Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"In the article “Improvements in Sleep After Shoulder Arthroscopy Are Correlated With Improvements in Various","authors":"","doi":"10.1016/j.asmr.2025.101172","DOIUrl":"10.1016/j.asmr.2025.101172","url":null,"abstract":"","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101172"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934129","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":"Patellar Fracture Risk Is Not Affected by Harvest Length During Bone–Patellar Tendon–Bone Harvest: A Biomechanical and Ultimate Load-to-Failure Analysis","authors":"Matthew J. Partan D.O.,&nbsp;Raghunandan Nayak B.S.,&nbsp;Rohan Patel B.S.,&nbsp;Tomer Korabelnikov B.S.,&nbsp;Alyssa DeManche B.S.,&nbsp;Elifho Obopilwe M.S.,&nbsp;Robert A. Arciero M.D.,&nbsp;Cory M. Edgar M.D., Ph.D.,&nbsp;Katherine J. Coyner M.D., M.B.A.","doi":"10.1016/j.asmr.2025.101203","DOIUrl":"10.1016/j.asmr.2025.101203","url":null,"abstract":"<div><h3>Purpose</h3><div>To biomechanically assess the impact of different patellar defect sizes on the ultimate load to failure (ULTF) and fracture risk immediately after bone–patellar tendon–bone harvest.</div></div><div><h3>Methods</h3><div>Twelve fresh-frozen mid femur to mid tibia–fibula cadaveric specimens (8 female specimens) with an average age of 75 years (range, 64-88 years) were randomly assigned to a defect length of 20 or 25 mm. A triangular wedge bone block was harvested from the patella, and the defect was measured. The extensor mechanism was loaded until failure with the knee in 30° of flexion. ULTF and failure modes were recorded. Statistical analyses were performed between the 2 groups to identify significance (<em>P</em> &lt; .05).</div></div><div><h3>Results</h3><div>Analyses were performed on 10 specimens because 2 were excluded. The average ULTF was not significantly different between the 20- and 25-mm groups (2,313 ± 863 N and 2,443 ± 839 N, respectively; <em>P</em> = .815) despite a significantly different percentage of total patellar defect length between the 2 groups (39.5% ± 3.9% and 49.1% ± 4.1%, respectively; <em>P</em> = .005). In 7 specimens, the first point of bony failure was at the patella, whereas in the remaining 3 specimens, it was distal to the patella.</div></div><div><h3>Conclusions</h3><div>The results of this biomechanical study show that up to a 25-mm-long patellar bone block harvest can be performed safely with a low risk of patellar fracture.</div></div><div><h3>Clinical Relevance</h3><div>There is concern for complications including an increased risk of patellar fracture at the harvest site after bone–patellar tendon–bone autograft harvest. The risk of this complication based on patellar harvest size is not well understood. This study provides biomechanical insights into assessing fracture risk of patellar harvest between 20 and 25 mm in length.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101203"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932479","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":"Significant Variation in Quadriceps Tendon Thickness Is Observed Among Cadaveric Specimens","authors":"Michael Stickels B.S. ,&nbsp;Arjun Vohra M.D. ,&nbsp;Jackson Woodrow B.S. ,&nbsp;Youssef Galal M.D. ,&nbsp;Cole Cook P.A. ,&nbsp;Thomas Carter M.D. ,&nbsp;Anup Shah M.D., M.B.A.","doi":"10.1016/j.asmr.2025.101162","DOIUrl":"10.1016/j.asmr.2025.101162","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate variation in quadriceps tendon (QT) morphology in cadaveric specimens, focusing on tendon thickness, and to improve current QT harvesting techniques and graft preparation for anterior cruciate ligament (ACL) reconstruction.</div></div><div><h3>Methods</h3><div>Eight fresh-frozen, skeletally mature, midthigh-to-toe cadaveric legs with no history of knee surgery and at least 65 mm of tendon were utilized. There were 4 males and 4 females. The average donor age was 80.4 years (range, 69-93 years), and the average height was 66.1 inches (range, 59 to 72 inches). The tendon was exposed with an open extensile approach via a longitudinal midline incision. Tendon thickness was measured using calipers at the superior pole of the patella and 65 mm proximal to the insertion. Univariate analysis was used to generate sample means, standard deviations, and 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Tendon thickness at the distal patellar insertion site was a mean (standard deviation [SD]) of 8.7 (1.4) mm. At 65 mm proximal to the patellar insertion site, the mean (SD) thickness of the tendon was 6.5 (1.1) mm. The 95% CIs were 7.7 to 9.7 mm for the distal insertion and 5.8 to 7.2 mm for the proximal tendon. The 2 measurement sites had a mean (SD) difference of 2.2 (0.7) mm (95% CI, 1.6-2.8 mm; <em>P</em> &lt; .001). Overall, the proximal tendon showed a reduction in thickness by a mean (SD) of 25.3% (6.7%) compared to the thickness at the patellar pole.