Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Larger Zona Orbicularis Size on Magnetic Resonance Imaging Is Not Associated With Increased Resistance to Axial Distraction of the Hip Joint","authors":"Allan K. Metz M.D. ,&nbsp;Joseph Featherall M.D. ,&nbsp;Ameen Z. Khalil M.S. ,&nbsp;Reece M. Rosenthal B.S. ,&nbsp;Collin D.R. Hunter B.S. ,&nbsp;Daniel C. Lewis M.D. ,&nbsp;Stephen K. Aoki M.D.","doi":"10.1016/j.asmr.2024.100989","DOIUrl":"10.1016/j.asmr.2024.100989","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the relation between zona orbicularis (ZO) thickness on magnetic resonance imaging and distractibility of the hip in patients undergoing hip arthroscopy.</div></div><div><h3>Methods</h3><div>We conducted a retrospective review of primary hip arthroscopy patients treated for femoroacetabular impingement syndrome from December 2021 to September 2022. Prior to arthroscopy, hips were subjected to 100 lb of force (lbf) with fluoroscopic images taken to calculate joint space and overall distraction distance. The ZO was measured on coronal sequences of preoperative magnetic resonance imaging or magnetic resonance arthrography. Multivariable linear regression was performed and controlled for age, sex, body mass index, and lateral center-edge angle.</div></div><div><h3>Results</h3><div>Sixty-eight patients were included in the final analysis. The mean age was 34.5 ± 12.4 years. The mean joint space at 100-lbf axial traction was 11.0 ± 3.8 mm, and the mean distraction distance was 6.6 ± 3.7 mm. The mean ZO size was 3.2 ± 1.0 mm. Linear regression showed no relation between ZO size and joint space at 100 lbf (β = –0.109, <em>R</em> = 0.107, <em>P</em> = .842). The results of our linear regression analysis also showed no significant association between ZO size and overall distraction distance (β = –0.15, <em>R</em> = 0.108, <em>P</em> = .977).</div></div><div><h3>Conclusions</h3><div>The results of this study show no significant association between ZO size and resistance to axial traction at the hip joint.</div></div><div><h3>Clinical Relevance</h3><div>Our results suggest that the resistance to axial traction on the hip from the ZO is conferred by its overall integrity and presence—and is not dependent on its size—and that, likely, deviations in other soft-tissue restraints contribute to the spectrum of hip stability experienced by patients.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 100989"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386630","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":"Low Rates of 30-Day Postoperative Complications After Meniscal Allograft Transplantation: A Retrospective Study Using the National Surgical Quality Improvement Program Database","authors":"Sarah Whitaker B.A. ,&nbsp;Conor O’Neill M.D. ,&nbsp;James Satalich M.D. ,&nbsp;Omar Protzuk M.D. ,&nbsp;Carl Edge M.D. ,&nbsp;Eoghan Hurley M.B., M.Ch., Ph.D. ,&nbsp;Annunziato Amendola M.D. ,&nbsp;Alexander Vap M.D.","doi":"10.1016/j.asmr.2024.101015","DOIUrl":"10.1016/j.asmr.2024.101015","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the short-term (30-day) postoperative complication rates in patients undergoing meniscus allograft transplantation (MAT).</div></div><div><h3>Methods</h3><div>The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who had undergone MAT from 2014 to 2021 using Current Procedural Terminology codes. Patients were excluded if they did not have sufficient demographic data, namely those without data for age, sex, body mass index, preoperative functional status, American Society of Anesthesiologists classification, operative time, and length of hospital stay. Postoperative complications within 30 days were identified, and rates of complications were examined as the primary outcome of this study. As a secondary outcome, multivariate logistic regression was used to identify risk factors associated with the 30-day incidence of postoperative complications. Subgroup analysis was performed to analyze differences in postoperative outcomes after isolated MAT versus MAT with concomitant ligament reconstruction/repair, cartilage preservation, or realignment osteotomy.