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

{"title":"Editorial Commentary: Use of Glenoid Labral Augmentation as an Effective Treatment for Subcritical Glenoid Bone Loss.","authors":"Anthony Zacharias","doi":"10.1002/arj.70564","DOIUrl":"10.1002/arj.70564","url":null,"abstract":"<p><p>Restoration of joint function and mechanics is the goal of every shoulder stabilization surgery. Achieving this goal in the setting of altered anatomy and bone loss is easier said than done. In restoring a joint, it is important to understand what native tissue can be repaired, what can be augmented, or what needs to be reconstructed. For this, we rely on biomechanical research, patient outcomes, and long-term follow-up of patients. Bone augmentation procedures have provided a crucial role in shoulder instability treatment, but perhaps it is time to consider soft-tissue augmentation to the glenoid as another option in our armamentarium.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2034-2035"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860527","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: Lower Trapezius Transfer Delivers Durable, Meaningful Recovery at 5 Years: Thresholds Tell Only Part of the Story.","authors":"Patrick M Ryan","doi":"10.1002/arj.70371","DOIUrl":"10.1002/arj.70371","url":null,"abstract":"<p><p>Arthroscopic-assisted lower trapezius tendon transfer has emerged as a compelling joint-preserving solution for massive irreparable posterosuperior rotator cuff tears, yet the field has lacked a robust framework for interpreting what constitutes a meaningful patient outcome after this procedure. Establishing procedure-specific minimal clinically important difference and patient acceptable symptom state thresholds in this setting is both timely and necessary. When such thresholds are derived, however, they must be understood as cohort-specific constructs that cannot be universally applied across patient populations, institutions, or surgical techniques. The teres minor remains a critical variable in outcome prediction, and its preoperative trophicity should be a central element of the shared surgical decision-making process.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"1955-1957"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438936","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: Lateral Extra-articular Augmentation With Anterior Cruciate Ligament Surgery Is Safe but Not Risk Free. Should We Be Doing This in Everyone?","authors":"Robert W Lindeman","doi":"10.1002/arj.70345","DOIUrl":"10.1002/arj.70345","url":null,"abstract":"<p><p>Anterior cruciate ligament reconstruction is a constantly evolving procedure, and we continue to push the limits to improve outcomes for our patients. As rates of reinjury continue to be higher than we desire, we have consistently sought methods to improve postoperative outcomes and reduce the rates of revision surgeries. The rebirth of lateral extra-articular augmentation procedures has given us a strong tool to leverage to achieve these goals. It is essential that we continue to appreciate the price of this progress and fully understand the risks of augmenting our existing surgical techniques. Finding the optimal patients on whom to utilize these techniques is the key to balancing our success in this challenging patient population.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2195-2197"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413573","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":"Large to Massive Rotator Cuff Tears With Only Partial Repair Possible Treated With Human Dermal Allograft Results in Lower Retear Rates and Improved Function Compared With Matched Group Without Augmentation.","authors":"Seong Hun Kim, Ji Young Yoon","doi":"10.1002/arj.70122","DOIUrl":"10.1002/arj.70122","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical and radiologic outcomes of incomplete rotator cuff repair with and without human dermal allograft patch in patients with large to massive rotator cuff tears.</p><p><strong>Methods: </strong>A retrospective analysis was performed on patients who underwent arthroscopic rotator cuff repair with footprint medialization between March 2013 and September 2022, with a minimum 2-year follow-up for clinical outcomes. Patients were included if they had a full-thickness rotator cuff tear measuring ≥3.0 cm and underwent incomplete repair due to excessive tension after medialization. Propensity score matching (1-to-1) was performed between the patch augmentation and incomplete repair-only groups by preoperative variables, including tear size, chronicity, and tendon quality. Clinical outcomes were assessed via visual analog scale for pain, American Shoulder and Elbow Surgeons score, Constant score, and Single Assessment Numeric Evaluation score, along with active range of motion. Structural integrity was evaluated using magnetic resonance imaging at 6 months, ultrasonography at 1 year, and at final follow-up.