Arthroscopy Sports Medicine and Rehabilitation最新文献

{"title":"Excellent Clinical Outcomes and Rapid Return to Activity Following In-Office Needle Tendoscopy for Chronic Achilles Tendinopathy","authors":"James J. Butler Mb.Ch.B. ,&nbsp;Grace W. Randall B.S. ,&nbsp;Lauren Schoof M.D. ,&nbsp;Mackenzie Roof M.D. ,&nbsp;Matthew B. Weiss B.S. ,&nbsp;Arianna L. Gianakos D.O. ,&nbsp;John G. Kennedy M.D., M.Ch., M.MSc., F.F.S.E.M., F.R.C.S. (Orth)","doi":"10.1016/j.asmr.2024.100937","DOIUrl":"10.1016/j.asmr.2024.100937","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess outcomes following Achilles in-office needle tendoscopy (IONT) for the treatment of chronic Achilles tendinopathy (cAT) at a minimum 12-month follow-up.</p></div><div><h3>Methods</h3><p>A retrospective case series was conducted to evaluate patients who underwent Achilles IONT for cAT between January 2019 and December 2022. Inclusion criteria were patients ≥18 years of age and clinical history, physical history, and magnetic resonance imaging findings consistent with cAT who did not respond to a minimum of 3 months of conservative management for which each patient underwent Achilles IONT and had a minimum 12-month follow-up. Clinical outcomes were evaluated using the Victorian Institute of Sport Assessment–Achilles and visual analog scale scores. Patient satisfaction was measured at the final follow-up visit with a 5-point Likert scale.</p></div><div><h3>Results</h3><p>Twelve patients (13 Achilles) with a mean age of 50.9 ± 14.6 years were included in the study. The mean follow-up time was 26.3 ± 6.3 months. The mean Victorian Institute of Sport Assessment–Achilles scores improved from a preoperative score of 35.6 ± 5.9 to a postoperative score of 83.6 ± 14.1 (<em>P</em> &lt; .001). The mean visual analog scale score improved from a preoperative score of 6.6 ± 1.0 to a postoperative score of 1.3 ± 1.7 (<em>P</em> &lt; .001). There were 10 patients (83.3%) who participated in sports activities before the IONT procedure. Within this group, 9 patients (90.0%) returned to play at a mean time of 5.9 ± 2.6 weeks. The mean time to return to work was 4.2 ± 1.2 days. Patients reported an overall positive IONT experience with a mean rating scale of 4.5 ± 0.9.</p></div><div><h3>Conclusions</h3><p>This retrospective review demonstrated that Achilles IONT for the treatment of cAT results in significant improvements in subjective clinical outcomes and a low complication rate together with high patient satisfaction scores at short-term follow-up.</p></div><div><h3>Level of Evidence</h3><p>Level IV, therapeutic case series.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000555/pdfft?md5=53e9b5cc7d1b31efd2a5a97b2d128735&pid=1-s2.0-S2666061X24000555-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758666","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":"Open and Percutaneous Approaches Have Similar Biomechanical Results for Primary Midsubstance Achilles Tendon Repair: A Meta-analysis","authors":"Jonathan Lawson M.S. ,&nbsp;Rae Tarapore M.D. ,&nbsp;Sean Sequeira M.D. ,&nbsp;Casey Imbergamo M.D. ,&nbsp;Mitchell Tarka M.D. ,&nbsp;Gregory Guyton M.D. ,&nbsp;Walter Hembree M.D. ,&nbsp;Heath Gould M.D.","doi":"10.1016/j.asmr.2024.100924","DOIUrl":"10.1016/j.asmr.2024.100924","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the biomechanical properties of open versus percutaneous Achilles tendon repair.</p></div><div><h3>Methods</h3><p>A systematic review of original research articles was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. To qualify for study inclusion, articles were required to be published in English, use a laboratory design using either human or animal tissue, and directly compare the biomechanical properties of open Achilles repair using a Krackow or Kessler technique with percutaneous repair using either a locking or nonlocking suture construct. The biomechanical outcomes evaluated were displacement (millimeters) and load to failure (Newtons).