</div></div><div><h3>Conclusions</h3><div>Quadriceps tendons had a significant decrease in thickness, measuring distally to proximally. However, the thickness was not uniform, and the variation was high among specimens tested.</div></div><div><h3>Clinical Relevance</h3><div>Anatomic variations in QT thickness may contribute to variable graft diameters in ACL reconstruction, highlighting the importance of accounting for tendon morphology for graft preparation, ACL tunnel position, and size.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101162"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932480","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":"Indications for Biceps Tenodesis in Injured Overhead Throwing Athletes Lack Consensus: A Systematic Review and Cross-Sectional Survey","authors":"Aaron D. Sciascia Ph.D., A.T.C., P.E.S., S.M.T.C., F.A.S.S.E.T. ,&nbsp;W. Jeffrey Grantham M.D. ,&nbsp;Austin V. Stone M.D., Ph.D. ,&nbsp;Anthony N. Baumann D.P.T. ,&nbsp;John D. Kelly IV M.D. ,&nbsp;W. Ben Kibler M.D.","doi":"10.1016/j.asmr.2025.101113","DOIUrl":"10.1016/j.asmr.2025.101113","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the current clinical practice methods and the reported indications for biceps tenodesis in injured overhead throwing athletes.</div></div><div><h3>Methods</h3><div>This study combined a survey of experienced shoulder surgeons regarding their methods of establishing indications for tenodesis surgery with a systematic review of studies that reported performing biceps tenodesis in overhead throwing athletes. Both the survey and review were designed to identify methods of making the diagnosis to delineate the preoperative and intraoperative factors used to establish biceps involvement as a major component of the clinical presentation, as well as to attempt to establish a consensus for clinical practice.</div></div><div><h3>Results</h3><div>Eleven studies reporting on 249 overhead throwing athletes were analyzed. Elements of the history evaluation were described in 5 studies; physical examination, in 2 studies; advanced imaging, in 7 studies; and diagnostic arthroscopy, in 8 studies. One hundred nineteen responses to the survey showed a similar thought process regarding the reasoning to include biceps tenodesis, but several aspects of the process appeared to not be supported by contemporary literature. Also, there was inconsistent use of diagnostic components, with only 3 of 9 history components and 4 of 9 physical examination components being selected by more than 50% of the respondents.</div></div><div><h3>Conclusions</h3><div>The survey revealed there was an incompletely supported reasoning process regarding indications for tenodesis and there was no consensus regarding individual components of the history or physical examination. The literature review revealed a lack of consensus regarding which elements of the diagnostic process are integral in establishing biceps involvement in injured throwing shoulders.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies and cross-sectional survey.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101113"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481306","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":"Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year","authors":"Emmitt Hayes M.D.,&nbsp;Sasha Carsen M.D., M.B.A.,&nbsp;Bogdan Matache M.D.,&nbsp;Michael Pickell M.D.","doi":"10.1016/j.asmr.2025.101109","DOIUrl":"10.1016/j.asmr.2025.101109","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate performance following hip arthroscopy in National Hockey League (NHL) players.</div></div><div><h3>Methods</h3><div>NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome measure was wins above replacement per 60 minutes played (WAR/60), with secondary outcomes, including offensive and defensive goals, above replacement per 60 minutes played. A matched cohort was created on the basis of position, draft year, and index season performance. Preinjury and postinjury outcomes were compared using a paired <em>t</em> test.