Arthroscopy-The Journal of Arthroscopic and Related Surgery最新文献

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Editorial Commentary: Arthroscopic Repair of Partial-Thickness Rotator Cuff Tears Shows Long-Term Clinically Significant Improved Outcomes. 编辑评论:关节镜下修复部分厚度肩袖撕裂显示出长期临床显著改善的结果。
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-06-04 DOI: 10.1016/j.arthro.2025.05.033
Henry Colaço
{"title":"Editorial Commentary: Arthroscopic Repair of Partial-Thickness Rotator Cuff Tears Shows Long-Term Clinically Significant Improved Outcomes.","authors":"Henry Colaço","doi":"10.1016/j.arthro.2025.05.033","DOIUrl":"10.1016/j.arthro.2025.05.033","url":null,"abstract":"<p><p>Management of partial-thickness rotator cuff tears (PTRCTs) remains controversial, particularly regarding optimal timing of intervention, surgical technique, and prognostic indicators. There are 3 PTRCT subtypes: articular, bursal, and intrasubstance. The accurate assessment of the percentage thickness of PTRCTs can be challenging; symptomatic PTRCTs that appear relatively innocuous on magnetic resonance imaging can often appear much larger and involve a significantly greater depth of the tendon attachment when viewed arthroscopically, particularly after gentle debridement of pathologic tendon. For articular-sided lesions, remaining tendon quality and thickness can be gauged by probing with a needle from the bursal surface, tagging can be performed with a monofilament suture to show the location of the tear from the intact bursal surface, and full-thickness arthroscopic double-row repair is recommended. Intrasubstance tears are more difficult to assess, and the sliding sensation and saline solution injection \"bubble sign\" tests may confirm and locate these tear types. Intrasubstance tears may be converted to bursal-sided tears and treated as such.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Acute Primary Anterior Cruciate Ligament Repair for Sherman Type I and II Tears Shows Significantly Improved Clinical Outcome and Ligamentous Maturation by Serial Magnetic Resonance Imaging Analysis. 序列MRI分析显示,急性一期前交叉韧带修复对Sherman I型和II型撕裂的临床疗效和韧带成熟有显著改善。
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-06-03 DOI: 10.1016/j.arthro.2025.05.027
Edoardo Monaco, Silvia Cardarelli, Natale Criseo, Alessandro Carrozzo, Alessandro Annibaldi, Ludovica Signore, Edoardo Colantoni, Giuseppe Argento, Andrea Ferretti, Nicola Maffulli
{"title":"Acute Primary Anterior Cruciate Ligament Repair for Sherman Type I and II Tears Shows Significantly Improved Clinical Outcome and Ligamentous Maturation by Serial Magnetic Resonance Imaging Analysis.","authors":"Edoardo Monaco, Silvia Cardarelli, Natale Criseo, Alessandro Carrozzo, Alessandro Annibaldi, Ludovica Signore, Edoardo Colantoni, Giuseppe Argento, Andrea Ferretti, Nicola Maffulli","doi":"10.1016/j.arthro.2025.05.027","DOIUrl":"10.1016/j.arthro.2025.05.027","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To analyze the clinical and radiographic outcomes of patients who underwent anterior cruciate ligament (ACL) primary repair within 15 days of the index injury.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;All patients undergoing acute (within 15 days of the injury) ACL primary repair between January 2019 and June 2020 were eligible. Inclusion criteria were ACL injuries classified as Sherman I and II (proximal tears) and as Marshall grades A and B (good and moderate tissue quality). Patients underwent sequential magnetic resonance imaging (MRI) scanning at 1, 3, 6, and 12 months postoperatively. Patients had to have had at least 2 of the 4 scheduled MRIs to be included. The ligamentization process was evaluated using signal-to-noise quotient (SNQ) and Howell scale. SNQ was analyzed via repeated-measures analysis of variance with Bonferroni corrections for multiple comparisons, whereas the Howell scale progression was analyzed with a Friedman test and post hoc Wilcoxon tests. Clinical outcomes were recorded at the final follow-up, 24 months after surgery, using the following patient-reported outcome measures: Lysholm Knee Scoring Scale (LKSS), the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Anterior Cruciate Ligament Return to Sport after Injury, the Forgotten Joint Score-12, Manual Maximum KT-1000, the International Knee Documentation Committee, and the Tegner Score.