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845169","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":"Semiautomated Three-Dimensional Landmark Placement on Knee Models Is a Reliable Method to Describe Bone Shape and Alignment","authors":"Nancy Park B.S. ,&nbsp;Johannes Sieberer M.Sc. ,&nbsp;Armita Manafzadeh Ph.D. ,&nbsp;Rieke-Marie Hackbarth ,&nbsp;Shelby Desroches B.S. ,&nbsp;Rithvik Ghankot B.S. ,&nbsp;John Lynch Ph.D. ,&nbsp;Neil A. Segal M.D. ,&nbsp;Joshua Stefanik Ph.D. ,&nbsp;David Felson M.D. ,&nbsp;John P. Fulkerson M.D.","doi":"10.1016/j.asmr.2024.101036","DOIUrl":"10.1016/j.asmr.2024.101036","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the inter- and intrarater reliability of 21 anatomical landmarks initially placed with an artificial intelligence algorithm and then manually verified with human input.</div></div><div><h3>Methods</h3><div>Thirty computed tomography scans of the knees of participants from the Multicenter Osteoarthritis Study (MOST) ages 45 to 55 years were included. Approximately one-half experienced progression of patellofemoral osteoarthritis, defined as an increased cartilage score in the patellofemoral compartment on magnetic resonance imaging over 2 years. The algorithm automatically placed 19 anatomic landmarks on the femur, tibia, and patella. An additional 2 landmarks were added manually. Two landmark reviewers separately reviewed all 30 scans and verified all landmarks. After 2 weeks, one reviewer repeated the process for the same dataset. The mean Euclidean distance of manual landmark displacement, mean absolute disagreement between and within raters, and intraclass correlation coefficients for inter- and intrarater reliability were calculated.</div></div><div><h3>Results</h3><div>All landmarks had excellent inter-rater reliability. The tibial and femoral shaft centers had intraclass correlation coefficients (ICCs) of 1, indicating their positions did not differ. Seventeen landmarks had ICCs between 0.90 and 0.99 and the tibial tuberosity had an ICC of 0.87. Intrarater reliability scores were 1 for 16 landmarks and between 0.90 and 0.99 for the remaining 5.</div></div><div><h3>Conclusions</h3><div>There was excellent agreement on the locations of all 21 landmarks evaluated in this study.</div></div><div><h3>Clinical Relevance</h3><div>The potential role of artificial intelligence in medical imaging and orthopaedic research is a growing area of interest. The excellent reliability demonstrated across multiple landmarks in our study reveals the potential for semiautomated 3-dimensional methods to enhance precision of anatomical measurements of the knee over 2-dimensional methods.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101036"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845138","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":"Procedure Type and Preoperative Patient-Reported Outcome Metrics Predict Variation in the Value of Hip Arthroscopy for Femoroacetabular Impingement","authors":"Michael C. Dean B.A. ,&nbsp;Nathan J. Cherian M.D. ,&nbsp;Ana Paula Beck da Silva Etges Ph.D. ,&nbsp;Zachary L. LaPorte B.A. ,&nbsp;Kieran S. Dowley B.A. ,&nbsp;Kaveh A. Torabian M.S. ,&nbsp;Ryan E. Dean M.D. ,&nbsp;Scott D. Martin M.D.","doi":"10.1016/j.asmr.2024.101073","DOIUrl":"10.1016/j.asmr.2024.101073","url":null,"abstract":"<div><h3>Purpose</h3><div>To characterize variation in the value of hip arthroscopy for femoroacetabular impingement and explore associations between value and patient-specific demographic characteristics, comorbidities, preoperative patient-reported outcome measures (PROMs), and intraoperative variables.</div></div><div><h3>Methods</h3><div>We included all patients aged 18 years or older who underwent primary arthroscopic acetabular labral repair or debridement between 2015 and 2020 with minimum 2-year follow-up. The exclusion criteria were hip dysplasia, advanced hip osteoarthritis (TÖnnis grade &gt;1), or unreconcilable documenting errors. Value was calculated by dividing 2-year postoperative International Hip Outcome Tool 33 scores by time-driven activity-based costs. To protect the confidentiality of internal hospital cost data, the study average for value was normalized to 100. Multivariable linear mixed-effects models were used to identify factors underlying variation in value.