</div></div><div><h3>Results</h3><div>A total of 396 meniscal transplants were identified, with mean age of 35.2 ± 14.9, mean body mass index of 29.6 ± 6.7, mean length of stay of 0.5 ± 1.8 days. Eleven patients experienced any adverse event. Specific complications included surgical-site infections (5), deep-vein thrombosis (1), urinary tract infection (3), and return to the operating room (2). On subgroup analysis, there was no significant difference between any adverse event rates in patients undergoing MAT with concomitant procedures compared with patients undergoing isolated MAT (7 vs 4, <em>P</em> = .5).</div></div><div><h3>Conclusions</h3><div>Patients who underwent MAT had an overall complication rate of 2.8% in the short-term postoperative period (≤30 days). Patients undergoing MAT with concomitant ligament reconstruction/repair, cartilage preservation, and realignment osteotomy had similar rates of all postoperative complications when compared with patients undergoing isolated MAT.</div></div><div><h3>Level of Evidence</h3><div>Level IV, therapeutic case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101015"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386717","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":"Male National Basketball Association G-League and Collegiate Basketball Athletes Have a High Prevalence of Radiographic Ankle Abnormalities","authors":"Krishna Mandalia B.S. ,&nbsp;Ryan Harrington M.D. ,&nbsp;Albert Mousad B.S. ,&nbsp;Bryan Jenkin B.S. ,&nbsp;Katharine Ives B.S. ,&nbsp;Sarav Shah M.D.","doi":"10.1016/j.asmr.2024.100980","DOIUrl":"10.1016/j.asmr.2024.100980","url":null,"abstract":"<div><h3>Purpose</h3><div>To characterize radiographic foot/ankle bony abnormalities in elite-level, asymptomatic male basketball athletes and to investigate the association between anthropometric (age, height, weight) or sport-specific characteristics (total exposures, player position, pregame ankle taping) and the prevalence of abnormal radiographic findings in asymptomatic basketball athletes.</div></div><div><h3>Methods</h3><div>Elite-level basketball players who underwent routine, preseason static radiographic imaging, including anteroposterior, lateral, and mortise views of the ankle were included. Radiographs were collected from asymptomatic athletes participating in preseason history and physical with negative anterior drawer/talar tilt test. Radiographs were evaluated by a musculoskeletal radiologist and board-certified orthopaedic surgeon; kappa statistics were used to evaluate agreement.</div></div><div><h3>Results</h3><div>Fifty-four basketball players (34 collegiate, 20 professional; mean age 21.5 years) were included, totaling 5,148 player exposures from 2017 to 2019. In total, 106 ankles presented with radiographic findings (98.15%). The most prevalent radiographic finding was pes planus (47.22%), followed by degenerative joint disease (DJD; 33.33%), talonavicular sclerosis (28.70%), prominent stieda process (25.93%), os trigonum (20.93%), os subfibulare (11.11%), pes cavus (5.56%), subtalar coalition (2.78%), and cavovarus (0.93%). Height ≥80 inches was significantly associated with talonavicular sclerosis and Kellgren-Lawrence 1 changes.</div></div><div><h3>Conclusions</h3><div>This study showed a strong association between height and talonavicular sclerosis and DJD, as well as a relatively high prevalence of pes planus and DJD in asymptomatic collegiate and professional basketball players.</div></div><div><h3>Level of Evidence</h3><div>Level II; Cross-sectional study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100980"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841701","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":"Combined Medial Patellofemoral Ligament Reconstruction and Tibial Tubercle Osteotomy Has a Lower Risk of Recurrent Instability Requiring Revision Stabilization at 2 Years Than Either Procedure Alone","authors":"Alexander R. Markes M.D.,&nbsp;Ramesh B. Ghanta M.D.,&nbsp;Alan L. Zhang M.D.,&nbsp;C.Benjamin Ma M.D.,&nbsp;Brian T. Feeley M.D.,&nbsp;Drew A. Lansdown M.D.","doi":"10.1016/j.asmr.2024.100994","DOIUrl":"10.1016/j.asmr.2024.100994","url":null,"abstract":"<div><h3>Purpose</h3><div>To use a large nationwide administrative database to directly compare usage, complications, and need for revision stabilization surgery after medial patellofemoral ligament reconstruction (MPLFR), tibial tubercle osteotomy (TTO), and combined MPFLR and TTO (MPFLRTTO).