Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Failure Rates and Patient-Reported Outcomes Are Similar Across 5 Arthroscopic, Suprapectoral Biceps Tenodesis Fixation Techniques.","authors":"Senah E Stephens, Samantha M Strohm, Rachael M Shaughnessy, Katherine S Worcester, Kevin F Bonner","doi":"10.1002/ars2.70040","DOIUrl":"10.1002/ars2.70040","url":null,"abstract":"<p><strong>Purpose: </strong>To compare failure rates and patient-reported outcome measures (PROMs) across 5 arthroscopic, suprapectoral biceps tenodesis fixation techniques: tenodesis screw, tenodesis anchor, expanding tenodesis anchor, onlay with single all-suture anchor, and soft tissue tenodesis in the bicipital groove with suture.</p><p><strong>Methods: </strong>This was a retrospective cohort study approved by the Institutional Review Board, including patients age 18 years or older who underwent arthroscopic, suprapectoral biceps tenodesis between 2014 and 2024 with a minimum of 6 months of clinical follow-up. Exclusion criteria included cervical pathology, chronic pain syndromes, revisions, and workers' compensation cases. Patients completed PROMs including pain Visual Analog Scale (VAS), the American Shoulder and Elbow Surgeons (ASES) survey, the Simple Shoulder Test (SST), and a site-specific questionnaire. Clinical failures were recorded from clinic notes. Statistics were calculated using JMP Pro 18.0.1.</p><p><strong>Results: </strong>In total, 351 patients were enrolled: 79 with tenodesis screw, 69 with tenodesis anchor, 74 with expanding tenodesis anchor, 55 with single all-suture anchor, and 74 with soft tissue tenodesis. The average patient age was 61.7 ± 9.44 years for females and 61.8 ± 9.49 years for males. The average follow-up was 4.70 ± 2.44 years for females and 4.82 ± 1.77 years for males. The clinical failure rate was 2.28% (n = 8: 2 females and 6 males) with no differences between fixation techniques (<i>P</i> = .882). The overall rate of patient-reported \"Popeye\" deformity was 4.84% (n = 17: 4 females and 13 males, <i>P</i> = .130). PROMs, including pain VAS, ASES, and SST scores, were comparable across techniques (<i>P</i> = .280, .201, .095, respectively).</p><p><strong>Conclusions: </strong>Patients had similar outcomes regardless of arthroscopic, suprapectoral biceps tenodesis fixation technique. Approximately 1 in 20 patients reported a perceived \"Popeye\" deformity with longer-term follow-up of 5 years.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70040"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585415","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 for Femoroacetabular Impingement Syndrome Improves Patient-Reported Outcome Scores Regardless of Smoking Status.","authors":"Omkar N Prabhavalkar, Hashim J F Shaikh, Patrick Castle, Sarah Wegman, Richard Lander, Justin Harrington, Urvi J Patel, Brian D Giordano","doi":"10.1002/ars2.70035","DOIUrl":"10.1002/ars2.70035","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To compare outcomes of hip arthroscopy using Patient-Reported Outcomes Measurement Information System (PROMIS) scores in patients with a history of smoking versus nonsmokers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Patients who underwent hip arthroscopy at our institution between January 2015 and June 2024 and had PROMIS data including physical function (PF), pain interference (PI), and depression scores were collected and split into 2 groups based on smoking history. Patients were included in this study if they were aged ≥18 years at the time of surgery and underwent hip arthroscopy for the treatment of femoroacetabular impingement syndrome, with preoperative PROMIS and postoperative PROMIS scores ≥1 year. The group of smokers was then propensity-matched to the group of nonsmokers based on age at surgery, body mass index, sex, race, and insurance status. Continuous variables were calculated as mean ± standard deviation and compared using 2-tailed &lt;i&gt;t&lt;/i&gt;-tests while categorical variables were compared using chi-square analysis between the 2 groups. Mean clinically important difference was defined as one-half the standard deviation of preoperative PROMIS scores. Patient acceptable symptomatic state thresholds were 51.8 for PF and 51.9 for PI.