Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Soaking in Povidone-Iodine, Chlorhexidine, Teicoplanin, Vancomycin, and Saline Solution Differentially Alters Porcine Flexor Tendon Size and Biomechanical Properties","authors":"Kaan Gurbuz M.D. ,&nbsp;Yukun Zhang Ph.D. ,&nbsp;Logan Opperman Ph.D. ,&nbsp;Matthew B. Fisher Ph.D.","doi":"10.1016/j.asmr.2025.101168","DOIUrl":"10.1016/j.asmr.2025.101168","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the impact of povidone-iodine, chlorhexidine, vancomycin, and teicoplanin on the size and biomechanical properties of porcine flexor tendon grafts.</div></div><div><h3>Methods</h3><div>Porcine deep digital flexor tendons (N = 120) were collected in pairs and allocated into povidone-iodine, chlorhexidine, vancomycin, teicoplanin, and saline solution groups (12 pairs per solution). The tendons from one side underwent a 30-minute soaking in these solutions, whereas those from the other side were wrapped in saline solution–soaked gauze. Tendon cross-sectional area (CSA) was measured before and after soaking, along with unsoaked controls. Tensile testing to failure was performed. Stiffness, load at failure, modulus, and stress at failure were calculated.</div></div><div><h3>Results</h3><div>Soaking in povidone-iodine and chlorhexidine decreased the average CSA by 8% (–0.9 mm² [95% confidence interval (CI), –1.7 to –0.2 mm²], <em>P</em> = .02) and 13% (–1.1 mm² [95% CI, –1.5 to –0.7 mm²], <em>P</em> &lt; .001), respectively. Conversely, the average CSA increased by 12% after soaking in teicoplanin (1.0 mm² [95% CI, 0.7 to 1.3 mm²], <em>P</em> &lt; .001) and by 6% after soaking in vancomycin (0.7 mm² [95% CI, 0.2 to 1.2 mm²], <em>P</em> = .01), similar to saline solution (11% increase; 0.8 mm² [95% CI, 0.4 to 1.1 mm²], <em>P</em> &lt; .001). The stiffness of tendons soaked in chlorhexidine was 8% lower than that of unsoaked contralateral controls (–13.3 N/mm [95% CI, –31.0 to –6.9 N/mm], <em>P</em> = .01), but stress at failure increased by 15% (8.9 MPa [95% CI, 0.6 to 17.2 MPa], <em>P</em> = .04). We observed no significant difference in tensile properties due to soaking in other solutions.</div></div><div><h3>Conclusions</h3><div>Soaking porcine flexor tendons in povidone-iodine and chlorhexidine resulted in a decrease in CSA, whereas soaking in vancomycin and teicoplanin led to an increase, similar to saline solution. No significant side-to-side differences in average CSA were observed. Soaking in chlorhexidine decreased stiffness but increased stress at failure. None of the solutions affected load at failure.</div></div><div><h3>Clinical Relevance</h3><div>It is important to understand the impact of soaking porcine flexor tendon grafts in various antimicrobial solutions to ensure that there are no harmful biomechanical effects to the tissues used in the clinical setting.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101168"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proximal Hamstring Repairs Show Similar Load to Failure to Intact Hamstring Tendons: A Systematic Review and Meta-analysis of Biomechanical Investigations","authors":"James MacLeod M.D. ,&nbsp;Michael S. Lee B.A. ,&nbsp;Andrew Fallon B.S. ,&nbsp;Stephen M. Gillinov M.D. ,&nbsp;Nancy Park M.D. ,&nbsp;Kevin Girardi B.S. ,&nbsp;Jonas Vorbau B.S. ,&nbsp;Jay Moran M.D. ,&nbsp;Jessica M. Fritz Ph.D. ,&nbsp;Anthony Nasser Ph.D. ,&nbsp;Serkan Surucu M.D. ,&nbsp;Andrew E. Jimenez M.D.","doi":"10.1016/j.asmr.2025.101204","DOIUrl":"10.1016/j.asmr.2025.101204","url":null,"abstract":"<div><h3>Purpose</h3><div>To review cadaveric studies evaluating the maximum load to failure after proximal hamstring repair with various numbers and sizes of anchors.</div></div><div><h3>Methods</h3><div>The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were used when conducting this systematic review. PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and Scopus were queried in July 2024. Articles were included if they reported on the load to failure or maximum load in human cadavers undergoing proximal hamstring repair. Maximum load to failure was pooled among studies evaluating repairs compared with intact native hamstring tendons. The Biomechanics Objective Basic Science Quality Assessment Tool (BOBQAT) was used to score all articles.</div></div><div><h3>Results</h3><div>Six studies reporting on 97 human cadaveric hemipelves undergoing open repair for proximal hamstring tears were included. The mean ages of cadavers ranged from 45.4 to 63.0 years. The mean maximum load to failure ranged from 183.3 to 1,164 N. Repairs showed no statistically significant difference in maximum load to failure when compared with native proximal hamstrings, with an effect size of –0.31 (95% confidence interval, –1.05 to 0.42; <em>P</em> = .40).