{"title":"Efficacy of Peri-Articular and Peri-Hamstring Injections for Postoperative Pain Management in Anterior Cruciate Ligament Reconstruction with Hamstring Autograft: A Double-Blinded, Randomized Controlled Trial.","authors":"Napatpong Thamrongskulsiri, Phanusorn Chancharoenchai, Thanathep Tanpowpong, Somsak Kuptniratsaikul, Thun Itthipanichpong, Danaithep Limskul","doi":"10.1016/j.jisako.2025.100842","DOIUrl":"https://doi.org/10.1016/j.jisako.2025.100842","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the efficacy of combining multimodal cocktail drug local injection with adductor canal block versus adductor canal block alone for postoperative pain management following anterior cruciate ligament (ACL) reconstruction with hamstring autograft.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 40 patients undergoing ACL reconstruction. Participants were assigned to two groups: one received a multimodal cocktail drug injection into the peri-articular and peri-hamstring regions combined with an adductor canal block (study group), while the other received only the adductor canal block (control group). Pain was assessed using the numeric rating scale (NRS) overall and at the posteromedial thigh. Additional data included morphine consumption, postoperative nausea and vomiting (PONV), knee range of motion, and patient-reported outcomes. Statistical comparisons were performed using the unpaired t-test or Mann-Whitney U test, as appropriate, with significance set at P < 0.05.</p><p><strong>Results: </strong>The multimodal cocktail group reported statistically significantly lower overall NRS pain scores at 6, 12, and 24 hours postoperatively compared to the control group (P < 0.001 for all). At the posteromedial thigh, NRS scores were statistically significantly lower at 6 and 12 hours (P < 0.001) but not at 24 hours or later time points. Morphine consumption was statistically significantly lower in the multimodal cocktail group at 12 and 24 hours (P = 0.004 and P = 0.008, respectively), and PONV scores were reduced (P = 0.04). No statistically significant differences were observed between the groups in knee flexion (P = 0.656) or patient-reported outcomes at 6 weeks (P > 0.05).</p><p><strong>Conclusions: </strong>The findings of this study suggest that multimodal cocktail injections may enhance early postoperative pain control, reduce opioid consumption, and minimize PONV without compromising short-term functional recovery. These findings support its potential role in pain management following ACL reconstruction, though larger studies are warranted to confirm these results.</p><p><strong>Level of evidence: </strong>Level I - randomized controlled trial.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100842"},"PeriodicalIF":2.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine Hand, Camden Bohn, Shadia Tannir, Marisa Ulrich, Sami Saniei, Miguel Girod-Hoffman, Yining Lu, Brian Forsythe
{"title":"American Academy of Orthopedic Surgery OrthoInfo provides more readable information regarding rotator cuff injury than ChatGPT.","authors":"Catherine Hand, Camden Bohn, Shadia Tannir, Marisa Ulrich, Sami Saniei, Miguel Girod-Hoffman, Yining Lu, Brian Forsythe","doi":"10.1016/j.jisako.2025.100841","DOIUrl":"https://doi.org/10.1016/j.jisako.2025.100841","url":null,"abstract":"<p><strong>Introduction: </strong>With over 61% of Americans seeking health information online, the accuracy and readability of this content are critical. AI tools, like ChatGPT, have gained popularity in providing medical information, but concerns remain about their accessibility, especially for individuals with lower literacy levels. This study compares the readability and accuracy of ChatGPT-generated content with information from the American Academy of Orthopedic Surgery (AAOS) OrthoInfo website, focusing on rotator cuff injuries.</p><p><strong>Methods: </strong>We formulated seven frequently asked questions about rotator cuff injuries, based on the OrthoInfo website, and gathered responses from both ChatGPT-4 and OrthoInfo. Readability was assessed using multiple readability metrics (Flesch-Kincaid, Gunning Fog, Coleman-Liau, SMOG Readability Formula, FORCAST Readability Formula, Fry Graph, Raygor Readability Estimate), while accuracy was evaluated by three independent reviewers. Statistical analysis included t-tests and correlation analysis.</p><p><strong>Results: </strong>ChatGPT responses required a higher education level to comprehend, with an average grade level of 14.7, compared to OrthoInfo's 11.9 (p < 0.01). The Flesch Reading Ease Index indicated that OrthoInfo's content (52.5) was more readable than ChatGPT's (25.9, p < 0.01). Both sources had high accuracy, with ChatGPT slightly lower in accuracy for the question about further damage to the rotator cuff (p < 0.05).