Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"A Bibliometric Review of the Top 100 Most Cited Articles in Hip Preservation, Not Counting Self-Citations","authors":"Tyler R. Dorobek B.S. ,&nbsp;Max V. Golden B.A. ,&nbsp;Andrew K. Kirchmeier B.A. ,&nbsp;Jeanne G. Moua B.A., M.P.H. ,&nbsp;Andrea M. Spiker M.D.","doi":"10.1016/j.asmr.2024.100958","DOIUrl":"10.1016/j.asmr.2024.100958","url":null,"abstract":"<div><h3>Purpose</h3><div>To summarize the characteristics of the top 100 most-cited publications related to hip preservation, not counting self-citation.</div></div><div><h3>Methods</h3><div>Databases accessible through ISI Web of Science were queried for articles related to hip preservation between 1965 and June 2022. Analysis included citation number, visual network mapping, publication year, geographic distribution, authorship, impact factor, citation density, and institution. Data analysis was performed excluding self-citations.</div></div><div><h3>Results</h3><div>The top 100 most cited articles in hip preservation had citations ranging between 151 and 2,001, with publication years between 1965 and 2018. An increase in citation density over time was observed. Fifty-seven percent of articles were from the United States, 23% from Switzerland, and 8% from Canada; 57% of the articles were published in the 2000s, and a majority were Level IV Evidence (n = 62). <em>Clinical Orthopaedics and Related Research</em> led in number of publications (n = 32) and mean citations (n = 353) followed by <em>Arthroscopy—The Journal of Arthroscopic and Related Surgery</em> (n =23) and <em>American Journal of Sports Medicine</em> (n = 11). “Femoroacetabular impingement” (occurrences = 19) and “arthroscopy” (15) have been focal keywords since the turn of the 21st century, whereas in the 20th century, “acetabulum” (occurrences = 2) was the predominant keyword.</div></div><div><h3>Conclusions</h3><div>The 100 most-cited articles in hip preservation, not counting self-citation, were published between 1965 and 2018. Citation density increased over time. The majority of articles were published in the United States and in <em>Clinical Orthopaedics and Related Research</em>. The focus in hip preservation has expanded from acetabulum pathology to extensive work across topics including femoroacetabular impingement, capsular biomechanics, and arthroscopy innovation.</div></div><div><h3>Level of Evidence</h3><div>Level IV, descriptive epidemiology study using large database.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 100958"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Magnetic Resonance Imaging Measurements of Hamstring Tendons’ Cross-Sectional Area May Be Used to Predict the 5-Stranded Graft Diameter in Anterior Cruciate Ligament Reconstruction","authors":"Jack M. Ayres M.D. ,&nbsp;Benjamin M. Ose M.P.H. ,&nbsp;Tucker Morey B.S. ,&nbsp;Elizabeth Brown M.D. ,&nbsp;Damon Mar Ph.D. ,&nbsp;Erik Henkelman M.D. ,&nbsp;Bryan G. Vopat M.D. ,&nbsp;Ian Goodman M.D. ,&nbsp;Jeffrey Randall M.D.","doi":"10.1016/j.asmr.2024.101001","DOIUrl":"10.1016/j.asmr.2024.101001","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine if preoperative magnetic resonance imaging (MRI) measurements of semitendinosus and gracilis tendon cross-sectional area (CSA) could be used in predicting the intraoperative diameter of a 5-strand hamstring autograft.</div></div><div><h3>Methods</h3><div>A retrospective review was performed of patients who underwent anterior cruciate ligament (ACL) reconstruction with a 5-strand hamstring autograft. All patients undergoing a 5-strand hamstring autograft ACL reconstruction from a single surgeon between 2018 and 2021 were included in this analysis. CSA of both the semitendinosus (CSAst) and gracilis (CSAgr) tendons were measured on preoperative MRI. Demographic and operative data were recorded via chart review. Analyses of within-rater and between-rater reliability were performed. Multiple linear regression was used to analyze the predictors of graft diameter.</div></div><div><h3>Results</h3><div>A total of 45 ACLs were included in this study. An initial multiple linear regression model included multiple patient-independent variables (<em>R</em>² = 0.62, <em>P</em> &lt; .001), but CSAst was the only significant predictor of graft diameter. Accordingly, a second multiple linear regression model was created using CSAst and CSAgr (<em>R</em>² = 0.61, <em>P</em> &lt; .001). Both CSAst and CSAgr were significant predictors of graft diameter. The resulting equation for determining the graft diameter based on CSAst and CSAgr is as follows: [Graft Diameter (mm)] = 5.324 + 0.124 ∗ [CSAst (mm²)] + 0.183 ∗ [CSAgr (mm²)].