Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Loss of Reduction and Clavicle Fractures Commonly Occur in Patients Undergoing Acromioclavicular Joint Reconstruction and Female Sex Is Associated With Higher Fracture Risk.","authors":"Scott Fong, Arthur Saroyan, Rajiv S Vasudevan, Michael S Lee, Louise A Atadja, Peter F Monahan, Jay Moran, Kevin Girardi, Jacob D Kodra, Jonathan Salandra, Andrew E Jimenez","doi":"10.1002/ars2.70063","DOIUrl":"10.1002/ars2.70063","url":null,"abstract":"<p><strong>Purpose: </strong>To use a large, multi-institutional database to characterize the outcomes and complication profile after primary acromioclavicular (AC) joint reconstruction and to evaluate potential sex-related differences in outcomes and complications.</p><p><strong>Methods: </strong>The TriNetX national database was queried for patients undergoing AC joint reconstruction between January 2015 and October 2022. Ninety-day and 2-year outcomes including shoulder-related complications, secondary surgeries, and medical resource use were evaluated. Propensity-matched analysis assessed the association between sex and these outcomes, reported as odds ratios (ORs) with 95% confidence intervals (CIs). A 2-year Kaplan-Meier analysis compared revision probability between men and women.</p><p><strong>Results: </strong>In patients undergoing primary AC joint reconstruction, the revision rate was 3.9%, with loss of reduction in 13.4% and distal clavicle fractures in 15.7% within 2 years of surgery. On sex-based analysis, women had higher reported rates of postoperative antidepressant use (15.8% vs 11.2%; OR 1.495, 95% CI 1.048-2.132, <i>P</i> = .026), opioid prescriptions (52.7% vs 46.4%; OR 1.289, 95% CI 1.014-1.637, <i>P</i> = .038), and clavicle fractures within both 90 days (19.6% vs 12.8%; OR 1.647, 95% CI 1.185-2.294, <i>P</i> = .003) and 2 years (22.2% vs 16.0%; OR 1.493, 95% CI 1.098-2.032, <i>P</i> = .010) postoperatively. Men had higher reported rates of loss of reduction within 90 days (14.2% vs 9.7%; OR 1.538, 95% CI 1.057-2.237, <i>P</i> = .024), which was not significantly different within 2 years postoperatively.</p><p><strong>Conclusions: </strong>After primary AC joint reconstruction, loss of reduction (2 years, 13.4%) and distal clavicle fractures (2 years, 15.7%) were frequently reported complications in the postoperative period, with a 3.9% revision reconstruction rate within 2 years. Women reported higher rates of distal clavicle fracture in the postoperative period, and the high fracture rate in the female cohort (90 days, 19.6%) highlights a potentially under-recognized clinical consideration.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70063"},"PeriodicalIF":0.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593707","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":"Dual Labral and Ligamentum Teres Reconstruction Achieves High Functional Outcomes and Arthroplasty-Free Survivorship at 2 Years.","authors":"Roger Quesada-Jimenez, Krishi Rana, Matthew J Strok, Ady H Kahana-Rojkind, Alexander K Burt, Etan P Sugarman, Benjamin G Domb","doi":"10.1002/ars2.70049","DOIUrl":"10.1002/ars2.70049","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical outcomes and survivorship of hip arthroscopy with simultaneous labral and ligamentum teres (LT) reconstruction for the treatment of irreparable labral and LT tears, with a minimum follow-up of 2 years.</p><p><strong>Methods: </strong>Prospectively collected data were retrospectively reviewed for patients who underwent combined arthroscopic labral and LT reconstruction between 2017 and 2021. Inclusion criteria required completion of preoperative and 2-year postoperative patient-reported outcomes, including the modified Harris Hip Score, Non-Arthritic Hip Score, Hip Outcome Score-Sports-Specific Subscale, International Hip Outcome Tool, and visual analog scale. Clinically relevant thresholds-minimal clinically important difference and patient acceptable symptom state-were included in the analysis. Survivorship was defined as the absence of revision surgery or conversion to total hip arthroplasty.