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Two hundred eighty-seven nonsmokers and 88 smokers met inclusion criteria and had minimum 1-year follow-up. Eighty-seven smokers (87 hips) were propensity-matched to 171 nonsmokers (171 hips). The mean follow-up time was 28.4 ± 16.2 months. There were no differences in the groups with regard to sex (&lt;i&gt;P&lt;/i&gt; = .88), age at surgery (&lt;i&gt;P&lt;/i&gt; = .25), race (&lt;i&gt;P&lt;/i&gt; = .50), body mass index (&lt;i&gt;P&lt;/i&gt; = .88), or insurance status (&lt;i&gt;P&lt;/i&gt; = .96). There were no significant differences in procedures such as labral repairs, femoroplasties, or acetabuloplasties performed. Both groups experienced improvement from preoperative to postoperative PROMIS scores for all domains. The nonsmokers group showed significantly greater preoperative PF (&lt;i&gt;P&lt;/i&gt; = .0053), PI (&lt;i&gt;P&lt;/i&gt; = .0024), and depression (&lt;i&gt;P&lt;/i&gt; &lt; .001) scores and significantly greater postoperative PF (&lt;i&gt;P&lt;/i&gt; = .0043), PI (&lt;i&gt;P&lt;/i&gt; = .017), and depression (&lt;i&gt;P&lt;/i&gt; = .0019) scores. No differences were seen in the achievement of mean clinically important difference between groups (PF: 52.9% vs 52.6%, &lt;i&gt;P&lt;/i&gt; = .97; PI: 31% vs 33.9%, &lt;i&gt;P&lt;/i&gt; = .64). No differences were seen in patient acceptable symptomatic state between groups (PF: &lt;i&gt;P&lt;/i&gt; = .23, PI: &lt;i&gt;P&lt;/i&gt; = .77).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Patients with a smoking history showed significant improvement in PROMIS scores following hip arthroscopy. Smokers began and ended recovery with lower PROMIS scores, indicating that smoking affects baseline status and final outcomes, despite comparable improvement. No differences were seen in the achievement of mean clinically important difference.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Level of evidence: &lt;/strong&gt;Level III, re","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70035"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585409","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":"Magnetic Resonance Imaging Modified Dixon Fat Quantification Analysis Is a Quantitative and Reliable Method for Evaluating Fatty Atrophy of the Hamstring Muscle Complex After Proximal Avulsion Injury.","authors":"John Hanke, Philipp Schenk, Irga Kemal, Markus Heinecke, Philipp Kobbe, Thomas Mendel","doi":"10.1002/ars2.70033","DOIUrl":"10.1002/ars2.70033","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the reliability and validity of objective fat quantification using the modified Dixon magnetic resonance imaging sequence for assessing fatty degeneration in conservatively treated patients with proximal hamstring avulsion injuries.</p><p><strong>Methods: </strong>Magnetic resonance imaging with modified Dixon sequence was used. The fat percentage was measured in the modified Dixon FatFraction Map by setting a region of interest, whereby 3 methods were used with decreasing accuracy: anatomical outline of the entire bundle region of interest, respective elliptical region of interest of all 3 muscle bellies, and individual elliptical regions of interest of the bundle. In addition, the ischiocrural muscle cross-sectional area and the Goutallier-like classification were determined as a measure of atrophy.</p><p><strong>Results: </strong>Magnetic resonance imaging was performed 35.8 ± 22.43 months after injury. Data from 16 patients (11 women, 5 men) with conservatively treated, unilateral proximal tendon rupture of the ischiocrural muscle (Wood type 3-5) were included. When determining the cross-sectional area and the modified Dixon fat content, the inter- and intraobserver reliability was good (all ≥ 0.933). In comparison, the reliability values of the Goutallier-like classification were worse (0.897 and 0.733). The entire bundle and muscle belly region of interest methods for determining the modified Dixon fat content showed comparable results and are therefore suitable for fat quantification. The fat content determined in the anatomical region of interest correlated significantly with the stages of the Goutallier-like classification (0.823, 95% confidence interval: 0.659, 0.912, <i>P</i>  < .001) and the muscle cross-sectional area (0.363, 95% confidence interval: -0.005, 0.638, <i>P</i>  = .041).</p><p><strong>Conclusions: </strong>The modified Dixon sequence represents a quantitative-objective measure and is suitable as a measurement tool for fatty atrophy after proximal tendon injuries of the ischiocrural muscles. A simplified region of interest placement approach showed good validity and reproducibility.</p><p><strong>Level of evidence: </strong>Level III, retrospective diagnostic comparative study.