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

{"title":"Multiple Intrinsic and Extrinsic Factors Increase the Risk of Anterior Cruciate Ligament Injury in Skiers: A Systematic Review","authors":"Alexander M. Bhatt M.S. ,&nbsp;Matthew F. Lucido B.S. ,&nbsp;Caroline D. Patton M.A. ,&nbsp;Elizabeth Brown M.D. ,&nbsp;Paul M. Inclan M.D. ,&nbsp;Andrew D. Pearle M.D.","doi":"10.1016/j.arthro.2025.07.027","DOIUrl":"10.1016/j.arthro.2025.07.027","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify and synthesize risk factors associated with first-time, isolated anterior cruciate ligament (ACL) injuries in alpine skiers.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the study was registered in PROSPERO. Studies were included if they were original human research, discussed ACL injuries in skiers, and included first-time ACL injury data. Data extraction focused on study characteristics and risk factors for ACL injury in alpine skiers.</div></div><div><h3>Results</h3><div>Twenty-seven studies met the inclusion criteria. Female sex was associated with increased ACL injury risk, with odds ratios (ORs) ranging from 1.21 to 6.0. Risk-taking behavior was consistently linked to higher injury rates (OR range, 2.08-5.42), especially in less-skilled male skiers. Lower skill level itself was a strong predictor (OR, 3.2-6.74), along with older age (OR per year, 1.05-1.30). Equipment-related factors such as ski boot sole abrasion (OR, 1.4-1.8) and improper binding settings—with failure to release occurring in up to 96% of ACL injury cases—significantly increased injury risk. Environmental conditions were also important: fresh snow (OR, 10.49), grippy snow (OR, 7.79), and icy slopes (OR, 12.41) all posed elevated risks compared to slushy conditions. Family history and genetic predisposition were also frequently identified as important contributors.</div></div><div><h3>Conclusions</h3><div>ACL injury risk in alpine skiers is influenced by a combination of intrinsic and extrinsic factors. Female sex, preovulatory hormonal phase, specific COL1A1 polymorphisms, family history, older age, lower skill level, poor physical fitness, and risk-taking behavior were all associated with increased risk. Extrinsic contributors included boot sole abrasion, improper binding settings, ski geometry, use of rented skis, and adverse environmental conditions such as fresh or icy snow and snowfall. These findings highlight the multifactorial nature of ACL injuries in skiing and underscore the importance of considering both individual and external factors when assessing risk.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level I to IV studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5453-5469.e1"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Females Experience Higher Rates of Recurrent Dislocation Following Medial Patellofemoral Ligament Reconstruction: A Systematic Review","authors":"Bryan K. Meade B.S. ,&nbsp;Cailan L. Feingold B.S. ,&nbsp;Eric H. Lin B.A. ,&nbsp;Ioanna K. Bolia M.D., M.S., Ph.D. ,&nbsp;Jacob L. Kotlier B.A. ,&nbsp;Austin V. Stone M.D., Ph.D. ,&nbsp;Joseph N. Liu M.D.","doi":"10.1016/j.arthro.2025.07.030","DOIUrl":"10.1016/j.arthro.2025.07.030","url":null,"abstract":"<div><h3>Purpose</h3><div>To perform a systematic review to investigate and summarize the literature regarding the influence of sex on postoperative outcomes following primary medial patellofemoral ligament (MPFL) reconstruction, with a primary focus on MPFL failure and recurrent dislocation, and a secondary analysis of postoperative patient-reported outcome measures (PROMs).</div></div><div><h3>Methods</h3><div>A literature review was performed using the PubMed, Scopus, and Web of Science databases. Included were randomized controlled trials or cohort studies that provided sex-stratified, quantitative analysis of MPFL reconstruction outcomes. Studies were excluded if they were biomechanical studies, cadaveric studies, Level of Evidence IV or V studies, or articles not published in English. The primary outcome of interest was postoperative failure, specifically recurrent dislocation, with the secondary outcome being PROMs.</div></div><div><h3>Results</h3><div>Eleven studies met inclusion criteria on 903 patients: 292 males (32%) and 611 females (68%). Overall, 17 of 611 females experienced postoperative dislocations, while 1 of 292 males reported a postoperative dislocation. Three studies did not record any postoperative recurrent dislocations for either sex. The Kujala questionnaire PROM was quantitatively reported in 4 studies, with postoperative averages ranging from 87.7 to 95.3 for males compared to 80.2 to 89.0 for female patients.</div></div><div><h3>Conclusions</h3><div>Based on this systematic review, females experienced higher rates of recurrent dislocation and recorded worse PROMs following MPFL reconstruction.