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study included 50 patients (mean age, 31.7 ± 12.7 years), 21 male (42%) and 29 female (58%). The mean time from injury to surgery was 9.2 ± 2.9 days. A total of 47 patients had MRI at 1 month after surgery (mean 30 days, range 28-32 days); 47 patients had MRI at 3 months after surgery (mean 91 days, range 88-95 days); 45 patients had MRI at 6 months after surgery (mean 181 days, range 178-184 days); and 49 patients had MRI at 12 months after surgery (mean 361 days, range 356-365 days). Mean SNQ and Howell scale scores showed a consistent decrease-representing an improved ligament maturation-over the 4 time points. Significant reductions of SNQ values occurred between 1 and 6 months (P &lt; .001), 1 and 12 months (P &lt; .001), 3 to 6 months (P &lt; .001), and 3 to 12 months (P &lt; .001). No significant difference was found between 1 and 3 months (P = .075) or 6 and 12 months (P = .436). The Howell scale scores showed a significant overall reduction over time (χ&lt;sup&gt;2&lt;/sup&gt; [3] = 28.253; P &lt; .001), with significant improvements occurring between 1 and 6 months (P &lt; .001), 1 and 12 months (P &lt; .001), 3 to 6 months (P = .005), and 3 to 12 months (P = .008). No significant difference was found between 1 and 3 months (P = .05) 6 and 12 months (P = .303). Clinical outcomes were recorded at 24 months after surgery (mean 1095 days, range 745-1486 days). The average Lysholm score was 84.73 ± 14.47 and the average KOOS score was 85.29 ± 13.97; 86.3% of patients achieved Patient Acceptable Symptom State for the KOOS subscales. A significant c","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Editorial Commentary: Sports Ability After Latarjet Procedure Improves in Approximately One-Third of Patients, Shows No Change in One-Third, and Decreases in One-Third. 编辑评论:恢复运动和恢复损伤前的运动水平仍然很低,但真正的原因是什么?
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-06-03 DOI: 10.1016/j.arthro.2025.05.029
Peter E Baglien, Lucas S McDonald
{"title":"Editorial Commentary: Sports Ability After Latarjet Procedure Improves in Approximately One-Third of Patients, Shows No Change in One-Third, and Decreases in One-Third.","authors":"Peter E Baglien, Lucas S McDonald","doi":"10.1016/j.arthro.2025.05.029","DOIUrl":"10.1016/j.arthro.2025.05.029","url":null,"abstract":"<p><p>Identification of prognostic factors regarding return to sport and return to preinjury level of sport after the open Latarjet procedure is critical to best counsel patients on their expected outcomes. Lower levels of education may be associated with failure to return to sport, whereas the presence of a bony Bankart lesion may be associated with a successful return to preinjury level of sport. Patients who return to sport and return to preinjury level of sport show higher Oxford Shoulder Instability Scores. Additionally, after the Latarjet procedure, sports ability improves in about one-third of patients, remains the same in about one-third of patients, and decreases in about one-third of patients.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Body Mass Index, Sex, Tönnis and Outerbridge Grades, but Not Cam Lesion Location, Influence 10-Year Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome. BMI、性别、Tönnis和Outerbridge分级,而非Cam病变位置影响股髋臼撞击综合征髋关节镜术后10年预后
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-06-03 DOI: 10.1016/j.arthro.2025.05.028
Griffith G Gosnell, Emily Berzolla, Nathaniel P Mercer, Bradley A Lezak, Michael Moore, Allison Morgan, Thomas Youm