</p><p><strong>Results: </strong>Among 1129 patients, 174 met the inclusion criteria: 43 received human dermal allograft patch augmentation, and 131 underwent incomplete repair. Propensity score matching produced 36 matched pairs for analysis. At final follow-up, the patch augmentation group had significantly better outcomes, including lower visual analog scale for pain score (0.6 ± 0.9 vs 1.2 ± 1.3, P = .035), and higher American Shoulder and Elbow Surgeons (93.3 ± 4.5 vs 89.0 ± 6.6, P = .002), Constant (89.8 ± 4.9 vs 86.6 ± 7.3, P = .031), and Single Assessment Numeric Evaluation scores (90.6 ± 6.8 vs 84.7 ± 8.4, P = .002). Furthermore, 83.3% of the patch group and 77.8% of the control group achieved the minimal clinically important difference of 9.1 for the American Shoulder and Elbow Surgeons score. Both groups showed significant range of motion improvement with no intergroup difference. Magnetic resonance imaging at 6 months showed healing failure in 8.3% of the patch augmentation group versus 27.8% in the incomplete repair group (P = .063). At the final follow-up, retear rates reached 33.3% in the incomplete repair group but remained at 8.3% with patch augmentation (P = .009).</p><p><strong>Conclusions: </strong>Human dermal allograft patch augmentation in patients with large to massive rotator cuff tears led to lower retear rates and superior clinical outcomes compared with incomplete repair alone.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative case-control study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"1921-1930"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846218","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":"Labral Hypoplasia by Preoperative Magnetic Resonance Imaging Predicts Higher Revision and Arthroplasty Risk After Hip Arthroscopy for Femoroacetabular Impingement Syndrome at 10 Year Follow-Up.","authors":"Emily Berzolla, Larry Chen, James Messina, Zachary Li, Mohammad M Samim, Christopher J Burke, Daniel J Kaplan, Thomas Youm","doi":"10.1002/arj.70404","DOIUrl":"10.1002/arj.70404","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the association between labral width as measured on preoperative magnetic resonance imaging (MRI) and patient-reported outcomes, achievement of clinically significant thresholds, and reoperation rates in hip arthroscopy for femoroacetabular impingement syndrome (FAIS) at minimum 10-year follow-up.</p><p><strong>Methods: </strong>A retrospective review of a prospectively gathered database of hip arthroscopy patients from August 2012 to June 2014 was conducted. Inclusion criteria were patients ≥18 years with clinically and radiographically confirmed FAIS and labral tearing who underwent primary hip arthroscopy with labral repair or debridement and had ≥10 years of follow-up. MRI labral width measurements were performed by 2 blinded musculoskeletal radiologists at standardized clockface locations using a validated technique. Outcomes were assessed using the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS). Patients were classified as hypoplastic if they had a labral width below the mean on 2 or more views. Outcomes and reoperation rates were compared between groups using independent samples t-tests for continuous variables and chi-square tests for categorical variables.</p><p><strong>Results: </strong>A total of 83 patients (83 hips; 65.9% follow-up) with a mean age of 42.93 ± 13.74 years and body mass index of 25.22 ± 4.51 kg/m² were included, with a mean follow-up of 11.30 ± 0.47 years. Patients were categorized into hypoplastic (n = 42) and nonhypoplastic (n = 41) groups. There was no significant difference between hypoplastic and nonhypoplastic groups with respect to age, sex, smoking status, or intraoperative procedures. Additionally, there were no significant intergroup differences in mHHS or NAHS improvement at 5 or 10 years postoperatively. Both groups showed high achievement of the mHHS minimal clinically important difference threshold at 10-year follow-up with no significant difference (nonhypoplastic: 90.3% vs hypoplastic: 85.2%, P = .549). There was also no difference achievement of the patient acceptable symptom state (nonhypoplastic: 64.5% vs. hypoplastic: 70.4%, P = .636). However, the hypoplastic group had a significantly higher rate of revision arthroscopy (28.6% vs 9.8%, P = .030) and conversion to total hip arthroplasty (21.4% vs 4.9%, P = .026) when compared with the nonhypoplastic group.</p><p><strong>Conclusions: </strong>Hypoplastic labral width on preoperative MRI was associated with an increased risk of revision hip arthroscopy and conversion to total hip arthroplasty at 10 year follow-up in patients with FAIS.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2116-2126"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378171","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":"Interportal and T-Capsulotomy Yield Similar Short-Term Outcomes After Hip Arthroscopy With Capsular Repair.","authors":"Hayden P Baker, Mason E Uvodich, Alex Capitano, Danyal H Nawabi","doi":"10.1002/arj.70359","DOIUrl":"10.1002/arj.70359","url":null,"abstract":"<p><strong>Purpose: </strong>To compare clinical outcomes following hip arthroscopy for femoroacetabular impingement syndrome using either limited interportal (IP) or T-capsulotomy (TC) technique, with routine capsular closure.