</div></div><div><h3>Conclusions</h3><div>CSA measurements of the semitendinosus and gracilis tendons on preoperative MRI axial imaging, measured at the level for which the femoral condyle was the widest, may be used to predict the intraoperative graft diameter for ACL reconstruction using the 5-strand autograft technique.</div></div><div><h3>Clinical Relevance</h3><div>Predicting ACL autograft size on preoperative MRI can aid in preoperative planning, including choice of graft.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101001"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visualization of Trochlear Dysplasia Using 3-Dimensional Curvature Analysis in Patients With Patellar Instability Facilitates Understanding and Improves the Reliability of the Entry Point to Trochlea Groove Angle","authors":"Johannes M. Sieberer M.S. ,&nbsp;Nancy Park B.S. ,&nbsp;Armita R. Manafzadeh Ph.D. ,&nbsp;Shelby T. Desroches M.S. ,&nbsp;Kelsey Brennan ,&nbsp;Curtis McDonald M.A.Sc. ,&nbsp;Steven M. Tommasini Ph.D. ,&nbsp;Daniel H. Wiznia M.D. ,&nbsp;John P. Fulkerson M.D.","doi":"10.1016/j.asmr.2024.101010","DOIUrl":"10.1016/j.asmr.2024.101010","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine a method to visualize a 3-dimensional (3D) rendered distal femur using 3D curvature analysis and to compare models of patellofemoral instability (PFI) with controls to study the reliability of the entry point to trochlear groove angle (EPTG) metric.</div></div><div><h3>Methods</h3><div>The 3D models of patients with recurrent patellar instability, defined by at least 2 reported patellar dislocation events, and age- and sex-matched controls were created from computed tomography scans. Curvature was calculated to highlight the proximal trochlear ridges and the trochlear groove by overlaying them on the 3D models. Anteroposterior views with and without curvature visualization were created and used for qualitative comparison and to measure the EPTG. The EPTG was measured by 2 raters with and without the aid of the curvature maps. Significant differences between patients with PFI and controls were compared with a Mann-Whitney <em>U</em> test. Inter-rater reliability was calculated using interclass correlation coefficients, classified according to literature and compared using a permutation test. Significance was assumed at .05.</div></div><div><h3>Results</h3><div>Qualitive analysis between 30 PFI patient knees (age: 23.9 ± 8.4 years, female/male: 24/6) and 30 control knees (age: 21.8 ± 5.6 years, female/male: 22/8) showed that in general, patients with PFI have a lateralized medial ridge and trochlear groove, with the trochlear groove being shorter and shallower. Qualitatively, differences between patients with PFI and controls were significant for measurements both with and without the aid of the curvature maps. Inter-rater reliability was significantly (<em>P</em> = .0349) better when using the curvature visualization.</div></div><div><h3>Conclusions</h3><div>Curvature-based visualization aids overlain on a 3D model have the power to increase the information gained from 3D imaging and corresponding 3D models, amplifying their potential value in clinical decision-making. Such visualizations facilitate both the identification of qualitative differences between patient and control morphology and improve the reliability of the EPTG trochlear dysplasia metric.</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 1","pages":"Article 101010"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wrist and Hand Arthroscopy Procedure Volume Is Low Among Graduating Orthopaedic Surgery Residents","authors":"Francis J. Sirch M.D. ,&nbsp;Daniel K. Devine B.A. ,&nbsp;Suleiman Y. Sudah M.D. ,&nbsp;Hollie Garber M.D. ,&nbsp;Jeremy Ruskin M.D.","doi":"10.1016/j.asmr.2024.100999","DOIUrl":"10.1016/j.asmr.2024.100999","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate orthopaedic resident case volume and case log variability for wrist and hand arthroscopy.</div></div><div><h3>Methods</h3><div>The Accreditation Council for Graduate Medical Education surgical case log data from 2016 to 2020 for graduating United States orthopaedic surgery residents was assessed. Arthroscopy procedures of the wrist and hand were categorized. The average number of cases performed per resident was compared from 2016 to 2020 to determine the percent change in case volume. The 10th, 30th, 50th, 70th, and 90th percentiles of case volumes from 2016 to 2020 were presented to demonstrate case volume variability.