Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Excellent Outcomes and High Rates of Return to Duty but a 10% Chance of Tear Progression Are Seen Following Arthroscopic Debridement Alongside Adjunctive Procedures for Articular-Sided, Partial-Thickness Supraspinatus Tears (Ellman Grade I) in Active-Duty Service Members Younger Than 50 Years.","authors":"Brian Skura, Ian S Rice, Alexis B Sandler, Samuel Howard, Richy Charls, John Tyler, John P Scanaliato, Ron Gilat, Nata Parnes","doi":"10.1002/ars2.70011","DOIUrl":"10.1002/ars2.70011","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate clinical outcomes and return-to-duty rates in active-duty service members younger than 50 years after arthroscopic debridement of Ellman grade I, articular-sided partial-thickness rotator cuff tears (PT-RCTs) of the supraspinatus.</p><p><strong>Methods: </strong>A retrospective review of active-duty service members under 50 who underwent arthroscopic debridement of Ellman grade I PT-RCTs without associated cartilage lesions, labral repair, or rotator cuff repair between January 2014 and June 2022 with ≥24 months of follow-up was conducted. Outcomes included pain Visual Analog Scale (VAS), Single Assessment Numeric Evaluation (SANE), and American Shoulder and Elbow Surgeons (ASES) scores; achievement of minimal clinically important difference (MCID) (½ standard deviation method); and range of motion (ROM), return to activity, adverse events, and tear progression.</p><p><strong>Results: </strong>In total, 67 patients met inclusion criteria (mean age 39.6 ± 7.1 years, 59.7% male, 5.6 ± 2.4 years of follow-up). All patients underwent adjunctive subacromial decompression, 56.7% biceps tenotomy/tenodesis, 37.3% acromioclavicular joint resection, and 17.9% rotator interval release. Significant improvements in pain and functional outcomes were observed postoperatively (VAS: 8.1 ± 1.4 to 1.7± 2.5, <i>P</i> < .0001; SANE: 49.0 ± 19.2 to 84.7 ± 16.5, <i>P</i> < .001; ASES: 47.6 ± 10.23 to 87.8 ± 14.6, <i>P</i> < .001), and the MCID was achieved in most patients (VAS: 92.5%, SANE 82.1%, ASES: 89.6%). ROM did not change significantly. Return to unrestricted active duty was achieved by 88% of patients (n = 59) and preinjury level of sport by 85.1% (n = 57). S patients (10.5%) progressed to symptomatic full-thickness rotator cuff tears that warranted rotator cuff repair.</p><p><strong>Conclusions: </strong>Arthroscopic debridement of Ellman grade I, articular-sided supraspinatus PT-RCT with adjunctive procedures in active-duty service members younger than 50 years shows substantial pain relief, functional recovery, and return to military service and sport. Despite improvements in pain relief and functional outcomes, approximately 1 in 10 patients experienced atraumatic tear progression to a symptomatic full-thickness rotator cuff tear and ultimately underwent rotator cuff repair.</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":"e70011"},"PeriodicalIF":0.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585443","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":"Translateral and Transtibial Techniques Provide Similar Patient Outcomes in Arthroscopic Anterior Cruciate Ligament Reconstruction.","authors":"Joel Yat Seng Wong, Christian Hwee Yee Heng, Andrew Hwee Chye Tan","doi":"10.1002/ars2.70019","DOIUrl":"10.1002/ars2.70019","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the outcomes of the transtibial technique (TT) and the translateral technique (TLL) for anterior cruciate ligament (ACL) reconstruction in an Asian population.</p><p><strong>Methods: </strong>Patients who underwent either TT or TLL for ACL reconstruction between 2019 and 2021 were identified. Inclusion criteria were skeletal maturity, a magnetic resonance imaging-diagnosed ACL tear, completion of at least 2 of 3 postoperative assessments, and a minimum follow-up of 24 months. Data collected include patient demographics, patient-reported outcome measure scores (Tegner activity scale and Lysholm score), objective clinical outcome scores (KT-1000), and medical records review to identify complications.