Rebecca M Haley, Yuta Umeda, Martina Hale, Kurt P Spindler, James T Rosneck, Michael J Scarcella
{"title":"A Systematic Review of the Impact of Patient Pain Catastrophizing and Resiliency on Patient-Reported Outcomes in Hip Arthroscopy for Femoroacetabular Impingement.","authors":"Rebecca M Haley, Yuta Umeda, Martina Hale, Kurt P Spindler, James T Rosneck, Michael J Scarcella","doi":"10.1097/JSA.0000000000000454","DOIUrl":"10.1097/JSA.0000000000000454","url":null,"abstract":"<p><p>Pain catastrophizing and resilience have been shown to influence pain and postoperative patient-reported outcomes (PROs) within orthopedics. However, there are few studies examining the association between patient pain catastrophizing and resilience and their impact on outcomes following hip arthroscopy for femoroacetabular impingement (FAI). This systematic review aimed to identify any potential relationships. Seven studies met the final inclusion criteria. A total of 231 patients were included from pain catastrophizing studies, and 196 from resilience studies. In all pain catastrophizing studies, postoperative PROs improved, and higher pain catastrophizing was associated with worse outcomes. Significant improvement was seen between pre- and postoperative PROs in all resilience studies, and 2 of 3 resilience studies found that lower resilience correlated with worse outcomes.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"e1-e9"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214632","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}
Jefferson Brand, F Alan Barber, Nicola Maffulli, Mikdalyn T DeFoor, Nikolaos Paschos
{"title":"Sports Medicine and Arthroscopy Review Announce Social Media and Podcasts to Engage Readers.","authors":"Jefferson Brand, F Alan Barber, Nicola Maffulli, Mikdalyn T DeFoor, Nikolaos Paschos","doi":"10.1097/JSA.0000000000000464","DOIUrl":"10.1097/JSA.0000000000000464","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"35"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678149","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}
{"title":"Lumbar Disk Herniation in Athletes.","authors":"Sohrab Vatsia, Michael F Levidy, Jesse E Bible","doi":"10.1097/JSA.0000000000000446","DOIUrl":"10.1097/JSA.0000000000000446","url":null,"abstract":"<p><p>Lumbar disk herniation (LDH) is a common cause of low back pain and radiculopathy in athletes, particularly in contact sports. The unique biomechanical demands on the athlete's spine and the pressure for expedited return-to-play (RTP) create distinct challenges in management. This review summarizes the epidemiology, biomechanics, pathophysiology, clinical presentation, diagnosis, treatment options, return-to-play considerations, and outcomes of LDH in athletic populations. Lumbar disk herniation in athletes can be managed successfully with both conservative and surgical strategies, with most athletes achieving pain relief and returning to play without permanent limitations. Nonoperative care is effective in the majority of cases, while microdiscectomy offers reliable outcomes when needed without necessarily compromising performance. Sport-specific physical demands influence recovery and career longevity after LDH, underscoring the importance of individualized rehabilitation and return-to-play planning. With appropriate management, even athletes in high-risk sports can expect a high likelihood of return to play.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 2","pages":"47-52"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044349","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}
{"title":"Cervical Radiculopathy in the Athlete.","authors":"Iyad S Ali, Wellington K Hsu","doi":"10.1097/JSA.0000000000000444","DOIUrl":"10.1097/JSA.0000000000000444","url":null,"abstract":"<p><p>With recent advancements and growing literature on the treatment of cervical spine disease in athlete populations, there are new paradigms for treatment, either operatively or nonoperatively, to optimize return to play (RTP) and outcomes while minimizing complications. Although conservative management is effective in many cases, high-level athletes with persistent symptoms may benefit from early surgical intervention. Anterior cervical discectomy and fusion and cervical disc arthroplasty (CDA) have shown high RTP rates, with CDA offering potential advantages in motion preservation and lower adjacent segment degeneration. Long-term outcomes and RTP guidelines remain highly individualized and under-investigated.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 2","pages":"63-69"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044346","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}
Duby D Okonkwo, Soren Jonzzon, Scott L Zuckerman, Amir M Abtahi
{"title":"Evidence-based Guidelines for Appropriate and Timely Management of Acute Spine Injuries in Athletes.","authors":"Duby D Okonkwo, Soren Jonzzon, Scott L Zuckerman, Amir M Abtahi","doi":"10.1097/JSA.0000000000000450","DOIUrl":"10.1097/JSA.0000000000000450","url":null,"abstract":"<p><p>Although rare, sports-related spine injuries can result in devastating, life-altering consequences, with the cervical spine injury being the most common with potentially devastating consequences, including quadriplegia and immediate death from cardiopulmonary compromise. Sports remain a leading cause of spinal cord injury (SCI) in the first 3 decades of life. Early, appropriate on-field management is critical to prevent further harm and improve outcomes. This manuscript outlines current evidence-based best practices for sideline evaluation and management of athletes with suspected spine injuries. Assessing and managing airway, breathing, and circulation (ABCs) as needed, along with minimizing spinal motion, are critical components of effective on-field emergency management. Rapid and accurate injury severity assessment is essential to guide the appropriate emergency response. Thorough preplanning and training are also vital to ensuring effective on-field management. Numerous practical considerations such as criteria for immobilization, helmet and shoulder pad removal, and transfer techniques are discussed.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 2","pages":"38-46"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044390","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}
Christopher Gonzalez, Rahul Ramanathan, Ryan Kelly, Anuj Vimawala, Michael F Shannon, Michael Christof, Robert Bilodeau, Yisheng Cao, Michael Spitnale, Joon Lee, Richard Wawrose