</div></div><div><h3>Methods</h3><div>The PearlDiver Mariner database was queried for all reported cases of MPLFR, TTO, and combined MPFLRTTO performed between 2010 and 2020 using Current Procedural Terminology codes. Subsets from those cohorts with laterality-specific <em>International Classification of Diseases</em>, <em>Tenth Revision</em>, codes for patellar instability were used to evaluate 2-year incidence of infection, stiffness, fracture, and revision stabilization with MPFLR and/or TTO. Multiple linear regression and χ² analysis were used to analyze incidence trends and to compare complication rates.</div></div><div><h3>Results</h3><div>A total of 70,070 patients were identified. MPFLR was found to be the most common procedure (73.1%), followed by TTO (19.2%) and then MPFLRTTO (7.6%). MPLFR was observed to have the lowest overall complication rate (5.4%), whereas both TTO (7.5%) and MPFLRTTO (7.1%) had greater complication rates (<em>P</em> &lt; .001). MPFLR had the greatest rate of revision stabilization surgery at 3.7% compared with TTO at 2.7% and MPFLRTTO, which carried the lowest risk for revision at 2.4% (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Isolated MPFLR is the most common modality used for patellar instability, with increasing prevalence and the lowest 2-year complication rate. Isolated TTO was unchanged in its use and had the greatest overall complication rate. Combined MPFLRTTO increased the overall complication rate but had a lower 2-year rate of recurrent instability requiring revision than MPFLR alone.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100994"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955986","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":"Interleukin-6 and Interleukin-8 Gene Expressions Differ Between Male and Female Patients at Time of Hip Arthroscopy for Femoroacetabular Impingement Syndrome","authors":"Andrea M. Spiker M.D. ,&nbsp;Joshua A. Choe Ph.D. ,&nbsp;Elizabeth H.G. Turner M.D. ,&nbsp;Ray Vanderby Ph.D. ,&nbsp;William L. Murphy Ph.D. ,&nbsp;Connie S. Chamberlain Ph.D.","doi":"10.1016/j.asmr.2024.100985","DOIUrl":"10.1016/j.asmr.2024.100985","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify key molecular components within the femoroacetabular impingement hip and compare the findings between male and female patients across varying age groups.</div></div><div><h3>Methods</h3><div>All patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS) without hip dysplasia were included. During hip arthroscopy, performed at University of Wisconsin Health, loose articular cartilage, excess synovium, damaged labral tissue, and minimal adipose tissue were debrided only as needed for visualization and tissue repair purposes and collected. Tissue was processed and used for quantitative polymerase chain reaction (qPCR). Genes were selected for qPCR on the basis of their associated function in inflammation and/or extracellular matrix remodeling during the progression of osteoarthritis.</div></div><div><h3>Results</h3><div>A total of 91 male (M) and female (F) patients 15 to 58 years old were included in the study. qPCR results indicated that Interleukin-6 (<em>P</em> &lt; .05, 95% confidence interval [CI] 0.047-0.083 F, 0.070-0.12 M) and Interleukin-8 (<em>P</em> = .04, 95% CI 0.059-0.10 F, 0.082-0.18 M) were significantly greater in male patients compared with female patients regardless of age, and <em>IL6</em> (<em>P</em> = .02, 95% CI [0.026-0.070] F, [0.067-0.17] M), Interleukin-1ß (<em>P</em> &lt; .01 95% CI [0.013-0.063] F, [0.073-0.25] M), and Matrix metalloproteinase-13 (<em>P</em> = .047, 95% CI [0.0051-0.017] F, [0.0084-0.052] M) were significantly greater in male patients younger than 20 years old compared with female patients younger than 20 years old.</div></div><div><h3>Conclusions</h3><div>In patients with FAIS, there are significant differences between male and female patients in the biomarkers present in the affected hip at the time of surgery. Male patients have greater levels of <em>IL6</em> and <em>IL8</em> and male patients younger than 20 years of age have greater levels of <em>IL1β</em>, <em>IL6</em>, and <em>MMP13</em> compared with age-matched female patients.</div></div><div><h3>Clinical Relevance</h3><div>A better understanding of the molecular markers present during varying stages of FAIS and in patients of different ages will help characterize the pathologic process behind FAIS. This may also help define future methods of targeted treatment and prevention of disease progression.