Sports Medicine and Arthroscopy Review最新文献

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Rotator Cuff Tear and Associated Risk Factors. The Mutual Role of Medical Conditions. 肩袖撕裂及相关危险因素。医疗条件的相互作用。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-06-01 Epub Date: 2024-10-15 DOI: 10.1097/JSA.0000000000000401
Jacopo Preziosi Standoli, Vittorio Candela, Stefano Gumina
{"title":"Rotator Cuff Tear and Associated Risk Factors. The Mutual Role of Medical Conditions.","authors":"Jacopo Preziosi Standoli, Vittorio Candela, Stefano Gumina","doi":"10.1097/JSA.0000000000000401","DOIUrl":"10.1097/JSA.0000000000000401","url":null,"abstract":"<p><strong>Abstract: </strong>Several medical conditions (diabetes, cardiovascular diseases, hypercholesterolemia, etc) or modifiable behavioral habits (smoking habit and alcohol assumption) capable of causing damage to the peripheral microcirculation are considered potential risk factors for degeneration/tear of the rotator cuff. The aim of the study was to analyze and quantify how the association of multiple known risk factors is more effective than the predisposing action of a single factor. Three hundred eight consecutive patients who underwent arthroscopic repair of a full-thickness rotator cuff tear (RCT) represented the case group. The control group included 388 consecutive healthy asymptomatic subjects for shoulder pathologies. A multivariable prognostic model for the prediction of RCT has been performed to analyze the mutual effect of multiple risk factors. With a correct classification estimated at 70.6%, a smoker patient [odds ratio (OR) = 2.405; 95% CI = 1.645-3.516] with hypercholesterolemia (OR = 1.976; 95% CI = 1.408-2.771), diabetes (OR = 2.362; 95% CI = 1.241-4.493), and arterial hypertension (OR = 1.630; 95% CI = 1.156-2.300) has a higher chance of developing a RCT surgery compared with a peer nonsmoker healthy subject. The probability of a smoker patient suffering from hypercholesterolemia, diabetes, and arterial hypertension undergoing rotator cuff repair surgery is not given by the sum of the probabilities of each condition but increases dramatically. Each pathology interacts with each other; dramatically increasing the risk of developing a cuff tear.</p><p><strong>Level of evidence: </strong>Level III-retrospective study.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"54-60"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-guided Genicular Nerve Block in Patients Undergoing Knee Arthroscopy: A Randomized Controlled Trial. 超声引导膝关节神经阻滞在膝关节镜患者中的应用:一项随机对照试验。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-06-01 Epub Date: 2024-10-15 DOI: 10.1097/JSA.0000000000000384
Qian Liu, Qing Zhong, Guoqiang Tang, Pingliang Yang, Ling Ye
{"title":"Ultrasound-guided Genicular Nerve Block in Patients Undergoing Knee Arthroscopy: A Randomized Controlled Trial.","authors":"Qian Liu, Qing Zhong, Guoqiang Tang, Pingliang Yang, Ling Ye","doi":"10.1097/JSA.0000000000000384","DOIUrl":"10.1097/JSA.0000000000000384","url":null,"abstract":"<p><p>This study was to investigate the efficacy of ultrasound-guided genicular nerve block for patients who underwent knee arthroscopy. Patients were randomized into 2 groups: (1) nerve block group: ultrasound-guided genicular nerve block (superomedial, superolateral, and inferomedial genicular nerve, 2 ml 0.5% ropivacaine each nerve.) before the general anesthesia, (2) control group: no intervention before the general anesthesia. The measurements were pain severity at 3,6, 12, 24, 48, and 72 hours after surgery at rest and at activity (Pain severity was primary outcome at 3 hours after surgery at rest); the time for first ambulation; straight leg raise; mechanical pain threshold of the block areas; time of the surgery, anesthesia and extubation; the use of analgesics in the perioperative period and 72 hours after the surgery; the number of patients awakening from pain on the first 2 nights after the surgery; the length of hospital stay; postoperative adverse effects. The pain severity was measured by visual analogue scale (VAS) (A 10-point VAS, 0 points painless, 10 points severe pain) and median (interquartile range). A total of 70 patients (median age: 53 y, 32 men; 35 per group) were included. Compared with the control group, the nerve block group had a lower pain VAS score at rest [2 (2-2) vs. 3 (2-4), P <0.01] at 3 hours, and lower pain VAS score at rest persisted for 24 hours and activity persisted for 12 hours after the surgery, also had a lower intraoperative dosage of sufentanil (20±4.8 vs. 28.5±5.1 mg; P <0.001), lower requirement for analgesics for pain and lower postoperative nausea and vomiting throughout the 72-hour observation period. There were no significant differences in the incidence of postoperative adverse effects and straight leg raise. In conclusion, ultrasound-guided genicular nerve block could reduce the pain severity after knee arthroscopy and decrease the use of intraoperative sufentanil without affecting motor function.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"47-53"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uninvited Manuscripts are not Unwanted: The Value of Unsolicited Investigations. 不请自来的手稿不是不需要的:不请自来的调查的价值。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1097/JSA.0000000000000428
Jefferson Brand, Gregory C Fanelli, F Alan Barber, Nicola Maffuli
{"title":"Uninvited Manuscripts are not Unwanted: The Value of Unsolicited Investigations.","authors":"Jefferson Brand, Gregory C Fanelli, F Alan Barber, Nicola Maffuli","doi":"10.1097/JSA.0000000000000428","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000428","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 2","pages":"41-42"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging Reconstruction Versus Reverse Total Shoulder Arthroplasty for the Management of Massive, Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis. 桥接重建与反向全肩关节置换术治疗巨大的、不可修复的肩袖撕裂:系统回顾和荟萃分析。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-06-01 Epub Date: 2025-01-15 DOI: 10.1097/JSA.0000000000000419
John J Kelly, Shane Saifman, Tyler O Riley, Andrew P Collins, Cara Peters, Rogerio D Ferreira, Benjamin C Service
{"title":"Bridging Reconstruction Versus Reverse Total Shoulder Arthroplasty for the Management of Massive, Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis.","authors":"John J Kelly, Shane Saifman, Tyler O Riley, Andrew P Collins, Cara Peters, Rogerio D Ferreira, Benjamin C Service","doi":"10.1097/JSA.0000000000000419","DOIUrl":"10.1097/JSA.0000000000000419","url":null,"abstract":"<p><p>Bridging allograft reconstruction (BAR) and reverse shoulder arthroplasty (RSA) are 2 approaches for managing massive, irreparable rotator cuff tears, both yielding satisfactory functional results. A systematic review of 28 studies encompassing 1125 cases treated with either technique revealed significant improvement in range of motion and functional scores across all patients. However, BAR led to a notably greater improvement in external rotation. RSA exhibited significantly higher complication rates (18.6%) and an increased likelihood of reoperation (7.9%). Patients younger than 70 undergoing RSA faced higher complication and reoperation risks at 26% and 12.5%, respectively. In summary, BAR offers comparable functional outcomes with fewer complications compared with RSA for managing massive, irreparable rotator cuff tears. Patients under age 70 being considered for RSA should understand their heightened risks.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 2","pages":"75-81"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Farewell to Dr. Dil Cannon: Congratulations on his Retirement from Sports Medicine and Arthroscopy Review as Editor-in-Chief. 告别迪尔·坎农博士:祝贺他从《运动医学与关节镜评论》辞去总编辑一职。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-05-30 DOI: 10.1097/JSA.0000000000000412
Greg Fanelli, F Alan Barber, Nicola Maffulli, Jeff Brand
{"title":"Farewell to Dr. Dil Cannon: Congratulations on his Retirement from Sports Medicine and Arthroscopy Review as Editor-in-Chief.","authors":"Greg Fanelli, F Alan Barber, Nicola Maffulli, Jeff Brand","doi":"10.1097/JSA.0000000000000412","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000412","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posterior Shoulder Soft Tissue Stabilization Return to Play Criteria Vary Among Investigations: A Systematic Review. 后肩软组织稳定恢复比赛标准因调查而异:系统回顾。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-05-28 DOI: 10.1097/JSA.0000000000000431