{"title":"Body Mass Index, Sex, Tönnis and Outerbridge Grades, but Not Cam Lesion Location, Influence 10-Year Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.","authors":"Griffith G Gosnell, Emily Berzolla, Nathaniel P Mercer, Bradley A Lezak, Michael Moore, Allison Morgan, Thomas Youm","doi":"10.1016/j.arthro.2025.05.028","DOIUrl":"10.1016/j.arthro.2025.05.028","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the 10-year outcomes of hip arthroscopy in femoroacetabular impingement syndrome (FAIS), comparing the impact of cam lesion location (superolateral, anterolateral, or anterior) on total hip arthroplasty (THA) conversion rates, revision rates, and patient-reported outcomes (PROs).</p><p><strong>Methods: </strong>This retrospective cohort study evaluated patients who underwent primary hip arthroscopy for FAIS between 2010 and 2013. Included patients had preoperative radiographic evidence of cam lesions and a minimum of 10 years of follow-up data. Patients were categorized by cam lesion location: superolateral, anterolateral, or anterior. Outcomes included revision rates, conversion to THA, and PROs measured with the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS) at 10 years. Statistical analyses were performed using independent t tests, analysis of variance, Fisher exact tests, and multivariable regression.</p><p><strong>Results: </strong>A total of 157 patients were included, with a mean follow-up of 11.66 ± 1.08 years. The cohort included 93 patients with superolateral cam lesions, 38 with anterolateral lesions, and 26 with anterior lesions. Revision rates were 0% for anterior lesions, 7.89% for anterolateral lesions, and 4.3% for superolateral lesions (P = .3806). THA conversion rates were 7.69% (anterior), 2.63% (anterolateral), and 8.6% (superolateral) (P = .3558). 10-year mHHS (superolateral: 86.7 ± 18.85; anterolateral: 85.97 ± 18.76; anterior: 90.99 ± 11.61; P = .4932) and NAHS (superolateral: 83.92 ± 19.84; anterolateral: 84.73 ± 20.83; anterior: 89.62 ± 13.27; P = .4076) were comparable across groups. Achievement of the MCID was high across all groups, with 89.2% (140/157) of patients reaching the mHHS MCID and 91.1% (143/157) reaching the NAHS MCID with no significant differences by cam lesion location for either mHHS (P = .526) or NAHS (P = .999). Multiple linear regression analysis identified greater BMI (mHHS: P = .0005; NAHS: P < .0001) and female sex (mHHS: P = .0245; NAHS: P = .0115) as predictors of worse outcomes. Logistic regression analysis found that female sex (P = .0451), elevated Tönnis grade (P = .0015), and elevated Outerbridge grade (P = .0474) were associated with increased rates of THA conversion and revision.</p><p><strong>Conclusions: </strong>Cam lesion location does not significantly affect revision rates, THA conversion, or long-term PROs. Factors such as BMI, sex, Outerbridge grade, and Tönnis grade are more influential on long-term outcomes.</p><p><strong>Level of evidence: </strong>Level III, retrospective diagnostic comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Arthroscopy Family of Journals Acknowledges Appreciation for Their Editors-in-Chief Emeriti and Advances its Vision to the Future 关节镜家族杂志感谢他们的首席名誉编辑,并推进其未来的愿景。
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.arthro.2025.03.055
Michael J. Rossi M.D., M.S. (Editor-in-Chief)
{"title":"Arthroscopy Family of Journals Acknowledges Appreciation for Their Editors-in-Chief Emeriti and Advances its Vision to the Future","authors":"Michael J. Rossi M.D., M.S. (Editor-in-Chief)","doi":"10.1016/j.arthro.2025.03.055","DOIUrl":"10.1016/j.arthro.2025.03.055","url":null,"abstract":"<div><div>Congratulations to James H. Lubowitz, M.D., outgoing Editor-in-Chief (EIC) and now EIC Emeritus for successfully leading the <em>Arthroscopy</em> journal. He has been an integral part of the <em>Journal</em>’s history, contributing to its success, forwarding its impact, and representing the interests of readers, researchers, and authors to improve patient care, which has set the stage for our vision. The insight of our EIC Emeriti ultimately yielded the 3 sister <em>Arthroscopy</em> journals (<em>Arthroscopy</em>; <em>Arthroscopy, Sports Medicine, and Rehabilitation</em>; and <em>Arthroscopy Techniques</em>) combined with Visual Abstracts, Infographics, and Podcasts, that provide a full family of resources for arthroscopic and related researchers with which to avail themselves in their education and care of patients. Our EIC Emeriti have provided the momentum to achieve our vision: <em>Arthroscopy</em> and its family of journals aspire to be the premier international, peer-reviewed platform showcasing high-impact research, innovative clinical practice, and cutting-edge technologies in arthroscopic surgery, sports medicine, rehabilitation, and related fields to advance high-quality patient care. As readers, authors, researchers, clinicians and editors, we provide our family of journals as a “platform” at your disposal to advance your knowledge and care of patients.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 7","pages":"Pages 2165-2167"},"PeriodicalIF":4.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