</div></div><div><h3>Conclusions</h3><div>Proximal hamstring repair shows a wide range of maximum loads to failure, with repaired hamstrings achieving loads to failure comparable to those of intact tendons. Repairs incorporating 3 or more anchors may improve load to failure.</div></div><div><h3>Clinical Relevance</h3><div>Investigating the strength of proximal hamstring repair techniques can help surgeons identify which techniques may provide the strongest repair for patients. Proximal hamstring repairs show similar levels of load to failure compared with native hamstring tendons.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101204"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Patient-Reported Outcome Measures Completion Rates Vary by Procedure Type Among Patients Who Undergo Arthroscopic Surgery","authors":"Shreeya R. Bahethi B.S.,&nbsp;Andrea H. Johnson M.S.N., C.R.N.P.,&nbsp;Jane C. Brennan M.S.,&nbsp;Benjamin M. Petre M.D.,&nbsp;Justin J. Turcotte Ph.D., M.B.A.,&nbsp;Daniel E. Redziniak M.D.","doi":"10.1016/j.asmr.2025.101208","DOIUrl":"10.1016/j.asmr.2025.101208","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate disparities in preoperative patient-reported outcome measure (PROM) completion rates, specifically Patient-Reported Outcome Measurement Information System, Physical Function (PROMIS-PF), among patients undergoing common arthroscopic procedures.</div></div><div><h3>Methods</h3><div>A retrospective review of patients undergoing arthroscopic procedures (knee arthroscopy, arthroscopic rotator cuff repair, hip arthroscopy, anterior cruciate ligament reconstruction) at a single institution from 2021 to 2024 was performed. Patients without documented race/ethnicity were excluded. The primary outcome was completion of the PROMIS-PF survey in clinic preoperatively. Univariate and multivariate analyses were performed to assess the relationship between race, ethnicity, social vulnerability (measured using the Centers for Disease Control Social Vulnerability Index [SVI]) and PROMIS-PF completion rates.</div></div><div><h3>Results</h3><div>A total of 2,542 patients were included in the study; 715 (28.1%) patients underwent hip arthroscopy, 418 (16.4%) patients underwent arthroscopic rotator cuff repair, 193 (7.8%) patients underwent anterior cruciate ligament reconstruction, 770 (30.3%) patients underwent arthroscopic meniscectomy, 165 (6.5%) patients underwent arthroscopic meniscal repair, and 281 (11.1%) underwent knee arthroscopy. Overall, 60.8% of patients completed PROMIS-PF preoperatively. There were no significant differences in race, ethnicity, sex, age, body mass index, or overall SVI between patients who completed PROMIS-PF preoperatively and those who did not or within specific procedure categories. After controlling for age, sex and body mass index, non-White race, Hispanic ethnicity and overall SVI were not predictive of PROMIS completion overall or in any procedure category.</div></div><div><h3>Conclusions</h3><div>Although completion rates of PROMIS-PF varied across procedures, demographics did not significantly impact preoperative participation.</div></div><div><h3>Clinical Relevance</h3><div>PROMs are important to track the results of treatment of individual patients and to determine what treatments generally work best. It is important to understand characteristics of patients who do not complete PROMs so surgeons can be aware of who may be at a greater risk for noncompletion.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101208"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delays in Diagnosis Are Common Among Hip Preservation Surgical Candidates: A Systematic Review","authors":"Karter Morris B.S. ,&nbsp;Jaydeep Dhillon D.O. ,&nbsp;Carson Keeter M.S. ,&nbsp;Matthew J. Kraeutler M.D.","doi":"10.1016/j.asmr.2025.101155","DOIUrl":"10.1016/j.asmr.2025.101155","url":null,"abstract":"<div><h3>Purpose</h3><div>To systematically review the literature on delays in diagnosis or treatment of hip preservation patients.</div></div><div><h3>Methods</h3><div>A systematic review was performed by searching PubMed, the Cochrane Library, and Embase, from inception to November 2024, to identify any study reporting on delays in diagnosis or treatment of hip preservation patients, that is, patients with femoroacetabular impingement syndrome, hip dysplasia, or femoral torsion abnormalities. The search terms used were as follows: delay AND (diagnosis OR treatment) AND (\"femoroacetabular impingement\" OR \"hip dysplasia\" OR \"hip arthroscopy\" OR \"periacetabular osteotomy\"). Outcomes reported included demographic characteristics, preoperative duration of symptoms, and patient-reported outcomes.