</div></div><div><h3>Results</h3><div>This study included 161 patients. There were 76 women (47.2%) and 85 men, with a mean age of 36.0 years (standard deviation [SD], 10.9 years) and mean body mass index (BMI) of 25.8 (SD, 4.3). Most patients were white (92.5%), were not Hispanic (93.8%), and were commercially insured (92.5%). Preoperatively, 57.1% of hips were classified as Tönnis grade 1 (57.1%) whereas the remainder were grade 0. The normalized value of hip arthroscopy ranged from 25.4 to 216.4 (mean ± SD, 100 ± 38.4), with a 3.0-fold variation between patients in the 10th and 90th percentiles. Higher value was significantly associated with Tönnis grade 0 (12.2-point increase, <em>P</em> = .025), no prior contralateral hip arthroscopy (17.3-point increase, <em>P</em> = .039), higher preoperative PROMs (0.52-point increase per 1-unit increase, <em>P</em> &lt; .001), and no bone marrow aspirate concentrate or microfracture (33.8-point increase, <em>P</em> &lt; .001). Value was also significantly associated with osteoplasty type and labral treatment technique (<em>P</em> &lt; .05 for both). In contrast, operative year, age, sex, BMI, race, ethnicity, Outerbridge grade, and American Society of Anesthesiologists score were not independently associated with value. A model incorporating these factors as fixed effects and the surgery center as a random effect explained 42.3% of the observed variation in value. Sensitivity analyses revealed that value drivers may vary slightly across PROMs.</div></div><div><h3>Conclusions</h3><div>This study revealed wide variation in the value of hip arthroscopy that was most strongly explained by osteoplasty type, labral management technique, and preoperative PROMs. In contrast, patient demographic characteristics such as age, sex, and BMI contributed minimal independent variability.</div></div><div><h3>Level of Evidence</h3><div>Level IV, economic and decision analysis.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101073"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845135","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":"Microsoft Copilot Provides More Accurate and Reliable Information About Anterior Cruciate Ligament Injury and Repair Than ChatGPT and Google Gemini; However, No Resource Was Overall the Best","authors":"Suhasini Gupta B.S. ,&nbsp;Rae Tarapore M.D. ,&nbsp;Brett Haislup M.D. ,&nbsp;Allison Fillar M.D.","doi":"10.1016/j.asmr.2024.101043","DOIUrl":"10.1016/j.asmr.2024.101043","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze and compare the quality, accuracy, and readability of information regarding anterior cruciate ligament (ACL) injury and reconstruction provided by various artificial intelligence AI interfaces (Google Gemini, Microsoft Copilot, and OpenAI ChatGPT).</div></div><div><h3>Methods</h3><div>Twenty questions regarding ACL reconstruction were inputted into ChatGPT 3.5, Gemini, and the more precise subinterface within Copilot and were categorized on the basis of the Rothwell criteria into Fact, Policy, and Value. The answers generated were analyzed using the DISCERN scale, JAMA benchmark criteria, and Flesch-Kincaid Reading Ease Score and Grade Level. The citations provided by Gemini and Copilot were further categorized by source of citation.</div></div><div><h3>Results</h3><div>All 3 AI interfaces generated DISCERN scores (≥50) demonstrating “good” quality of information except for Policy and Value by Copilot which were scored as “excellent” (≥70). The information provided by Copilot demonstrated greater reliability, with a JAMA benchmark criterion of 3 (of 4) as compared with Gemini (1) and ChatGPT (0). In terms of readability, the Flesch-Kincaid Reading Ease Score scores of all 3 sources were &lt;30, apart from Fact by Copilot (31.9) demonstrating very complex answers. Similarly, all Flesch-Kincaid Grade Level scores were &gt;13, indicating a minimum readability level of college level or college graduate. Finally, both Copilot and Gemini had a majority of references provided by journals (65.6% by Gemini and 75.4% by Copilot), followed by academic sources, whereas Copilot provided a greater number of overall citations (163) as compared with Gemini (64).