All-Arthroscopic Inferior Glenohumeral Ligament Reconstruction With Gracilis Tendon Graft Can Successfully Restore Stability and Function in Predominantly Inferior and Multidirectional Instability Patients With Hyperlaxity. 全关节镜下髌股肌腱重建下盂肱韧带(IGHL)可以成功地恢复下盂肱韧带的稳定性和功能。
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-05-29 DOI: 10.1016/j.arthro.2025.04.052
Matthias A Zumstein, Nicolas Galluser, Matthias Biner, Mustafa S Rashid, Samy Bouaicha, Beat K Moor
{"title":"All-Arthroscopic Inferior Glenohumeral Ligament Reconstruction With Gracilis Tendon Graft Can Successfully Restore Stability and Function in Predominantly Inferior and Multidirectional Instability Patients With Hyperlaxity.","authors":"Matthias A Zumstein, Nicolas Galluser, Matthias Biner, Mustafa S Rashid, Samy Bouaicha, Beat K Moor","doi":"10.1016/j.arthro.2025.04.052","DOIUrl":"10.1016/j.arthro.2025.04.052","url":null,"abstract":"<p><strong>Purpose: </strong>To report the early clinical and radiographic outcomes of an arthroscopic technique to reconstruct the inferior glenohumeral ligament (IGHL) to stabilize the glenohumeral joint in patients with predominantly inferior and multidirectional instability and hyperlaxity.</p><p><strong>Methods: </strong>Between October 2019 and March 2023, patients with unidirectional (inferior) or multidirectional instability with hyperlaxity, as assessed by a positive Gagey hyperabduction test with instability severity index score >3, IGHL lesions on cross-sectional imaging (magnetic resonance imaging or magnetic resonance angiography) or on arthroscopy, without glenoid bone loss, and with a minimum 12-month follow-up, were enrolled. All patients had symptomatic instability, a positive Gagey hyperabduction test (>105°) on clinical examination, and unsuccessful physical therapy. All patients underwent all-arthroscopic reconstruction of the IGHL using a gracilis tendon graft. Clinical outcomes (Quick Disabilities of the Arm, Shoulder, and Hand [QuickDASH]; Western Ontario Shoulder Instability [WOSI]; and Subjective Shoulder Value [SSV]) and radiographic evaluation were reported.</p><p><strong>Results: </strong>Thirty-one shoulders in 30 patients (mean age, 27 ± 6.5 years) at a mean 2.4 years postoperatively (range, 1-8 years) were evaluated. The mean SSV (preoperative 50.0 to 89.6, P = .016), QuickDASH (preoperative 76.5 to 42.7, P = .008), and WOSI scores (preoperative 1,355.9 to 491.5, P = .016) improved significantly. Thirty of 31 patients (97%) met the minimal clinically important difference for SSV, 28 of 31 (90%) for QuickDASH, and 29 of 31 (94%) for WOSI score. There were no instability events noted postoperatively. There were no perioperative complications. One patient underwent reoperation at 15 months to release adhesions and long head of the biceps tenodesis. Six of 31 patients had grade 1 instability arthropathy at final follow-up. One patient had a static inferiorly subluxated humeral head at the final follow-up and an inferior clinical result.</p><p><strong>Conclusions: </strong>At a minimum 12-month follow-up, an all-arthroscopic reconstruction of the IGHL with a gracilis tendon graft in hypermobile patients with predominantly inferior instability and without glenoid bone loss yielded promising clinical and radiographic results.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Discoid Lateral Meniscus Evaluation and Treatment 盘状外侧半月板的评估与治疗
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-05-29 DOI: 10.1016/j.arthro.2025.03.003
Jennifer J. Beck M.D., Nirav K. Pandya M.D., Sachin Allahabadi M.D.