</p><p><strong>Results: </strong>The average follow-up time was 15.2 months (range: 6 to 24 months) in TT versus 17.5 months (range: 6 to 24 months) in TLL, <i>P</i> value = .622. Recovery of quadriceps function in a cohort of 134 patients was identified as the only significant difference in postoperative functional outcomes between the TT and TLL groups. At 12 months, the extension range of motion in TLL was statistically better than TT (TT: 1.1 ± 3.4 [-2.2, 4.4] vs TLL: -0.9 ± 2.9 [-3.7, 2.0], <i>P</i> = .005). KT-1000 measurement, Tegner activity scale, and Lysholm score were not statistically significant between the TT and TLL groups at 24 months. The follow-up rate (n [%]) between the TT and TLL groups at 12 months was 59 (78.7%) and 50 (84.7%), respectively, and at 24 months was 55 (77.3%) and 47 (79.7%), respectively.</p><p><strong>Conclusions: </strong>In this Asian cohort, transtibial and translateral ACL reconstruction showed similar short-term outcomes. Small, transient differences in extension recovery favoring TLL did not persist at 24 months.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70019"},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585183","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 Cruciate Ligament Injury Prevention Program Implementation for High School Athletes Is Extremely Low and Faces Surmountable Barriers.","authors":"Hannah R Popper, Katherine Jerakis, Emily Schmeiser, Richa Gupta, Kevin B Freedman, Steven Cohen, Meghan E Bishop","doi":"10.1002/ars2.70037","DOIUrl":"10.1002/ars2.70037","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the rates of usage of anterior cruciate ligament injury prevention programs (AIPPs) among high school athletes and identify barriers to implementation.</p><p><strong>Methods: </strong>After Institutional Review Board exemption, high school sports teams covered by a regional multispecialty orthopaedic practice were identified. Athletic directors, trainers, and coaches for each school were contacted for completion of a survey on (1) sex, level, size, and coaching/training staff of each team; (2) incidence of anterior cruciate ligament injuries among players over the past 5 years; (3) team's use of AIPPs; and (4) interest and perceived barriers related to AIPP use.</p><p><strong>Results: </strong>Thirty-eight representatives from 522 teams (54.0% boys' teams, 46.0% girls' teams) across 22 high schools responded to the survey. Eighteen teams (3.5%) were found to use AIPPs. The 27 (87.1%) of the 31 representatives from the remaining 504 teams reported being aware of the existence of AIPPs. The most common barrier reported against implementing AIPPs was a lack of trained staff (43.6%), followed by time constraints (33.0%).</p><p><strong>Conclusions: </strong>Despite widespread knowledge of AIPPs across high school athletic team coaching and training staff, only 3.5% of teams currently utilize these programs. Most common barriers to implementing these programs include a lack of trained staff and time restraints during training.</p><p><strong>Clinical relevance: </strong>Numerous AIPPs show promising results, but their adoption remains inconsistent. It is important to evaluate the awareness and implementation of AIPPs among coaches and trainers and investigate barriers to their adoption. Information from this study may help increase the use of AIPPs and thereby reduce the incidence of anterior cruciate ligament injuries in young athletes.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70037"},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585435","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":"Perioperative Intravenous Dexamethasone Improves Pain and Functional Outcomes After Arthroscopic Rotator Cuff Repair.","authors":"Trevor D Wolterink, Germain Craddock, Joshua P Castle, Michael A Gaudiani, Chimdindu Obinero, Alexander S Jurayj, Christian A Freitag, Nathan Y Li, Jared Mahylis, Stephanie J Muh","doi":"10.1002/ars2.70047","DOIUrl":"10.1002/ars2.70047","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of perioperative dexamethasone on patient-reported pain, functional outcomes, and minimal clinically important difference (MCID) achievement following arthroscopic rotator cuff repair.</p><p><strong>Methods: </strong>Patients who underwent rotator cuff repair between 2013 and 2023 were identified and divided into groups. Those who received peri operative dexamethasone were compared with controls. Outcomes included visual analog scale (VAS) pain, patient-reported outcomes measurement information system (PROMIS) upper extremity, PROMIS pain interference, and MCID. Multivariate logistic and linear regression models adjusted for age, sex, body mass index, diabetes, race/ethnicity, smoking, and preoperative opioid use. Subgroup analyses were performed by tear size.