</p><p><strong>Methods: </strong>This retrospective cohort study included patients ≤50 years old who underwent primary hip arthroscopy for femoroacetabular impingement syndrome between May 2021 and January 2024 with a minimum of 12-month follow-up. Patients were treated with either IP or TC, and all underwent standardized capsular repair. Patient-reported outcomes (PROs) were collected preoperatively and at final follow-up. Cohort-specific minimum clinically important difference thresholds were calculated for each PROs and compared between groups. Improvements in scores were compared with established thresholds for the patient acceptable symptomatic state (PASS). Statistical significance was set at P < .05.</p><p><strong>Results: </strong>A total of 116 patients met the inclusion criteria (54 IP, 62 TC; mean age 34.5 ± 8.8 years; 55% female). Mean follow-up was 15.5 ± 5.4 months. Both groups showed significant improvements in all PROs. Although mean improvements were not statistically different, the interportal group showed consistently higher average postoperative scores. Cohort-specific minimum clinically important difference thresholds were achieved at similar rates in both groups, whereas exploratory analyses using previously published PASS thresholds showed higher PASS achievement in the interportal group for International Hip Outcomes Tool (76% vs 54%) and Patient Reported Outcome Measurement Information System Physical Function (58% vs 46%). No revisions or Clavien-Dindo grade ≥2 complications occurred in either group.</p><p><strong>Conclusions: </strong>Both IP and TC techniques led to significant improvements in PROs following hip arthroscopy with capsular repair, with similar rates of cohort-specific minimum clinically important difference achievement and no differences in revision surgery or major complications. Exploratory analyses showed higher PASS rates for International Hip Outcomes Tool and Patient Reported Outcome Measurement Information System Physical Function in the IP group, suggesting that a more limited capsulotomy may confer functional advantages.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"2107-2113"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341217","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":"Small but Significant Effect on Patellar Height and Tibial Tuberosity-Trochlear Groove Distance Following Ascending Versus Descending Tibial Tubercle Osteotomy in Medial Open-Wedge High Tibial Osteotomy.","authors":"Matthias Biner, Jakob Ackermann, Sandro Hodel, Sandro F Fucentese, Lazaros Vlachopoulos, Lukas Jud","doi":"10.1002/arj.70384","DOIUrl":"10.1002/arj.70384","url":null,"abstract":"<p><strong>Purpose: </strong>To compare radiographic patellofemoral characteristics following ascending tibial tubercle (AT) and descending tibial tubercle (DT) medial open-wedge high tibial osteotomy (OWHTO).</p><p><strong>Methods: </strong>This retrospective single-center study included all patients who underwent AT-OWHTO or DT-OWHTO between October 2014 and December 2022 with complete radiographic datasets and ≥12 months of follow-up. Patellar height (Caton-Deschamps index) and tibial tuberosity-trochlear groove distance (TT-TG) were measured on standardized radiographs and computed tomography scans preoperatively and at 4.5 and 12 months postoperatively. Coronal alignment (hip-knee-ankle angle), sagittal alignment (posterior tibial slope), and hinge-fracture occurrence were analyzed.</p><p><strong>Results: </strong>A total of 106 knees from 103 patients (83 men, 20 women; mean age 43.5 ± 8.9 years) were analyzed (48 AT, 58 DT). AT-OWHTO decreased the Caton-Deschamps index from 0.79 ± 0.14 to 0.69 ± 0.13 (P < .001) and increased TT-TG from 12.71 ± 3.41 to 14.93 ± 4.01 mm (P < .001). DT-OWHTO maintained the Caton-Deschamps index (0.76 ± 0.13 to 0.75 ± 0.14; P = .054) and TT-TG (13.86 ± 4.65 to 13.37 ± 4.93 mm; P = .057). A total of 46 hinge fractures (43.4%) were detected, 19 in the AT-OWHTO and 27 in the DT-OWHTO group (P = .471).</p><p><strong>Conclusions: </strong>A significant decrease in patella height and a significant increase in TT-TG were observed in AT-OWHTO, whereas these parameters remained stable in DT-OWHTO. Although the absolute magnitude of these radiographic changes was small, preoperative assessment of patellar height and TT-TG may assist in selecting the appropriate osteotomy technique to preserve patellofemoral joint alignment.</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":"2223-2228"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371052","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":"The \"Mooring\" Technique for Large Anterior Glenoid Rim Fractures Results in Favorable Clinical and Radiological Outcomes.","authors":"Di Wu, Yang Tang, Gang Yu, Yan Yan, Liang Xu, Yingming Wang, Qichun Zhao","doi":"10.1002/arj.70455","DOIUrl":"10.1002/arj.70455","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the arthroscopic \"mooring\" technique for the treatment of large anterior glenoid rim fractures and report the clinical and radiological outcomes of a consecutive case series treated with this technique.