</div></div><div><h3>Level of Evidence</h3><div>Level III, systematic review of Level I to III studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5470-5479.e0"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Long-Term Outcomes After High Tibial Osteotomy May Depend More on Lateral Compartment Preservation Than on Medial Cartilage Regeneration","authors":"Ken Kumagai M.D., Ph.D.","doi":"10.1016/j.arthro.2025.08.009","DOIUrl":"10.1016/j.arthro.2025.08.009","url":null,"abstract":"<div><div>The long-term clinical benefit of cartilage regeneration after high tibial osteotomy remains controversial. Although such regeneration is often observed during second-look arthroscopy, long-term studies suggest that it does not ensure durable improvements in function or radiographic outcomes. Rather, preservation of lateral compartment integrity through precise alignment correction appears more critical to long-term success than medial regeneration alone. Therefore, surgical strategies should prioritize accurate correction and maintenance of optimal load distribution, with biological augmentation of cartilage repair considered a complementary direction for future investigations.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5243-5244"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Don’t Beat Around The Bush, Consider Going Straight to the Latarjet Procedure in Martial Arts Contact Athletes With Anterior Shoulder Instability!","authors":"Nicolas Bonnevialle M.D., Ph.D.","doi":"10.1016/j.arthro.2025.08.016","DOIUrl":"10.1016/j.arthro.2025.08.016","url":null,"abstract":"<div><div>The number of mixed martial arts contact athletes has increased dramatically over the past 10 years. High-risk sports can lead to recurrent anterior shoulder instability, affecting athletes’ performance. Arthroscopic Bankart repair without remplissage seems not to be the “gold standard” anymore. Despite being a higher-demanding technique, the Latarjet procedure outperforms soft tissue repair, whether in terms of stability or level of return to the same sport, in a patient population exposed to collision, contact, striking, or grappling. The indication of a such bony procedure should be strongly considered a primary treatment.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5046-5048"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking Standards for Minimum Short-Term Follow-Up Duration for Clinical Outcome in Orthopaedic and Sports Medicine Studies","authors":"Adnan Saithna M.D., FAANA,&nbsp;Matthew Salzler M.D.,&nbsp;Elizabeth Matzkin M.D.,&nbsp;Michael J. Rossi M.D., M.S.","doi":"10.1016/j.arthro.2025.08.019","DOIUrl":"10.1016/j.arthro.2025.08.019","url":null,"abstract":"<div><div>A 2-year minimum follow-up period has generally been preferred in orthopaedic studies. This minimum standard aids comparisons across the literature and helps to ensure methodologic rigor. However, in some situations, these minimum durations are not required to answer specific research questions and strictly enforcing these requirements poses unnecessary barriers to research by adding cost and complexity, increasing the risk of loss to follow-up and potentially restricting early dissemination of clinically important findings. There can be situations when variability in these minimum time frames might be appropriate, depending on the research question, diagnosis, treatment, and primary outcome measure. Therefore, we encourage authors to include a statement in their manuscript justifying their chosen follow-up period. In many cases, this may default to the established minimum standard. However, we include examples of procedures (rotator cuff repair, shoulder stabilization, superior capsule reconstruction, shoulder arthroplasty, anterior cruciate ligament reconstruction, partial meniscectomy, meniscus repair, platelet-rich plasma injection, microfracture for osteochondral lesions of the talus, and arthroscopic hip preservation surgery) in which the literature has shown when clinical outcomes plateau. In some cases, this confirms the need to adhere to the established minimum follow-up of 2 years, but in other scenarios, clinical outcomes plateau much earlier. Therefore, authors evaluating patient-reported outcome measures may justify shorter durations of minimum follow-up in some settings.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 4957-4962"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Arthroscopically Assisted Posterior Latissimus Dorsi and Teres Major Transfers Show Improvement for Irreparable Posterosuperior Rotator Cuff Tears but Are Rarely the Best Choice","authors":"Stephen C. Weber M.D. (Editorial Board)","doi":"10.1016/j.arthro.2025.08.025","DOIUrl":"10.1016/j.arthro.2025.08.025","url":null,"abstract":"<div><div>Tendon transfers have shown good clinical results in a numerous reviews of treatment options for unrepairable posterosuperior rotator cuff tears. Combined latissimus dorsi and teres major transfer have been described as an option to improve external rotation strength. Although outcomes have been acceptable, other options for treatment of this patient population may be preferable in terms of outcomes and perioperative morbidity.