Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Arthroscopic Suprapectoral Biceps Tenodesis Using a Standard Suture Anchor Is Safe and Effective.","authors":"Xavier A Duralde, Caroline A Heramb, Jennifer N Blanda","doi":"10.1002/ars2.70078","DOIUrl":"10.1002/ars2.70078","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the safety and efficacy of an arthroscopic technique of suprapectoral biceps tenodesis using a standard absorbable double-loaded suture anchor.</p><p><strong>Methods: </strong>This retrospective study includes all patients who underwent arthroscopic biceps tenodesis by the senior author between December 2017 and June 2020. Biceps tenodesis was performed in patients who had failed conservative management and exhibited evidence of biceps pathology at the time of surgery that appeared to be contributing to the patient's pain. Evaluation criteria included integrity of the repair by physical examination, American Shoulder and Elbow Surgeons score, visual analog scale for pain, and recording any complications and the need for revision surgery.</p><p><strong>Results: </strong>A total of 80/96 patients (83%) were available for evaluation at a minimum of 2 years including 43 men and 37 women with an average age of 53 (range 17-72). Postoperatively, the average in-office follow-up was 17 months (range 1.5-79 months), and the average phone contact follow-up was 55 months (range 24-89 months). Ninety-one percent (73/80) of patients in this series maintained normal biceps contour. The average American Shoulder and Elbow Surgeons score improved from 41 (range: 0-82) to an average of 83 (range 18-100) (<i>P</i> < .001). Visual analog scale pain score improved from 7 (range: 2-10) to 3 (range: 0-8) (<i>P</i> < .001). Minimal clinically important difference thresholds (1.47 for Visual analog scale, 14.3 for American Shoulder and Elbow Surgeons score) were met by 81% and 78.5% of patients, respectively. There were 5 minor complications. Four additional patients complained of pain at the bicipital groove, and a total of 5 patients required revision surgery for either biceps failure or ongoing pain.</p><p><strong>Conclusions: </strong>Arthroscopic suprapectoral biceps tenodesis using a standard suture anchor is safe and effective in the management of symptomatic biceps pathology refractory to conservative management. It offers reliable improvements in pain and function while maintaining biceps contour. It has a low complication rate, avoiding many of the potential complications reported after an open approach.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70078"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Rates of Return to Soccer After Primary Hip Arthroscopic Labral Repair for Femoroacetabular Impingement Syndrome.","authors":"Akeem Henry, Louis Kang, John-Rudolph Smith, Malik Dancy, Gavin Ward, Bruce A Levy, Mario Hevesi, Aaron J Krych, Kelechi R Okoroha","doi":"10.1002/ars2.70072","DOIUrl":"10.1002/ars2.70072","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate return-to-sport (RTS) outcomes and patient-reported outcomes in soccer players after primary hip arthroscopic labral repair for femoroacetabular impingement syndrome.</p><p><strong>Methods: </strong>All patients undergoing primary hip arthroscopy with labral repair for femoroacetabular impingement syndrome from 2011 to 2022 were retrospectively reviewed. Patients who had a minimum 2-year follow-up, played soccer, and had no prior hip surgery were included. Patient-reported outcome measures and RTS were collected at the final follow-up. Logistic regression was used to assess associations between potential covariates (e.g., age, sex, and level of play) and RTS.</p><p><strong>Results: </strong>Forty-eight hips in 41 patients (21 men [51%]) with a mean age at surgery of 21.9 years (range 13-41 years) were included. Thirty-two out of the 41 patients (78%) played at either the recreational or high school level. After removing those who did not return for nonmedical reasons, 29 out of 36 (81%) patients were able to return to soccer. Among patients with available patient-reported outcome measures, significantly greater postoperative scores were seen in the RTS group for Hip Outcome Score-Activities of Daily Living (95 vs 85) and Hip Outcome Score-Sport (88 vs 71, both <i>P</i> < .05). Soccer players younger than 25 years had significantly higher odds of RTS compared with those aged 25 years or older (odds ratio = 8.8, <i>P</i> = .006). Five hips (10%) underwent revision at the final follow-up.