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100985"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956090","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":"Pediatric Snowboarding-Related Concussions and Musculoskeletal Injuries Decreased From 2012 to 2022","authors":"Kyle K. Obana M.D. ,&nbsp;Avanish Yendluri B.S. ,&nbsp;Mininder S. Kocher M.D., M.P.H. ,&nbsp;Theodore J. Ganley M.D. ,&nbsp;David P. Trofa M.D. ,&nbsp;Robert L. Parisien M.D.","doi":"10.1016/j.asmr.2024.100990","DOIUrl":"10.1016/j.asmr.2024.100990","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze mechanisms, diagnoses, and incidence of youth snowboarding-related injuries presenting to US emergency departments.</div></div><div><h3>Methods</h3><div>Data from the National Electronic Injury Surveillance System were analyzed for pediatric snowboarding injuries (≤18 years old) from 2012 to 2022. Data were collected for mechanism of injury, diagnosis, location of injury, and disposition. National estimates (NEs) were calculated using the statistical sample weight of the corresponding hospital assigned by the National Electronic Injury Surveillance System. Linear regressions were used to analyze injuries over time.</div></div><div><h3>Results</h3><div>In total, 3,036 (NEs = 120,140) pediatric snowboarding injuries were included in this study. Average age was 14.0 ± 2.7 years. The most common mechanism of injury was impact with the ground (NEs = 97,120, 80.8%). The most injured body parts were 719 wrists (NEs = 115,505, 96.1%), 580 heads (NEs = 22,258, 18.5%), and 381 shoulders (NEs = 17,269, 14.4%). The most common diagnoses were fractures (NEs = 48,886, 40.7%), strains/sprains (NEs = 22,948, 19.1%), and concussions (NEs = 12,553, 10.4%). Fractures primarily involved the wrist (NEs = 18,122, 37.1%), lower arm (NEs = 12,348, 25.3%), and shoulder (NEs = 9,073, 18.6%). From 2012 to 2022, there were average decreases of 1,051 overall injuries per year (<em>P</em> &lt; .01), 299 fractures per year (<em>P</em> = .04), 298 strains/sprains per year (<em>P</em> &lt; .01), and 143 concussions per year (<em>P</em> &lt; .01). There were average decreases of 784 impact with ground injuries per year (<em>P</em> &lt; .01), 161 not specified injuries per year (<em>P</em> &lt; .01), and 42 impact with inanimate object injuries per year (<em>P</em> = .03) from 2012 to 2022.</div></div><div><h3>Conclusions</h3><div>Pediatric snowboarding injuries demonstrated a large decline from 2012 to 2022. Fractures are the most common diagnosis, primarily affecting the wrist and shoulder. The head was the second most injured body part, and concussions were the third most common diagnosis.</div></div><div><h3>Clinical Relevance</h3><div>This study highlights decreasing injuries despite growing popularity of snowboarding, bringing to light the importance of protective equipment, on-site injury management, and implementation of clinics at resort bases.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100990"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956092","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":"Simulated Cam Morphology of the Hip Changes Sacroiliac Motion During Hip Motion and Loading in a Cadaveric Model","authors":"Mason E. Uvodich M.D.,&nbsp;Alex W. Hooke M.A.,&nbsp;Zachary V. Braig M.D.,&nbsp;Micah J. Nieboer M.D.,&nbsp;Evan M. Dugdale M.D.,&nbsp;William W. Cross M.D.,&nbsp;Aaron J. Krych M.D.,&nbsp;Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.asmr.2024.100977","DOIUrl":"10.1016/j.asmr.2024.100977","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the relationship between cam morphology of the hip and ipsilateral sacroiliac motion compared to the native hip in a cadaveric model.</div></div><div><h3>Methods</h3><div>A simulated cam state was created using a 3-dimensional printed cam secured to the head-neck junction of 5 cadaveric hips. Hips were studied using a computed tomography–based optic metrology system and a 6 degree-of-freedom robot to exert an internal rotation torque at 3 different torque levels (6 N-m, 12 N-m, 18 N-m). Outcomes included translational and rotational movement about 3 axes and composite (total) translational motion at the ipsilateral sacroiliac (SI) joint. Statistical analysis included a linear mixed model regression with repeated measures.