</p><p><strong>Results: </strong>Seven patients underwent hip arthroscopy with concomitant LT and labral reconstruction, all with 2-year follow-up. Six patients (85.7%) underwent the procedure as revision surgery. Statistically significant improvements were observed across all evaluated patient reported outcomes measures, with a mean patient satisfaction score of 7.4. All patients (100%) met the minimal clinically important difference for modified Harris Hip Score, Non-Arthritic Hip Score, and visual analog scale. Additionally, 6 patients (85.7%) achieved minimal clinically important difference for International Hip Outcome Tool and Hip Outcome Score-Sports-Specific Subscale. Five patients (71.4%) answered positively to the patient acceptable symptom state anchor question. A 100% arthroplasty-free survivorship at 2 years was observed; subsequently, at 38 months, 1 patient underwent conversion to total hip arthroplasty.</p><p><strong>Conclusions: </strong>Hip arthroscopy with simultaneous labral and LT reconstruction for irreparable tears resulted in significant improvements in functional outcomes and high patient satisfaction. A high proportion of patients achieved clinically meaningful thresholds at a minimum 2-year follow-up. Notably, a high arthroplasty-free survivorship rate was observed at short-term follow-up.</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":"e70049"},"PeriodicalIF":0.0,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585354","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":"Improvement in Patient-Reported Outcomes, High Rate of Return to Sport, and Secondary Surgery Rate Ranging From 0% to 9.8% After Hip Arthroscopy in Dancers and Athletes in Flexibility Sports: A Systematic Review.","authors":"David R Maldonado, Andrew R Schab, Benjamin G Domb","doi":"10.1002/ars2.70020","DOIUrl":"10.1002/ars2.70020","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review and report patient-reported outcome measures (PROMs), rates of return to sport, and secondary surgeries in dancers and flexibility sport athletes who underwent hip arthroscopy.</p><p><strong>Methods: </strong>Using the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria, a systematic review was performed with a literature search of the PubMed and Embase in August 2025. Inclusion criteria were studies investigating surgical outcomes on dancers and flexibility sport athletes undergoing hip arthroscopy. Exclusion criteria included non-English language studies, reviews, meta-analyses, systematic reviews, case reports, conference abstracts, and editorial commentaries. Data for patient demographics, follow-up time, PROMs, and rates of return to sport and secondary surgeries were collected. The minimal clinically important difference and patient acceptable symptom state rates were reported when available.</p><p><strong>Results: </strong>Seven articles were included with 440 patients (460 hips). All studies had a retrospective study design, with mean follow-up times from 23 to 79.1 months, with most of the patients being females (ranged from 61.2% to 100%). All studies reported baseline and postoperative PROMs data with significant improvement. Two studies reported minimal clinically important difference rates ranging from 76.9% to 85.7%. Return-to-sport rates ranged from 75.6% to 97%. Rate for revision hip arthroscopic surgery ranged from 0 to 9.8%.</p><p><strong>Conclusions: </strong>Dancers and flexibility sport athletes who underwent hip arthroscopy showed significant improvement in PROMs with minimal clinically important difference rates ranging from 76.9% to 85.7%, a high average rate of return to sport of 84.6%, and an average revision hip arthroscopy rates ranging from 0% to 9.8% at short-to-mid-term follow-up.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level III and IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70020"},"PeriodicalIF":0.0,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585379","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":"Influence of Psychiatric Comorbidities on Postoperative Outcomes Following Pediatric Medial Patellofemoral Ligament Reconstruction.","authors":"Haad A Arif, Pearce Lane, Shamar T Elliott, Amit Momaya, Kevin A Williams","doi":"10.1002/ars2.70054","DOIUrl":"10.1002/ars2.70054","url":null,"abstract":"<p><strong>Purpose: </strong>To compare postoperative complications, rehabilitation outcomes, and health care utilization in children undergoing primary medial patellofemoral ligament reconstruction for patellofemoral instability with and without a pre-existing mental illness.