</p><p><strong>Conclusion: </strong>ChatGPT shows promise in delivering accurate health information but may not be suitable for all patients due to its higher complexity. A combination of AI and expert-reviewed, accessible content may enhance patient understanding and health literacy. Future developments should focus on improving AI's adaptability to different literacy levels.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100841"},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Return-to-sport tests: Do they reduce risk of re-rupture after anterior cruciate ligament reconstruction?","authors":"David Figueroa Poblete , Waldo Gonzalez Duque , Daniela Landea Caroca , Camila Tapia Castillo , Daniela Erskine Ventura","doi":"10.1016/j.jisako.2025.100399","DOIUrl":"10.1016/j.jisako.2025.100399","url":null,"abstract":"<div><h3>Introduction</h3><div>Anterior cruciate ligament (ACL) rupture is one of the most common knee injuries. Despite the effectiveness of reconstruction, re-rupture rates of up to 15 % have been reported. Static and dynamic test of strength and movement control have been used to determine when return to sports (RTS) is appropriate.</div></div><div><h3>Objective</h3><div>To determine whether successfully passing return to sport (RTS) tests reduces the re-rupture rate.</div></div><div><h3>Methods</h3><div>Retrospective cohort study. Patients who underwent ACL reconstruction (ACLR) from June 2018 to May 2023, and who performed RTS tests after rehabilitation, were analyzed. Patients who, in addition to ACLR, underwent extra-articular tenodesis, osteotomy, or multiligament injuries were excluded. RTS tests included the following: repeat sprint ability, dynamic valgus, proagility, unilateral counter movement jump (CMJ), isokinetic, triple hop test, and functional movement screen (FMS). All statistical analyses were performed with STATA version 18.0.</div></div><div><h3>Results</h3><div>Ninety five patients underwent RTS tests after ACLR, with a follow-up time of 27.8 months. 71.6 % of patients were men with a mean age of 25.15 ± 10.7 years. The overall re-rupture rate was 13.68 % (13 patients). When comparing patients who passed and did not pass the RTS tests, there were no differences by sex (p = 0.06) or age (p = 0.11). The only statistically significant difference between the groups was the mean risk score (passed: 11.5 ± 0.7 vs. not passed: 15.5 ± 2.1; p < 0.001). Patients with re-rupture were more likely to be from the non-passed group (passed: 0 % v/s not passed: 18.1 %; p = 0.03), with a statistical power of 0.70.</div></div><div><h3>Conclusion</h3><div>Our records show that passing RTS test after an ACLR could guarantee the absence of re-rupture in the medium term.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"11 ","pages":"Article 100399"},"PeriodicalIF":2.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411202","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":"Associations Between Hip Cartilage Lesions and Morphologic Parameters of Bony Structures in a Cohort of Asian Patients with Labral Tears Measured Using a Computed Tomography-Based Software System.","authors":"Hokuto Fukuda, Yoichi Murata, Haruki Nishimura, Hirotaka Nakashima, Shinichiro Takada, Keisuke Nakayama, Ritwik Ganguli, Akinori Sakai, Soshi Uchida","doi":"10.1016/j.jisako.2025.100400","DOIUrl":"https://doi.org/10.1016/j.jisako.2025.100400","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the associations between hip cartilage lesions and bony morphologic parameters in the hip joints using a computed tomography-based software system.</p><p><strong>Methods: </strong>Seventy-nine symptomatic hips that underwent hip arthroscopic labral preservation surgery were enrolled in this study. Bony structural morphologic parameters were subsequently assessed via a computed tomography-based software system. The indices included the femoral neck anteversion (FNA), alpha angle (AA) at each o'clock position of the femoral head, lateral center edge angle (LCEA), and 3 dimensional acetabular coverage (3D-AC). Cartilage damage was confirmed arthroscopically and classified according to the Multicenter Arthroscopy of the Hip Outcome Research Network (MAHORN) classification as well as the International Cartilage Repair Society (ICRS) classification.</p><p><strong>Results: </strong>Of the 79 hips, 41 patients were male, and 38 were female, with a mean age of 39.1 years ± 16.1 years (11-78). The mean LCEA was 27.6° ± 8.6° (range 7° to 46°), and the mean FNA was 22.9° ± 14.4° (range -2° to 63°). Grade 4 or 5 MAHORN acetabulum cartilage lesions were observed in 10 hips (13%), while femoral head cartilage lesions with ICRS grade of 3 or 4 were found in 10 hips. Patients with MAHORN grade 4 or 5 cartilage lesions had significantly greater FNA compared to those with MAHORN grade 0 to 3 lesions (32.6° ± 10.3° versus 21.4° ± 14.4°, p = 0.009). Although patients with MAHORN grade 4 or 5 lesions had greater AA at the entire o'clock of the femoral neck, the difference was not statistically significant. Patients whose FNAs were 26° or larger had a 6.2-fold greater odds ratio (95% CI, 1.2-31.5) of acetabular cartilage damage than those whose FNAs were less than 26° (p = 0.015).</p><p><strong>Conclusion: </strong>The use of computed tomography-based software provided detailed insights into bony abnormalities reinforcing its utility in evaluating hip joint pathologies and their relationship with cartilage lesions.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100400"},"PeriodicalIF":2.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph D Giusto, Efstathios Konstantinou, Stephen J Rabuck, Bryson P Lesniak, Jonathan D Hughes, James J Irrgang, Volker Musahl