</div></div><div><h3>Results</h3><div>The presence of a simulated cam was associated with medial motion in the coronal plane (<em>P</em> = .03) and posterior motion in the sagittal plane (<em>P</em> &lt; .01) but not composite motion (<em>P</em> = .37). Motion in the axial plane was in an inferior direction (<em>P</em> = .08). Cam morphology significantly changed rotation in the sagittal plane (<em>P</em> &lt; .01) but not in the coronal (<em>P</em> = .63) or axial plane (<em>P</em> = .18). Composite motion was related to the amount of torque applied to the hip (<em>P</em> &lt; .01). The amount of torque applied to the hip was related to rotation in the coronal plane (<em>P</em> &lt; .01), axial plane (<em>P</em> &lt; .01), and sagittal plane (<em>P</em> &lt; .01) with increased effects as torque increased. Torque was not associated with translation movement in any of the anatomic planes.</div></div><div><h3>Conclusions</h3><div>The presence of simulated cam morphology is associated with motion in a more medial, inferior, and posterior direction at the ipsilateral SI joint relative to a native state. Increasing torque affects the magnitude of translation, but not its direction, which in this study is primarily influenced by cam morphology.</div></div><div><h3>Clinical Relevance</h3><div>This biomechanical connection between cam-type femoroacetabular impingement syndrome and the ipsilateral SI joint provides insight into SI joint dysfunction in patients with femoroacetabular impingement syndrome.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100977"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847267","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 Bankart Repair Using 1 Anterior Portal Has a Shorter Surgical Time and Comparable Clinical Results With the Standard 2-Portal Technique","authors":"Ali Okan Gazeloglu M.D. ,&nbsp;Abdurrahman Yilmaz M.D. ,&nbsp;Egemen Turhan M.D. ,&nbsp;Filippo Familiari M.D. ,&nbsp;Gazi Huri M.D.","doi":"10.1016/j.asmr.2024.100984","DOIUrl":"10.1016/j.asmr.2024.100984","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the modified 1 anterior portal Bankart repair and compare it to the 2-portal Bankart repair in terms of surgical time, functional scores, and recurrent dislocation.</div></div><div><h3>Methods</h3><div>Patients who underwent Bankart repair from 2014 to 2021 were identified and separated into 2 groups: a modified 1 anterior portal group and a 2 anterior portal group. The inclusion criteria were being &gt;18 years old, having a recurrent anterior shoulder dislocation with a Bankart lesion, and having a minimum 2-year follow-up. Patients were evaluated for their clinical results using the American Shoulder and Elbow Surgeons score, the Western Ontario Shoulder Instability index, and the Oxford Shoulder Instability Score pre- and postoperatively. The duration of surgery and recurrent instability were recorded. To prevent suture tangling in the modified 1-portal group, 2 techniques were performed: “cannula in cannula” and “cannula in and out.”</div></div><div><h3>Results</h3><div>A total of 42 patients were included in this study, with 20 in the modified 1-portal group and 22 in the 2-portal group. There were no statistically significant differences between the 2 groups in clinical scores obtained after 2 years of surgery (American Shoulder and Elbow Surgeons score, <em>P</em> = .5; Western Ontario Shoulder Instability index, <em>P</em> = .22; and Oxford Shoulder Instability Score, <em>P</em> = .32). The average surgical duration in the modified 1-portal group (65.7 ± 15.8) was significantly shorter than the average surgery duration in the 2-portal group (81.1 ± 27.2) (<em>P</em> = .03). There was no statistically significant difference between the 2 groups for recurrent instability (<em>P</em> ≥ .999).</div></div><div><h3>Conclusions</h3><div>Bankart repair performed through a modified 1 anterior portal technique has a shorter surgical time and similar clinical outcomes as the 2-portal technique.