</div></div><div><h3>Results</h3><div>The average number of total arthroscopic wrist and hand procedures performed per resident was 4.6 ± 5 (3, 0-44) in 2016, which decreased to 3 ± 3 in 2020 (2, 0-25), representing a 34.8% decrease (<em>P</em> &lt; .001). The average number of total arthroscopic wrist and hand procedures performed by the 10th and 90th percentile of residents was 0 and 10 in 2016 and 0 and 7 in 2020, representing a large degree of case log variability. About 1 in 10 graduating orthopaedic surgery residents performed only a single wrist and hand arthroscopy case each year, and half performed 3 cases or fewer.</div></div><div><h3>Conclusions</h3><div>Orthopaedic graduate medical education exposure to wrist and hand arthroscopy remains low and highly variable, despite increasing use of arthroscopy in wrist procedures.</div></div><div><h3>Clinical Relevance</h3><div>It is important to evaluate the procedural case volume for wrist and hand arthroscopy among orthopaedic surgery residents. With information from this study, we may be able to suggest changes, such as the implementation of case minimums, that provide better opportunities for orthopaedic trainees to enhance proficiency and improve patient care in this area.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 100999"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"YouTube Videos Provide Low-Quality Educational Content About the Anterolateral Ligament of the Knee","authors":"Riccardo D’Ambrosi M.D ,&nbsp;Alessandro Carrozzo M.D ,&nbsp;Alessandro Annibaldi M.D ,&nbsp;Thais Dutra Vieira M.D ,&nbsp;Jae-Sung An M.D ,&nbsp;Benjamin Freychet M.D ,&nbsp;Bertrand Sonnery-Cottet M.D., Ph.D","doi":"10.1016/j.asmr.2024.101002","DOIUrl":"10.1016/j.asmr.2024.101002","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the reliability and quality of the educational content of YouTube videos about the anterolateral ligament (ALL).</div></div><div><h3>Methods</h3><div>A standard search of the YouTube database was performed. All English-language videos were included for analysis. Video reliability was assessed with the use of the DISCERN tool, <em>Journal of the American Medical Association</em> (JAMA) benchmark criteria, and Global Quality Score (GQS). Data regarding the duration of the videos, date of publication, and number of likes and views were collected. Furthermore, videos were categorized based on video source (health professional, company, or private user), type of information (surgical technique, overview, or anatomy, radiology, and patient experience), and video content (education or patient experience/testimony).</div></div><div><h3>Results</h3><div>A total of 94 videos were included in the analysis. Of these videos, 88 (93.6%) were published by health professionals, whereas 4 (4.3%) were published by companies and 2 (2.1%) were published by private users. Most of the videos were about surgical technique (57.4%), and almost all the videos (98.9%) had an educational aim, with the exception of 1 video that reported a patient experience (1.1%). The mean length of the videos was 648.4 ± 973.5 seconds, and the mean online period was 34.5 ± 27.0 months. The mean DISCERN score, JAMA score, and GQS were 32.9 ± 15.9, 1.5 ± 0.9, and 2.3 ± 1.0, respectively. Videos that provided an overview of the ALL were the best in terms of all quality scores and were significantly higher quality than videos about surgical technique and anatomy, radiology, and patient experience for all scores (<em>P</em> &lt; .001). No difference was found between surgical technique and anatomy, radiology, and patient experience (DISCERN score, <em>P</em> &gt; .99; JAMA score, <em>P</em> = .839; and GQS, <em>P</em> &gt; .99).</div></div><div><h3>Conclusions</h3><div>The educational content of YouTube videos about the ALL of the knee showed low quality and validity based on the DISCERN score, JAMA score, and GQS.</div></div><div><h3>Clinical Relevance</h3><div>With the growing use of social media by patients to gather information about their medical conditions, it is crucial for orthopaedic health care providers to recognize the limitations of social media videos discussing the ALL as potential sources of knowledge for their patients.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101002"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Os Acetabuli Do Not Portend Inferior 2-Year Functional Outcomes in Patients Undergoing Arthroscopic Acetabular Labral Reconstruction","authors":"Bilal S. Siddiq B.S. ,&nbsp;Jeffrey S. Mun B.A. ,&nbsp;Michael C. Dean B.A. ,&nbsp;Stephen M. Gillinov A.B. ,&nbsp;Jonathan S. Lee B.A. ,&nbsp;Kieran S. Dowley B.A. ,&nbsp;Nathan J. Cherian M.D. ,&nbsp;Scott D. Martin M.D.","doi":"10.1016/j.asmr.2024.101026","DOIUrl":"10.1016/j.asmr.2024.101026","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate whether os acetabuli identified preoperatively influence functional outcomes 2 years after an arthroscopic acetabular labral reconstruction.