Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Randomized Controlled Trials for Platelet-Rich Plasma Use in Knee Osteoarthritis Rarely Report Key Sociodemographic Patient Variables: A Scoping Review","authors":"Jacob L. Kotlier B.A.,&nbsp;Amir Fathi B.S.,&nbsp;Cailan L. Feingold B.S.,&nbsp;Eric H. Lin B.A.,&nbsp;Albert Yang B.S.,&nbsp;Darryl Payton B.S.,&nbsp;Cory K. Mayfield M.D.,&nbsp;Joseph N. Liu M.D.,&nbsp;Frank A. Petrigliano M.D.","doi":"10.1016/j.asmr.2024.100988","DOIUrl":"10.1016/j.asmr.2024.100988","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the characteristics and rate of sociodemographic variables reported in randomized controlled trials (RCTs) studying platelet-rich plasma (PRP) injections in the treatment of knee osteoarthritis (OA).</div></div><div><h3>Methods</h3><div>In January 2024, PubMed, Scopus, and Web of Science databases were queried for the phrase “Platelet-Rich Plasma Knee Osteoarthritis.” Included studies were RCTs investigating PRP use in knee OA published in English between 2012 and 2023. Each RCT was inspected for patient age and sex or gender as well as the following sociodemographic variables: race, ethnicity, insurance status, income, housing status, work status, and education. Data were presented in a descriptive fashion and analyzed using χ² test and Fisher’s exact test to compare 2 and 3 categorical variables, respectively, with significance defined as <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>From 2012 through 2023, 71 RCTs met inclusion criteria. Included publications reported both age and sex or gender in 71/71 papers (100%). Reporting rates for other sociodemographic variables were as follows: race (3/71, 4.23%), work status (5/71, 7.04%), and education (3/71, 4.23%). No studies included the ethnicity, insurance status, income, or housing status of the enrolled patients. There was no difference in reporting sociodemographic variables by journal (<em>P</em> = .083) or by year of publication (<em>P</em> = .340). Sociodemographic variables were reported significantly less frequently than age and sex or gender (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>In this study, we found that age and sex or gender are always reported in RCTs of PRP use for knee OA. However, other sociodemographic variables, such as race, work status, and education, that may be important to understand are rarely reported.</div></div><div><h3>Clinical Relevance</h3><div>Sociodemographic variables may affect outcomes in knee osteoarthritis. It is important to understand which of these variables are most studied and which variables are most overlooked. This will help us better understand the quality of the available information.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100988"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956093","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":"Rotator Cuff Repair Study Designs Correlate With Revision Shoulder Surgery Rates: A Systematic Review","authors":"Anthony Smyth M.D.,&nbsp;Ilona Schwarz M.D.,&nbsp;Jack Hop M.D.,&nbsp;Kelly Leach M.S.,&nbsp;Rachel Frank M.D.,&nbsp;Jonathan Bravman M.D.,&nbsp;Eric McCarty M.D.","doi":"10.1016/j.asmr.2024.100993","DOIUrl":"10.1016/j.asmr.2024.100993","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify arthroscopic rotator cuff repair study groups and evaluate if study design or other study characteristics correlate with a repeat ipsilateral shoulder surgery.</div></div><div><h3>Methods</h3><div>A systematic search of the PubMed, Embase, and Cochrane Library databases was conducted on March 20, 2021, and April 2, 2021. The following search terms were used by 2 different researchers: ((Rotator cuff repair[Title/Abstract]) AND (Revision[Title/Abstract]) NOT (Systematic Review[Title/Abstract]) NOT (arthroplasty[Title/Abstract]). All English-language studies published between 2002 and 2021 were manually reviewed for revision rate as a primary outcome of primary rotator cuff repair. Revision rate is defined as the percentage of primary rotator cuff repairs that underwent revision.</div></div><div><h3>Results</h3><div>Sixteen studies with 25 total treatment groups were included. Five Level IV studies and 11 Level III studies encompassed a total of 95,578 patients. Of these treatment groups, the revision rate was compared by the study style (prospective vs retrospective), sample size, time required to follow up, time to follow up, average age, and postoperative American Shoulder and Elbow Surgeons score. No significant difference was found between revision rates of retrospective and prospective studies. A significant correlation was found between time required to follow up and revision rate (.42, <em>P</em> = .0415).