</p></div><div><h3>Results</h3><p>Twelve studies met inclusion criteria, including 234 specimens (open: 97, percutaneous locking: 73; percutaneous nonlocking: 64) that underwent primary midsubstance Achilles tendon repair. Pooled analysis demonstrated no statistically significant difference in displacement (<em>P</em> = .240) or load to failure (<em>P</em> = .912) between the open and percutaneous techniques. Among the percutaneous approaches, there was no difference in displacement (<em>P</em> = .109) between the locking and nonlocking tendon repair systems.</p></div><div><h3>Conclusions</h3><p>The results of this study suggest that both open and percutaneous techniques are biomechanically viable approaches for primary midsubstance Achilles tendon repair.</p></div><div><h3>Clinical Relevance</h3><p>In clinical studies, similar rerupture rates have been observed after open or percutaneous Achilles tendon repair. It may be beneficial for surgeons to understand whether biomechanical differences exist between these repair techniques.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000427/pdfft?md5=54bcc0af3c3f4241142b6c396918101d&pid=1-s2.0-S2666061X24000427-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276397","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":"Effective Use of Twitter by Orthopaedic Sports Medicine Journals Can Result in Increased Impact Factor","authors":"Katina Kartalias M.D., M.S. ,&nbsp;Tessa R. Lavorgna B.S. ,&nbsp;Shreya M. Saraf M.S. ,&nbsp;Mary K. Mulcahey M.D. ,&nbsp;Christopher J. Tucker M.D.","doi":"10.1016/j.asmr.2024.100931","DOIUrl":"10.1016/j.asmr.2024.100931","url":null,"abstract":"<div><h3>Purpose</h3><p>To determine whether activity on Twitter was correlated with increasing impact factor (IF) among 6 orthopaedic sports medicine journals.</p></div><div><h3>Methods</h3><p>Twitonomy software was used to collect account activity for the <em>American Journal of Sports Medicine</em>; <em>Arthroscopy: The Journal of Arthroscopic and Related Surgery; Knee Surgery, Sports Traumatology, Arthroscopy</em>; <em>Journal of Shoulder and Elbow Surgery</em>; <em>Orthopaedic Journal of Sports Medicine</em>; and <em>Sports Health</em>. Data from 2000 to 2020 were collected. Each journal’s annual IF score was collected via <span>scijournal.org</span><svg><path></path></svg>. A multivariate regression model was used to predict the influence of different Twitter metrics on IF from 2012 to 2019. The journal name, number of tweets, and interaction of the two were used to predict IF. Additionally, Pearson correlation was used to assess correlations between Twitter account metrics and IF.</p></div><div><h3>Results</h3><p>Over the study period, all IFs increased, with the exception of that for <em>American Journal of Sports Medicine</em>. The effect size between number of tweets and IF was not the same for each journal. For every additional tweet, <em>American Journal of Sports Medicine</em> increased its IF by 0.001 (<em>P</em> = .18). <em>Sports Health</em> and <em>Orthopaedic Journal of Sports Medicine</em> increased their IF by 0.01 (<em>P</em> = .002) and 0.022 (<em>P</em> &lt; .001), respectively. <em>Knee Surgery, Sports Traumatology, Arthroscopy</em> would expect a decrease in its IF by 0.004 (<em>P</em> = .55) and <em>Journal of Shoulder and Elbow Surgery</em> and <em>Arthroscopy</em> would increase its IF by 0.002 (<em>P</em> = .71) and 0.001 (<em>P</em> = .99), but this was not significant. There was a statistically significant positive correlation between annual tweets and IF across all journals.</p></div><div><h3>Conclusions</h3><p>Markers of Twitter account activity, specifically the number of annual tweets, were predictive of an increase in IF among the orthopedic sports medicine journals included in this study.</p></div><div><h3>Clinical Relevance</h3><p>The findings of this study may allow orthopaedic sports medicine journals to make more effective, targeted, and productive use of their social media accounts to reach a broader audience, increase their influence, and increase the IF of their journal.