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

{"title":"Editorial Commentary: Cadaveric Investigation Best Shows the Balance of Structure, Movement, and Function, Particularly in the Hip Joint: We Owe a Debt to Human Donors","authors":"Benjamin Kivlan Ph.D., P.T","doi":"10.1016/j.arthro.2024.06.030","DOIUrl":"10.1016/j.arthro.2024.06.030","url":null,"abstract":"<div><div>The study of human donors allows us unique perspective of the pathomechanics of ischiofemoral impingement syndrome. Use of cadaveric modeling and fluoroscopic evaluation reveals that hip external rotation reduces the ischiofemoral space. Thus ischiofemoral impingement is likely to occur with hip motion into external rotation and extension in combination with femoral and acetabular anteversion according to cadaveric study. The combination of cadaveric study and diagnostic imaging helps us to understand the intricate relationship between anatomical structure and human movement causing ischiofemoral impingement syndrome. The advancement of our knowledge is aided the gracious donar of human donors to study their bodies, specifically in response to human movement.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 214-216"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472967","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}

{"title":"Editorial Commentary: Spine Pathology May Improve or Worsen Outcomes After Hip Arthroscopy: Patient Evaluation and Indications Are Critical","authors":"Thomas Youm M.D.","doi":"10.1016/j.arthro.2024.09.046","DOIUrl":"10.1016/j.arthro.2024.09.046","url":null,"abstract":"<div><div>Compared with total hip arthroplasty, hip arthroscopy is a relatively new procedure, and as such, hip-spine syndrome in young adults is an emerging topic of research. In the past decade, our understanding of spinopelvic alignment has improved the stability and survivorship of hip replacements in patients with prior lumbar fusions. Obviously, the hip affects the spine and the spine affects the hip. In terms of hip arthroscopy, just as older patients and patients with cartilage damage have inferior outcomes, patients with spine pathology are at risk for postoperative worsening spinal symptoms, including sciatica. In addition, back and radicular pain may limit postoperative hip rehabilitation. Yet other patients show resolution of back symptoms after hip arthroscopy. Today, surgeons indicating hip arthroscopy must first investigate patient sagittal balance, which includes pelvis tilt, pelvic incidence, and sacral slope. When properly indicated, hip-spine pain patients show greater percentage improvement with no increased failure risk compared with patients with isolated FAIS. Exceptions include patients with concomitant lumbar stenosis or lumbar fusion. Rate of revision hip arthroscopy and conversion to total hip replacement is 2-fold compared with controls if patients had prior 1-2 level fusion and 3-fold if 3 or more levels are fused. Our understanding of hip-spine patients with regard to arthroscopy outcomes continues to develop. In addition to a comprehensive spine exam, the patient’s spine surgical history and current spine symptoms must be investigated to predict the efficacy of hip arthroscopy. If patients have both hip and spine symptoms, a diagnostic hip injection to determine the prime pain generator is essential. If the hip is the source of pain, patients should be counseled that back symptoms will likely improve after hip arthroscopy but not in all cases. EOS imaging to measure sagittal balance may allow the surgeon to predict if impingement measurements on hip radiographs may be underestimated in the setting of a stiff spine. If the patient has multiple risk factors for poor outcomes such as advancing age, articular cartilage damage, borderline dysplasia, or hypermobility, on top of a history of multilevel lumbar fusion or spinal deformity, hip arthroscopy may not be ideal, and hip arthroplasty should be considered. Clearly, the spine may not be ignored in patients with femoroacetabular impingement.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 235-238"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376378","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}