</div></div><div><h3>Conclusions</h3><div>In this study, we found that prospective and retrospective studies report similar revision rates after arthroscopic rotator cuff repairs. There was an association between longer follow-up and higher revision rate.</div></div><div><h3>Clinical Relevance</h3><div>Prospective and retrospective studies yielding similar results is an important finding when showing the validity of retrospective studies. Understanding the positive correlation between a longer time for follow-up and a higher revision rate along with how age, postoperative American Shoulder and Elbow Surgeons scores, and average time to follow up correlate with revision rates is a useful consideration when designing studies and evaluating data.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100993"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956094","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":"Patients With Shoulder Labral Tears Search the Internet to Understand Their Diagnoses and Treatment Options","authors":"Gary George M.D.,&nbsp;Muhammad J. Abbas M.D.,&nbsp;Joshua P. Castle M.D.,&nbsp;Michael A. Gaudiani M.D.,&nbsp;Matthew Gasparro M.D.,&nbsp;Noel O. Akioyamen M.D.,&nbsp;Matthew Corsi B.S.,&nbsp;Brittaney Pratt B.S.,&nbsp;Stephanie J. Muh M.D.,&nbsp;T. Sean Lynch M.D.","doi":"10.1016/j.asmr.2024.100983","DOIUrl":"10.1016/j.asmr.2024.100983","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze the most frequently searched questions associated with shoulder labral pathology and to evaluate the source-type availability and quality.</div></div><div><h3>Methods</h3><div>Common shoulder labral pathology-related search terms were entered into Google, and the suggested frequently asked questions were compiled and categorized. In addition, suggested sources were recorded, categorized, and scored for quality of information using JAMA <em>(The Journal of the American Medical Association)</em> benchmark criteria. Statistical analysis was performed to compare the types of questions and their associated sources, as well as the quality of sources.</div></div><div><h3>Results</h3><div>In this study, 513 questions and 170 sources were identified and categorized. The most popular topics were diagnosis/evaluation (21.5%) and indications/management (21.1%.). The most common website types were academic (27.9%), commercial (25.2%), and medical practice (22.5%). Multiple statistically significant associations were found between specific question categories and their associated source types. The average JAMA quality score for all sources was 1.56, and medical websites had significantly lower quality scores than nonmedical sites (1.05 vs 2.12, <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Patients searching the internet for information regarding shoulder labral pathology often look for facts regarding the diagnosis and management of their conditions. They use various source types to better understand their conditions, with government sources being of the highest quality, whereas medical sites showed statistically lower quality. Across the spectrum of questions, the quality of readily available resources varies substantially.</div></div><div><h3>Clinical Relevance</h3><div>The use of online resources in health care is expanding. It is important to understand the most commonly asked questions and the quality of information available to patients.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100983"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844536","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 Condition of the Meniscus and Cartilage of the Injured Knee on Preoperative Magnetic Resonance Imaging Is a Prognostic Factor Affecting Postoperative Outcomes Following Knee Cartilage Restoration Surgery","authors":"Dai Sato M.D., Ph.D. ,&nbsp;Rawee Manatrakul M.D. ,&nbsp;Chotigar Ngarmsrikam M.D. ,&nbsp;Brian T. Feeley M.D. ,&nbsp;C. Benjamin Ma M.D. ,&nbsp;Thomas M. Link M.D. ,&nbsp;Drew A. Lansdown M.D.","doi":"10.1016/j.asmr.2024.100973","DOIUrl":"10.1016/j.asmr.2024.100973","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the relationship between preoperative whole-joint imaging evaluation of the knee with patient-reported outcome (PRO) measures after cartilage restoration surgery (mosaicplasty, osteochondral allograft transplantation, matrix autologous chondrocyte implantation).