Colby C Wollenman, Mason W Young, Gabriel C Lane, Eric N Bowman, Rick W Wright, Charles L Cox, Jonathan F Dickens, Lance E LeClere
{"title":"Posterior Shoulder Soft Tissue Stabilization Return to Play Criteria Vary Among Investigations: A Systematic Review.","authors":"Colby C Wollenman, Mason W Young, Gabriel C Lane, Eric N Bowman, Rick W Wright, Charles L Cox, Jonathan F Dickens, Lance E LeClere","doi":"10.1097/JSA.0000000000000431","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000431","url":null,"abstract":"<p><p>Despite increasing rates of posterior shoulder instability surgery, return-to-play (RTP) rates vary widely. There is little available literature regarding specific criteria used to allow unrestricted RTP. We aimed to identify and describe the criteria used in the existing literature for the unrestricted RTP of individuals after posterior shoulder instability surgery. A systematic review was performed from inception through September 2024 including 1366 shoulders. The criteria used and their associated frequencies were identified as follows: Time (56%), Strength (48%), Range of Motion (41%), Sport-specific protocol (11%), Proprioception (4%), Other (15%). Many studies used a combination of the above listed criteria. We demonstrated there is little consensus regarding post-operative RTP criteria for posterior shoulder instability. Time, strength, and range of motion were the most used criteria, yet even within these categories there was variation in the length of time and degree of strength/range of motion used to guide RTP.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopic Capsular Plication for Atraumatic Instability results in improved Patient Reported Outcome Measures. 关节镜下囊膜应用治疗非外伤性不稳定可改善患者报告的结果。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-05-28 DOI: 10.1097/JSA.0000000000000436
Hassan Farooq, Jason Howard, Robert F Kelly, Joseph Zywiciel, Nickolas G Garbis, Dane H Salazar
{"title":"Arthroscopic Capsular Plication for Atraumatic Instability results in improved Patient Reported Outcome Measures.","authors":"Hassan Farooq, Jason Howard, Robert F Kelly, Joseph Zywiciel, Nickolas G Garbis, Dane H Salazar","doi":"10.1097/JSA.0000000000000436","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000436","url":null,"abstract":"<p><p>The purpose of this study was to evaluate patient-reported outcomes (PROs) after arthroscopic capsulolabral plication in patients with atraumatic instability (AI). A retrospective review of 282 cases from 2012 to 2020 identified 45 patients meeting inclusion criteria. The cohort was 60% female with mean age and body mass index of 25.4 years and 25.5 kg/m2, respectively. Postoperative assessment showed significant improvements in shoulder function and pain with a mean American Shoulder and Elbow Surgeon (ASES) score increase from 53.0 and 76.0 (P<0.0001), and a mean Western Ontario Shoulder Instability Index (WOSI) indicating 82.92% of normal shoulder function. Patients with Ehlers-Danlos syndrome (EDS) experienced higher rates of recurrent instability and revision surgery. Despite these challenges, arthroscopic capsulolabral plication remains a viable surgical option for AI in patients unresponsive to conservative management. Level of Evidence: Level IV case series.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Readiness for Return to Dance After Lower Extremity Injury in the Female Dancer: A Modified Delphi Study. 女性舞者下肢损伤后重返舞蹈的准备:一项修正的德尔菲研究。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-03-01 Epub Date: 2025-01-16 DOI: 10.1097/JSA.0000000000000422
Tatiana Patsimas, Savannah Troyer, Katie Liu, Sabrina Mack, Laurie Glasser, Jeff Russell, Mandy Blackmon, Nancy Kadel, Courtney Gleason, Laura Lyles, Lora Scott, Elizabeth Davis, Bianca Edison, Kathleen Davenport