{"title":"When is Anterolateral Complex Augmentation Indicated? Perspectives from the 2024 Freddie Fu Panther Sports Medicine Symposium.","authors":"Joseph D Giusto, Efstathios Konstantinou, Stephen J Rabuck, Bryson P Lesniak, Jonathan D Hughes, James J Irrgang, Volker Musahl","doi":"10.1016/j.jisako.2025.100393","DOIUrl":"https://doi.org/10.1016/j.jisako.2025.100393","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the trends and indications for anterolateral complex augmentation during anterior cruciate ligament reconstruction (ACL-R) among international orthopaedic sports surgeons.</p><p><strong>Methods: </strong>An electronically distributed survey was sent out to international surgeons with high-volume experience in complex ligament reconstructions and revision surgery attending the 2024 Freddie Fu Panther Sports Medicine Symposium. The survey was sent prior to the meeting with questions related to the use of lateral extra-articular tenodesis (LET) or anterolateral ligament reconstruction (ALL-R) during ACL-R. Sessions pertaining to anterolateral complex augmentation were held during the symposium to inform about current clinical practices among attendees.</p><p><strong>Results: </strong>A total of 49 surgeons were identified from 5 different geographic regions prior to the meeting date and sent an electronic survey, of which 48 responded (98% response rate). Among surgeons who reported performing anterolateral complex augmentation procedures (n=45), a total of 39 (87%) respondents reported using only the LET technique, 2 (4%) using only the ALL-R technique, and 4 (9%) using both techniques during ACL-R. The most common indication for anterolateral complex augmentation was a high-grade pivot shift, which 39/43 (91%) of respondents ranked in their top 3 indications. In the setting of primary ACL-R, respondents added a LET when using hamstring tendon autograft in 38% of cases on average compared with 34% of cases when using either bone-patellar tendon-bone autograft or quadriceps tendon autograft. In the setting of revision ACL-R, a LET was added in an average of 68% of cases for a first-time revision ACL-R and 84% of cases for a multiple revision ACL-R.</p><p><strong>Conclusion: </strong>The most common indication for ACL-R with anterolateral complex augmentation was a high-grade pivot shift and most respondents preferred LET over ALL-R. Respondents performed LET in a comparable percentage of cases of primary ACL-R using hamstring tendon, bone-patellar tendon-bone and quadriceps tendon autografts and this number increased with the number of revision ACL-Rs. Based on the results of this survey, surgeons may consider adding a LET in cases of revision ACL-R or in patients with a high-grade pivot shift.</p><p><strong>Level of evidence: </strong>Level V.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100393"},"PeriodicalIF":2.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Green , Kimberly Templeton , Ashley J. Bassett
{"title":"The inclusion of sex and gender in research methodology, funding, and publication: A systematic review","authors":"Jennifer Green , Kimberly Templeton , Ashley J. Bassett","doi":"10.1016/j.jisako.2024.100377","DOIUrl":"10.1016/j.jisako.2024.100377","url":null,"abstract":"<div><h3>Importance</h3><div>Gender inequity in access to and outcomes of orthopedic care demands research that properly analyses data based on sex and gender. Orthopedic surgeons have an obligation to mitigate gender inequity in the provision of care by addressing the sex and gender bias in orthopedic research methodology, grant funding, and publication demonstrated by this review. This study aimed to review the literature on known gender inequities in orthopedic care, as well as sex and gender bias in orthopedic research methodology, funding, and publication; and to then to outline mitigating strategies.</div></div><div><h3>Methods</h3><div>A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for articles published in English between 2000 and 2024. The databases searched included MEDLINE, PubMed, EMBASE, Scopus and Cochrane, and Scopus.