</div></div><div><h3>Results</h3><div>Twelve articles (1 Level II, 1 Level III, and 10 Level IV) met the inclusion criteria, with a total of 2,883 hips. The mean patient age ranged from 16.4 to 45.0 years, and the overall percentage of male patients ranged from 0% to 56.9%. The mean time from symptom onset to accurate diagnosis for hip preservation patients ranged from 17.2 to 61.5 months across studies. Prior health care providers consulted were largely other orthopaedic surgeons and primary care physicians; each patient consulted with an average of 1.9 to 4.2 providers and received a multitude of alternate diagnoses, imaging assessments, and treatment attempts before presentation to a hip preservation specialist. In studies comparing outcomes between patients with short and long durations of symptoms (i.e., &lt;2 years and &gt;2 years, respectively), significantly worse postoperative patient-reported outcomes were observed in the groups with a longer symptom duration.</div></div><div><h3>Conclusions</h3><div>Patients presenting with hip preservation pathologies commonly experience delays in diagnosis and/or treatment and consult with multiple health care providers across specialties before receiving an accurate diagnosis and appropriate treatment. In turn, this leads to poorer post-treatment outcomes compared with patients who receive appropriate treatment in a timely manner.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level II to IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101155"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hip Drop Physical Examination Test Can Be Used to Guide Advanced Imaging and Surgical Decision Making","authors":"Dylan Quintana B.S. ,&nbsp;Nathan Barber B.S. ,&nbsp;Hillary Rawson M.S. ,&nbsp;Zachary Wade M.D. ,&nbsp;Devin Eddington M.S. ,&nbsp;Angela P. Presson Ph.D. ,&nbsp;Travis G. Maak M.D.","doi":"10.1016/j.asmr.2025.101176","DOIUrl":"10.1016/j.asmr.2025.101176","url":null,"abstract":"<div><h3>Purpose</h3><div>To establish the clinical utility of the hip drop test (HDT) for diagnosing hip abductor tendon tears as well as for predicting future surgery and to identify patient risk factors associated with tears and surgery.</div></div><div><h3>Methods</h3><div>A single institution’s electronic medical records, comprising patients treated by a single sports medicine fellowship-trained orthopaedic surgeon, were reviewed to identify patients aged 18 years or older with suspected hip abductor tendon tears with documented HDT results who underwent hip magnetic resonance imaging (MRI). Hip MRI served as the diagnostic gold standard. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated, and logistic regression analysis of various associated factors was performed.</div></div><div><h3>Results</h3><div>Our initial review yielded 366 patients. After we excluded patients without positive or negative HDT results, as well as those without MRI results, 261 patients underwent analysis. Of these patients, 245 had negative HDT results whereas 16 had positive results. Of the patients with positive HDT results, 8 underwent surgery. Sensitivity for a future MRI-confirmed diagnosis of hip abductor tendon tear was 30.4% (95% confidence interval [CI], 19.1%-44.8%), and specificity was 99.1% (95% CI, 96.7%-99.7%). The PPV of the HDT for a future MRI-confirmed diagnosis was 87.5% (95% CI, 64.0%-96.5%), and the NPV was 86.9% (95% CI, 82.1%-90.6%). For the prediction of future hip abductor tendon surgery, a positive HDT result yielded a sensitivity of 80.0% (95% CI, 49.0%-94.3%), specificity of 96.8% (95% CI, 93.8%-98.4%), PPV of 50.0% (95% CI, 28.0%-72.0%), and NPV of 99.2% (95% CI, 97.1%-99.8%).</div></div><div><h3>Conclusions</h3><div>The HDT is a reliable clinical examination maneuver for diagnosing hip abductor tendon tears in patients with lateral hip pain when performed by an experienced medical provider. The HDT shows a high NPV for both a hip abductor tendon tear diagnosis on MRI and the prediction of future surgery and may be used to guide initial clinical decision making. Patients with lateral hip pain and negative HDT results may forego immediate advanced imaging and, instead, consider nonoperative management. Additionally, demographic variables such as female sex, older age, and higher body mass index raise the risk of a hip abductor tendon tear and thus increase suspicion for an abductor tendon tear requiring advanced imaging and, possibly, future surgery.</div></div><div><h3>Level of Evidence</h3><div>Level III, development of diagnostic criteria based on nonconsecutive patients.