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70033"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significant Deficits Are Seen in Extensor Muscle Performance but Not Flexor Muscle Performance 6 Months After Anterior Cruciate Ligament Reconstruction Using a Rectus Femoris Tendon Autograft.","authors":"Alef Cavalcanti Matias de Barros, Márcio Cabral Fagundes Rêgo, Karinna Sonálya Aires da Costa Oliveira, Marcelo Cabral Fagundes Rêgo, Carlos Eduardo da Silveira Franciozi, Diego Ariel de Lima, Camilo Partezani Helito, José Leonardo Rocha de Faria, Jamilson Simões Brasileiro","doi":"10.1002/ars2.70024","DOIUrl":"10.1002/ars2.70024","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate bilateral isokinetic performance symmetry of knee extensors and flexors 6 months after anterior cruciate ligament reconstruction using a rectus femoris tendon autograft.</p><p><strong>Methods: </strong>This retrospective case series included patients consecutively recruited at a single tertiary sports medicine center between January 2023 and July 2024. Inclusion required primary anterior cruciate ligament reconstruction with a rectus femoris autograft, no prior knee surgeries, and a minimum 6-month follow-up; patients with revision or multiligamentous procedures were excluded. Isokinetic testing was performed at 6 months using a computerized dynamometer. The nonoperative limb was tested first, followed by the operative limb. Patients performed 5 maximal effort trials at 60°/s for both extension and flexion. Measured outcomes included peak torque (PT), PT normalized to body weight, angle at PT, total work (TT), and mean power (PM) for both knee extension and flexion. Paired t-tests compared operated and nonoperated limbs. Statistical significance was set at <i>P</i> ≤ .05.</p><p><strong>Results: </strong>Thirty-one male patients (mean age, 26.3 ± 4.7 years) were included, with a mean follow-up of 6.2 ± 0.4 months. At 6 months, the operated limb achieved 71% of contralateral PT and 75% of contralateral PM, with significant deficits in extension PT (<i>P</i> < .001), PT normalized to body weight (<i>P</i> < .001), TT (<i>P</i>  < .001), and PM (<i>P</i> = .002), while no significant difference was found for angle at PT (<i>P</i> = .457). Flexor performance showed near-complete recovery, with the operated limb reaching 93% of contralateral peak torque and 90% of TT, with <i>P</i> = .355, .340, .902, .153, and .316 for PT, PT normalized to body weight, angle at PT, TT, and PM, respectively.</p><p><strong>Conclusions: </strong>At 6 months, anterior cruciate ligament reconstruction with a rectus femoris autograft was associated with complete recovery of knee flexor performance but persistent deficits in knee extensor performance.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70024"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585180","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":"Preoperative Resilience Does Not Predict Functional Outcomes After Rotator Cuff Repair: A Systematic Review.","authors":"Paxton Sweeney, Nzubechukwu Joshua Obidike, Ryan W Paul, Jordan T Windsor, Francis J Sirch, Fotios P Tjoumakaris, Kevin B Freedman","doi":"10.1002/ars2.70025","DOIUrl":"10.1002/ars2.70025","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether preoperative or concurrent resilience is related to postoperative functional outcomes after arthroscopic rotator cuff repair (aRCR).</p><p><strong>Methods: </strong>A literature search was conducted from PubMed, SportDiscus, and OVID Medline databases to identify studies evaluating the effect of preoperative resilience on postoperative outcomes in aRCR patients. Articles were included if they measured preoperative or concurrent resilience in aRCR patients as well as postoperative outcomes with a minimum 6-month follow-up. Concurrent resilience refers to resilience measured during the postoperative recovery period rather than prior to surgery (preoperative resilience). Patient resilience as measured via any resilience scale (e.g., Brief Resilience Scale, Life Orientation Test-Revised, and Connor-Davidson Resilience Scale) were collected, as were functional outcome scores such as the American Shoulder and Elbow Surgeons (ASES) score. Due to heterogeneity in study designs, a qualitative analysis was performed.</p><p><strong>Results: </strong>Seven studies, with a total of 614 patients, met the inclusion criteria. Six included studies that evaluated preoperative patient resilience and ASES scores found that preoperative patient resilience was not correlated with ASES scores 0.5 to 4 years following aRCR. Four studies assessed the relationship between concurrent resilience and ASES scores, with 2 studies showing significant correlations and 2 studies finding no significant correlation.</p><p><strong>Conclusions: </strong>Preoperative patient resilience does not correlate with postoperative ASES scores after aRCR. Concurrent patient resilience during recovery shows mixed associations with postoperative ASES scores, with some studies reporting significant correlations and others finding none.