</div></div><div><h3>Methods</h3><div>We retrospectively evaluated patients who underwent knee articular cartilage restoration at our institution from 2014 to 2020. The patients’ knee magnetic resonance imaging (MRI) was evaluated with the Whole-Organ Magnetic Resonance Imaging Score (WORMS) and semiquantitative synovial inflammation imaging biomarkers of the preoperative MRI. To assess PRO score, Lysholm score and Knee injury and Osteoarthritis Outcome Score were completed at a minimum 2-year follow-up. Statistical analysis was performed using the Spearman rank test to obtain correlation values for WORMS score and PRO score for each survey.</div></div><div><h3>Results</h3><div>Forty patients were enrolled in this study. The average age at baseline was 34.5 years. The average body mass index was 28.2, and 26 of 40 were men (age range, 20-58 years). The maximum preoperative WORMS score was significantly correlated with the postoperative Lysholm score (<em>r</em> = –0.52, <em>P</em> = .0013). The WORMS Meniscus and Cartilage subscales were significantly correlated with the Lysholm score (<em>r</em> = –0.36, <em>P</em> = .024 and <em>r</em> = –0.37, <em>P</em> = .021, respectively). The maximum WORMS score was significantly correlated with the Knee injury and Osteoarthritis Outcome Score daily living and sports/recreation subscores (<em>r</em> = –0.47, <em>P</em> = .0023 and <em>r</em> = –0.42, <em>P</em> = .0077, respectively). Semiquantitative synovial inflammation imaging biomarkers were not significantly correlated with PRO scores.</div></div><div><h3>Conclusions</h3><div>Increasing preoperative degenerative change in the knee, as evidenced by a higher WORMS on preoperative MRI, was associated with inferior patient-reported outcomes at a minimum of 2 years after cartilage restoration surgery (mosaicplasty, osteochondral allograft transplantation, matrix autologous chondrocyte implantation). Semiquantitative scoring of the whole joint on preoperative MRI may allow for improved counseling regarding expected benefit for patients after cartilage restoration surgery.</div></div><div><h3>Level of Evidence</h3><div>Level IV, prognostic case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100973"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698205","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":"Increased Risk of Patellofemoral Instability Events and Surgical Management in Patients With Joint Hypermobility Syndromes: A Matched Cohort Analysis","authors":"Michael J. Kutschke M.D.,&nbsp;J. Alex Albright B.S.,&nbsp;Julia M. Winschel B.A., M.P.H.,&nbsp;Elaine W. He B.S.,&nbsp;Aristides I. Cruz Jr. M.D., M.B.A.,&nbsp;Alan H. Daniels M.D.,&nbsp;Brett D. Owens M.D.","doi":"10.1016/j.asmr.2024.100995","DOIUrl":"10.1016/j.asmr.2024.100995","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the odds of patellofemoral instability events requiring subsequent surgery and revision surgical intervention in patients with joint hypermobility syndromes (JHS) to that of a matched cohort.</div></div><div><h3>Methods</h3><div>This is a retrospective cohort study using the PearlDiver Mariner Database. Records were queried between 2010 and 2021 with a diagnosis of JHS, including Ehlers-Danlos syndrome (EDS) and Marfan syndrome. Propensity matching was performed with a randomly generated control cohort without a diagnosis of JHS to account for age, sex, Charlson comorbidity index, diabetes, and obesity. Multivariable logistic regression was used to compare rates of patellar dislocation over a 1- and 2-year period between the 2 cohorts while controlling for previous knee injury or surgery. Patients who sustained a patellar dislocation over the 2-year period were followed to calculate rates of surgical intervention and subsequent revision.</div></div><div><h3>Results</h3><div>In a population of 91,747, those with JHS experienced patellofemoral instability at a significantly increased rate at both a 1-year (adjusted odds ratio [aOR] 11.40; 95% confidence interval 9.23-14.25, <em>P</em> &lt; .001) and 2-year (aOR 8.73; 7.36-10.44, <em>P</em> &lt; .001) periods. The greatest risk was observed in patients with EDS at 1 year (aOR 16.32; 12.54-21.67, <em>P</em> &lt; .001). Of those with an instability event, patients with JHS experienced a significantly increased rate of surgery at 1 year (aOR 3.20; 1.61-7.28, <em>P</em> = .002) and 2 years (aOR 3.18; 1.70-6.62, <em>P</em> &lt; .001). Of those treated with surgery, there was no significant difference in the rates of revision surgical intervention between the JHS and control cohorts.