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101176"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Only Minor Complications Are Reported After Needle Arthroscopy: A Systematic Review","authors":"Alex B. Walinga M.D.,&nbsp;Thijs van der Stappen B.Sc.,&nbsp;Gino M.M.J. Kerkhoffs M.D., Ph.D.,&nbsp;Kaj S. Emanuel Ph.D.","doi":"10.1016/j.asmr.2025.101158","DOIUrl":"10.1016/j.asmr.2025.101158","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the incidence, etiology, and severity of complications after needle arthroscopy of joints.</div></div><div><h3>Methods</h3><div>The review protocol was preregistered with PROSPERO (CRD42023443809) and conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Multiple libraries were systematically searched to identify articles that reported on the complication rate after needle arthroscopy. The quality of evidence was assessed using the Risk of Bias in Non-randomized Studies of Interventions tool. The primary outcome measure was the incidence rate of complications after needle arthroscopy, with secondary outcomes including nature and severity of complications.</div></div><div><h3>Results</h3><div>Eleven articles were included in the final analysis, totaling 1,624 patients. The overall reported complication rate after needle arthroscopy ranged between 0% and 9.68% depending on the joint: ankle, 0% to 9.68%; knee, 0% to 8.33%; and shoulder, 0% to 3.3%. Vasovagal reactions were the most frequently reported complication, presumably caused by needle phobia. All complications were classified as grade I according to the Clavien-Dindo-Sink classification.</div></div><div><h3>Conclusions</h3><div>In this study, we found that the reported complication rate after needle arthroscopy ranged from 0% to 9.68%. All reported complications were classified as grade I according to the Clavien-Dindo-Sink classification.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101158"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Knee Injury-Related TikTok Videos Are Frequently Inaccurate, Incomplete, and Created by Nonphysicians","authors":"Levi M. Travis B.S.,&nbsp;Jacob Jahn B.S.,&nbsp;Natalie K. Blanc B.S.,&nbsp;Lee Kaplan M.D.","doi":"10.1016/j.asmr.2025.101195","DOIUrl":"10.1016/j.asmr.2025.101195","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate TikTok videos related to knee injuries, examining the accuracy and sources of the content, the category of information provided, the reach of the videos, and the capability of the videos to cause harm.</div></div><div><h3>Methods</h3><div>On September 1, 2024, TikTok was queried using layperson’s terms for acute knee injuries (e.g., “ACL tear”) to identify popular hashtags. The top 10 videos per hashtag and 5 videos per search term (e.g., “knee pop”) by view count were included if they related to the specified knee injury, surgery, or recovery process. Videos with fewer than 1,000 views were excluded. Metrics such as number of likes, number of views, number of comments, creator demographic characteristics, and video content type were collected, and videos were evaluated for quality using the DISCERN scoring system.</div></div><div><h3>Results</h3><div>A total of 234 TikTok videos related to knee injuries were analyzed, averaging 699,235 views per video (median, 138,500 views). DISCERN analysis revealed that 41% of videos were rated as poor whereas 59% were satisfactory. Videos featuring medical recommendations had significantly higher engagement scores (mean, 5.16; 95% confidence interval [CI], 3.49-6.83; <em>P</em> = .001) and longer durations (mean, 53.38 seconds; 95% CI, 44.47-62.28 seconds; <em>P</em> = .002) than those without recommendations (mean score, 3.18 [95% CI, 2.84-3.52]; mean duration, 38.10 seconds [95% CI, 33.18-43.01 seconds]). Satisfactory videos outperformed poor-quality videos across DISCERN metrics, with clearer aims (mean, 3.91 vs 2.72; <em>P</em> &lt; .001), greater relevance (mean, 3.20 vs 2.09; <em>P</em> &lt; .001), and more balanced information (mean, 1.60 vs 1.00; <em>P</em> &lt; .001). Physicians created 24.4% of the videos, which generally scored higher according to the DISCERN criteria than videos created by non–health care–related professionals.</div></div><div><h3>Conclusions</h3><div>Videos created by health care professionals, particularly physicians, scored higher in terms of educational quality but accounted for a small proportion of total content. In contrast, nonphysician creators frequently provided inaccurate or incomplete information. Despite this, videos with medical recommendations achieved higher engagement.