</div></div><div><h3>Results</h3><div>Twenty-eight players underwent 29 eligible procedures. Preinjury, postinjury year 1, and postinjury year 2 WAR/60 were 0.06, 0.01, 0.04, respectively, in cases (<em>P</em> = .01, <em>P</em> = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (<em>P</em> = .35, <em>P</em> = .01, <em>P</em> = 0.82) compared to cases. Offensive goals above replacement per 60 minutes played were decreased compared to presurgery 1 and 2 years postsurgery but only performance 2 years postsurgery met statistical significance (<em>P</em> = .55, <em>P</em> = .03). Defensive goals above replacement per 60 minutes played were decreased compared to presurgery at postsurgery year 1 and 2, but only performance in year 1 was statistically significant (<em>P</em> = 0.01, <em>P</em> = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (<em>P</em> = .03).</div></div><div><h3>Conclusions</h3><div>NHL players who have undergone hip arthroscopy are associated with significantly decreased performance 1 year following surgery when compared with controls, driven primarily by decreased defensive performance. However, performance of major analytic metrics recovers by postinjury year 2.</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 3","pages":"Article 101109"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480281","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":"Internet Searches Related to Anterior Cruciate Ligament Injury and Surgery Predominantly Relate to Management, Technical Details, and Recovery, but Quality of Websites Is Poor","authors":"John T. Streepy M.S.,&nbsp;Morgan L. Angotti M.D.,&nbsp;Johnathon R. McCormick M.D.,&nbsp;Colton C. Mowers B.S.,&nbsp;Braedon R. Urie B.S.,&nbsp;Alexander J. Hodakowski M.D.,&nbsp;Brian J. Cole M.D.,&nbsp;Nikhil N. Verma M.D.,&nbsp;Jorge Chahla M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101112","DOIUrl":"10.1016/j.asmr.2025.101112","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze the content of the most common “People Also Ask” questions regarding anterior cruciate ligament (ACL) injuries and ACL surgery and to assess the scientific validity of the associated websites that provide answers.</div></div><div><h3>Methods</h3><div>Search terms were entered into Google regarding ACL tear and ACL surgery. The 300 most asked questions for each query were categorized with the Rothwell classification. The associated webpage information was collected from the “People Also Ask” section, and qualitative analysis was performed with the <em>Journal of the American Medical Association</em> (<em>JAMA</em>) benchmark criteria.</div></div><div><h3>Results</h3><div>The Rothwell classification of questions for ACL tear/ACL surgery included fact (53%/54%), policy (37%/30%), and value (16%/10%). Questions related to technical details were significantly more common for the ACL tear group than ACL surgery (<em>P</em> = .015). Academic websites were significantly more common in the ACL tear group (<em>P</em> = .006), and commercial websites were significantly more common in the ACL surgery group (<em>P</em> = .045). The mean <em>JAMA</em> score for all the websites was 1.22 ± 1.1. Websites classified as journal had the highest mean <em>JAMA</em> scores (3.8 ± 0.4), with legal websites and medical practices websites having the lower <em>JAMA</em> scores (0 ± 0, 0.5 ± 0.7).</div></div><div><h3>Conclusions</h3><div>The most frequently asked questions on Google pertaining to ACL tear and ACL surgery are related to indications/management, technical details, and timeline of recovery. The quality of information provided by webpages, as measured by <em>JAMA</em> benchmark score, was poor (mean <em>JAMA</em> score 1.22). Academic and medical practice webpages were the most accessed for ACL tear and surgery, respectively.</div></div><div><h3>Clinical Relevance</h3><div>It is important to continually analyze the validity and quality of information patients find on the Internet. The information gained from this study may help surgeons understand the type of information patients may find about ACL injuries and ACL surgeries.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101112"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480286","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":"Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data","authors":"Alex G. Chun B.S. ,&nbsp;Eli M. Snyder B.S. ,&nbsp;Kyle K. Obana M.D. ,&nbsp;Beth G. Ashinsky M.D., Ph.D. ,&nbsp;Robert L. Parisien M.D. ,&nbsp;Thomas S. Bottiglieri D.O. ,&nbsp;Christopher S. Ahmad M.D. ,&nbsp;David P. Trofa M.D.","doi":"10.1016/j.asmr.2025.101140","DOIUrl":"10.1016/j.asmr.2025.101140","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine lower extremity youth soccer injuries presenting to US emergency departments.