</p><p><strong>Methods: </strong>The TriNetX U.S. Collaborative Network was queried to identify patients younger than 18 years old undergoing medial patellofemoral ligament reconstruction for patellar instability in the United States between 2000 and 2020. Patients were then separated into those with a pre-existing mental illness (PMI Group) and those without (Control Group). After propensity score matching for patient demographics, chronic pain, and obesity, postoperative complication rates, rehabilitation outcomes, and health care utilization of both groups were compared across 1 year.</p><p><strong>Results: </strong>After propensity score matching, each group consisted of 223 patients for a total cohort of 446 patients. The PMI Group showed significantly greater rates of postoperative knee pain (51.5% vs 41.0%, <i>P</i> = .004, risk ratios (RR): 1.40), opioid analgesic use (42.2% vs 31.4%, <i>P</i> = .018, RR: 1.34), nonopioid analgesic use (34.5% vs 22.0%, <i>P</i> = .006, RR: 1.27), emergency department visits (22.0% vs 4.9%, <i>P</i> < .001, RR: 4.46), and physical therapy treatment sessions (61.4% vs 51.1%, <i>P</i> = .028, RR: 1.20).</p><p><strong>Conclusions: </strong>Children with pre-existing mental illness exhibit significantly greater rates of persistent knee pain, higher opioid consumption, and increased health care utilization following medial patellofemoral ligament reconstruction.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70054"},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585460","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":"Basketball-Related Injuries Increased in Pediatric Patients Presenting to United States Emergency Departments Between 2019 and 2023 With Strains and Sprains Being the Most Common Injury Types.","authors":"Samisha M Khangaonkar, Marshall S Yuan, Calvin J Wang, Ryan Cheng, Billy I Kim, Joseph Manzi, Jay Moran, Andrew E Jimenez","doi":"10.1002/ars2.70048","DOIUrl":"10.1002/ars2.70048","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate the number, risk factors, and types of basketball-related injuries in pediatric patients who presented to United States emergency departments between 2019 and 2023, as estimated by the National Electronic Injury Surveillance System (NEISS).</p><p><strong>Methods: </strong>Pediatric patients (<18 years old) with basketball-related injuries who presented to NEISS-affiliated emergency departments between 2019 and 2023 were identified. Narratives were retrospectively reviewed and data were categorized by injury type and location. National weighted estimates provided by the NEISS based on geographical location were then used to stratify injuries by patient demographics, discharge disposition, and hospital size. Univariate analyses were conducted to compare hospital admission rates by age group, sex, and injury-related variables.</p><p><strong>Results: </strong>From 2020 to 2023, the number of estimated basketball-related pediatric injuries increased 89% for children (ages 7-11, 19,869 vs. 37,616 estimated injuries) and 64% for adolescents (ages 12-17, 95,504 vs. 156,599 estimated injuries). Strains, sprains, and fractures represented over half (53%) of all injuries (92,548 estimated injuries). Multivariable analyses showed that children were at a decreased risk for hospitalization (OR: .80, 95% CI: .63-.99, <i>P</i> = .044) compared with adolescents, whereas men were at an increased risk of hospitalization (OR: 2.01, 95% CI: 1.54-2.67, <i>P</i> < .001) compared with women. Patients who presented to small hospitals (OR: .28, 95% CI: .17-.43, <i>P</i> < .001) and medium hospitals (OR: .16, 95% CI: .07-.32, <i>P</i> < .001) were significantly less likely to be admitted compared with those who presented to large, very large, and children's hospitals.</p><p><strong>Conclusions: </strong>The number of estimated basketball-related injuries for children and adolescents substantially increased between 2020 and 2023, where strains and sprains represented the most common injury types. Risk factors for hospital admission included older age at the time of presentation, male sex, fractures, dislocations, and larger hospital size.