</div></div><div><h3>Conclusions</h3><div>Patients with JHS experienced significantly increased rates of patellofemoral instability and subsequent surgery. However, of those treated with surgery, there was no difference in rates of revision surgical intervention between those with or without joint hypermobility syndromes.</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 100995"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956089","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":"Corrigendum to MRI Accurately Predicts Quadrupled Semitendinosus Autograft Size Using Posterior Hamstring Harvest for ACL Reconstruction Journal - Arthroscopy, Sports Medicine, and Rehabilitation, Volume 6, Issue 2, 100844","authors":"","doi":"10.1016/j.asmr.2024.100976","DOIUrl":"10.1016/j.asmr.2024.100976","url":null,"abstract":"","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100976"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956085","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":"Drop Vertical Jump Landing Mechanics Are Similar Between Patients With Quadriceps Tendon and Patellar Tendon Autografts After Anterior Cruciate Ligament Reconstruction","authors":"Jennifer Hunnicutt Ph.D., A.T.C. ,&nbsp;Hannah Collins B.S. ,&nbsp;Michelle McLeod Ph.D., A.T.C. ,&nbsp;Chris Gregory Ph.D., P.T. ,&nbsp;Harris Slone M.D. ,&nbsp;Kate Pfile Ph.D., A.T.C.","doi":"10.1016/j.asmr.2024.100981","DOIUrl":"10.1016/j.asmr.2024.100981","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the biomechanics of a drop vertical jump (DVJ) landing task and functional outcomes among patients with anterior cruciate ligament reconstruction (ACLR) with quadriceps tendon (QT) and patellar tendon (PT) autografts.</div></div><div><h3>Methods</h3><div>Physically active patients who underwent primary ACLR with either a QT or PT autograft were included in this study. All were within 6 months to 2 years after surgery and cleared for return to physical activity. Subjects completed DVJs in a biomechanics laboratory. Peak vertical ground reaction force (VGRF) and lower-extremity joint sagittal and frontal plane kinematics and kinetics were collected and analyzed. Mann-Whitney <em>U</em> tests were used to compare the surgical limbs of the QT and PT autograft groups for kinematic and kinetic variables. Wilcoxon rank-sum tests were used to compare the surgical and nonsurgical limbs for both the QT and PT autograft groups.</div></div><div><h3>Results</h3><div>Twenty-four physically active individuals who underwent primary ACLR with QT (n = 14) or PT (n = 10) autografts completed DVJs in a biomechanics laboratory. There were no statistically significant biomechanical differences between the QT and PT groups. Peak VGRF differed between the surgical and nonsurgical limbs for the QT (surgical and nonsurgical, 1.10 and 1.30 N) and PT (surgical and nonsurgical, 1.10 and 1.35 N) groups. Specifically, both groups demonstrated lower VGRFs in the surgical limb compared with the nonsurgical limb (<em>P</em> &lt; .05). Additional medium and large effect sizes were found when comparing kinetic variables between limbs within both surgical groups.</div></div><div><h3>Conclusions</h3><div>Regardless of the graft-specific surgical technique, patients who undergo ACLR are returning to activity with movements that resemble an offloading pattern of the surgical limb. Coupled with the finding of an absence of differences in kinematic and kinetic variables between the QT and PT autograft groups suggests that the QT graft may be a viable alternate graft source for ACLR.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective comparative study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100981"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956087","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":"Neither Bone Marrow Aspirate Concentrate nor Platelet-Rich Plasma Improves Patient-Reported Outcomes After Surgical Management of Acetabular Labral Tears; However, Bone Marrow Aspirate Concentrate May Be Effective for Moderate Cartilage Damage: A Systematic Review","authors":"Bilal S. Siddiq B.S. ,&nbsp;Riccardo Giorgino M.D. ,&nbsp;Stephen M. Gillinov A.B. ,&nbsp;Jonathan S. Lee B.A. ,&nbsp;Kieran S. Dowley B.A. ,&nbsp;Nathan J. Cherian M.D. ,&nbsp;Scott D. Martin M.D.","doi":"10.1016/j.asmr.2024.100991","DOIUrl":"10.1016/j.asmr.2024.100991","url":null,"abstract":"<div><h3>Purpose</h3><div>To (1) systematically assess which orthobiologic agents are being used in acetabular labral repairs and (2) report all available outcomes for patients undergoing operative management for labral repairs with orthobiologic agents.