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X2400049X/pdfft?md5=32d9c023af3ad9b2712eae00dc8427a3&pid=1-s2.0-S2666061X2400049X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401958","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":"Arthroscopic Posterior Capsular Release Improves Range of Motion and Outcomes for Flexion Contracture After Anterior Cruciate Ligament Reconstruction in Athletes","authors":"Joseph C. Brinkman M.D. ,&nbsp;Jose M. Iturregui M.D. ,&nbsp;M. Lane Moore B.S., M.B.A. ,&nbsp;Jack Haglin M.D. ,&nbsp;Adam Thompson B.S. ,&nbsp;Justin Makovicka M.D. ,&nbsp;Kostas J. Economopoulos M.D.","doi":"10.1016/j.asmr.2024.100914","DOIUrl":"10.1016/j.asmr.2024.100914","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess outcomes of arthroscopic posterior capsular release among athletes for loss of terminal extension following anterior cruciate ligament (ACL) reconstruction.</p></div><div><h3>Methods</h3><p>A retrospective review of prospectively collected data was performed for patients undergoing arthroscopic posterior capsular release for knee extension loss following ACL reconstruction between January 2014 and December 2019. Procedure indications included extension loss greater than 10° at least 3 months after ACL reconstruction that was refractory to physical therapy. Patients were included if they were involved in either high school or college athletics, had complete outcomes of interest, and had at least 2 years of follow-up. Prospectively collected outcomes included preoperative and postoperative measurement of knee extension, International Knee Documentation Committee score, Lysholm score, return to sport data, and complications.</p></div><div><h3>Results</h3><p>Eighteen athletes with minimum 2 years of follow-up who underwent posterior capsular release following ACL reconstruction performed by a single surgeon were included in the analysis. Patients underwent surgery at an average of 16 weeks after ACL reconstruction. Knee extension improved an average of 13.8° at 2 years’ follow-up (prerelease mean extension deficit 15.1°, postrelease mean extension deficit 1.3°, <em>P</em> &lt; .005). Improvements in the International Knee Documentation Committee score averaged 21.7 at 6 months and 35.0 at 24 months, both of which were statistically significant (<em>P</em> &lt; .001). Similarly, differences in Lysholm included a significant improvement of 23.0 and 34.2 at 6 months and 2 years, respectively (<em>P</em> &lt; .001). In total, 77.8% returned to sport at an average of 9.8 months from their primary ACL surgery and 6.5 months following posterior capsular release surgery. No infections or neurovascular complications were observed. One patient required secondary release to achieve adequate extension.</p></div><div><h3>Conclusions</h3><p>For athletes with persistent knee extension loss after ACL reconstruction, knee extension was significantly improved at 2 years following arthroscopic posterior capsular release. Substantial improvements in patient-reported outcomes also were seen. In addition, subjects demonstrated a high rate of return to sport and return to preinjury performance levels.</p></div><div><h3>Level of Evidence</h3><p>Level IV, therapeutic case series.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000324/pdfft?md5=438acbe143f2e0ec5da2af0a53311e55&pid=1-s2.0-S2666061X24000324-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468427","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":"Characterizations of Capsule Closure in Hip Arthroscopy Are Infrequently and Incompletely Reported: A Systematic Review","authors":"John J. Heifner M.D. ,&nbsp;Leah M. Keller D.O. ,&nbsp;Gagan Grewal M.D. ,&nbsp;Ty A. Davis D.O. ,&nbsp;Jonathan Brutti B.S. ,&nbsp;Jan Pieter Hommen M.D.","doi":"10.1016/j.asmr.2023.100820","DOIUrl":"10.1016/j.asmr.2023.100820","url":null,"abstract":"<div><h3>Purpose</h3><p>To review the recent literature to provide an updated characterization of capsule closure techniques in hip arthroscopy and to determine if the characteristics of closure impacted clinical outcomes.</p></div><div><h3>Methods</h3><p>In keeping with the Preferred Reporting in Systematic Reviews and Meta Analyses (PRISMA) guidelines, a systematic review was performed with the following eligibility criteria: patients over 18 years of age who underwent primary hip arthroscopy with reporting of patient reported outcome measures or revision/failure, and a sufficiently detailed description of capsule closure. The GRADE framework evaluated study quality, and ROBINS-I evaluated the risk of bias.