</div></div><div><h3>Results</h3><div>A total of 70 studies were identified that met inclusion criteria. Women often have poorer access to care and poorer outcomes than men for many common orthopedic procedures. Sex-specific analysis reached a maximum of 34% for combined basic science, translational and clinical research in major orthopedic journals. Women were less likely than men to be study participants. Orthopedic outcome measures do not adequately account for the epidemiological factors that predominantly affect women including pregnancy and care of the (often extended) family or differences in factors such as pain and return to work or sport. The probability of sex-related reporting was higher in papers with women as first and authors last, often in journals with lower impact factors. Women orthopedic researchers received only 55.2% of the funding of men orthopedic researchers. While women’s first authorship increased statistically significantly from 1995 to 2020 (6.70%–15.37%, P < 0.001) manuscripts submitted by women were less likely to be published, and those with a woman first author demonstrated a lower citation rate. Mitigating strategies to address biases in research methodology and publication include adopting evidence-based Gender Specific Analysis (GSA) methods into the orthopedic research process, considering GSA as a prerequisite for research grants and manuscript publication, increasing the diversity of orthopedic editorial boards, and supporting the careers of women in the orthopedic academic community through a more gender equitable environment and career-long mentorship and sponsorship.</div></div><div><h3>Conclusion and relevance</h3><div>There are well-documented gender inequities in orthopedic care. Addressing the identified sex and gender bias in orthopedic research methodology, funding, and publication is a public health imperative. Mitigating strategies include education and the integration of sex and gender analysis in each step of the research to publication pathway, and increasing women in academic","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100377"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872946","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":"Study to localize isometric points of anterior band of inferior glenohumeral ligament and to use long head of biceps as a graft: A finite element analysis and arthroscopic cadaveric demonstration","authors":"Ayyappan V. Nair , Sreejith Thampy J , M.K. Srinath , Pramod Kumar Mohan , Maythilisharan Rambhojun , Pavan krishna , Ajit Jangale , Prince Shanavas Khan","doi":"10.1016/j.jisako.2024.100365","DOIUrl":"10.1016/j.jisako.2024.100365","url":null,"abstract":"<div><h3>Background</h3><div>The inferior glenohumeral ligament (IGHL) comprising the anterior and posterior bands with interposing axillary pouch is an important static stabilizer of anterior translation and external rotation (ER) in the 90-degree abduction position. No literature is available to determine any ideal graft or isometric point for fixation of any graft to replace the functionality of IGHL such that the tensile stress acting on the graft is under the limits of the tensile properties of the graft used for reconstruction.</div></div><div><h3>Methods</h3><div>Using finite element method analysis (FEM) of the long head of the biceps tendon (LHBT) with modeling and simulation process, the ultimate tensile strength of the LHBT at the different clock positions of the humeral head attachment and angular positions of the humerus were determined through a combination of Taguchi Design of Experiments and simulation using ANSYS (Analysis system) software.</div></div><div><h3>Results</h3><div>Through FEM simulations using the ANSYS software, it was concluded that the clock position of 7:30 would be appropriate to fix the biceps Tendon on the humerus. The tensile stress induced in the IGHL at 7:30 on the humerus, at 90° abduction with 90° rotation of the humerus, as well as at 120° abduction with 90° rotation of the humerus was evaluated and validated.</div></div><div><h3>Conclusions</h3><div>Reconstruction of anterior band of IGHL using LHBT in its isometric points found in this study can provide a solution to manage anterior instability anatomically rather than non-anatomical procedures like dynamic anterior stabilization. This will be an anatomical procedure that will bridge the gap between anatomical Bankarts procedure and non-anatomical latarjet procedure. The LHBT can be suitable graft material for the anterior band of the IGHL reconstruction. Our study demonstrated that the most optimal fixation points for the graft, which resulted in the least tensile stress on the LHBT, were found to be at the 3 o'clock position on the glenoid and the 7:30 o'clock position on the humerus.</div></div><div><h3>Level of evidence</h3><div>LEVEL 5 – methodological verification and validation.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100365"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682501","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}
Elliott W. Cole , Katherine E. Bach , Jeffrey J. Theismann , Luke L. Sang , Zaim Chaudhary , Nirav K. Pandya , Brian T. Feeley