</div></div><div><h3>Conclusions</h3><div>Microsoft Copilot was a better resource for patients to learn about ACL injuries and reconstruction compared with Google Gemini or OpenAI ChatGPT in terms of quality of information, reliability, and readability. The answers provided by LLMs are highly complex and no resource was overall the best.</div></div><div><h3>Clinical Relevance</h3><div>As artificial intelligence models continually evolve and demonstrate increased potential for answering complex surgical questions, it is important to investigate the quality and usefulness of the responses for patients. Although these resources may be helpful, they should not be used as a substitute for any discussions with health care providers.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101043"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845140","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":"Patients Have Similar Clinical Outcomes and Failure Rates After Anterior Cruciate Ligament Reconstruction With Tibialis Anterior Tendon, Bone–Patellar Tendon–Bone, Hamstring Tendon, or Achilles Tendon Allografts: A Systematic Review","authors":"Udit Dave B.S. ,&nbsp;Juan Bernardo Villarreal-Espinosa M.D. ,&nbsp;Harshal Shah B.S. ,&nbsp;Eric J. Cotter M.D. ,&nbsp;Fernando Gómez-Verdejo M.D. ,&nbsp;Melissa Carpenter B.S. ,&nbsp;Cameron Gerhold B.S. ,&nbsp;Alexander Mamonov ,&nbsp;Jorge Chahla M.D., Ph.D. ,&nbsp;Nikhil N. Verma M.D.","doi":"10.1016/j.asmr.2024.101035","DOIUrl":"10.1016/j.asmr.2024.101035","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare postoperative outcomes and functionality in patients who undergo primary allograft anterior cruciate ligament reconstruction (ACLR) with tibialis anterior (TA) tendon, bone–patellar tendon–bone (BPTB), hamstring tendon (HT), and Achilles tendon allografts.</div></div><div><h3>Methods</h3><div>In April 2024, a comprehensive search of the PubMed, Embase, and Cochrane Library databases was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies were included if they evaluated primary ACLR using allograft, were prospective randomized controlled trials or retrospective studies, compared outcomes in patients undergoing primary ACLR with different allograft types, and were published between 2000 and 2024. Data collection included patient demographic characteristics, graft type, activity level, drilling technique, concomitant and augmentation procedures, patient-reported outcome measures, complications, and graft rerupture rates. Pooling of data was avoided, and qualitative data comparison was conducted.</div></div><div><h3>Results</h3><div>The initial search identified 957 studies, 7 of which were included in this systematic review. Of these, 5 were randomized controlled trials and 2 were retrospective studies. A total of 735 patients were included, with 167 HT patients, 252 BPTB patients, 162 TA patients, and 153 Achilles patients. The mean ages within the cohorts ranged from 23.9 to 37.2 years. The mean follow-up times across studies ranged from 25.6 to 90.0 months. Demographic characteristics were similar among the graft cohorts, and each study had a low risk of bias. Failure rates ranged from 2% to 65% across studies. Similar International Knee Documentation Committee, Lysholm, and Tegner scores were reported among the graft types. Additionally, similar functional outcomes as measured by side-by-side differences in arthrometer readings and similar complication rates after primary ACLR with HT, BPTB, TA, and Achilles allografts were found.</div></div><div><h3>Conclusions</h3><div>Primary ACLR with allografts in patients older than 23 years is safe and effective with few differences in patient-reported outcomes, postoperative function, and graft failure rates among graft options.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level I to IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101035"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845220","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":"Analysis of Injury Epidemiology in Soccer Players in the 2019 Confederation of North, Central America and Caribbean Association Football Gold Cup as Reported by Team Physicians","authors":"Brian Forsythe M.D. ,&nbsp;Derrick M. Knapik M.D. ,&nbsp;Daanish Khazi-Syed B.S. ,&nbsp;Joshua Chang B.S. ,&nbsp;Camden Bohn B.A. ,&nbsp;Catherine Hand B.S. ,&nbsp;Avinaash Korrapati M.D. ,&nbsp;Ophelie Lavoie-Gagne M.D. ,&nbsp;George Chiampas M.D. ,&nbsp;Bert R. Mandelbaum M.D. ,&nbsp;Jorge Chahla M.D., Ph.D.","doi":"10.1016/j.asmr.2024.101074","DOIUrl":"10.1016/j.asmr.2024.101074","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe and characterize injuries reported in professional soccer athletes participating in the 2019 Confederation of North, Central America and Caribbean Association Football (CONCACAF) Gold Cup tournament.