</p><p><strong>Conclusions: </strong>Soccer players undergoing primary hip arthroscopic labral repair for femoroacetabular impingement syndrome reported an 81% RTS rate at a minimum 2-year follow-up, with most returning at the same or higher level of play. At a mean follow-up of 5.5 years, most patients achieved Patient Acceptable Symptom State thresholds. Younger age was associated with a higher likelihood of return to sport.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70072"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888746","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":"Ten-Year Post-traumatic Osteoarthritis Incidence Is Low After Pediatric Isolated Meniscal Surgery but Lower After Meniscal Repair Than Meniscectomy.","authors":"Annika N Hiredesai, Alejandro M Holle, Jay R Patel, Katelyn T Koschmeder, Sailesh V Tummala, Jeffrey M Vaughn, Karan A Patel","doi":"10.1002/ars2.70067","DOIUrl":"10.1002/ars2.70067","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the 5- and 10-year incidence of post-traumatic osteoarthritis (PTOA) after isolated, primary meniscal surgery differentiating between meniscal repair and meniscectomy, in pediatric patients.</p><p><strong>Methods: </strong>Pediatric patients (≤16 years) undergoing primary meniscectomy or meniscal repair (2010-2023) with ≥5-year follow-up were identified in the PearlDiver database. Exclusion criteria included prior or concomitant knee injuries, surgeries, or syndromes. Delayed surgery was defined as ≥90 days after diagnosis. PTOA diagnosis was defined by billing codes. Motion restoration procedures (MRPs) before PTOA diagnosis were recorded. Multivariable logistic and Cox regression were used to assess risk factors for PTOA at 5 and 10 years.</p><p><strong>Results: </strong>A total of 7555 meniscectomy (mean age 14.7, 50% women) and 2797 meniscal repair (mean age 14.4 years, 46% women) patients met inclusion criteria. At 5 years, PTOA occurred in 2.2% of meniscectomy and 1.4% of repair patients. At 10 years, rates were 2.3% and 1.5%, respectively. Average time to PTOA was 737 days (meniscectomy) and 862 days (repair). When disaggregated by sex, there was no significant difference in sex makeup of those who did and did not develop PTOA (<i>P</i> = .430). In the meniscectomy group, risk factors for 10-year PTOA included MRP (hazard ratio [HR] 6.28, <i>P</i> < .001), age ≥12 at surgery (HR 4.84, <i>P</i> = .027), and obesity (HR 1.84, <i>P</i> < .001). In the repair group, MRPs (HR 5.23, <i>P</i> = .023) and depression (HR 2.02, <i>P</i> = .027) were significant. These same risk factors were identified for 5-year PTOA.</p><p><strong>Conclusions: </strong>The 10-year incidence of PTOA was 2.2% after meniscectomy and 1.5% after meniscal repair in pediatric patients. MRPs were a consistent risk factor. Age ≥12 and obesity were associated with PTOA after meniscectomy. Depression was associated with PTOA after repair.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70067"},"PeriodicalIF":0.0,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865984","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":"Availability and Pricing of Orthobiologic Knee Injections Vary by Practice Type but Not by Community Socioeconomic Vulnerability in Suburban New York.","authors":"Tracy M Tauro, Benjamin Hershfeld, Katharine Chen, Ran Lampert, Adam D Bitterman, Randy M Cohn, Nicholas A Sgaglione","doi":"10.1002/ars2.70074","DOIUrl":"10.1002/ars2.70074","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the availability, price transparency, and pricing of platelet-rich plasma (PRP), bone marrow aspirate concentration, and stem cell injections for knee osteoarthritis (OA) among orthopaedic sports medicine (OSM) practices and alternative clinics in suburban New York and to evaluate the impact of the economic status of a population on the availability and pricing of biologic injections.