</p></div><div><h3>Results</h3><p>Across 18 studies (N = 3277) an interportal capsulotomy was reported in 12 studies (1972/3277) cases, and a T-type capsulotomy was reported in six studies (1305/3277) cases). Six studies reported using #2 suture. Nonabsorbable suture was reported in six studies, and absorbable suture in six studies. The rate of failure was 10.5% across five studies (N = 1133) and the rate of revision was 4.4% across 13 studies (N = 2957).</p></div><div><h3>Conclusions</h3><p>Capsule closure is commonly performed with #2 high strength suture—the T-type using two to three sutures in the vertical limb and two to three in the transverse limb, and the interportal type using two to three sutures. Compared to earlier reports, there is a trend for increased utilization of T-type capsulotomy. Although there is a growing body of investigations into the efficacy of routine capsule closure following hip arthroscopy, our results demonstrate infrequent and inconsistent reporting of capsule closure characteristics.</p></div><div><h3>Level of Evidence</h3><p>Level IV, systematic review of Level I-IV studies.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23001712/pdfft?md5=0a49ea839ee5ddaf9ff51f3e249201fa&pid=1-s2.0-S2666061X23001712-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028753","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":"Body Mass Index Between 15 and 30 Does Not Influence Patient-Reported Outcomes After Anterior Cruciate Ligament Surgery Using a 10-mm-Diameter Bone-Tendon-Bone Graft","authors":"Mia Adler Lustig B.S. ,&nbsp;Sean Hazzard P.A., M.B.A. ,&nbsp;Brendan Fitzgerald B.S. ,&nbsp;Nasir Stovall B.S. ,&nbsp;Peter Asnis M.D.","doi":"10.1016/j.asmr.2024.100925","DOIUrl":"10.1016/j.asmr.2024.100925","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the relation between body mass index (BMI) and outcomes after anterior cruciate ligament reconstruction (ACLR) using 10-mm-diameter bone–patellar tendon–bone grafts.</p></div><div><h3>Methods</h3><p>In this retrospective study, the Surgical Outcome System was used to measure patient-reported outcomes before and after ACLR between 2015 and 2019. The inclusion criteria consisted on patients undergoing primary ACLR performed by the senior surgeon, with recorded age of 15 years or older and BMI of 15.0 to 30. The exclusion criteria included revisions, concomitant procedures, age younger than 15 years, and unknown BMI. Patients were divided into cohorts to evaluate the Marx Activity Rating Scale (MARS), Tegner, International Knee Documentation Committee (IKDC), and Lysholm scores at various time points from injury to 2 years postoperatively.</p></div><div><h3>Results</h3><p>A total of 137 patients (100 male and 37 female patients) with an average age of 33 years (95% confidence interval, 30.6-35.4 years) and average BMI of 23.58 (95% confidence interval, 23.1-24.0) were divided into those with a BMI of 15 to 23.4 (group A, n = 69) and those with a BMI of 23.5 to 30 (group B, n = 68). A significant difference in MARS scores was found between the BMI groups before treatment, with mean scores of 11.55 (group A) and 9.41 (group B) (<em>P</em> = .011), and Tegner scores showed significance at 2 years, with scores of 6.45 and 5.41 for groups A and B, respectively (<em>P</em> = .009). Daily function scores were all insignificant. Female patients exhibited no significant differences across any patient-reported outcome measures or time points. Contrarily, male patients showed a significant difference in pretreatment MARS scores (14.30 in group A vs 9.96 in group B, <em>P</em> = .011). Additionally, scores at 2 years depicted Tegner values of 7.40 in group A versus 5.30 in group B (<em>P</em> = .012) and IKDC values of 96.92 in group A versus 90.47 in group B (<em>P</em> = .048). All results for female and male patients aged 30 years or younger indicated no significance.