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of Level II to IV studies.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 2","pages":"e70025"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362704","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":"Minimal Reduction in Patellar Height Following Anteromedializing Tibial Tubercle Osteotomy With Medial Patellofemoral Ligament Reconstruction.","authors":"Divesh Sachdev, Cade Smelley, Jay Amin, Christopher Song, Daniel Shinn, Nicholas Lemme, Brian Cole, Adam B Yanke","doi":"10.1002/ars2.70012","DOIUrl":"10.1002/ars2.70012","url":null,"abstract":"<p><strong>Purpose: </strong>To assess whether anteromedializing tibial tubercle osteotomy (AMZ TTO) results in reduction in patellar height when performed alongside medial patellofemoral ligament reconstruction (MPFLR) for the treatment of patellar instability.</p><p><strong>Methods: </strong>We performed a retrospective review of patients who underwent AMZ TTO with MPFLR between 2017 and 2024. Patients were included if they had recurrent patellar instability, underwent AMZ without intentional distalization, and had preoperative and postoperative perfect lateral radiographs obtained between 20° and 40° of flexion. A minimum postoperative radiographic follow-up of 1 week was required. Patellar height was measured using the Caton-Deschamps Index (CDI). Further comparisons were done based on patients' quadriceps status at their postoperative visit, grouped by the ability to perform a straight leg raise (SLR).</p><p><strong>Results: </strong>A total of 33 knees met inclusion criteria. There were 4 (12%) male patients and 29 (88%) female patients. The left knee was involved in 18 (55%). The mean age was 26.49 ± 10.7 years. The mean body mass index was 25.68 ± 5.64. Patients' preoperative and postoperative CDIs were measured an average of 109 (13-239) days before and 76 (13-221) days after surgery, respectively. Following AMZ TTO and MPFLR, the mean CDI significantly decreased from 1.11 to 1.07 (Δ = -0.037 ± 0.06, <i>P</i> = .002). Patients with preoperative patella alta (N = 8) had a significant reduction in CDI (1.29-1.23, Δ = -0.056 ± 0.050, <i>P</i> = .02), whereas the difference was not significant for those without preoperative patella alta (1.05-1.02, Δ = -0.031 ± 0.068, <i>P</i> = .05). No significant difference was found in preoperative to postoperative CDI change between the 2 groups (<i>P</i> = .22). CDI change was compared across 3 groups based on SLR ability: normal SLR, SLR with extensor lag, and unable to SLR. No significant difference was found by analysis of variance, and post hoc Tukey's tests also showed no significant pairwise differences (all <i>P</i> > .05).</p><p><strong>Conclusions: </strong>AMZ TTO performed with concomitant MPFLR and without intentional distalization produced a small but statistically significant early decrease in CDI that is unlikely to be clinically meaningful.</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":"e70012"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585511","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 Posterior Labral Repair in Professional Contact Athletes Restores Shoulder Stability and Enables Successful Return to Pre-injury Competition.","authors":"Ayham Jaber, Lorenz Fritsch, Michael Nocek, Christopher J Hawryluk, Maximilian Hinz, Matthew T Provencher, Peter J Millett","doi":"10.1002/ars2.70014","DOIUrl":"10.1002/ars2.70014","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate return-to-competition rates, posterior shoulder instability recurrences, and revision surgeries following arthroscopic posterior labral repair in this elite cohort.</p><p><strong>Methods: </strong>A retrospective review of prospectively collected data included professional contact athletes undergoing primary arthroscopic posterior labral repair by a single surgeon (June 2016 to February 2024). Inclusion required age ≥18, active professional status at surgery, and minimum 12-month follow-up. Patients with concomitant cuff repairs or bony procedures were excluded. Outcomes included return-to-competition (defined as the first postoperative professional game), time to return-to-competition, instability recurrence, games per season, and career longevity using public performance data.</p><p><strong>Results: </strong>Seventeen professional male contact-sport athletes (mean age 24 ± 3.7 years) met inclusion criteria. Ten were National Hockey League hockey players and 7 were National Football League football players. All (100%) returned to their pre-injury level at a median of 173 days (range 89-370 days). At mean follow-up of 45 ± 22.9 months, 1 athlete experienced recurrent instability, which was managed nonoperatively. No athlete retired postoperatively. Fourteen of 17 played more games per season following surgery, with a mean increase of 26.6% ± 21.8%.