</p><p><strong>Methods: </strong>Between July and September 2025, OSM practices and alternative clinics offering PRP, bone marrow aspirate concentration, or stem cell injections for knee OA were identified through American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America databases and web searches. Clinics were contacted using a standardized telephone script. Analyses used Mann-Whitney U, Fisher's exact, and Levene's tests. Associations with socioeconomic vulnerability were evaluated using the Social Vulnerability Index and Spearman correlation.</p><p><strong>Results: </strong>Seventy-six (50 OSM, 26 alternative) of 91 clinics offered orthobiologics. PRP availability was similar between groups (98% vs 92%; <i>P</i> = .488), whereas stem cell injections were more common at alternative clinics (38% vs 6%; <i>P</i> < .001) and bone marrow aspirate concentration was rare (0% vs 4%; <i>P</i> = .329). PRP price disclosure was similar (84% vs 85%; <i>P</i> = .99). Median PRP price was $1000 for OSM and $875 for alternative clinics (<i>P</i> = .059). Median stem cell price was $3500 at alternative clinics versus $750 at the single OSM listing (<i>P</i> = .056). Clinic location vulnerability did not differ by provider type, and PRP price was not correlated with Social Vulnerability Index.</p><p><strong>Conclusions: </strong>Orthobiologic injections for knee OA are widely available in suburban New York. PRP is nearly universal, stem cell injections remain concentrated in alternative clinics, and pricing is unrelated to community socioeconomic vulnerability.</p><p><strong>Clinical relevance: </strong>Orthobiologic injections for knee OA are broadly available in suburban practice settings, with variable pricing and transparency that have implications for patient counseling and shared decision-making in an out-of-pocket market with limited clinical evidence.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70074"},"PeriodicalIF":0.0,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841449","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":"Over Half of Patients Progress to Cartilage Restoration After Initial Cartilage Biopsy in a Military Population.","authors":"Ryan M Sanborn, Natalia A Pluta, Kenneth J Fellows, Christian A Cruz, Jeanne C Patzkowski, Daniel J Cognetti","doi":"10.1002/ars2.70064","DOIUrl":"10.1002/ars2.70064","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the rate of matrix-induced autologous chondrocyte implantation (MACI) after cartilage biopsy in a military population.</p><p><strong>Methods: </strong>A retrospective review was conducted of all patients who underwent a cartilage biopsy at 2 large regional military health centers between January 2021 and May 2023. Patients 17 years of age or older who underwent an index biopsy more than 2 years prior to chart review were eligible for inclusion. The primary outcome was progression from cartilage biopsy to MACI. Secondary outcomes included complication rates and lesion characteristics. Continuous variables were compared using an unpaired t-test, and categorical variables were analyzed using Fisher's exact test.</p><p><strong>Results: </strong>A total of 56 patients were included in the study, with a mean age of 31.9 ± 8.3 years. Thirty-five (62.5%) patients were male, and 50 patients (89%) were current or former military service members. Two patients underwent bilateral knee biopsies, yielding 58 knees, with 32 proceeding to MACI for a 55.2% implantation rate. Multifocal chondral defects were noted in 59% of knees. The most common defect location was the patella (64%). Reoperation occurred in 22% of cases after MACI.</p><p><strong>Conclusions: </strong>In this military cohort, just over half of patients who underwent an initial cartilage biopsy proceeded to MACI within 2 years.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70064"},"PeriodicalIF":0.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814372","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":"Shift Angle and Medial Retraction of the Deep Layer on Magnetic Resonance Imaging Are Associated With Intraoperative Reparability in Arthroscopic Rotator Cuff Repair.","authors":"Hideya Yoshimura, Hiroko Ueki, Naoko Araya","doi":"10.1002/ars2.70058","DOIUrl":"10.1002/ars2.70058","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether magnetic resonance imaging-based measurements of the deep layer, specifically the shift angle and medial retraction, can predict intraoperative reparability of large-to-massive rotator cuff tears.