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70048"},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585403","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":"Photobiomodulation Enhances Tendon Regeneration: A Systematic Review and Meta-analysis of Preclinical Studies.","authors":"Yose Waluyo, Diah Nurul Islami Muchsin, Muthiah Nur Afifah, Yaldi Rosadi, M Salas Al Aldi","doi":"10.1002/ars2.70029","DOIUrl":"10.1002/ars2.70029","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the preclinical evidence supporting the efficacy of photobiomodulation therapies in tendon regeneration.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in MEDLINE, ScienceDirect, and Google Scholar to identify in vivo animal studies evaluating photobiomodulation therapies for tendon healing. Quantitative meta-analyses were performed for homogeneous outcomes using a random-effects model.</p><p><strong>Results: </strong>Out of 4946 screened articles, 36 met the inclusion criteria. Pooled analyses revealed that photobiomodulation significantly downregulated proinflammatory IL-1β (mean difference [MD]  = -46.14 pg/mL; 95% confidence interval [CI] = -66.45 to -25.84; <i>P</i> < .00001) and upregulated anti-inflammatory IL-10 (MD = +49.14 pg/mL; 95% CI = 37.41-60.86; <i>P</i> < .00001), indicating a bidirectional immunomodulatory effect. Histologically, photobiomodulation increased the collagen type I/III ratio (standardized MD = +3.0; 95% CI = 2.4-3.6). Functionally, load-bearing strength improved significantly compared with controls (MD = +10.07 N; 95% CI = 3.01-17.13; <i>P</i> = .005) with photobiomodulation (low-level laser therapy and light-emitting diode), whereas photochemical tissue bonding showed higher tensile strength (MD = +0.57 MPa; 95% CI = 0.37-0.78; <i>P</i> < .00001), reflecting enhanced early mechanical stabilization through sutureless photochemical repair.</p><p><strong>Conclusions: </strong>Photobiomodulation therapies promote tendon regeneration in both acute and chronic injury models, enhancing tendon regeneration at molecular, histological, and functional levels.</p><p><strong>Clinical relevance: </strong>These findings support the potential of photobiomodulation therapies, providing a foundation for clinical trials in human populations to refine rehabilitation protocols and improve musculoskeletal outcomes.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70029"},"PeriodicalIF":0.0,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Bone Void Fillers May Not Impact Outcomes After Medial Opening Wedge High Tibial Osteotomy: A Systematic Review.","authors":"Travette Daniel, Stephen Medearis, Emily Jones, Victoria K Ierulli, Mary K Mulcahey","doi":"10.1002/ars2.70017","DOIUrl":"10.1002/ars2.70017","url":null,"abstract":"<p><strong>Purpose: </strong>To examine whether the use of bone void filler significantly influences outcomes of medial opening wedge high tibial osteotomy (OWHTO), with a specific emphasis on gap sizes less than 10 mm.</p><p><strong>Methods: </strong>A systematic review of the literature was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Databases searched included PubMed, MedLine, EMBASE, and Web of Science. Studies were included if they met the following criteria: patients treated by OWHTO, clearly described surgical technique (including osteotomy gap size), filler type (synthetic, allograft, autograft), fixation type (locking versus nonlocking plate), type of plate (e.g., Tomofix, Puddu, Orthomed), and the degree of varus correction. The levels of evidence of the included studies ranged from Level I to Level IV according to the Oxford Centre for Evidence-Based Medicine classification. The studies must have also been reported in English, peer-reviewed, and originated in the United States or countries that offer the same procedures, protocol, and outcome reporting.