</div></div><div><h3>Methods</h3><div>Retrospective study with prospectively collected data of patients undergoing primary hip arthroscopy by a single, fellowship-trained surgeon at a single institution were retrospectively reviewed. Inclusion criteria included age ≥18 years and completion of patient-reported outcome measures (PROMs) preoperatively and at 3-month, 6-month, 12-month, and last follow-up timepoints. Exclusion criteria included labral debridement, hip dysplasia, advanced hip osteoarthritis (Tonnis &gt;1), or previous surgery on the ipsilateral hip. Patients were divided into two cohorts based on the presence of os acetabuli (OA) or the absence of os acetabuli (NOA). Primary outcomes collected included the International Hip Outcome Tool (iHOT-33) and modified Harris Hip Score (mHHS). Secondary outcomes were the Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports Subscale, Non-Arthritic Hip Score, and visual analog pain scale. Inter-cohort outcomes were compared using linear mixed-effects and Fisher’s exact tests. Nonlinear improvement trajectories were accounted for by sensitivity analyses.</div></div><div><h3>Results</h3><div>193 hips (49.2% female; mean ± SD age: 35.9 ± 11.0) were included in the final analyses. Of these, 25 (13.0%) had an os acetabulum. No significant differences between patients with and without os acetabuli were found throughout the minimum 2-year follow-up period in terms of iHOT-33 scores (weighted difference: 0.09; 95% CI: −6.81, 6.98; <em>P</em> = .98), mHHS (weighted difference: 2.93; 95% CI: −2.13, 7.98; <em>P</em> = .26), or any secondary outcomes. Additionally, there were no significant differences in any queried clinically meaningful outcomes (<em>P</em> &gt; .05 for all), revision arthroscopy (<em>P</em> =.342), rates of formation of heterotopic ossification (<em>p</em> &gt; .999), or conversion to total hip arthroplasty (<em>P</em> &gt; .999). These results were upheld across sensitivity analyses.</div></div><div><h3>Conclusions</h3><div>Patients with os acetabuli undergoing arthroscopic labral reconstruction had similar 2-year functional outcomes compared to those without os acetabuli.</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 1","pages":"Article 101026"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial/Ethnic Disparities Exist Among Patients Who Undergo Anterior Cruciate Ligament Reconstruction in Socioeconomic Status, Perception of Health Status and Literacy","authors":"Christopher J. Fang M.D.,&nbsp;Jordan A. Miller M.D.,&nbsp;C. Jordan Yergensen M.D.,&nbsp;Michael Hall Jr. M.D.,&nbsp;Arun P. Kanhere M.D.,&nbsp;Angelina M. Vera M.D.,&nbsp;Anthony Bratton M.D.","doi":"10.1016/j.asmr.2024.101000","DOIUrl":"10.1016/j.asmr.2024.101000","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate whether socioeconomic factors, self-perception of health, health literacy, and access to health differ between racial/ethnic cohorts of patients who undergo anterior cruciate ligament reconstruction (ACLR).</div></div><div><h3>Methods</h3><div>This was a cross-sectional study using data from the National Institutes of Health All of Us Database. Adult patients who underwent ACLR, identified by Current Procedural Terminology code 29888, were analyzed by race/ethnicity cohorts White/Caucasian (WC), Non-White Hispanic (NWH), Black/African American (BAA), and Asian (AZN). Background demographic and socioeconomic status data from questionnaire responses regarding health status, literacy, and barriers to health care were assessed.</div></div><div><h3>Results</h3><div>In total, 440 patients who underwent ACLR were included in the study; 298 (68%) were WC, 79 (18%) were NWH, 49 (11%) were BAA, and 14 (3%) were AZN. Baseline demographics and socioeconomic status were significantly different, with BAA and NWH cohorts reporting lower education levels (<em>P</em> &lt; .001), health care coverage (<em>P</em> = .04), annual income (<em>P</em> &lt; .001), homeowner status <em>P</em> &lt; .001), and marital status (<em>P</em> &lt; .001) and a greater frequency of smoking (<em>P</em> &lt; .001). Baseline health status and perceptions of self-health differed between cohorts, including average pain (<em>P</em> &lt; .001), ability to perform everyday activities (<em>P</em> &lt; .001), and general (<em>P</em> &lt; .001), mental (<em>P</em> = .04), and physical health (<em>P</em> = .003). Health material understanding varied among cohorts (<em>P</em> &lt; .05), with AZN and WC cohorts having greater positive responses to understanding health materials. BAA had greater positive response rates for an inability to afford care (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Racial/ethnic disparities exist among patients who undergo ACLR, with Black/African American and Non-White Hispanics patients more often reporting inequity in socioeconomic status, perception of health status, health literacy, and access to health care.