</p><p><strong>Results: </strong>A total of 309 patients was included (187 dexamethasone and 122 control). Dexamethasone administration was associated with improved functional recovery and sustained pain reduction. PROMIS upper extremity and PROMIS pain interference scores favored Dexamethasone at 6 weeks, 3 months, and 6 months (all <i>P</i> < .01). VAS pain was significantly lower at 12 months (1.9 ± 2.9 vs 3.1 ± 3.5, <i>P</i> = .003) and 24 months (1.0 ± 2.5 vs 1.8 ± 3.1, <i>P</i> = .035). Only 37% of patients completed a 2-year follow-up, limiting the strength of these long-term comparisons. In small/medium tears, MCID achievement for VAS was greater at 6 weeks (31% vs 21%, <i>P</i> = .041) and 3 months (34% vs 21%, <i>P</i> = .012). Logistic regression confirmed dexamethasone as an independent predictor of early MCID (OR 1.67, 95% CI 1.02-2.73, <i>P</i> = .041). Large/massive tears showed transient VAS improvement without MCID benefit. Opioid consumption did not differ between groups (all <i>P</i> > .12). Dexamethasone reduced ondansetron use in large/massive tears at 0-4 hour (β = -0.34, <i>P</i> = .04) and in small/medium tears at 4-8 hour (β = -0.19, <i>P</i> = .04), with no differences for other antiemetics. Complication rates were similar (11.2% vs 4.9%, <i>P</i> = .055).</p><p><strong>Conclusions: </strong>Perioperative intravenous dexamethasone is a safe adjunct to arthroscopic rotator cuff repair, supporting early antiemetic benefits, durable pain relief, and selective improvements in patient-reported outcomes. Benefits appear most pronounced in small/medium tears at early follow-up and large/massive tears at later stages, suggesting tear size-specific response.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70047"},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585519","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":"Improvements in Patient-Reported Outcomes and Few Reported Major Complications Following Hip Arthroscopy in Patients With Femoroacetabular Impingement Syndrome: A Systematic Review.","authors":"Frederik Nicolai Foldager, Julius David, Lisa Urup Tønning, Bjarne Mygind-Klavsen, Christian Gatzka, Barbara Zimmerman, Inger Mechlenburg","doi":"10.1002/ars2.70036","DOIUrl":"10.1002/ars2.70036","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review the literature to evaluate complications and patient-reported outcome measures (PROMs) after hip arthroscopy in patients with femoroacetabular impingement syndrome.</p><p><strong>Methods: </strong>Five databases were searched for studies reporting complications and PROMs after hip arthroscopy in patients with femoroacetabular impingement syndrome, excluding those with dysplasia or severe osteoarthritis. Complications included conversion to total hip arthroplasty, revision surgery, and nerve paresthesia. PROMs were assessed as mean changes from baseline in domains (pain, symptoms, activities of daily living, sports participation, quality of life, and composite scores). Descriptive subgroup analyses were performed by follow-up duration and capsular repair. Risk of bias was assessed using the Cochrane Risk of Bias in Non-randomized Studies of Interventions tool, and the certainty of the evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach.</p><p><strong>Results: </strong>Forty-two studies (5885 hips) were included. The unweighted proportions of complications were 2.1% for conversion to total hip arthroplasty (range, 0%-16.7%), 5.2% for revision surgery (range, 0%-22.3%), and 3.8% for nerve paresthesia (range, 0.8%-12.5%). PROMs (0-100 scale; higher scores indicate greater improvement) showed mean changes from baseline to follow-up ranging from 9.4 to 35.0 points for pain, 14.3 to 25.0 points for symptoms, 10.9 to 43.0 points for activities of daily living, 15.0 to 45.5 points for sports participation, 15.0 to 43.2 points for quality of life, and 10.3 to 47.6 points for composite scores. Evidence certainty was rated very low for complications and PROMs.</p><p><strong>Conclusions: </strong>Hip arthroscopy for femoroacetabular impingement syndrome is associated with low average rates of total hip arthroplasty conversion, revision surgery, and nerve paresthesia and with clinically meaningful improvements across PROM domains. However, the certainty of evidence is very low, and results should be interpreted with caution.