{"title":"Discoid Lateral Meniscus Evaluation and Treatment","authors":"Jennifer J. Beck M.D.,&nbsp;Nirav K. Pandya M.D.,&nbsp;Sachin Allahabadi M.D.","doi":"10.1016/j.arthro.2025.03.003","DOIUrl":"10.1016/j.arthro.2025.03.003","url":null,"abstract":"<div><div>Discoid lateral meniscus (DLM) is a variant of meniscal histomorphology that often presents in young, active pediatric populations. Patients may present with mechanical symptoms, joint line pain, swelling, and loss of motion especially with lack of terminal knee extension. DLM are prone to tearing, most frequently with horizontal patterns in children and complex patterns in adults. The PRiSM classification and assessment of DLM provide a comprehensive approach to evaluating DLMs arthroscopically, focusing on the following four factors: (1) meniscal width, (2) meniscal height, (3) stability, and (4) the presence of tearing. Meniscal width is defined as complete (Watanabe class I) or incomplete (Watanabe class II). Meniscal height is defined as normal or abnormal. DLMs may be stable, unstable posteriorly (Watanabe class III), unstable anteriorly, or unstable both anteriorly and posteriorly. After appropriate saucerization, the meniscus is carefully evaluated for the presence of a tear, and, if present, the tear type and location are noted. Multiple surgical tips may facilitate appropriate treatment of symptomatic DLMs. A more proximal and medial anteromedial portal should be created directed over the tibial spines into the lateral compartment for optimal working trajectory. Small joint and 70° scopes may also facilitate viewing in select cases. Switching portals frequently allows for a more complete assessment and treatment of DLMs. During the process of saucerization, the popliteal hiatus should be visualized, and this area is often thickened and enlarged which can contribute to meniscal instability. A variety of biters, shavers, and blades may be necessary for optimal saucerization. For unstable tears, traction sutures may facilitate controlling the DLM during saucerization. Once saucerization is complete, the presence of a tear should be thoroughly assessed. If possible, tears should be repaired, and surgeons should be prepared with a variety of repair techniques in addition to marrow stimulation or biologic augmentation to improve healing potential.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 6","pages":"Pages 1702-1704"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Cover Image & Video Link 封面图片和视频链接
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-05-29 DOI: 10.1016/S0749-8063(25)00327-5
{"title":"Cover Image & Video Link","authors":"","doi":"10.1016/S0749-8063(25)00327-5","DOIUrl":"10.1016/S0749-8063(25)00327-5","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 6","pages":"Page A19"},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Preoperative Mental Health Diagnosis Associated With Increased Risk of 90-Day Readmission After Shoulder Arthroscopy. 术前心理健康诊断与肩关节镜术后90天再入院风险增加相关
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-05-29 DOI: 10.1016/j.arthro.2025.05.026
Andrew J Gaetano, Stanley Liu, Shreya M Saraf, Mary K Mulcahey
{"title":"Preoperative Mental Health Diagnosis Associated With Increased Risk of 90-Day Readmission After Shoulder Arthroscopy.","authors":"Andrew J Gaetano, Stanley Liu, Shreya M Saraf, Mary K Mulcahey","doi":"10.1016/j.arthro.2025.05.026","DOIUrl":"10.1016/j.arthro.2025.05.026","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate whether a preexisting mental health condition increases the risk of adverse outcomes after shoulder arthroscopy while controlling for relevant covariates.</p><p><strong>Methods: </strong>A retrospective chart review was performed of patients who underwent shoulder arthroscopy between 2007 and 2022 at a single institution. The cohort included patients who underwent arthroscopic procedures for a range of indications, including rotator cuff repair, labral repair, debridement procedures, and biceps tenodesis. The mental health conditions assessed were associated with depression, anxiety, trauma, bipolar disorder, and schizoid disorders on the basis of the Substance Abuse and Mental Health Services Administration. Multivariable regression modeling was used to control for covariates and determine the odds of 90-day readmission, 90-day reoperation, and 1-year mortality for patients with preoperative mental health conditions.</p><p><strong>Results: </strong>A total of 3,368 patients (1,522 female and 1,846 male) who underwent shoulder arthroscopy were identified in the retrospective chart review. When we controlled for covariates, patients with a diagnosis of any mental health condition (odds ratio [OR] 2.407, 95% confidence interval [CI] 1.209-4.791, P = .012) and those with a specific diagnosis of depression (OR 2.346, 95% CI 1.119-4.916, P = .024) or anxiety (OR 2.113, 95% CI 1.061-4.206, P = .033) had a greater odds of readmission within 90 days after shoulder arthroscopy. There were no associations between mental health diagnoses and reoperation within 90 days or mortality within 1 year.</p><p><strong>Conclusions: </strong>A preexisting mental health condition is associated with an increased odds of 90-day readmission following shoulder arthroscopy.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Lubowitz to Become Editor-in-Chief Emeritus: Assistant Editor Rossi Promoted to Editor-in-Chief 鲁博维茨成为名誉总编:罗西助理主编晋升为总编
IF 4.4 1区 医学
Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-05-29 DOI: 10.1016/j.arthro.2025.03.020
James H. Lubowitz M.D. (Editor-in-Chief, Emeritus)
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