</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 1","pages":"Article 101000"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major League Baseball Pitchers’ Arm Angles Measured on Game Videos Were Not Associated With an Increased Risk of Ulnar Collateral Ligament Injury","authors":"Daniel Lipa B.S. ,&nbsp;Krishin Shivdasani M.D., M.P.H. ,&nbsp;Michael Scheidt M.D. ,&nbsp;Joshua Anderson M.D., M.S. ,&nbsp;Dane Salazar M.D., M.B.A. ,&nbsp;Nickolas Garbis M.D.","doi":"10.1016/j.asmr.2024.100979","DOIUrl":"10.1016/j.asmr.2024.100979","url":null,"abstract":"<div><h3>Purpose</h3><div>To use a publicly available Major League Baseball (MLB) game video to investigate whether pitch type and pitching elbow angle at peak valgus stress and at release point are associated with the odds of undergoing Tommy John surgery.</div></div><div><h3>Methods</h3><div>This case-control study compared pitchers who had undergone ulnar collateral ligament reconstruction to a matched control group of pitchers who had not undergone the surgery. Pitchers were selected based on inclusion in online baseball player and injury databases, including the MLB Health and Injury Tracking System, with those pitching fewer than 10 innings in MLB excluded. The experimental group included measurements from all pitchers before their ulnar collateral ligament injury who eventually had undergone Tommy John surgery since 2010. Greedy matching algorithm was used to select a matched cohort of pitchers based on age, height, weight, years in the MLB, hand dominance, pitching role (starter vs reliever), and average pitching velocity. Conditional logistic regression models were used to measure the association between pitch angle and log odds of receiving a Tommy John surgery.</div></div><div><h3>Results</h3><div>There were 249 paired cases and controls (N = 498) included in the conditional logistic regression analysis. There was no statistically significant association between average elbow angle at peak valgus stress and the odds of undergoing Tommy John surgery (odds ratio, 1.02; 95% confidence interval, 0.99-1.03; <em>P</em> = .14).</div></div><div><h3>Conclusions</h3><div>Peak valgus elbow angle, release point angles, and combinations of angles and specific pitches were not associated with an increased risk of undergoing Tommy John surgery.</div></div><div><h3>Level of Evidence</h3><div>Level III, observational study, case-control design.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 100979"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of a Suture Bridge Technique for Arthroscopic Rotator Cuff Repair in Patients Under 40 Years of Age Resulted in Successful Tendon Healing, Pain Relief, Improved Shoulder Function, and High Patient Satisfaction at a Minimum of 5-Year Follow-Up","authors":"Laurentiu Cosmin Focsa M.D.,&nbsp;Faisal Adi M.D.,&nbsp;Marc-Antoine Rousseau Ph.D.,&nbsp;Patrick Boyer Ph.D.","doi":"10.1016/j.asmr.2024.101009","DOIUrl":"10.1016/j.asmr.2024.101009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To evaluate the long-term clinical and imaging outcomes after arthroscopic repair of rotator cuff tears (RCTs) using a suture bridge technique in patients under 40 years of age.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We retrospectively identified a consecutive series of patients who were treated arthroscopically for RCTs by a single surgeon between 2016 and 2018. Both full-thickness tears and partial tears were included. Arthroscopic cuff repair was performed with a double-row suture bridge technique using braided suture tapes. To assess clinical outcomes, we used the Constant score, the American Shoulder and Elbow Surgeons (ASES) score, a strength score, and a visual analog scale score. Tendon healing was evaluated at 12 months on magnetic resonance imaging using the Sugaya classification.