</p><p><strong>Conclusions: </strong>Arthroscopic posterior labral repair is a highly effective surgical intervention for restoring shoulder stability and enabling a reliable return to play among professional contact-sport athletes. In this cohort of elite-level, professional competitors, most athletes returned to their pre-injury level of competition and continued playing without issue, with only 1 case of recurrent instability that did not require revision surgery at a minimum 1-year follow-up.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"8 2","pages":"e70014"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362701","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 Rerouted and In Situ Biceps Superior Capsular Reconstruction Augmentation During Arthroscopic Rotator Cuff Repair Improve Clinical Outcomes.","authors":"Chang Hee Baek, Bo Taek Kim, Gustavo A Gil Noriega, Jung Gon Kim, Chaemoon Lim, Paulo J Llinás Hernández","doi":"10.1002/ars2.70007","DOIUrl":"10.1002/ars2.70007","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical and radiologic outcomes at a 2-year follow-up of arthroscopic rotator cuff repair (RCR) augmented with superior capsular reconstruction (SCR) using the long head of the biceps tendon (LHBT) in patients with reparable posterosuperior rotator cuff tears.</p><p><strong>Methods: </strong>This retrospective, multicenter study included patients who underwent arthroscopic RCR with LHBT-based SCR at 2 institutions: Center A (October 2020 to March 2023) and Center B (June 2022 to July 2024), with a follow-up of 2 years. Indications included reparable supraspinatus and/or infraspinatus tears with Patte stage 2-3 retraction and Goutallier grade 3-4 fatty infiltration. Patients underwent RCR with either in situ LHBT fixation (Center A) or rerouted LHBT fixation to the center of the greater tuberosity (Center B). Exclusion criteria included prior shoulder surgery, infection, irreparable subscapularis tear, or loss to follow-up. Clinical outcomes were assessed using the visual analog scale, American Shoulder and Elbow Surgeons score, and range of motion. Radiologic evaluation included acromiohumeral distance, Hamada grade, and repair integrity via ultrasound or magnetic resonance imaging.</p><p><strong>Results: </strong>After excluding 10 patients, 58 were included (N = 26, Center A; N = 32, Center B), and their 2-year clinical outcomes were compared. Visual analog scale improved from 5.9 ± 1.5 to 2.1 ± 1.3, and American Shoulder and Elbow Surgeons score from 41.2 ± 10.0 to 73.6 ± 12.7 (<i>P</i> < .001). Minimal clinically important difference was achieved in 96.5% (visual analog scale) and 94.8% (American Shoulder and Elbow Surgeons). Range of motion improved significantly in forward elevation, abduction, and external rotation. Acromiohumeral distance (increased from 8.1 to 9.0 mm [<i>P</i> < .001]) with no progression in Hamada grade. Both centers showed comparable improvements with no significant differences in outcomes between techniques.</p><p><strong>Conclusions: </strong>Arthroscopic RCR augmented with SCR using the LHBT resulted in significant improvements in pain, function, and range of motion at the 2-year follow-up in patients with reparable rotator cuff tears. Both in situ and rerouted LHBT-based SCR techniques produced comparable clinical and structural outcomes, with no significant differences observed between the 2 methods, with the potential for type II error due to low power.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative case series.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70007"},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585412","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":"Face and Construct Validity of a Grapefruit Arthroscopy Training Model With Active Fluid Management.","authors":"Harrison A Volaski, Christopher Perrino, Yungtai Lo, Michael Hossack, Benjamin J Levy, I Martin Levy","doi":"10.1002/ars2.70026","DOIUrl":"10.1002/ars2.70026","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the face and construct validity of a grapefruit arthroscopy training model with active fluid management across varying levels of arthroscopic experience.</p><p><strong>Methods: </strong>Orthopaedic residents, fellows, and attending surgeons were stratified into novice (n = 10), intermediate (n = 10), and advanced (n = 9) groups. Participants performed 5 standardized arthroscopic tasks on the grapefruit arthroscopy training model with active fluid management, including fluid management and precision resection. Performance was assessed using a composite scoring system evaluating task completion, accuracy, and water management (maximum 31 points), and total task completion time was recorded. Construct validity was evaluated by comparing performance metrics across experience levels. Face validity was assessed by attending surgeon survey responses.