</p><p><strong>Results: </strong>Twenty-eight of 253 identified studies met inclusion criteria. A total of 1640 knees underwent OWHTO in the 28 studies: 598 (36.4%) had allograft, 488 (29.8%) had no bone void filler, 359 (21.9%) had synthetic, and 195 (11.9%) had autograft. Of the total patients, 963 (58.7%) were women and 676 (41.3%) were men. Different types of bone void fillers were used in each study, with no filler being most common (13/28), followed by allograft (12/28). Complications such as nonunion, loss of correction, infection, and lateral hinge fracture were reported across studies, although the overall rates were low in all groups. Most investigations described satisfactory healing regardless of whether a bone void filler was used. Several studies noted that outcomes in procedures performed without bone void filler, particularly when the osteotomy gap was less than 10 mm, were comparable to or slightly better than those in which a filler was used.</p><p><strong>Conclusions: </strong>This study revealed that the utilization or absence of bone void filler does not impact the outcomes of OWHTO. In the setting of OWHTO with gap sizes less than 10 mm, placement of a bone void filler may contribute to higher complication rates. Despite the lack of functional advantage of using a bone void filler, OWHTO is still completed with bone void filler in more than 50% of cases.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level I to IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70017"},"PeriodicalIF":0.0,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585224","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 Arthroscopists Consistently Use Capsular Closure With Preference for Interportal Capsulotomy.","authors":"Cory J Call, Matthew L Kuik, Alison M Mueller, Ryan M Degen, Andrea M Spiker","doi":"10.1002/ars2.70050","DOIUrl":"10.1002/ars2.70050","url":null,"abstract":"<p><strong>Purpose: </strong>To examine recent trends of capsular management in hip arthroscopy over a 5-year period (2018-2023), both within the United States and internationally utilizing a repeated, international, cross-sectional survey.</p><p><strong>Methods: </strong>A repeated cross-sectional survey was distributed via Qualtrics to a cohort of surgeons identified through a PubMed search of hip arthroscopy publications. The survey was administered in 2018, 2020, and 2023, with additional distribution through the American Orthopaedic Society for Sports Medicine listserv in later years. The 29-question survey assessed surgical experience, capsular management techniques, postoperative protocols, and complications. Responses were analyzed for trends over time.</p><p><strong>Results: </strong>A total of 74, 78, and 83 surgeons completed the survey in 2018, 2020, and 2023, respectively. Interportal capsulotomy was the most commonly used technique across all time points. Capsular closure was performed in the majority of cases, with 50% of surgeons reporting always performing closure in 2018 and 2020, increasing to 67% in 2023. T-capsulotomy was the second most utilized technique, with ≥75% of surgeons who used it reporting always performing capsular closure. Of 52 reported postoperative dislocations, 27 (52%) occurred in cases where capsular closure was performed.</p><p><strong>Conclusions: </strong>Interportal capsulotomy remains the preferred technique for joint access during hip arthroscopy, with consistent use across the 5-year study period. Capsular closure was routinely performed regardless of capsulotomy type, and although survey responses suggested a trend toward more consistent closure practices, no statistically significant change in closure frequency was observed. Surgeons performing T-capsulotomy were more likely to report routine closure than those using interportal capsulotomy.</p><p><strong>Clinical relevance: </strong>Understanding evolving trends in capsular management provides insight into current surgical practices and may inform future guidelines in hip preservation surgery.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70050"},"PeriodicalIF":0.0,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior Knee Unloader Brace Prescription Yields Moderate Compliance Rates and Improved Clinical Function in Patients with Patellofemoral Pain.","authors":"Andrew R Phillips, Thomas Moran, Kofi K Acheampong, Stephanie A Boden, Erik C Haneberg, William D Bugbee, John P Fulkerson, Simon Goertz, John G Lane, Sabrina M Strickland, Adam B Yanke","doi":"10.1002/ars2.70039","DOIUrl":"10.1002/ars2.70039","url":null,"abstract":"<p><strong>Purpose: </strong>To determine clinical outcome changes and wear compliance rates associated with the use of a custom-fit anterior knee unloader brace in a prospective cohort of patients with clinical symptoms derived from patellofemoral osteoarthritis (PFOA).