</p><p><strong>Methods: </strong>This retrospective study included patients who underwent arthroscopic repair of large-to-massive rotator cuff tears between April 2015 and September 2019, with a minimum follow-up of 12 months. The shift angle was defined as the anteroposterior extent of the deep-layer tear on sagittal magnetic resonance imaging and medial retraction as the distance from the lateral edge of the deep-layer stump to the cartilage margins. Inter- and intraobserver reliabilities and predictive accuracy for reparability were assessed.</p><p><strong>Results: </strong>A total of 177 shoulders were analyzed, of which 149 were reparable and 28 were irreparable. The irreparable group showed larger shift angles (114.3° ± 14.5° vs 82.6° ± 24.0°, <i>P</i> < .001) and greater medial retraction (33.9 ± 5.2 vs 25.5 ± 6.1 mm, <i>P</i> < .001) than the reparable group. Receiver operating characteristic analysis showed good diagnostic performance for predicting irreparability for both the shift angle (area under the curve, 0.861; cutoff, 98.0°) and medial retraction (area under the curve, 0.870; cutoff, 29.8 mm), comparable to or better than superficial tear-size measurements. Measurement reliability for both parameters was substantial to excellent (interobserver intraclass correlation coefficient = 0.862 and 0.769; intraobserver intraclass correlation coefficient = 0.896 and 0.889, respectively).</p><p><strong>Conclusions: </strong>Magnetic resonance imaging-based assessment of the deep layer using the shift angle and medial retraction showed good diagnostic performance and substantial reliability for predicting intraoperative reparability.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70058"},"PeriodicalIF":0.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814401","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":"Lateral Extra-articular Tenodesis Internet Search Trends Correlate to the Quantity of Publications From 2020 to 2024.","authors":"Mia Lustig, Sean Hazzard, Mark Cote, Danielle Lonati, Peter Asnis","doi":"10.1002/ars2.70062","DOIUrl":"10.1002/ars2.70062","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate public internet search trends for lateral extra-articular tenodesis (LET) and examine their potential relation to the peer-reviewed literature on LET between 2020 and 2024.</p><p><strong>Methods: </strong>Search term data from February 2020 to December 2024 was collected via the Google Trends feature. Worldwide weekly relative search volumes (RSVs) were populated based on the key terms: \"lateral extra-articular tenodesis\" and \"knee LET.\" Concurrently, a literature search of the PubMed database was performed to quantify the volume of published literature containing identical phrases in the title within the same timeframe. General linear regression was used to model the relation between RSV and the published literature over time.</p><p><strong>Results: </strong>During the study timeframe, the total publications increased from 21 to 45. The public's RSV regarding LET procedures increased exponentially from March 2020 to December 2024. The relation between the RSV and the cumulative publications in this time period shows an adjusted <i>R</i> ² value of 0.51.</p><p><strong>Conclusions: </strong>Both the public interest in LET and the number of publications increased rapidly between 2020 and 2024.</p><p><strong>Clinical relevance: </strong>The increasing public interest in LET, which parallels the growth in the peer-reviewed literature, highlights the need for clinicians to remain informed about evolving evidence, as patients may seek guidance and request LET based on emerging data and online information.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70062"},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798869","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":"Significant Clinical Improvements Following Arthroscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty: A Prospective Multicenter Study.","authors":"Brandon Cabarcas, Sanathan Iyer, Sandeep Yanamala, Jason Ina, Alexander Bishop, Adam V Daniel, Bruce A Levy, Mario Hevesi","doi":"10.1002/ars2.70068","DOIUrl":"10.1002/ars2.70068","url":null,"abstract":"<p><strong>Purpose: </strong>To prospectively investigate subjective anterior groin pain, patient-reported outcome measures, complications, reoperation rates, and hip flexion strength after arthroscopic iliopsoas fractional lengthening.