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 63 patients were included in the study. The mean age at the time of surgery was 33.6 years (range, 21-40 years), and the minimum follow-up duration was 5 years. Of the patients, 39 reported occasional sports activities and 8 were professional athletes whereas 16 reported no sportive activity prior to first symptoms. The mean follow-up duration was 66.8 months (range, 62.4-88.6 months). A significant improvement was observed in both the Constant score and the ASES score. The mean Constant score increased significantly from 39.8 points (range, 29-52 points) to 88.9 points (range, 34-100) postoperatively (&lt;em&gt;P&lt;/em&gt; &lt; .001). Similarly, the ASES score improved significantly from 41.8 points (range, 30-64 points) to 90.2 points (range, 35-100 points; &lt;em&gt;P&lt;/em&gt; &lt; .001). Mean anterior flexion improved from 86° (range, 60°-110°) to 137° (range, 90°-180°; &lt;em&gt;P&lt;/em&gt; &lt; .001). Pain significantly decreased after surgery, with the visual analog scale score descending from 6.3 (range, 3-10) to 1.3 (range, 0-9) postoperatively. The overall rate of return to previous activities in the cohort was 84% at an average of 10.1 months (range, 6-12 months) after surgery. Among the included patients, 85% who engaged in occasional sports activities and 67% of elite athletes returned to their preinjury sports levels after 9.8 months (range, 6-12 months) and 10.7 months (range, 6-12 months), respectively. Cuff rerupture occurred in 2 patients (3%), and tendon nonhealing (Sugaya stage 3 or 4) was observed in 5 patients (7%). At final follow-up, 95% of patients were satisfied or very satisfied with their functional results.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The use of a suture bridge technique in arthroscopic RCT repair for patients under 40 years of age resulted in excellent long-term outcomes, including successful tendon healing, pain relief, improved shoulder function, and high patient satisfaction. This result is of significant importance in this demanding population because it allows satisfactory high rate of return to the preinjury level of activity.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Level of Evidence&lt;/h3&gt;&lt;div","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101009"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latarjet and Bankart Repairs: Instagram-Based Perception Analysis Shows Comparable Patient Experiences","authors":"Daniela Gutiérrez-Zúñiga M.D. ,&nbsp;Dario Candura M.D. ,&nbsp;Cristina Delgado M.D., Ph.D. ,&nbsp;Emilio Calvo M.D., Ph.D., M.B.A.","doi":"10.1016/j.asmr.2024.101020","DOIUrl":"10.1016/j.asmr.2024.101020","url":null,"abstract":"<div><h3>Purpose</h3><div>To conduct a comprehensive analysis of public Instagram posts pertaining to the Latarjet procedure and Bankart repair with the aim of elucidating patients’ perspectives on the perioperative process, satisfaction, and expectations.</div></div><div><h3>Methods</h3><div>We performed a descriptive social media–based investigation using relevant hashtags associated with surgical treatment of anterior shoulder instability, covering the period from January 2023 until January 2024. Posts were categorized by perspective, timing, content, tone, and satisfaction.</div></div><div><h3>Results</h3><div>A total of 2,395 posts were retrieved, with 526 posts concerning surgical treatment of shoulder instability. Of the posts, 201 (37.9%) were authored by patients and 224 (42.3%) portrayed personal content and patient experience. Most were neutral (308; 58.1%) or positive (203; 38.3%) in tone. Rehabilitation was mentioned frequently by patients undergoing both procedures (49.2% of Bankart posts and 45.6% of Latarjet posts). Comparative analysis revealed no statistically significant differences regarding immobilization (<em>P</em> = .229), rehabilitation (<em>P</em> = .226), return to sport (<em>P</em> = .464), tone (<em>P</em> = .236), or expression of satisfaction (<em>P</em> = .826) between the 2 procedures. However, patients treated with the Latarjet procedure mentioned surgical site more frequently (<em>P</em> = .011). There were no differences in mentions of complications (<em>P</em> = .143). Complications were mentioned in 18 Bankart posts (9.6%), most commonly recurrence, and in 10 Latarjet posts (5.3%), in which the most mentioned complication was pain.</div></div><div><h3>Conclusions</h3><div>Social media posts reflect mostly a neutral or positive patient experience in the surgical treatment of anterior instability. Bankart and Latarjet posts exhibit no differences regarding satisfaction, tone, return to work, or return to activities of daily living. Mentions of complications are rare. The most frequent complication mentioned in Bankart posts is recurrence, whereas that in Latarjet posts is postoperative pain.</div></div><div><h3>Clinical Relevance</h3><div>This analysis explores the relevance of social media as an instrument to gain insight into patients’ perceptions of surgical interventions for anterior shoulder instability.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101020"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}