</div></div><div><h3>Methods</h3><div>The PubMed, Embase, and Cochrane databases were queried in August 2023. Articles were included if they used an orthobiologic agent during hip arthroscopy for acetabular labral repair and reported functional outcomes. Each study was queried for demographic data, orthobiologic agent used, volume of agent used, imaging modality used to guide administration, follow-up period, and all reported outcomes. The following Boolean phrase was used to systematically search the current literature: ((Orthobiologics) OR (Platelet-rich plasma) OR (PRP) OR (Mesenchymal stem cells) OR (MSCs) OR (Hyaluronic acid) OR (Growth factors) OR (bone marrow aspirate) OR (BMAC)) AND (hip joint OR (acetabular labrum) OR (Chondrolabr∗ damage) OR (Chondrolabr∗ tear)) AND (outcome∗ OR function∗ OR PROM OR PRO OR arthr∗ OR image OR pain OR complication).</div></div><div><h3>Results</h3><div>Three studies met the inclusion criteria and included 201 patients who received treatment with orthobiologic agents. Of these patients, 119 (59.7%) were women, with age ranging from 35 to 49 years. Ninety-seven patients (48.3%) received bone marrow aspirate concentrate (BMAC), and 104 (51.7%) received platelet-rich plasma (PRP). Both BMAC studies showed no significant improvements compared with controls; however, a subanalysis limited to patients with moderate cartilage damage who received BMAC showed significantly improved 2-year patient-reported outcome measures (International Hip Outcome Tool 33 score, 82.5 vs 69.5; <em>P</em> = .03). The one PRP study did not show significant improvements compared with controls. No complications were noted after either PRP or BMAC harvesting and application in any included study.</div></div><div><h3>Conclusions</h3><div>Overall, BMAC and PRP do not significantly improve patient-reported outcome measures compared with controls. However, there is limited evidence that BMAC may help patients with moderate cartilage damage.</div></div><div><h3>Level of Evidence</h3><div>Level III, systematic review of Level II and III studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100991"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956091","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":"Cumulative Impact Loading and Cartilage Synthesis Biomarkers May Be Associated With Injury Risk in Female Collegiate Basketball Players","authors":"Julie P. Burland Ph.D., A.T.C., C.S.C.S. ,&nbsp;Michael Szymanski Ph.D., A.T.C. ,&nbsp;Jeb Struder Ph.D. ,&nbsp;Margaret Morrissey Ph.D. ,&nbsp;Michelle Van Dyke Ph.D. ,&nbsp;Christian Lattermann M.D. ,&nbsp;Janelle Francisco M.S., A.T.C. ,&nbsp;Cory M. Edgar M.D., Ph.D.","doi":"10.1016/j.asmr.2024.100992","DOIUrl":"10.1016/j.asmr.2024.100992","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate whether cumulative impact load and serum biomarkers are related to lower-extremity injury and to determine any impact load and cartilage biomarker relationships in collegiate female basketball athletes.</div></div><div><h3>Methods</h3><div>This was a prospective longitudinal study evaluating lower-extremity impact load, serum cartilage biomarkers, and injury incidence over the course of a single collegiate women’s basketball season. Data were collected from August 2022 to April 2023; no other follow-up after the cessation of the season was conducted in this cohort. Inclusion criteria for the study included collegiate women’s basketball athletes, ages 18 to 25 years, who were noninjured at the start of the study time frame (August 2024). Cartilage synthesis (procollagen II carboxy propeptide and aggrecan chondroitin sulfate 846 epitope) and degradation (collagen type II cleavage) biomarkers were evaluated at 6 season timepoints. Impact load metrics (cumulative bone stimulus, impact intensity) were collected during practices using inertial measurement units secured to the distal medial tibiae. Injury was defined as restriction of participation for 1 or more days beyond day of initial injury. Cumulative impact load metrics were calculated over the week before any documented injury and blood draws for analysis. Point biserial and Pearson product moment correlations were used to determine the relationship between impact load metrics, serum biomarkers, and injury.