</p><p><strong>Methods: </strong>From 2023 to 2025, patients with persistent groin pain after total hip arthroplasty refractory to conservative management undergoing arthroscopic iliopsoas fractional lengthening were prospectively identified at 2 tertiary referral centers. Pre- and postoperative outcomes at a minimum 6-month follow-up including the Visual Analog Scale, Tegner activity scale, Single Assessment Numeric Evaluation, and subjective anterior groin pain and hip flexion strength were analyzed.</p><p><strong>Results: </strong>Fifty-nine hips in 56 patients were included (age: 64.9 ± 9.8 years, 59% women, body mass index: 30.0 ± 5.8 kg/m²) and followed for 10.0 ± 6.9 months postoperatively (range: 4-25 months). Patients experienced significant (<i>P</i> < .001) postoperative improvements in the Visual Analog Scale at rest (1.4 ± 2.2 vs 2.8 ± 2.1), Visual Analog Scale with use (3.0 ± 2.9 vs 7.8 ± 1.8), Tegner activity scale (2.8 ± 1.2 vs 2.0 ± 1.0), and Single Assessment Numeric Evaluation score (73.8 ± 22.5 vs 47.7 ± 22.2). Postoperative surgical satisfaction was 8.0 ± 2.7 (scale: 0-10). Nearly 90% of patients reported feeling much or slightly better regarding their anterior groin pain postoperatively at 2-week (91%), 6-week (88%), 3-month (91%), and final follow-up (92%). Regarding hip flexion strength, ≥66% reported feeling much or slightly better at 2-week (73%), 6-week (95%), 3-month (89%), and final follow-up (66%). Three hips (6%) underwent reoperation at the final follow-up (1 acetabular screw removal with open revision release, 1 revision total hip arthroplasty for loosening, and 1 two-stage exchange for nonacute periprosthetic joint infection).</p><p><strong>Conclusions: </strong>Nearly 90% of patients who underwent arthroscopic iliopsoas fractional lengthening after primary total hip arthroplasty reported improved anterior groin pain, whereas two-thirds reported increased subjective hip flexion strength throughout the follow-up. Of note, clinically meaningful improvement in pain at rest was achieved by 50% of patients based on cohort-specific minimal clinically important difference criteria.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70068"},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798915","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":"Hip-Specific Patient-Reported Outcomes Strongly Correlate With Pain and Physical Function Metrics but not Mental Health Before and After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.","authors":"Wyatt B David, Luke Sang, Hayden Sampson, Zachary Brumm, Stephanie E Wong, Alan L Zhang","doi":"10.1002/ars2.70059","DOIUrl":"10.1002/ars2.70059","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the relationships between hip-specific patient-reported outcomes (PROs) metrics and general health and pain measures before and after hip arthroscopy for femoroacetabular impingement syndrome (FAIS).</p><p><strong>Methods: </strong>This was a retrospective study of patients undergoing hip arthroscopy for FAIS at a single institution from 2014 to 2025. PRO scores, including hip-specific scores of modified Harris hip score (mHHS) and Hip Disability and Osteoarthritis Outcome Score (HOOS), as well as general health scores including 12-Item Short Form Survey (SF-12) physical and mental components and visual analog scale pain, were collected. Spearman correlation coefficients were calculated to assess the relationship between hip-specific outcome scores and quality of life metrics across multiple pre- and postoperative time points.