</p><p><strong>Level of evidence: </strong>Level IV, systematic review and subjective synthesis of Level I to IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70036"},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585360","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":"Ultrasound-Guided Hip Pericapsular, Rectus Femoris Peritendinous, and Iliopsoas Bursa Injections Improve Extra-articular Post-arthroscopy Hip Pain.","authors":"Meghan E Sahr, Hanley Ong, Karthik Krishnan, Shu-Han Wang, Danyal H Nawabi, Theodore T Miller","doi":"10.1002/ars2.70042","DOIUrl":"10.1002/ars2.70042","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the short- and medium-term efficacy of ultrasound-guided hip pericapsular, rectus femoris peritendinous, and iliopsoas bursa injections with anesthetic and corticosteroid to treat post-arthroscopy hip pain, and if any operative variables correlated with response likelihood.</p><p><strong>Methods: </strong>Retrospective search for ultrasound-guided injections performed from January 2015 to March 2024 was conducted. Inclusion criteria were history of hip arthroscopy to treat femoroacetabular impingement syndrome, persistent bothersome symptoms after conservative management including physical therapy, exclusion of intra-articular pain sources; and treatment with simultaneous ultrasound-guided injection of the hip capsule, rectus femoris tendon, and iliopsoas bursa. Responses immediately after the injection and at the next follow-up visit were recorded. Likelihood of positive injection response was correlated with operative variables.</p><p><strong>Results: </strong>Fifty-two injections in the same number of hips (28 men, 31 right hips) were performed a median of 308 days, range [121-1300] following hip arthroscopy to treat femoroacetabular impingement syndrome. Immediately after the injection, 42 patients experienced improvement in symptoms, 2 had no improvement and 8 were unable to assess the immediate effect. The pre-injection average visual analog score of 3.5 [SD ± 2.4] decreased to 0.4 [SD ± 1] immediately after the injections. At the next clinical follow-up visit, 36 (69%) reported at least some improvement (5 (9%) mild, 13 (25%) moderate, and 18 (35%) marked). 14 (27%) patients reported no benefit and 2 (4%) were lost to follow-up. At last clinical follow-up, 29 cases had no or manageable symptoms, 7 underwent another surgery, 6 were discharged to pain management, and 10 had no further follow-up data. There was no correlation between surgical variables and the degree of improvement at follow-up (<i>P</i> = .266-1).</p><p><strong>Conclusions: </strong>Patients with post-arthroscopy hip pain with adequately treated intra-articular factors may benefit from ultrasound-guided injections targeting the joint capsule, rectus femoris origin, and iliopsoas bursa.</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":"e70042"},"PeriodicalIF":0.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585219","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":"Arthroscopic Partial Repair and Arthroscopic Debridement Improve Pain and Functional Outcomes in Older Patients With Massive Irreparable Rotator Cuff Tears: A Systematic Review.","authors":"Dave Osinachukwu Duru, Andrew Kailin Zhou, Rahul Geetala, Andrew Metcalfe, Salma Chaudhury","doi":"10.1002/ars2.70030","DOIUrl":"10.1002/ars2.70030","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the current evidence on patient-reported outcomes and complications after arthroscopic partial repair and arthroscopic debridement for massive irreparable rotator cuff tears (MIRCTs) in patients aged 65 years or older.</p><p><strong>Methods: </strong>A systematic search of MEDLINE, Embase, and Cochrane Library databases was conducted through September 2025 according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Eligible studies included randomized controlled trials, cohort studies, and case series (>10 patients) reporting outcomes of arthroscopic partial repair or debridement in patients aged ≥65 years with minimum 12-month follow-up. Two reviewers independently extracted data and assessed study quality using Cochrane Risk of Bias 2.0 (RoB 2.0) and Risk Of Bias In Nonrandomized Studies of Interventions (ROBINS-I) tools.</p><p><strong>Results: </strong>Twenty-six studies (n = 942 patients) were included. Both interventions led to clinically meaningful improvements in pain and function. Mean visual analog scale pain score improvements ranged from 2.0 to 5.8 with partial repair and 4.0 to 6.5 with debridement. Mean Constant-Murley score gains ranged from 15.0 to 33.6 with partial repair and 16.4 to 31.4 with debridement. Retear rates after partial repair were high (41.7%-87.3%) but not consistently associated with worse outcomes. Rates of infection and conversion to reverse shoulder arthroplasty were low across both interventions.