{"title":"Neck Injuries in Athletes.","authors":"Christopher Gonzalez, Rahul Ramanathan, Ryan Kelly, Anuj Vimawala, Michael F Shannon, Michael Christof, Robert Bilodeau, Yisheng Cao, Michael Spitnale, Joon Lee, Richard Wawrose","doi":"10.1097/JSA.0000000000000452","DOIUrl":"10.1097/JSA.0000000000000452","url":null,"abstract":"<p><p>Neck injuries are a common and clinically significant concern in athletes, with presentations ranging from soft tissue strain to spinal cord injury. The cervical spine's unique anatomy and biomechanics enable high mobility but also increase susceptibility to trauma during contact and high-velocity sports. This review examines acute and chronic injuries, including stingers, dislocations, radiculopathy, and spondylosis, and emphasizes their mechanisms, clinical presentations, and diagnostic workup. Management strategies span a range of conservative and surgical options, with evidence supporting individualized rehabilitation and targeted interventions based on symptom severity and neurological involvement. The review also synthesizes the current literature on key decision points, such as helmet removal in the field and return-to-play criteria, and highlights the importance of radiographic stability and neurological recovery. A comprehensive understanding of these strategies is essential for optimizing athlete safety and outcomes.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 2","pages":"53-62"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044407","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}
Joshua Mizels, Omid Jalali, Frank Martinez, William Spiker
{"title":"Activity-Related Low Back Pain in the Athlete.","authors":"Joshua Mizels, Omid Jalali, Frank Martinez, William Spiker","doi":"10.1097/JSA.0000000000000468","DOIUrl":"10.1097/JSA.0000000000000468","url":null,"abstract":"<p><p>Low back pain (LBP) in the athlete is a common condition that warrants specialized care. Knowledge of the various biomechanical and sport-specific factors remains critical in identifying the underlying etiology of LBP. There are both intrinsic spine causes of LBP, including entities such as degenerative disk disease, spondylolysis, and lumbar disk herniation and extrinsic causes of LBP, most commonly musculotendinous pathology. Accurate diagnosis and timely treatment are critical to a full return to sport. Further, preventative measures must be used to preserve the longevity of the athlete and minimize the risk of recurring injuries.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 2","pages":"70-73"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044328","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}
{"title":"Introducing Athletic Spine Disorders AND Opportunities for Reviewers to Advance to the Editorial Board.","authors":"Jefferson Brand, F Alan Barber, Nicola Maffulli","doi":"10.1097/JSA.0000000000000463","DOIUrl":"10.1097/JSA.0000000000000463","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"36-37"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935016","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}
Corrado Antonetti, Nat Padhiar, Otto Chan, Nicola Maffulli
{"title":"Muscle Herniae in the Lower Leg.","authors":"Corrado Antonetti, Nat Padhiar, Otto Chan, Nicola Maffulli","doi":"10.1097/JSA.0000000000000466","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000466","url":null,"abstract":"<p><strong>Background: </strong>Muscle hernias are uncommon conditions characterized by the protrusion of muscle tissue through a defect in the muscle fascia. The most common site is the anterior compartment of the leg, involving the tibialis anterior muscle, especially in young and athletic individuals. Despite their low incidence, muscle herniae can cause pain, functional deficits, and impair quality of life.</p><p><strong>Objective: </strong>To analyze current diagnostic and therapeutic strategies for muscle herniae, with particular focus on emerging surgical approaches, such as minimally invasive fasciotomy.</p><p><strong>Methods: </strong>Narrative literature review integrating epidemiological, diagnostic, and post-treatment outcome data.</p><p><strong>Results: </strong>Dynamic ultrasound is the first-line diagnostic tool. Conservative treatment is indicated in mild cases, but shows low success rates in symptomatic individuals. The most effective surgical techniques include fasciotomy, mesh repair, direct suture, and autologous fascial grafting. Minimally invasive fasciotomy stands out for excellent clinical and cosmetic results with a low complication profile.</p><p><strong>Conclusions: </strong>A personalized therapeutic approach based on site, severity, and patient expectations is essential. Minimally invasive fasciotomy represents a promising surgical option. Prospective studies are needed to standardize therapeutic indications.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935023","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}
{"title":"Perioperative Bisphosphonate Therapy Reduces the Rate of Retear After Rotator Cuff Repair: A Systematic Review and Meta-Analysis.","authors":"Napatpong Thamrongskulsiri, Thun Itthipanichpong, Danaithep Limskul, Thanathep Tanpowpong, Somsak Kuptniratsaikul","doi":"10.1097/JSA.0000000000000465","DOIUrl":"10.1097/JSA.0000000000000465","url":null,"abstract":"<p><p>This study evaluated the effect of bisphosphonate therapy on tendon healing and clinical outcomes after arthroscopic rotator cuff repair in patients with osteoporosis. PubMed, Scopus, and Ovid MEDLINE were searched from inception to January 2026 to identify comparative studies of osteoporotic patients treated with bisphosphonates versus no bisphosphonate therapy. Five studies met the inclusion criteria. Bisphosphonate therapy was associated with a significantly lower rate of structural tendon retear (odds ratio, 0.32; 95% confidence interval, 0.18-0.59; P =0.0002). No significant differences were observed between groups in postoperative American Shoulder and Elbow Surgeons scores, Constant scores, or reoperation rates. Patients receiving bisphosphonates demonstrated a modest but statistically significant improvement in postoperative forward flexion (mean difference, 8.28°; 95% confidence interval, 3.54-13.02). No serious bisphosphonate-related adverse events were reported.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845205","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}