</p></div><div><h3>Conclusions</h3><p>Regardless of patient age or sex, BMI is not significantly associated with patient-reported outcomes after ACLR using 10-mm-diameter bone–patellar tendon–bone grafts.</p></div><div><h3>Level of Evidence</h3><p>Level III, retrospective cohort study.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000439/pdfft?md5=8c6d8a803bfdb38e0591978d4d62214d&pid=1-s2.0-S2666061X24000439-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272655","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":"A Recess Is Observed Between the Posterior Knee Capsule and the Meniscotibial Ligament Complex in Pediatric Specimens","authors":"Aleksei B. Dingel B.S. ,&nbsp;Marc Tompkins M.D. ,&nbsp;Yi-Meng Yen M.D. ,&nbsp;Alexander K. Karius B.S. ,&nbsp;Mark Cinque M.D. ,&nbsp;Brian B. Vuong B.S. ,&nbsp;Vanessa Taylor B.S. ,&nbsp;Nicole S. Pham M.P.H. ,&nbsp;Theodore J. Ganley M.D. ,&nbsp;Philip Wilson M.D. ,&nbsp;Henry B. Ellis M.D. ,&nbsp;Daniel Green M.D. ,&nbsp;Peter D. Fabricant M.D. ,&nbsp;Laura Boucher Ph.D., A.T., A.T.C. ,&nbsp;Kevin G. Shea M.D.","doi":"10.1016/j.asmr.2023.100852","DOIUrl":"10.1016/j.asmr.2023.100852","url":null,"abstract":"<div><h3>Purpose</h3><p>To define the surgical anatomy of the meniscotibial ligament complex of the pediatric medial and lateral menisci and their relation to the proximal tibial physis and posterior joint capsule.</p></div><div><h3>Methods</h3><p>Fourteen pediatric cadaveric knee specimens (aged 3 months to 11 years) were dissected to clarify the relation of the posterior knee capsule, the meniscus, and the meniscotibial ligament complex. Metallic markers were placed marking the meniscotibial ligament capsular attachment on the proximal tibia. Specimens underwent computed tomography scanning to evaluate pin placement and relation to the physis. A digital measurement tool was used to measure the distances between the proximal tibial physis and the pins (placed at 5 points on both the lateral and medial menisci).</p></div><div><h3>Results</h3><p>In each specimen, clear separation was noted between the posterior joint capsule from the meniscus and meniscotibial ligament complex in the medial and lateral compartments. There was an increase in the distance between the proximal tibial physis and the insertion points of the meniscotibial ligament complex with increasing specimen age. For both the medical and lateral menisci in group 1, the median meniscotibial ligament insertion points were often less than 7 mm (interquartile range, 0.00-7.8 mm) away from the physis. The median meniscotibial ligament insertion points in group 2 tended to be farther from the physis but always less than 20 mm (interquartile range, 2.5-17.5 mm)—and as close as less than 5 mm (lateral posterior root).</p></div><div><h3>Conclusions</h3><p>In this anatomic study of pediatric knees, we observed a distinct recess/cul-de-sac space between the posterior knee capsule and meniscal attachments in all specimens. This defines a distinct plane between the posterior knee capsule and the meniscotibial ligament complex, with a distance between the physis and meniscotibial ligament capsular attachments that increases with age.</p></div><div><h3>Clinical Relevance</h3><p>The anatomic parameters evaluated in our study should be considered as future meniscal repair and transplantation techniques aim to restore the meniscal anatomy, stability, and mobility provided by the meniscotibial ligament complex and capsule structures.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002031/pdfft?md5=71371e6005b407433a3f3d79f4906d75&pid=1-s2.0-S2666061X23002031-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789495","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":"Source-Dependent Quality Variation in Shoulder Dislocation Videos on YouTube","authors":"Mehmet Kaymakoglu M.D. ,&nbsp;Taha Aksoy M.D. ,&nbsp;Ulas Can Kolac M.D. ,&nbsp;Erdi Ozdemir M.D. ,&nbsp;Nicholas N. DePhillipo Ph.D., M.B.A., A.T.C. ,&nbsp;Gazi Huri M.D. ,&nbsp;Flippo Familiari M.D.","doi":"10.1016/j.asmr.2024.100921","DOIUrl":"10.1016/j.asmr.2024.100921","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess the quality of YouTube videos for patient education on shoulder dislocation.