</p><p><strong>Results: </strong>Six hundred sixty-eight patients (53.9% female) average age 34.3 years, body mass index 24.6, and mean follow-up 20.1 ± 14.0 months (range 3-60) were included. Both hip-specific PRO tools (HOOS and mHHS) showed at least strong-moderate, but mostly strong, correlations with both the visual analog scale pain scale and SF-12 physical component score preoperatively and at all time points postoperatively (Spearman's <i>ρ</i> range: -0.64 to -0.81, <i>P</i> < .01). The HOOS Total and mHHS had only poor or nonsignificant correlations with the SF-12 mental component score. At 1-, 2-, and 5-year follow-up after surgery, 75.3% to 81.6% of patients achieved minimal clinically important difference (MCID) for HOOS Total and 63.3% to 65.9% for mHHS. Furthermore, 61.4% to 73.5% of patients achieved MCID for SF-12 physical component score, whereas only 33.2% to 44.9% achieved MCID for SF-12 mental component score.</p><p><strong>Conclusions: </strong>Hip-specific PRO scores have significant, strong correlations with both pain and physical function metrics before and after hip arthroscopy for FAIS. However, there was little to no correlation between hip-specific PROs and mental health metrics in this cohort.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70059"},"PeriodicalIF":0.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674297","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":"Open and Arthroscopic Acetabular Labral Reconstructions Are Associated With Improvements in Hip Patient-Reported Outcome Measures at 1 Year, but Only an Open Approach Is Associated With Significant Reductions in Pain.","authors":"John R Baumann, Kylee Rucinski, James L Cook, Brett D Crist, Cory R Crecelius, Steven F DeFroda","doi":"10.1002/ars2.70003","DOIUrl":"10.1002/ars2.70003","url":null,"abstract":"<p><strong>Purpose: </strong>To compare initial outcomes for open versus arthroscopic acetabular labral reconstruction (ALR) using fresh meniscus allograft transplantation.</p><p><strong>Methods: </strong>With informed consent, patients scheduled to undergo ALR were enrolled into a registry. Patients included in this study underwent fresh meniscus allograft transplantation for irreparable acetabular labrum deficiency with a minimum of 1 year of complete follow-up data. Patients were excluded if they were pregnant, were incarcerated, or underwent previous or concurrent femoral head cartilage repair procedures. Patient-reported outcome measures were collected preoperatively and 3 months, 6 months, and 1 year postoperatively. Fisher's exact and Wilcoxon signed-rank tests were used for statistical analysis, with <i>P</i> < .05 considered statistically significant.</p><p><strong>Results: </strong>A total of 32 consecutive patients met inclusion criteria and were analyzed (22 open, 10 arthroscopic). Overall, 22 open labral reconstructions (100%) were deemed successful, and 9 arthroscopic labral reconstructions (90%) were deemed successful. There was no statistically significant difference in initial failure rates. Both cohorts had significant improvements in Hip Disability and Osteoarthritis Outcome for Joint Replacement, Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function, and PROMIS Physical Health from the preoperative to 1-year postoperative timepoints. For the arthroscopic ALR cohort, there was no significant difference in preoperative and postoperative Visual Analog Scale (6.2 vs 4.6) or PROMIS Pain Interference scores (65.5 vs 58.4). Preoperative PROMIS Pain Interference was significantly higher in the arthroscopic cohort compared with the open cohort (65.5 vs 61.7). Three months (4.7 vs 2.8), 6 months (4.1 vs 2.4), and 1 year (4.6 vs 1.9) Visual Analog Scale pain scores were significantly higher for the arthroscopic cohort compared with the open cohort. At 1 year postoperatively, the minimum clinically important difference threshold was reached for Hip Disability and Osteoarthritis Outcome for Joint Replacement in the arthroscopic cohort and for Visual Analog Scale pain score and Hip Disability and Osteoarthritis Outcome for Joint Replacement in the open cohort.</p><p><strong>Conclusions: </strong>The results of this study suggest that open and arthroscopic ALRs with fresh meniscus allograft may significantly improve patient-reported outcomes associated with hip function, health, and recovery at 1 year postoperatively. The open cohort, but not the arthroscopic cohort, had significant improvements in pain at 1 year postoperatively.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70003"},"PeriodicalIF":0.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631815","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}