</div></div><div><h3>Methods</h3><div>Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition. Raw data were used to calculate national estimates (NEs) based on the assigned statistical sample weight of each hospital.</div></div><div><h3>Results</h3><div>A total of 503,169 lower extremity injuries were diagnosed in US emergency departments (57.2% male; 42.8% female). On average, there was a decrease in 3,124 injuries per year from 2013 to 2022 (95% confidence interval, –5,324 to –925; <em>P</em> = .01) and 2,384 per year from 2013 to 2022 excluding 2020 (95% confidence interval, –3,452 to –1,315; <em>P</em> &lt; .01). The ankle (NE = 196,592; 39.1%), knee (NE = 147,364; 29.3%), and foot (NE = 58,999; 11.7%) were the most commonly injured. The most common mechanisms of injury were not specified (NE = 188,653; 37.5%), ankle roll (NE = 71,992; 14.3%), and player-to-ground (NE = 581,90; 11.6%). The three most common diagnoses were strain/sprain (NE = 247,274; 49.1%), other/not stated (NE = 91,355; 18.2%), and contusion/abrasion (NE = 74,552; 14.8%).</div></div><div><h3>Conclusions</h3><div>Youth lower extremity soccer injuries presenting to US emergency departments decreased from 2013 to 2022. Sex-specific analyses showed that there were significant differences in proportions of injuries between male and female participants for mechanism, diagnoses, and body parts injured.</div></div><div><h3>Clinical Relevance</h3><div>This study provides insight into the epidemiology of lower extremity youth soccer injuries presenting to US emergency departments over a 10-year period.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101140"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480289","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":"Postoperative Rehabilitation and Return-to-Sport Criteria Lack Standardization Following Surgical Repair of Metacarpal Fractures: A Systematic Review","authors":"Brian M. Phelps M.D. ,&nbsp;Nikhilesh Mehra B.S. ,&nbsp;Kihoon Bohle B.S. ,&nbsp;Austin Hagen B.S. ,&nbsp;Andrew George M.D. ,&nbsp;Shari R. Liberman M.D. ,&nbsp;Robert A. Jack II M.D.","doi":"10.1016/j.asmr.2025.101107","DOIUrl":"10.1016/j.asmr.2025.101107","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify any postoperative rehabilitation parameters, as well as return-to-sport criteria after surgically treated fractures of the second through fifth metacarpals.</div></div><div><h3>Methods</h3><div>Level I to IV studies that examined nonthumb metacarpal fractures treated surgically, had a minimum 12-month follow-up, and provided explicit return-to-sport (RTS) criteria were reviewed. The selected studies were evaluated for RTS criteria, RTS outcomes, and methodologic quality.</div></div><div><h3>Results</h3><div>Out of 1,688 studies initially identified, 3 met inclusion criteria. These studies comprised 91 patients from 6 distinct sports. The time frame for RTS varied from 1.8 to 3.4 weeks after surgery. Rehabilitation protocols emphasized range-of-motion exercises and bracing (67%). All studies included a rehabilitation protocol and subjective RTS criteria. However, none suggested specific objective measurement for RTS following metacarpal fracture surgery.</div></div><div><h3>Conclusions</h3><div>In the literature, there is a lack of agreement on the criteria for rehabilitation and returning to sport after surgical repair of metacarpal fractures. Each included study described the use of early ROM progression, and most reported using splint immobilization or bracing when returning to training or play. Subjective parameters for RTS were more widely reported than a specific postoperative amount of time, but these parameters varied based on sport and surgeon preference.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III to IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101107"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480811","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":"YouTube Videos on Lateral Epicondylitis Often Lack High-Quality, Reliable Information","authors":"Jacob Q. Lin B.S. ,&nbsp;Jacob Christopher B.A. ,&nbsp;Monty Khela B.A. ,&nbsp;Erastus Thuo B.A. ,&nbsp;Harmon Khela B.S. ,&nbsp;Dennis Chakkalakal Ph.D.","doi":"10.1016/j.asmr.2025.101150","DOIUrl":"10.1016/j.asmr.2025.101150","url":null,"abstract":"<div><h3>Purpose</h3><div>To measure the quality and reliability of information from YouTube videos related to lateral epicondylitis (LE).