{"title":"Physician-led YouTube videos related to anterior cruciate ligament injuries provide higher-quality educational content compared to other sources","authors":"Elliott W. Cole , Katherine E. Bach , Jeffrey J. Theismann , Luke L. Sang , Zaim Chaudhary , Nirav K. Pandya , Brian T. Feeley","doi":"10.1016/j.jisako.2024.100367","DOIUrl":"10.1016/j.jisako.2024.100367","url":null,"abstract":"<div><h3>Introduction</h3><div>Anterior cruciate ligament (ACL) injuries and ACL reconstruction (ACLR) surgery are very common. Patients increasingly use social media platforms like YouTube to find healthcare information to help them make medical decisions. The purpose of this study was to evaluate the quality of YouTube videos providing information about ACL injuries and ACL surgery.</div></div><div><h3>Methods</h3><div>The most-viewed YouTube videos for ACL-associated search terms were reviewed for inclusion and assessed by two authors using four video quality assessment tools: the <em>Journal of American Medical Association</em> benchmark (JAMA) (0–4), Global Quality Score (GQS) (1–5), modified DISCERN (mod-DISCERN) (0–5), and YouTube ACL Specific Score (the score) (0–25). Intraclass correlation coefficients (ICCs) were calculated to determine interrater reliability. Unpaired t-tests were used for comparisons between groups and linear regressions to identify associations.</div></div><div><h3>Results</h3><div>There were 45 videos that met the inclusion criteria. Overall, 31.1% of videos reported an academic affiliation, and 53.3% listed an MD as the lead author. The mean JAMA score was 2.8, GQS 3.2, mod-DISCERN 2.6, and overall the score 5.9. There was good interobserver agreement across all quality tools (ICC>0.75). Videos with an MD lead author had significantly higher JAMA (p < 0.001) and GQS (p < 0.01) scores than those led by non-physicians. Videos with academic affiliations had significantly higher JAMA (p < 0.001), GQS (p < 0.01), mod-DISCERN (p < 0.01), and the score Management Domain (p = 0.04) scores.</div></div><div><h3>Conclusion</h3><div>Among the most-viewed YouTube videos related to ACL injuries and ACL surgery, physician-led and academically affiliated videos provided higher quality educational information compared to other sources, however, the overall quality of content provided is low.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100367"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711152","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 associated spine or other major joint pain have equivalent outcomes to patients with isolated hip pain after hip arthroscopy","authors":"Bandar S. Alrashedan , Sarah Remedios , Ivan Wong","doi":"10.1016/j.jisako.2024.100368","DOIUrl":"10.1016/j.jisako.2024.100368","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to evaluate the outcomes of patients following surgery diagnosed with femoroacetabular impingement syndrome (FAIS) who also experience low back and other joint pain compared to those with isolated hip pain.</div></div><div><h3>Methods</h3><div>This is a retrospective cohort study of patients diagnosed with FAIS, with or without other joint pain, treated with hip arthroscopy from 2016 to 2020. Excluded cases were patients who had significant arthritis, irreparable labral tear requiring reconstruction, or were lost follow-up. Analysis was carried out in two ways, the first was according to the musculoskeletal morbidity (MSKM) scheme where patients were stratified into four different groups, and the second was according to the presence of any other joint or back pain (MSKM 2–4) compared to hip pain only (MSKM 1). Demographic data was analyzed between the groups. International Hip Outcome Tool 33 (iHOT-33) and Hip Outcome Score (HOS) were used as the primary and secondary outcome measures pre-operatively and a minimum of two years postoperatively.</div></div><div><h3>Results</h3><div>A total of 131 patients were included in the study with 37 % males and 63 % females. Age (years) and body mass index (kg/m<sup>2</sup>) were similar between groups, whereas a statistically greater number of male participants were seen in the hip pain only group (MSKM 1). Pre-operatively, patients with isolated hip pain (MSKM 1), had a higher iHOT-33 scores (p < 0.05), but no statistically significant differences were observed postoperatively between the groups. All groups demonstrated a statistically significant improvement in iHOT-33 and HOS scores postoperatively compared to pre-operatively (p < 0.05), with 76 % meeting the threshold for minimum clinically important difference.</div></div><div><h3>Conclusion</h3><div>Patient-reported outcomes following hip arthroscopy for FAIS were significantly greater postoperatively for all patients, despite the presence of other joint or back pain. This study can assist in driving patient expectations following hip arthroscopy for FAIS.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100368"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717263","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}