</p><p><strong>Methods: </strong>This retrospective study was conducted between January 2016 and August 2023. Eligible patients were those with acute anterior glenoid rim fracture (≥20% glenoid width involvement, displacement >5 mm) who underwent the \"mooring\" technique. All completed preoperative, 1-day postoperative, and 6-month postoperative computed tomography scans, as well as radiographs and clinical follow-up for a minimum of 2 years. Clinical outcomes were assessed using the American Shoulder and Elbow Surgeons score, Constant-Murley score, Rowe score, the Single Assessment Numeric Evaluation, and visual analog scale for pain. Radiographic parameters included reduction quality, bone union, and glenohumeral osteoarthritis progression.</p><p><strong>Results: </strong>A total of 56 patients was included in the final analysis (40 men, 16 women; mean age, 46.8 ± 16.2 years). The mean follow-up period was 27.2 ± 2.9 months. At the final follow-up, the mean American Shoulder and Elbow Surgeons, Constant-Murley, Rowe scores, Single Assessment Numeric Evaluation, and visual analog scale for pain were 89.5 ± 6.4, 90.3 ± 6.0, 89.6 ± 4.5, 83.2 ± 8.5, and 1.1 ± 1.0 points, respectively. Range of motion of the affected shoulder differed from the contralateral side: anterior flexion deficit -8° (P < .001), external rotation deficit -6° (P < .001), and internal rotation (P < .001). Bone union rate was 100% at 6 months postoperatively (66.1% complete, 33.9% partial). Satisfactory reduction quality (grade I/II) was achieved in 52 (92.9%) cases. Four patients (7.1%) showed glenohumeral osteoarthritis progression at the final follow-up.</p><p><strong>Conclusions: </strong>The arthroscopic \"mooring\" technique for large anterior glenoid rim fractures yields satisfactory 2-year short-term outcomes, featuring favorable reduction quality, a high bone union rate, and good clinical functional recovery.</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":"2011-2021"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802022","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":"Regarding \"Glenoid Labral Articular Disruption Lesions in the Setting of First-Time Anterior Shoulder Instability\".","authors":"Kang Qin, Yichen Xu, Weiqiang Liang","doi":"10.1002/arj.70461","DOIUrl":"10.1002/arj.70461","url":null,"abstract":"","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"1912-1913"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801878","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":"Distal Radius Morphology and Bone Mineral Density Show Significant Sex- and Age-Based Differences With Implications for Allograft Glenoid Reconstruction.","authors":"Peter Boufadel, Olawale A Sogbein, Adam Rizk, Mohamad Y Fares, Adam Z Khan, Pedro K Beredjiklian, Joseph A Abboud","doi":"10.1002/arj.70499","DOIUrl":"10.1002/arj.70499","url":null,"abstract":"<p><strong>Purpose: </strong>To assess variations in distal radius morphology to identify factors that may influence optimal graft selection in glenoid reconstruction.</p><p><strong>Methods: </strong>A single-institution, retrospective database of wrist computed tomography scans was reviewed to identify patients with intact, uninjured distal radii. Exclusion criteria included fractures, hardware, or cysts in the distal radius and inadequate computed tomography views or quality. Patient age at the time of computed tomography scan was categorized into <30, 30 to 50, and >50 years, and sex was recorded. Measurements included coronal and sagittal radius of curvature (ROC) and axial area, perimeter, and bone mineral density (BMD). These parameters were compared across different age groups and between sexes, with subgroup analyses and multivariable linear regression performed.</p><p><strong>Results: </strong>A total of 100 patients were included, with a mean age of 42.6 ± 18.3 years (range: 18-88), and 54% were men. Men had a significantly greater mean ROC than women in both coronal (26.5 ± 5.0 vs 23.5 ± 4.2 mm, P = .002) and sagittal (12.6 ± 2.1 vs 11.1 ± 1.4 mm, P < .001) planes. Mean area, perimeter, and BMD were also significantly higher in men compared with women across the total cohort and within all age groups (P < .05). BMD varied across age groups, with patients <30 years having significantly greater BMD than age groups 30 to 50 (P = .011) and >50 years (P = .032). On multivariable analysis, male sex was independently associated with greater BMD, coronal and sagittal ROC, area, and perimeter, whereas age <30 years was associated with greater BMD and age >50 years with larger area and perimeter.</p><p><strong>Conclusions: </strong>Distal radius morphology and BMD vary by sex and age, with men showing greater mean ROC, graft size parameters, and BMD, whereas younger age is associated with higher BMD. For glenoid reconstruction, distal radius allografts derived from younger male donors may provide larger grafts with higher BMD and favorable curvature characteristics to the native glenoid.</p><p><strong>Clinical relevance: </strong>Distal radius allograft reconstruction has emerged as a viable option for glenoid bone loss in anterior shoulder instability. This study defines age- and sex-based variations in distal radius morphology and bone density to help guide surgeons in selecting grafts with appropriate size, curvature, and bone quality for glenoid augmentation.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":"1972-1980"},"PeriodicalIF":6.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860254","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}