{"title":"Readiness for Return to Dance After Lower Extremity Injury in the Female Dancer: A Modified Delphi Study.","authors":"Tatiana Patsimas, Savannah Troyer, Katie Liu, Sabrina Mack, Laurie Glasser, Jeff Russell, Mandy Blackmon, Nancy Kadel, Courtney Gleason, Laura Lyles, Lora Scott, Elizabeth Davis, Bianca Edison, Kathleen Davenport","doi":"10.1097/JSA.0000000000000422","DOIUrl":"10.1097/JSA.0000000000000422","url":null,"abstract":"<p><p>The aim of this paper is to establish consensus among subject area experts on readiness criteria for return to dance (RTD) in female dancers after forced time loss due to lower extremity injury. Recommendations for RTD protocols have previously been published, which generally guide the dancer to progress from barre work to center. However, the question of when to initiate an RTD protocol can be a complex decision itself. We performed a modified, 2-round Delphi study among a diverse group of experts who work closely with preprofessional and professional dancers. Criteria for RTD that achieved ≥75% agreement were included in the final consensus recommendations. Fleiss Kappa was utilized to determine the overall rater agreement. Experts agree on the importance of certain functional tests, such as the single-leg sauté test, the 30-second single-leg balance test, and the airplane test for establishing RTD readiness after various lower extremity injuries.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 1","pages":"31-40"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopic Subscapularis Release and External Rotation Tendon Transfer for Brachial Plexus Birth Palsy: Surgical Technique. 关节镜下肩胛下肌松解和外旋肌腱转移治疗臂丛分娩性麻痹:外科技术。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-03-01 Epub Date: 2024-12-10 DOI: 10.1097/JSA.0000000000000416
Rey Ramirez, Maxwell Modrak, Neil Pathak, Elspeth Jane Rose Hill, Lisa Lattanza
{"title":"Arthroscopic Subscapularis Release and External Rotation Tendon Transfer for Brachial Plexus Birth Palsy: Surgical Technique.","authors":"Rey Ramirez, Maxwell Modrak, Neil Pathak, Elspeth Jane Rose Hill, Lisa Lattanza","doi":"10.1097/JSA.0000000000000416","DOIUrl":"10.1097/JSA.0000000000000416","url":null,"abstract":"<p><p>Patients with brachial plexus birth injuries commonly develop problems at the shoulder. These problems include posterior subluxation of the shoulder, internal rotation contractures, and weakness of external rotation. The most common technique for the treatment of these is the release of the shoulder joint, the release of the internal rotators, and the transfer of latissimus teres and teres major tendons. In this article, we present a detailed technique with an accompanying step-by-step video to demonstrate how to perform these procedures.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 1","pages":"2-6"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expert Care of Adolescent Transgender and Gender-diverse Athletes. 青少年变性和性别多样化运动员的专家护理。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2025-03-01 Epub Date: 2024-12-09 DOI: 10.1097/JSA.0000000000000417
Dylan Parsons, Kathryn Blew, Deanna Adkins, Kenzie Jane Bowen Johnston, Kendall E Bradley, Jocelyn Wittstein
{"title":"Expert Care of Adolescent Transgender and Gender-diverse Athletes.","authors":"Dylan Parsons, Kathryn Blew, Deanna Adkins, Kenzie Jane Bowen Johnston, Kendall E Bradley, Jocelyn Wittstein","doi":"10.1097/JSA.0000000000000417","DOIUrl":"10.1097/JSA.0000000000000417","url":null,"abstract":"<p><p>As a population, transgender and gender-diverse (TGD) adolescents face higher rates of discrimination than their cisgender peers, both in their personal lives and while seeking health care. Negative experiences with health care can be discouraging for minority populations and can result in poorer health maintenance and outcomes. As health care providers, it is imperative that we educate ourselves on providing culturally competent care for this community. This includes an understanding of gender identity, hormonal therapy, impact on athletics, musculoskeletal health, and surgical considerations in this population. In this article, we offer a perspective on providing expert care to TGD adolescent patients through the lens of sports medicine.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"33 1","pages":"24-30"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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