</p><p><strong>Methods: </strong>Adults ≥ 18 years with PFOA or multicompartment OA with patellofemoral involvement were enrolled in this study. Participants received a custom-fit Icarus Ascender OA Brace with instructions to wear it during daily activity for 4 weeks. Patient-reported outcomes (PROs) were collected at the pre- and postbracing intervals. PROs were compared from pre- to postbracing time points. Improvement from moderate or severe symptoms prebracing to mild or no symptoms postbracing was analyzed.</p><p><strong>Results: </strong>One hundred thirteen patients (134 knees) completed pre- and postbrace surveys (age: 53.5 ± 13.1 years, 43.4% female, 48.7% left knee). Sixty-two (56.9%) patients reported wearing the brace ≥ 4 times a week, with 37 (33.9%) reporting daily use. Knee Injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS JR) improved 21.62 ± 14.47 points (<i>P</i> < .001), with improvements of 0.88 ± 1.09 points (<i>P</i> < .001) in stiffness, 4.91 ± 3.17 points (<i>P</i> < .001) in pain, and 2.46 ± 1.82 points (<i>P</i> < .001) in Activities of Daily Living (ADL) subscores. Visual Analog Scale (VAS) pain scores improved 4.04 ± 2.10 points (59.3 ± 23.2%, <i>P</i> < .001). 66.42% of knees exceeded minimum clinically important difference (MCID) for KOOS JR. MCID achievement was higher in patients reporting \"moderate or worse\" stiffness (75.24%), pain (77.66%), and functional limitation (78.72%) baseline KOOS JR subscores compared with those reporting \"mild or no\" stiffness (39.39%), pain (40.00%), and functional limitation (37.50%). Sixty-two of 71 (87.32%) patients reported \"moderate or worse\" symptoms for stiffness, pain, and ADL subscores.</p><p><strong>Conclusions: </strong>Prescription of an anterior knee unloader brace in patients with PFOA or multicompartmental knee OA with patellofemoral involvement results in moderate compliance and improvement in pain and clinical function in the majority of patients at short-term follow-up.</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":"e70039"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585417","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":"Lower Satisfaction and Inferior Outcomes Associated With Delayed Surgery for Chronic Quadriceps Tendon Ruptures: A Systematic Review.","authors":"Matthew R Bryan, Michael Mazzucco, Arsen Omurzakov, Alex E White, Prashanth Kumar, Tyler Uppstrom, Nicolas Pascual-Leone, Stephen O'Brien, Samuel A Taylor","doi":"10.1002/ars2.70004","DOIUrl":"10.1002/ars2.70004","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the literature regarding the efficacy of various repair and reconstruction surgical techniques for chronic quadriceps tendon ruptures (QTRs) in native knees and to assess their associated outcomes.</p><p><strong>Methods: </strong>A comprehensive literature search of the EMBASE, PubMed/MEDLINE, and Cochrane databases was conducted from October 2023 to November 2024 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Clinical studies that analyzed outcomes following surgical intervention of chronic QTRs with Level IV or greater evidence were included. We excluded case reports and QTRs in the setting of total knee arthroplasty. Quality assessment was conducted using Methodological Index for Non-Randomized Studies criteria.</p><p><strong>Results: </strong>Ten studies published between 1981 and 2022 were included. Described techniques included direct tendon repair, lengthening procedures, and various graft and mesh augmentations. Reported failure rates ranged from 0 to 33%. Extensor lag remained a common reported complication (5 of 10 studies).</p><p><strong>Conclusions: </strong>The current body of literature on the surgical management of chronic QTRs is characterized by significant heterogeneity in surgical technique and a predominantly low quality of evidence. The various surgical techniques described suffer from limited follow-up and inconsistently reported outcome measures.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level III and IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70004"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585470","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}