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100984"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851390","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":"All Suture Biceps Tenodesis Has Greater Biomechanical Strength Than Metal Button Fixation","authors":"Matthew J. Kinnard M.D. ,&nbsp;Jeremy D. Tran M.D. ,&nbsp;Steven D. Voinier Ph.D. ,&nbsp;Donald F. Colantonio M.D. ,&nbsp;Timothy P. Murphy M.D. ,&nbsp;Patrick K. Mescher M.D. ,&nbsp;Michael A. Donohue M.D. ,&nbsp;Melvin D. Helgeson M.D. ,&nbsp;Christopher J. Tucker M.D.","doi":"10.1016/j.asmr.2024.100966","DOIUrl":"10.1016/j.asmr.2024.100966","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the maximal load to failure, cyclic displacement, stiffness, and modes of failure of onlay subpectoral biceps tenodesis with an intramedullary unicortical metal button (MB) versus an inlay, all-suture Caspari-Weber (CW) technique.</div></div><div><h3>Methods</h3><div>Sixteen matched paired human cadaveric proximal humeri were randomly allocated for subpectoral BT with either CW or MB using a high-strength suture (N = 16; 8 male, 8 female, mean age = 82.5 years, range 62-99 years). Specimens were tested on a servohydraulic mechanical testing apparatus under cyclic load for 1,000 cycles and then loaded to failure. Maximal load to failure, displacement, construct stiffness, and mode of failure were compared.</div></div><div><h3>Results</h3><div>There was no significant difference between groups when comparing construct stiffness, creep displacement, or displacement at ultimate load. The maximal load to failure for the CW technique was greater than the unicortical MB (588.36 ± 149.06 N vs 375.83 ± 131.4 N, <em>P</em> = .014).</div></div><div><h3>Conclusions</h3><div>In this study, the all-suture CW biceps tenodesis technique had a greater maximal load to failure than the onlay unicortical MB technique while having similar construct displacement and stiffness. The CW subpectoral biceps tenodesis may offer a lower cost alternative with a mechanically robust fixation when performing an open subpectoral biceps tenodesis.</div></div><div><h3>Clinical Relevance</h3><div>This cadaveric biomechanical study can help guide surgeons when selecting a fixation technique for biceps tenodesis.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100966"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699808","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 Arthroscopy After Total Hip Arthroplasty Is Rare (0.04%) and May be Contralateral","authors":"Caitlin A. Orner M.D. ,&nbsp;Michael B. Banffy M.D.","doi":"10.1016/j.asmr.2024.100987","DOIUrl":"10.1016/j.asmr.2024.100987","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the patient demographics and incidence of hip arthroscopy after total hip arthroplasty using the PearlDiver database.</div></div><div><h3>Methods</h3><div>This is a retrospective study of patients undergoing total hip arthroplasty and arthroscopic hip surgery. The PearlDiver Claims Database was queried using Current Procedural Terminology (CPT) codes for records from 2010 to 2021. Inclusion criteria were presence of a hip arthroplasty CPT code, followed by a hip arthroscopy CPT code. Additional data collected included age, sex, and time between surgeries. A subanalysis for <em>International Classification of Diseases</em> (ICD), <em>Ninth</em> (-9) and <em>Tenth</em> (-10) <em>Revision</em>, codes was completed to estimate association with iliopsoas tendinitis.</div></div><div><h3>Results</h3><div>Query of the database showed that 314 patients had a hip arthroscopy code after a hip arthroplasty code. In total, 0.04% of patients who underwent arthroplasty subsequently underwent arthroscopy; 63.4% were female. Mean age was 58.2 ± 12.2 years at time of arthroscopy. A total of 214 (72.3%) patients had a CPT code for synovectomy, 56 (18.9%) for loose body removal, and 44 (15.3%) for diagnostic arthroscopy. The mean time from arthroplasty code to arthroscopy code was 2.5 ± 2.0 years. In total, 105 patients (33.4%) also had an ICD-10 diagnosis code for iliopsoas tendinitis, and 116 (36.9.0%) had the ICD-9 code for enthesopathy of hip.</div></div><div><h3>Conclusions</h3><div>In this study, we found that hip arthroscopy after hip arthroplasty is uncommon but occurs more frequently in female patients, is undertaken in a broad age range of patients, and often is associated with a diagnosis of iliopsoas or hip tendinitis.</div></div><div><h3>Level of Evidence</h3><div>Level IV, retrospective case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100987"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956088","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}