{"title":"Osteochondral Allograft or Autograft Transplantation of the Femoral Head Leads to Improvement in Outcomes but Variable Survivorship: A Systematic Review","authors":"Scott Fong B.A. ,&nbsp;Michael S. Lee B.A. ,&nbsp;Nicholas Pettinelli B.S. ,&nbsp;Mackenzie Norman M.D. ,&nbsp;Nancy Park B.S. ,&nbsp;Stephen M. Gillinov A.B. ,&nbsp;Justin Zhu B.A. ,&nbsp;Jack Gagné M.D. ,&nbsp;Amy Y. Lee B.A. ,&nbsp;Ronak J. Mahatme B.S. ,&nbsp;Andrew E. Jimenez M.D.","doi":"10.1016/j.arthro.2024.02.008","DOIUrl":"10.1016/j.arthro.2024.02.008","url":null,"abstract":"<div><h3>Purpose</h3><div><span><span>To review patient-reported outcomes (PROs) and survivorship in patients undergoing osteochondral </span>autograft or </span>allograft<span> transplantation (OAT) of the femoral head.</span></div></div><div><h3>Methods</h3><div><span><span>PubMed, Cochrane Center for Register of Controlled Trials, and Scopus databases were searched in November 2022 with an updated search extending to December 2023 using criteria from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the following keywords: (hip OR femoral head) AND (mosaicplasty OR osteochondral allograft OR osteochondral autograft OR osteochondral lesion). Articles were included if they evaluated postoperative PROs in patients who underwent OAT of the femoral head and had a study size of 5 or more hips (n ≥ 5). Survivorship was defined as freedom from conversion to </span>total hip arthroplasty. For PROs evaluated in 3 studies or more, forest plots were created and </span><em>I</em>² was calculated.</div></div><div><h3>Results</h3><div>Twelve studies were included in this review, with a total of 156 hips and a mean follow-up time ranging between 16.8 and 222 months. In total, 104 (66.7%) hips were male while 52 (33.3%) were female. Age of patients ranged from 17.0 to 35.4 years, while body mass index<span> ranged from 23.3 to 28.1. Eight studies reported on osteochondral autograft transplantation and 4 studies on osteochondral allograft transplantation. Three studies reported significant improvement in at least 1 PRO. Survivorship ranged from 61.5% to 96% at minimum 2-year follow-up and from 57.1% to 91% at minimum 5-year follow-up. At a follow-up of less than 5 years, osteochondral allograft transplantation studies showed 70% to 87.5% survivorship, while autograft varied from 61.54% to 96%.</span></div></div><div><h3>Conclusions</h3><div>Patients with osteochondral lesions of the femoral head who underwent osteochondral autograft or allograft transplantation demonstrated improved PROs but variable survivorship rates.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level IV studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 357-373.e1"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747831","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}

{"title":"Patients With Dysplasia Achieve Similar Outcomes and Survivorship to Nondysplastic Patients 10 Years After Hip Arthroscopy for Femoroacetabular Impingement","authors":"Karen Mullins Ph.D. ,&nbsp;David Filan Ph.D. ,&nbsp;Patrick Carton M.D., F.R.C.S.(Tr&Orth), F.F.S.E.M.","doi":"10.1016/j.arthro.2024.08.022","DOIUrl":"10.1016/j.arthro.2024.08.022","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the long-term outcomes of hip arthroscopy (HA) for femoroacetabular impingement (FAI) in the presence of concomitant lateral rim dysplasia compared with a matched control group.</div></div><div><h3>Methods</h3><div>Patients undergoing HA between January 2009 and October 2013 with minimum 10-year follow-up were reviewed. The inclusion criteria consisted of patients undergoing HA for FAI with evidence of lateral rim dysplasia (lateral-center edge angle [LCEA] &lt; 25°). Patients with lateral rim dysplasia were matched to patients with an LCEA greater than 30° based on sex, Tönnis grade, and age. Outcomes included survival (avoidance of total hip replacement [THR]), repeated HA, and patient-reported outcomes (PROs). Survivorship was assessed using a Kaplan-Meier curve and log rank test, whereas revision rates between groups were assessed using χ² analysis. Between- and within-group analyses of PROs were conducted using the Mann-Whitney <em>U</em> test and Wilcoxon signed rank test, respectively. The proportion of cases achieving the patient acceptable symptom state was compared between groups using χ² analysis.</div></div><div><h3>Results</h3><div>This study comprised 46 dysplasia cases and 90 control cases. There was no statistically significant difference between groups in baseline metrics apart from the LCEA (<em>P</em> &lt; .001), Sharp angle (<em>P</em> &lt; .001), and Tönnis angle (<em>P</em> &lt; .001). By 10 years postoperatively, 9% of dysplasia cases and 4% of control cases underwent conversion to THR. There was no statistically significant difference between groups in survival or revision rates. Both groups reported improvements in PROs, and there was no difference between PRO scores at either time point. Excluding cases that underwent THR, 84% and 83% of dysplasia and control cases, respectively, achieved the patient acceptable symptom state.</div></div><div><h3>Conclusions</h3><div>HA for symptomatic FAI is a successful treatment in cases in which dysplasia is present. Low complication rates, comparable outcomes to cases without lateral rim dysplasia, and a high survivorship rate of 91% at minimum 10-year follow-up are observed. Increasing Tönnis angle preoperatively may increase the risk of THR conversion.</div></div><div><h3>Level of Evidence</h3><div>Level IV, retrospective cohort study.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 217-225.e1"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115147","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}