</p></div><div><h3>Methods</h3><p>A standard YouTube search was performed in March 2023 using the terms “shoulder dislocation,” “dislocated shoulder,” and “glenohumeral joint dislocation” to identify eligible videos. Multiple scoring systems, including DISCERN (a validated tool for analyzing the quality of health information in consumer-targeted videos), Journal of the American Medical Association (JAMA) Benchmark Criteria, and the Global Quality Score (GQS) were used to evaluate the videos. Video quality scores from various sources were compared using the Kruskal-Wallis test for initial analysis, followed by Dunn's post-hoc test with Bonferroni correction, and the strength of relationship between variables was assessed using Spearman's rank correlation coefficient.</p></div><div><h3>Results</h3><p>A total of 162 eligible videos were identified. The mean video duration was 11.38 ± 3.01 minutes, the median number of views was 653. Median number of days since upload was 1,972, the median view rate was 0.343, and median number of likes was 66.12. Based on the DISCERN classification, a substantial proportion of videos were classified as insufficient quality, with 19.4% as “very insufficient” and 42.1% as “insufficient”; 24.1% were classified as “average” quality, whereas only 13.1% were classified as “good” and 1.2% were “excellent.” Videos from academic and professional sources showed a significant positive correlation with DISCERN scores (rho: +0.784, <em>P</em> &lt; .001) and greater scores on all 4 scoring systems compared to health information websites.</p></div><div><h3>Conclusions</h3><p>This study reveals that the majority of YouTube videos on shoulder dislocation lack sufficient quality for patient education, with content quality significantly influenced by the source.</p></div><div><h3>Clinical Relevance</h3><p>Examining the accuracy of information that patients encounter on YouTube is essential for health care providers to direct individuals toward more reliable sources of information.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000397/pdfft?md5=ec38e4b24e5521b30aa6e07b33306045&pid=1-s2.0-S2666061X24000397-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466748","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":"Arthroscopic Fractional Lengthening After Total Hip Arthroplasty Results in Improved Patient-Reported Outcomes and Low Rates of Revision Total Hip Arthroplasty","authors":"Karissa N. Simon B.S. ,&nbsp;Kevin Jurgensmeier M.D. ,&nbsp;Michael Vogel B.S. ,&nbsp;Michael J. Taunton M.D. ,&nbsp;Bruce A. Levy M.D. ,&nbsp;Shane J. Nho M.D., M.S. ,&nbsp;Mario Hevesi M.D., Ph.D.","doi":"10.1016/j.asmr.2024.100930","DOIUrl":"10.1016/j.asmr.2024.100930","url":null,"abstract":"<div><h3>Purpose</h3><p>To report the clinical outcomes and reoperation rates of arthroscopic and endoscopic iliopsoas release at short-term follow-up after ipsilateral total hip arthroplasty (THA) at 2 separate medical institutions and to evaluate whether demographic and radiographic parameters are associated with postoperative patient-reported outcomes (PROs).</p></div><div><h3>Methods</h3><p>Patients with iliopsoas tendinitis in the setting of prior THA who underwent arthroscopic iliopsoas fractional lengthening from 1988 to 2023 at 2 academic institutions were reviewed. Patients were included if they had 12 months of follow-up and underwent evaluation of preoperative anterior acetabular component overhang, surgery satisfaction, postoperative subjective hip flexion strength and anterior groin pain improvement, modified Harris Hip Score, Single Assessment Numeric Evaluation score, Tegner activity scale score, visual analog scale (VAS) score, and revision hip arthroplasty.