</div></div><div><h3>Results</h3><div>Eleven collegiate women’s basketball athletes (height: 1.86 meters, mass: 82.0 kg, age: 20.54 years) participated. Greater medium-range (6-20 g) cumulative impact intensities during week 5 and 6 for both limbs (r = 0.674, <em>P</em> = .023) and high-range (20-200 g) during week 8 for both limbs (0.672, <em>P</em> = .024) were associated with injury. Greater cumulative bone stimulus was associated with increased procollagen II carboxy propeptide levels before conference playoffs for right (r = 0.694, <em>P</em> = .026) and left (r = 0.747, <em>P</em> = .013) limbs. Greater chondroitin sulfate 846 epitope levels at off-season-1 (r = 0.729, <em>P</em> = .017), and at the beginning of the competitive season (r = 0.645, <em>P</em> = .044) were associated with season-long injury incidence.</div></div><div><h3>Conclusions</h3><div>In this study, we found that moderate-to-high intensity impacts (6-200 g) early in the season were associated with subsequent injury among female collegiate basketball players. Increased cartilage synthesis at various time points was correlated with increased cumulative bone stimulus metrics and season-long injury incidence in this population.</div></div><div><h3>Level of Evidence</h3><div>Level IV, prognostic case series.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100992"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956086","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":"Both English- and Spanish-Language Anterior Cruciate Ligament Reconstruction Online Patient Education Materials Are Written at Higher-Than-Recommended Reading Levels","authors":"Jacob S. Ghahremani B.A. ,&nbsp;Michael Chapek B.A. ,&nbsp;Virginia Xie B.A. ,&nbsp;Tanya Watarastaporn B.S., M.S. ,&nbsp;Nala A. Al-Khatib B.S. ,&nbsp;Ronald A. Navarro M.D.","doi":"10.1016/j.asmr.2024.100982","DOIUrl":"10.1016/j.asmr.2024.100982","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the overall reading levels of anterior cruciate ligament reconstruction online patient education materials (OPEMs) written in English and Spanish.</div></div><div><h3>Methods</h3><div>We conducted Google searches for OPEMs using “ACL surgery” and “<em>cirugía LCA</em>” as English and Spanish search terms, respectively. Several measures of readability were used to analyze 25 English-language OPEMs (Flesch Reading Ease, Flesch Reading Ease Grade Level, Flesch-Kincaid Grade Level, Coleman-Liau Index, Gunning Fog Index, and Simple Measure of Gobbledygook) and 25 Spanish-language OPEMs (Fernández-Huerta Index, Fernández-Huerta Grade Level, and Índice de Legibilidad de Flesch-Szigriszt). English- and Spanish-language OPEMs were compared based on mean overall grade level and number of OPEMs written below a seventh- or ninth-grade reading level.</div></div><div><h3>Results</h3><div>English-language OPEMs showed a higher mean overall grade level than Spanish-language OPEMs (10.48 ± 1.86 vs 8.64 ± 1.22, <em>P</em> &lt; .001). No significant differences were noted in the number of OPEMs written below a seventh-grade reading level. However, significantly more Spanish-language OPEMs were written below a ninth-grade reading level compared with English-language OPEMs (56% vs 16%, <em>P</em> = .003).</div></div><div><h3>Conclusions</h3><div>Although Spanish-language OPEMs were written at a lower reading level, average readability for both English- and Spanish-language OPEMs was significantly higher than the recommended level. Across both languages, only a single English-language webpage met the American Medical Association–recommended sixth-grade reading level. More Spanish-language articles were written at or below the average adult reading level in the United States.</div></div><div><h3>Clinical Relevance</h3><div>It is imperative that patient educational materials be written at a reading level that is understood by the most patients. This is especially true for OPEMs, when a medical provider is not present to answer questions. Therefore, it is important to evaluate the reading level of OPEMs to determine whether they are written at an appropriate level for the best patient understanding.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"6 6","pages":"Article 100982"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850864","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}