{"title":"Announcement of 2024 Journal Awards","authors":"","doi":"10.1016/S0749-8063(24)01070-3","DOIUrl":"10.1016/S0749-8063(24)01070-3","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 533-534"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143100863","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}

{"title":"Hip External Rotation Decreases Ischiofemoral Distance: A Positive Correlation Between Cadaveric and Fluoroscopic Studies","authors":"Thun Itthipanichpong M.D. ,&nbsp;Kittitat Jaidee M.D. ,&nbsp;Pawarit Wipaswatcharayotin M.D. ,&nbsp;Danaithep Limskul M.D. ,&nbsp;Samarth Venkata Menta B.A. ,&nbsp;Thanathep Tanpowpong M.D. ,&nbsp;Somsak Kuptniratsaikul M.D. ,&nbsp;Anil S. Ranawat M.D. ,&nbsp;Napatpong Thamrongskulsiri M.D.","doi":"10.1016/j.arthro.2024.03.038","DOIUrl":"10.1016/j.arthro.2024.03.038","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the effect of hip external rotation or extension/adduction on minimizing the ischiofemoral distance (IFD) and assess the correlation between cadaveric and fluoroscopic IFD measurements in different hip positions.</div></div><div><h3>Methods</h3><div><span>This cadaveric study involved 33 hip joints from 17 embalmed cadavers. IFD, the distance between the lesser trochanter and lateral </span>ischium<span>, was measured in different hip positions: neutral, external rotation at 30°, and external rotation at 60° with the hip in both neutral extension and adduction as well as 10° hip extension and 10° hip adduction. Differences in IFD related to positions and correlation between cadaveric and fluoroscopic measurements were analyzed.</span></div></div><div><h3>Results</h3><div>IFD measurements showed that the greatest reduction occurred at 60° of external hip rotation, with a significant difference observed only between neutral and 60° external rotation in cadaveric groups (7.60 ± 4.68 vs 5.05 ± 3.48, 95% CI, 0.14-4.96; <em>P</em> = .036). No substantial difference was observed between the extension and adduction positions. Positive correlations were observed between cadaveric and fluoroscopic measurements, especially in the neutral position (r = 0.492, <em>P</em> = .004), external rotation at 30° (r = 0.52, <em>P</em> = .002), external rotation at 60° (r = 0.419, <em>P</em> = .015), and the extension/adduction positions combined with neutral rotation (r = 0.396, <em>P</em> = .023).</div></div><div><h3>Conclusions</h3><div>The IFD significantly decreased with increasing degrees of hip external rotation, particularly at 60°. No significant reduction was observed in the extension/adduction positions. In addition, positive correlations were observed between cadaveric and fluoroscopic measurements for specific hip positions: neutral rotation, external rotation at 30° and 60°, and extension/adduction at 10° with neutral rotation.</div></div><div><h3>Clinical Relevance</h3><div>Surgeons can use this knowledge to improve hip impingement assessment through radiography, focusing on positions in which IFD reduction is most notable. Understanding the relationship between hip positions and IFD can enhance the diagnosis of ischiofemoral impingement syndrome and benefit patient care and outcomes.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 207-213"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863525","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}