</div></div><div><h3>Clinical Relevance</h3><div>There is a predominance of nonphysician creators disseminating inaccurate medical information, underscoring the need for orthopaedic surgeons to engage in digital health education to provide reliable content. This study provides insights into the digital content patients may be consuming regarding their medical conditions.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101195"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic Versus Open Iliopsoas Release After Total Hip Arthroplasty","authors":"Charles L. Holliday M.D.,&nbsp;Karissa N. Simon B.S.,&nbsp;Robert T. Trousdale M.D.,&nbsp;Michael J. Taunton M.D.,&nbsp;Bruce A. Levy M.D.,&nbsp;Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101190","DOIUrl":"10.1016/j.asmr.2025.101190","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the differences in clinical outcomes and complication rates between open and arthroscopic iliopsoas (IP) tenotomy between 1998 and 2023 at our institution.</div></div><div><h3>Methods</h3><div>Patients who underwent arthroscopic iliopsoas fractional lengthening (IPFL) or open tenotomy for IP tendinitis following total hip arthroplasty (THA) between 1988 and 2023 were identified. Patients were excluded if they underwent revision IP tendon release, had additional concomitant procedures, or had less than a 24-month postoperative follow-up. Patient records were reviewed, and patient-reported outcomes were collected via electronic survey.</div></div><div><h3>Results</h3><div>Fifty-two patients (36 arthroscopic, 16 open) were followed for an average of 68.7 (24.0-203.7) months. Overall surgery satisfaction was 7.9 (scale 0-10) following arthroscopic IPFL and 6.0 following open tenotomy (<em>P</em> = .178). Eighty-six percent of patients reported improvement in their anterior groin pain following arthroscopic IPFL, compared to 45% following open tenotomy (<em>P</em> = .065). In the arthroscopic cohort, 64% reported improved hip flexion strength, compared to 36% in the open cohort (<em>P</em> = .158). Visual analog scale for pain at rest was lower following arthroscopic IPFL (1.1 ± 2.2 vs 3.3 ± 3.2, <em>P</em> = .0092), while pain with use did not differ between cohorts (3.1 ± 1.3 vs 2.6 ± 1.1, <em>P</em> = .786). There were no differences in postoperative Tegner (3.1 ± 1.3 vs 2.6 ± 1.1, <em>P</em> = .302), modified Harris Hip Score (77.0 ± 19.0 vs 69.2 ± 26.9, <em>P</em> = .073), or Single Assessment Numeric Evaluation (70.9 ± 28.7 vs 66.7 ± 31.8, <em>P</em> = .571) scores between arthroscopic and open cohorts. Revision THA rates did not differ following arthroscopic or open procedures (8.3% vs 25%, <em>P</em> = .104).</div></div><div><h3>Conclusions</h3><div>Patients have improved pain at rest following arthroscopic IPFL when compared to open tenotomy for IP tendinitis following THA. Overall complication and reoperation rates were low for both techniques.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101190"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT Provides Accurate but Incomplete Responses and Reliably Adjusts Readability to Prompts for Hamstring Injury Frequently Asked Questions","authors":"Thomas W. Fenn M.D.,&nbsp;Dominic M. Farronato M.D.,&nbsp;Douglas K. Wells M.D.,&nbsp;George B. Reahl M.D.,&nbsp;F. Winston Gwathmey M.D.,&nbsp;Charles A. Su M.D., Ph.D.","doi":"10.1016/j.asmr.2025.101200","DOIUrl":"10.1016/j.asmr.2025.101200","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the accuracy of ChatGPT’s responses to frequently asked questions (FAQs) about hamstring injuries and to determine, if prompted, whether ChatGPT could appropriately tailor the reading level to that suggested.</div></div><div><h3>Methods</h3><div>A preliminary list of 15 questions on hamstring injuries was developed from various FAQ sections on patient education websites from a variety of institutions, from which the 10 most frequently cited questions were selected. Three queries were performed, inputting the questions into ChatGPT-4.0: (1) unprompted, naïve, (2) additional prompt specifying the response being tailored to a seventh-grade reading level, and (3) additional prompt specifying the response being tailored to a college graduate reading level. The responses from the unprompted query were independently evaluated by two of the authors. To assess the quality of the answers, a grading system was applied: (A) correct and sufficient response; (B) correct but insufficient response; (C) response containing both correct and incorrect information; and (D) incorrect response. In addition, the readability of each response was measured using the Flesch-Kinkaid Reading Ease Score (FRES) and Grade Level (FKGL) scales.