</p></div><div><h3>Results</h3><p>Sixty hips in 58 patients (19 male and 39 female patients) were followed up for a mean of 39.3 months (range, 12.0-105.9 months) postoperatively. Of the patients, 77% reported feeling “much better” or “slightly better,” 75% reported improved anterior groin pain, and 60% reported improved subjective hip flexion strength. The surgery satisfaction rating was 7.2 ± 3.3 (scale of 0 to 10). The mean postoperative modified Harris Hip Score, VAS score for pain at rest, VAS score for pain with use, and Single Assessment Numeric Evaluation score were 73.9 ± 19.4, 1.3 ± 2.4, 3.8 ± 2.9, and 71.9 ± 21.9, respectively. Preoperative anterior acetabular component overhang was 3.3 ± 6.5 mm and did not significantly correlate with postoperative PROs (<em>P</em> ≥ .45). The Tegner score improved from 2.5 ± 1.7 preoperatively to 2.9 ± 1.4 postoperatively (<em>P</em> = .0253). Three patients underwent revision arthroplasty at a mean of 25.3 months (range, 11.6-40.4 months) postoperatively, with an acetabular component revision rate of 3.3%.</p></div><div><h3>Conclusions</h3><p>Satisfactory outcomes and low revision arthroplasty rates were observed in patients undergoing arthroscopic iliopsoas lengthening after THA. There was no statistically significant relation between anterior acetabular component overhang and final PROs.</p></div><div><h3>Level of Evidence</h3><p>Level IV, therapeutic case series.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000488/pdfft?md5=1ebe471645f659c370b6b1d07b8891b5&pid=1-s2.0-S2666061X24000488-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404777","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":"ChatGPT-4 Generates More Accurate and Complete Responses to Common Patient Questions About Anterior Cruciate Ligament Reconstruction Than Google’s Search Engine","authors":"Michael A. Gaudiani M.D. ,&nbsp;Joshua P. Castle M.D. ,&nbsp;Muhammad J. Abbas M.D. ,&nbsp;Brittaney A. Pratt B.S. ,&nbsp;Marquisha D. Myles B.S. ,&nbsp;Vasilios Moutzouros M.D. ,&nbsp;T. Sean Lynch M.D.","doi":"10.1016/j.asmr.2024.100939","DOIUrl":"10.1016/j.asmr.2024.100939","url":null,"abstract":"<div><h3>Purpose</h3><p>To replicate a patient’s internet search to evaluate ChatGPT’s appropriateness in answering common patient questions about anterior cruciate ligament reconstruction compared with a Google web search.</p></div><div><h3>Methods</h3><p>A Google web search was performed by searching the term “anterior cruciate ligament reconstruction.” The top 20 frequently asked questions and responses were recorded. The prompt “What are the 20 most popular patient questions related to ‘anterior cruciate ligament reconstruction?’” was input into ChatGPT and questions and responses were recorded. Questions were classified based on the Rothwell system and responses assessed via Flesch-Kincaid Grade Level, correctness, and completeness were for both Google web search and ChatGPT.</p></div><div><h3>Results</h3><p>Three of 20 (15%) questions were similar between Google web search and ChatGPT. The most common question types among the Google web search were value (8/20, 40%), fact (7/20, 35%), and policy (5/20, 25%). The most common question types amongst the ChatGPT search were fact (12/20, 60%), policy (6/20, 30%), and value (2/20, 10%). Mean Flesch-Kincaid Grade Level for Google web search responses was significantly lower (11.8 ± 3.8 vs 14.3 ± 2.2; <em>P</em> = .003) than for ChatGPT responses. The mean correctness for Google web search question answers was 1.47 ± 0.5, and mean completeness was 1.36 ± 0.5. Mean correctness for ChatGPT answers was 1.8 ± 0.4 and mean completeness was 1.9 ± 0.3, which were both significantly greater than Google web search answers (<em>P</em> = .03 and <em>P</em> = .0003).</p></div><div><h3>Conclusions</h3><p>ChatGPT-4 generated more accurate and complete responses to common patient questions about anterior cruciate ligament reconstruction than Google’s search engine.</p></div><div><h3>Clinical Relevance</h3><p>The use of artificial intelligence such as ChatGPT is expanding. It is important to understand the quality of information as well as how the results of ChatGPT queries compare with those from Google web searches</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000579/pdfft?md5=d7ac14145b1db8d87e6374fcf43f0d64&pid=1-s2.0-S2666061X24000579-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792559","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}