{"title":"Arthroscopy Honors 2024 Award-Winning Authors Across Diverse Platforms","authors":"Jefferson C. Brand M.D. (Assistant Editor-in-Chief Emeritus),&nbsp;Michael J. Rossi M.D., M.S. (Assistant Editor-in-Chief),&nbsp;Elizabeth Matzkin M.D. (Deputy Editor),&nbsp;James H. Lubowitz M.D. (Editor-in-Chief)","doi":"10.1016/j.arthro.2024.11.052","DOIUrl":"10.1016/j.arthro.2024.11.052","url":null,"abstract":"<div><div>With sincere appreciation to the Arthroscopy Association of North America Education Foundation for their support, we present <em>Arthroscopy’s</em> 2024 Annual Awards for the best Clinical Research, Basic Science Research, Resident/Fellow Research, Systematic Review, and Podcast published in 2024, as well as the Most Downloaded and Most Cited papers published 5 years ago in <em>Arthroscopy</em>, and the Most Downloaded <em>Arthroscopy Techniques</em> article. In addition, as of January 1, 2025, we have updated our Editor-in-chief, Assistant Editor, and Deputy and Associate Editors disclosures of potential conflicts of interest as well as our journal masthead.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Pages 143-149"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640390","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}

{"title":"Podium Presentation Title: Defining the Clinical Benefit & Identifying Predictors for Achievement for Revision Hip Arthroscopy","authors":"David R. Maldonado M.D.,&nbsp;Omkar Prabhavalkar B.A.,&nbsp;Saiswarnesh Padmanabhan B.S., B.A.,&nbsp;Julio Nerys-Figueroa B.S.,&nbsp;Benjamin G. Domb M.D.,&nbsp;Keldrin R. Paez M.D.,&nbsp;Tolani A. Are M.D., M.S.","doi":"10.1016/j.arthro.2024.11.015","DOIUrl":"10.1016/j.arthro.2024.11.015","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Page e5"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128269","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}

{"title":"Podium Presentation Title: To Remplissage or Not to Remplissage: The Pittsburgh Instability Tool (PIT) Score Predicts Failure","authors":"Albert Lin M.D.,&nbsp;Shaquille Charles M.D., M.Sc.,&nbsp;Stephanie Boden M.D.,&nbsp;Ehab Nazzal M.D.,&nbsp;Matthew Como B.S.,&nbsp;Romano Sebastiani M.Sc.,&nbsp;Jonathan Hughes M.D.,&nbsp;Mark Rodosky M.D.,&nbsp;Adam Popchak D.P.T., Ph.D., S.C.S.,&nbsp;Volker Musahl M.D.,&nbsp;Bryson Lesniak M.D.,&nbsp;Dharmesh Vyas M.D., Ph.D.","doi":"10.1016/j.arthro.2024.11.026","DOIUrl":"10.1016/j.arthro.2024.11.026","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Page e11"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129784","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}

{"title":"Podium Presentation Title: The Effect on Leg Length Following Lateral Opening vs. Medial Closing Distal Femoral Osteotomies","authors":"Aaron J. Krych M.D.,&nbsp;Tristan J. Elias B.A.,&nbsp;Erik Haneberg B.S.,&nbsp;Christopher Brusalis M.D.,&nbsp;Enrico Forlenza M.D.,&nbsp;Allen Wang M.S.,&nbsp;Monica Kogan M.D.,&nbsp;Camila Cohen Kaleka M.D., Ph.D.,&nbsp;Adam B. Yanke M.D., Ph.D.","doi":"10.1016/j.arthro.2024.11.048","DOIUrl":"10.1016/j.arthro.2024.11.048","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 2","pages":"Page e22"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131848","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}