</div></div><div><h3>Results</h3><div>Ten responses were evaluated. Inter-rater reliability was 0.6 regarding grading. Of the initial query, 2 of 10 responses received a grade of A, seven were graded as B, and one were graded as C. The average cumulative FRES and FKGL scores of the initial query was 61.64 and 10.28, respectively. The average cumulative FRES and FKGL scores of the secondary query were 75.2 and 6.1, respectively. Finally, the average FRES and FKGL scores of the third query were 12.08 and 17.23.</div></div><div><h3>Conclusions</h3><div>ChatGPT showed generally satisfactory accuracy in responding to questions regarding hamstring injuries, although certain responses lacked completeness or specificity. On initial, unprompted queries, the readability of responses aligned with a tenth-grade level. However, when explicitly prompted, ChatGPT reliably adjusted the complexity of its responses to both a seventh-grade and a graduate-level reading standard. These findings suggest that although ChatGPT may not consistently deliver fully comprehensive medical information, it possesses the capacity to adapt its output to meet specific readability targets.</div></div><div><h3>Clinical Relevance</h3><div>Artificial intelligence models like ChatGPT have the potential to serve as a supplemental educational tool for patients with orthopaedic to aid medical-decision making. It is important that we continually review the quality of they medical information generated by these artificial models as the evolve and improve.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101200"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual and Combined Effects of Anterior Cruciate Ligament and Lateral Meniscus Injuries and Surgical Interventions on Tibiofemoral Peak Pressure Magnitude Vary by Flexion Angle","authors":"Jackson L. Carver M.A. ,&nbsp;Anthony H. Le M.S. ,&nbsp;Donald F. Colantonio M.D. ,&nbsp;Robert M. Putko M.D. ,&nbsp;Daniel L. Rodkey M.D. ,&nbsp;Matthew B. Bird Ph.D. ,&nbsp;William B. Roach M.D. ,&nbsp;Christopher J. Tucker M.D. ,&nbsp;Jonathan F. Dickens M.D. ,&nbsp;Brad D. Hendershot Ph.D. ,&nbsp;Melvin D. Helgeson M.D. ,&nbsp;Timothy C. Mauntel Ph.D.","doi":"10.1016/j.asmr.2025.101152","DOIUrl":"10.1016/j.asmr.2025.101152","url":null,"abstract":"<div><h3>Purpose</h3><div>To quantify changes in peak tibiofemoral pressure magnitude and location following anterior cruciate ligament (ACL) and meniscus injuries and surgical interventions after cyclic motion.</div></div><div><h3>Methods</h3><div>Six matched pairs of cadaveric knees underwent ACL or lateral meniscus injury and surgical intervention; specimens later underwent the other injury and surgical intervention. A servohydraulic testing system flexed and extended specimens 100 times before and following each intervention. Pressure magnitudes and locations were measured via submeniscal sensors on the medial and lateral tibial plateaus under 4 conditions (each at 0°, 15°, 30°, 45°, and 60° of knee flexion): native anatomy, first injury (InjPost1), first surgical intervention (SurgPost1), and second surgical intervention (SurgPost2). Linear mixed models compared interactions between group, side, and condition through SurgPost1 and interactions between side and condition for native and SurgPost2 for the magnitude and location of peak pressures.</div></div><div><h3>Results</h3><div>Peak pressure was greater at 0°, 15°, and 30° in the medial compartment than the lateral compartment, regardless of injury condition. For the ACL group, at 0°, peak pressure in the lateral compartment was more posterior than the medial compartment, and at 15°, the meniscus group displayed more posterior peak pressure in the medial compartment than the lateral compartment. Greater anterior peak pressure was observed at 15° in SurgPost1 than native anatomy. Peak pressure was greater in SurgPost2 than native in the lateral compartment at 30°. For native and SurgPost2, peak pressure was greater in the medial compartment than the lateral compartment at 15° and greater in the lateral compartment than the medial compartment at 60°.</div></div><div><h3>Conclusions</h3><div>ACL and meniscus injuries and surgical interventions result in similar anterior peak pressure translation. Sustaining both injuries and surgical interventions increases peak pressure magnitude.</div></div><div><h3>Clinical Relevance</h3><div>Understanding how peak tibiofemoral contact pressures change in magnitude and location following an ACL or lateral meniscus injury and treatment may help guide treatment decisions and rehabilitation strategies that best prevent knee joint degeneration.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 4","pages":"Article 101152"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}