</p><p><strong>Results: </strong>Median composite performance scores increased with experience level (novice, 21.5; intermediate, 28.5; advanced, 31; <i>P</i> < .001). Advanced participants outperformed both intermediate (<i>P</i> = .001) and novice participants (<i>P</i> < .001). Median total task completion time decreased from 18 min in novice participants to 6.3 min in advanced participants (<i>P</i> < .003). Advanced participants showed superior water management compared with less experienced groups (<i>P</i> = .009). Survey responses from 9 attendings supported face validity, with 77.8% to 100% rating the model as \"very closely\" aligned with training objectives.</p><p><strong>Conclusions: </strong>This grapefruit arthroscopy training model with active fluid management showed face and construct validity, with increasing arthroscopic experience associated with higher performance scores and shorter task completion times.</p><p><strong>Clinical relevance: </strong>A validated arthroscopic training model with active fluid management may serve as an accessible educational tool for early arthroscopic skill development and assessment.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70026"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585357","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":"Residency Research Quality Outweighs Quantity in Predicting Sports Medicine Fellowship Placement.","authors":"Carolina Gomez, Olivia Goldenberg, Sarah Haugh, Shreya M Saraf, Mary K Mulcahey","doi":"10.1002/ars2.70027","DOIUrl":"10.1002/ars2.70027","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether academic productivity during residency correlates with the type of orthopaedic sports medicine fellowship program attended.</p><p><strong>Methods: </strong>All orthopaedic sports medicine fellowship programs accredited by the Accreditation Council for Graduate Medical Education were identified by cross-referencing databases from the Arthroscopy Association of North America and the American Orthopaedic Society for Sports Medicine. An initial database search was conducted in September of 2024. Fellow and faculty names were collected from program websites or requested via email. Programs that did not list fellow or faculty names and did not provide them upon request were excluded. The research team followed up on the request for information if response was not received after 2 weeks. All programs that were listed in all 3 of the referenced databases and had fellow/faculty information publicly available or provided upon request were included in the study. Publication data were obtained using Scopus. Fellow academic productivity was assessed by H-index and number of publications during residency. Faculty H-index scores were averaged to represent each program's academic productivity.</p><p><strong>Results: </strong>Fifty-seven programs met inclusion criteria. Programs were categorized as high or low academic productivity based on the median average faculty H-index, and the threshold was determined to be 16.5. High-academic-productivity programs (n = 29) had a median faculty H-index of 23.30 (mean: 27.46 ± 9.6), compared with 11.00 (mean: 10.89 ± 3.23) in low-productivity programs (n = 28). A statistically significant but weak correlation was found between faculty H-index and fellow H-index (<i>P</i> = .045; Spearman's rho = 0.266). A weaker, nonsignificant correlation was observed between faculty H-index and fellow publication count during residency (<i>P</i> = .075; Spearman's rho = 0.237). Subgroup analysis showed no significant differences in fellow H-index or residency publication count between high- and low-productivity programs (<i>P</i> = .060 and <i>P</i> = .090, respectively).</p><p><strong>Conclusions: </strong>Fellows in more academically productive fellowship programs show slightly higher H-indices overall, yet the correlation is weak and productivity alone does not predict the type of fellowship program attended.</p><p><strong>Clinical relevance: </strong>These findings offer insight into how research productivity during residency may play a role in determining the level of academic productivity of sports medicine fellowship programs and where residents match.</p>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":" ","pages":"e70027"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585514","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}