</div></div><div><h3>Methods</h3><div>The first 50 videos obtained from a YouTube search for \"lateral epicondylitis\" were evaluated. Video reliability was assessed using the <em>Journal of the American Medical Association</em> (JAMA) benchmark criteria (range 0-5). The videos’ reliability and quality was evaluated using the Global Quality Score (GQS) (range 0-4), and the Lateral Epicondylitis Specific Score (LESS). Analysis of variance was used to examine differences in reliability and quality across content types and uploaders. Multivariate stepwise regressions were conducted to understand how specific video characteristics influence JAMA benchmark criteria, GQS, and LESS scores.</div></div><div><h3>Results</h3><div>The 50 videos had a total viewership of 15,491,927, with an average of 309,838 views per video (range 1,492-2,814,670). Most videos focused on disease-specific information (40%). Nonphysician medical professionals created most of the content (56%), followed by physicians (28%). The mean JAMA benchmark criteria, GQS, and LESS scores were 2.69 (±.59) of 4.0, 2.64 (±.87) of 5.0, and 4.91 (±1.0) of 7.0, respectively. Analysis showed that academic sources had greater LESS scores (<em>P</em> = .035); physicians had higher JAMA benchmark criteria scores than non-physicians (<em>P</em> = .025); nonphysicians had greater GQS than commercials (<em>P</em> = .031); and nonphysicians had greater VPI than physicians (<em>P</em> = .020). Linear regression analysis showed longer duration videos correlated with greater GCS scores (β: 0.656, <em>P</em> &lt; .001) and greater LESS (β: 0.614, <em>P</em> &lt; .001), whereas commercial content types had with lower GCS (standardized beta -0.280, <em>P</em> = .045).</div></div><div><h3>Conclusions</h3><div>Although YouTube videos related to lateral epicondylitis have millions of views, the information covered had low to moderate quality and reliability as measured by JAMA benchmark criteria, GQS, and LESS.</div></div><div><h3>Clinical Relevance</h3><div>Lateral epicondylitis is a common condition that patients may research online. As the content on YouTube is continually increasing and its popularity remains high, it is important to continually investigate the quality of information available on this platform.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101150"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480279","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":"Borderline Dysplastic Hips With Femoroacetabular Impingement Syndrome Show Increased Axial Distraction Distance on an Intraoperative Traction Examination","authors":"Joseph Featherall M.D.,&nbsp;Reece M. Rosenthal M.D.,&nbsp;Allan K. Metz M.D.,&nbsp;Benjamin T. Johnson B.S.,&nbsp;Ameen Khalil M.S.,&nbsp;Alexander J. Mortensen M.D.,&nbsp;Travis G. Maak M.D.,&nbsp;Stephen K. Aoki M.D.","doi":"10.1016/j.asmr.2025.101096","DOIUrl":"10.1016/j.asmr.2025.101096","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare distraction profiles of borderline dysplastic hips with hips of normal acetabular morphology.</div></div><div><h3>Methods</h3><div>This study was a retrospective analysis of prospectively collected data. Intraoperative distraction profile, radiographic, and patient demographic data were compiled in a database. All patients with borderline dysplastic hips, as determined by a lateral center-edge angle of 18° to 25°, comprised the borderline dysplastic cohort. A cohort of hips with normal femoral head coverage comprised the normal coverage group. Demographic variables between groups were compared to ensure similarity. Between-group comparisons of axial distraction distance at 25, 50, 75, and 100 pounds-force (lbf) were conducted using the Student <em>t</em> test. A multivariable regression was conducted to control for covariates.</div></div><div><h3>Results</h3><div>We identified 136 hips with normal coverage and 36 hips with borderline dysplasia for comparison. Demographic variables were similar between groups. The dysplastic group showed greater axial distractibility at 75 lbf of traction force (6.47 ± 2.95 mm vs 5.07 ± 3.11 mm, <em>P</em> = .016) and 100 lbf of traction force (9.47 ± 2.00 mm vs 7.95 ± 2.50 mm, <em>P</em> = .001). Multivariable linear regression showed that an increased distraction distance was associated with female patients, smaller alpha angles, and less coverage measured by the lateral center-edge angle.</div></div><div><h3>Conclusions</h3><div>In a population undergoing hip arthroscopy for femoroacetabular impingement syndrome, patients with borderline hip dysplasia showed greater intraoperative axial distraction distances than patients with nondysplastic hips.</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 3","pages":"Article 101096"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480280","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}