</p><p><strong>Conclusions: </strong>Arthroscopic partial repair and arthroscopic debridement are both effective joint-preserving options for managing massive irreparable rotator cuff tears in older patients, resulting in significant improvements in pain and function, with low complication rates.</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":"e70030"},"PeriodicalIF":0.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585345","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":"Augmented Reality Simulation Can Be Implemented to Successfully Teach Interns Arthroscopy.","authors":"Alex M Meyer, Ryan Serbin, Eric Davis, Claude T Moorman, Gregg Nicandri, Alison P Toth","doi":"10.1002/ars2.70046","DOIUrl":"10.1002/ars2.70046","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and implement a simulation-based arthroscopy curriculum for orthopaedic surgery interns to be completed during their required orthopaedic intern skills month and to evaluate its effectiveness, feasibility, and impact on resident confidence.</p><p><strong>Methods: </strong>Twenty-one first year residents prospectively completed arthroscopic skill evaluation using VirtaMed augmented reality surgical simulator for the Fundamentals of Arthroscopy Surgical Training (FAST), shoulder, and knee models. Participants then completed the self-confidence score for surgical trainees survey. Then, they completed simulation training modules on each model over the course of their 1-month intern skills rotation. Each module contained 13-14 exercises. Following training, skill evaluations were repeated for each module and self-confidence survey was repeated.</p><p><strong>Results: </strong>One hundred percent of eligible participants were enrolled, and 100% completed the curriculum. Participant performance improved for all 3 modules (FAST, knee, shoulder). In the FAST modules, pretest to posttest scores for image centering improved from 64.1% to 95.5% (<i>P</i> < .001), and triangulation and probing improved from 73.5% to 88.4% (<i>P</i> = .019). In the knee modules, performance improved on diagnostic arthroscopy from 49.9% to 88.8% (<i>P</i> = .003) and on loose body removal from 40.0% to 75.3% (<i>P</i> < .001). In the shoulder modules, performance improved on the diagnostic arthroscopy from 89.9% to 98.9% (<i>P</i> = .011) and for loose body removal from 77.8% to 95.2% (<i>P</i> = .002). Self-confidence scale improved from 15.4 to 21.2 (<i>P</i> < .001). Acceptability of intervention measure, intervention appropriateness measure, and feasibility of intervention was 4.8, 4.6, and 4.7 respectively. Total self-paced time to completion was 4.9 h for all 3 sections. The shoulder took the most time (1.8 hours), followed by the knee (1.6 hours) and FAST (1.5 hours).</p><p><strong>Conclusions: </strong>The proposed arthroscopy simulation curriculum showed improvement in speed and skill on the arthroscopy simulator and improved personal confidence for orthopaedic surgery interns. It was able to be completed in less than 5 hours with 100% completion rate.</p><p><strong>Clinical relevance: </strong>Arthroscopy is an essential skill for orthopaedic surgery residents. High-fidelity simulation is effective at teaching these skills in a safe and controlled environment.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70046"},"PeriodicalIF":0.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585429","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":"Google Searches About Rotator Cuff Repair Have Increased Over the Past 15 Years With Pain and Postoperative Recovery Being the Most Frequently Searched Topics.","authors":"Irfan A Khan, Fahad Faheem, Tarick Ahmad, Badr Squali-Houssaini, Paul Phillips, Brian J Cole","doi":"10.1002/ars2.70045","DOIUrl":"10.1002/ars2.70045","url":null,"abstract":"<p><strong>Purpose: </strong>To use Google Trends to assess whether interest in rotator cuff repair (RCR) has increased over the last 15 years and to identify the most frequently searched topics related to RCR.