</div></div><div><h3>Methods</h3><div>Data were collected from electronic medical reports submitted after each match of the 2019 CONCACAF Gold Cup tournament. Reports were generated from a 20-question online survey completed by team physicians from all 16 participating teams. For every recorded injury, a separate survey was completed by team physicians documenting athlete demographic characteristics, context of injury, injury characteristics, and expected time lost from injury.</div></div><div><h3>Results</h3><div>A total of 62 surveys were distributed, of which 80% (50 of 62) were collected for analysis. A total of 27 injuries (7%) were recorded among the 368 participating athletes. Injuries most frequently occurred during matches (92%, 24 of 27), with a significantly higher number of injuries recorded between the 61st and 75th minutes of play (<em>P</em> &lt; .05). New injuries constituted 85% of all injuries (23 of 27), whereas 15% of injuries (4 of 27) were recorded as recurrences of prior injuries. Defenders had the highest number of injuries (41%, 11 of 27). Injuries to the lower extremities comprised 52% of all injuries (14 of 27), with thigh strains being the most common.</div></div><div><h3>Conclusions</h3><div>During the 2019 CONCACAF Gold Cup, injuries were recorded in 7% of athletes (27 of 368), with 89% of injuries recorded as occurring during match play, primarily consisting of injuries involving strains to the thigh.</div></div><div><h3>Clinical Relevance</h3><div>Understanding the epidemiology of soccer (football) injuries can help physicians better educate athletes including their patients.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 2","pages":"Article 101074"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845277","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":"Posterior Cruciate Ligament Reconstruction Improves Sexual Health Postoperatively","authors":"Riccardo D’Ambrosi M.D. ,&nbsp;Federico Valli M.D. ,&nbsp;Pietro Marchetti M.D. ,&nbsp;Nicola Ursino M.D. ,&nbsp;Amit Meena M.B.B.S., M.S., D.N.B.","doi":"10.1016/j.asmr.2024.101041","DOIUrl":"10.1016/j.asmr.2024.101041","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate changes in sexual function and quality of life following arthroscopic posterior cruciate ligament (PCL) reconstruction.</div></div><div><h3>Methods</h3><div>Patients aged between 18 and 45 years who underwent PCL reconstruction were considered for inclusion. At the time of hospital admission, each patient was asked to complete the New Sexual Satisfaction Scale-Short Form, before injury (preinjury) and at the time of hospital admission (preoperative). In addition, patients were followed for a minimum of 24 months (final follow-up). Quality of life was measured using the Anterior Cruciate Ligament Quality of Life Questionnaire at hospital admission (preoperative) and at the 24-month follow-up visit (final follow-up).</div></div><div><h3>Results</h3><div>A total of 35 patients were included in the study; 24 (68.6%) were male, and 11 were female (31.4%). The mean age at the time of surgery was 29.23 <em>±</em> 7.52 years, and the mean follow-up duration was 52.97 <em>±</em> 22.69 months. In all patients, the hamstring tendon was used. Sexual activity at the last follow-up visit was significantly different from that preoperatively (<em>P</em> = .024), while no difference was observed between the preinjury and last follow-up values (<em>P</em> = . 243). Sexual activity was more frequent before injury than preoperatively (<em>P</em> = . 009). Quality of life at the last follow-up visit was significantly better than that preoperatively (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Reconstructive surgery after PCL injury improves the sexual health of patients regardless of age or sex.</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 101041"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845137","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}