</p><p><strong>Methods: </strong>A retrospective longitudinal study was conducted on public interest in RCR using Google Trends. While using a focus group comprised of 2 sports-medicine fellowship-trained orthopaedic surgeons, 1 orthopaedic surgery resident, 3 medical students, and supplementing with ChatGPT, the 50 most commonly searched topics perioperatively regarding RCR were identified. The mean relative search volume (RSV) was obtained and compared for all 50 topics. Regarding RSV, which extends from 0 to 100, 0 represents no public interest, whereas 100 represents maximal public interest. Inclusion criteria for search topics included Google search terms concerning RCR which had a mean RSV available between January 2010 and December 2024. Analysis of variance tests were used to compare means. Statistical significance was set at a <i>P</i> value less than .05.</p><p><strong>Results: </strong>Between January 2010 and December 2024, the mean RSV for \"rotator cuff surgery\" significantly increased (2010: 51; 2024: 90; <i>P</i> < .001), representing growing patient interest in rotator cuff surgery. Among the 50 perioperative topics, \"recovery\" and \"pain\" had significantly higher mean RSVs than other topics, whereas \"sling,\" \"therapy,\" \"cost,\" \"how long does rotator cuff surgery take,\" \"arthroscopic surgery,\" \"sleep,\" \"rehab,\" and \"healing\" were also among the top ten topics with the highest mean RSV (79; 51; 20; 18; 14; 13; 9; 8; 7; 4; <i>P</i> < .001).</p><p><strong>Conclusions: </strong>Google searches for RCR have increased significantly during the past 15 years. Pain and recovery after RCR were the most frequently searched topics.</p><p><strong>Clinical relevance: </strong>This study investigates the public interest in RCR as indicated by Google search data. The level of interest has increased during the past 15 years, and the topics identified in this study should be included in patient education materials.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70045"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585420","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 Presence of Chondral Pathology Is Not Associated With an Increase in Meniscal Root Retear, Reoperation, or Subsequent Total Knee Arthroplasty Rates.","authors":"Matthew D Benson, Richard J VanTienderen, Austin C Benson, Benjamin D Packard, Steven M Leary, Kyle R Duchman, Brian R Wolf, Robert W Westermann","doi":"10.1002/ars2.70043","DOIUrl":"10.1002/ars2.70043","url":null,"abstract":"<p><strong>Purpose: </strong>To identify whether chondral pathology is associated with an increase in failure rates of isolated meniscal root repairs.</p><p><strong>Methods: </strong>We retrospectively reviewed meniscus repairs from 2012 to 2022 at the author's institution. Nonroot repairs and cases with total or same compartment meniscectomy, cartilage restoration, osteotomy, or other concurrent ligament repair or reconstruction were excluded. Chondral pathology was defined as any abnormal finding in the articular cartilage of the medial, lateral, or patellofemoral compartments. We defined repair failure as clinical evidence of retear with magnetic resonance imaging confirmation, subsequent reoperation, or conversion to total knee arthroplasty (TKA). No minimum follow-up time was established, but each case was followed to the most recent pertinent orthopaedic follow-up. Fisher's two-tailed exact test was used to determine significance.</p><p><strong>Results: </strong>Sixty-three isolated meniscus repairs (63 medial, 0 lateral) were included, of which 51 (81.0%) had existing chondral pathology. Five patients (7.9%) underwent reoperation, six (9.5%) had evidence of retear, and three (4.8%) had a subsequent TKA. Medial tears accounted for 100% (6/6) of retears. There was a failure rate of 11.8% (6/51) for repairs with existing chondral pathology. There was no significant difference in clinical retear rate (11.8% vs 0%, <i>P</i> = 1.000), reoperation rate (9.8% vs 0%, <i>P</i> = 1.000), or subsequent TKA rate (5.9% vs 0%, <i>P</i> = .476) with or without existing chondral pathology at the time of repair, respectively. 100% (3/3) of subsequent TKAs had existing chondral pathology at the time of repair.</p><p><strong>Conclusions: </strong>In this study, we did not find a statistically significant difference in meniscal root retear, reoperation, or subsequent TKA rates with or without existing chondral pathology.</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":"e70043"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585208","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}