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5066-5067"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-Dose Statins Preserve Tendon-Bone Interface Healing Without Adversely Affecting Fatty Infiltration in a Rotator Cuff Repair Rat Model","authors":"Jong Pil Yoon M.D. ,&nbsp;Sung-Jin Park Ph.D. ,&nbsp;Dong-Hyun Kim M.D. ,&nbsp;Jun-Young Kim M.D. ,&nbsp;Chul-Hyun Cho M.D. ,&nbsp;Hyun Joo Lee M.D. ,&nbsp;Seok Won Chung M.D.","doi":"10.1016/j.arthro.2025.07.043","DOIUrl":"10.1016/j.arthro.2025.07.043","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the effects of high-dose atorvastatin (hATZ) on histologic and biomechanical tendon-bone interface (TBI) healing and fatty infiltration following rotator cuff (RC) repair in a rat model.</div></div><div><h3>Methods</h3><div>Twenty Sprague-Dawley rats underwent RC repair surgery on both shoulders, after which hATZ was administered orally for 4 weeks postoperatively. The effects of hATZ on TBI healing were assessed macroscopically, histologically, and biomechanically. Fatty infiltration was evaluated using Oil-Red-O staining and immunohistochemical analysis of gene marker expressions. Expression levels of muscle RING-finger protein 1 (MuRF-1) and muscle atrophy F-box protein, markers of muscle atrophy, and peroxisome proliferator-activated receptor γ and CCAAT/enhancer-binding protein α, transcription factors involved in adipogenesis, were assessed by quantitative real-time polymerase chain reaction to evaluate molecular changes related to muscle degeneration. Biomechanical tendon healing was measured using a universal testing machine, and histologic analysis was performed using hematoxylin and eosin and Masson’s trichrome staining.</div></div><div><h3>Results</h3><div>At 4 weeks postoperatively, systemic administration of hATZ did not negatively affect TBI healing following RC repair. Fatty infiltration analysis showed no significant difference between the hATZ group (3,322.16 ± 1,117.59 μm²) and the control group (3,946.94 ± 1,843.96 μm²) (<em>P</em> = .415). However, immunohistochemical analysis revealed that hATZ significantly inhibited the expression of MuRF-1 (<em>P</em> &lt; .001), a key regulator of muscle atrophy, while the expression levels of muscle atrophy F-box protein (<em>P</em> = .803), peroxisome proliferator-activated receptor γ (<em>P</em> = .200), and CCAAT/enhancer-binding protein α (<em>P</em> = .909) remained unchanged. Histologic analysis confirmed no significant differences in collagen density (<em>P</em> = .142) or arrangement (<em>P</em> = .164) between the groups, and biomechanical testing showed comparable ultimate strength (<em>P</em> = .398) and load to failure (<em>P</em> = .464).</div></div><div><h3>Conclusions</h3><div>High-dose atorvastatin did not impair histologic and biomechanical healing of the TBI in a rat model of RC repair. It also did not accelerate fatty infiltration of the muscle and led to a significant downregulation of the muscle atrophy–related marker MuRF-1.</div></div><div><h3>Clinical Relevance</h3><div>This study shows that hATZ does not negatively affect TBI healing or muscle recovery following RC repair, supporting its continued use in patients requiring long-term statin therapy.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 4995-5004"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Lower-Leg Alignment Changes After Opening-Wedge Tibial Osteotomy: The Third Law of Motion and the Future of the Tibial Osteotomy","authors":"Mark G. Siegel M.D. (Editorial Board)","doi":"10.1016/j.arthro.2025.09.004","DOIUrl":"10.1016/j.arthro.2025.09.004","url":null,"abstract":"<div><div>Opening-wedge tibial osteotomies have an effect on the entire lower limb with resultant changes in alignment to the ankle and hip. These changes are not static given that there is a small but measurable change in the knee joint line obliquity over 5 years. Secondary compensation occurs in the ankle for the first postoperative year, with measured changes in the hip abduction angle over 5 years. These changes, along with the effects of the opening-wedge tibial osteotomy on a future arthroplasty, provide added information that must be considered when planning tibial realignment surgery for arthritis.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5202-5204"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral Derotational Osteotomy Alone or Combined With Hip Arthroscopy Is Superior to Arthroscopy Alone in Patients With Femoral Retroversion","authors":"Hayden P. Baker M.D. ,&nbsp;Mason E. Uvodich M.D. ,&nbsp;Alex Capitano B.A. ,&nbsp;Brian T. Muffly M.D. ,&nbsp;Robert Buly M.D. ,&nbsp;Bryan T. Kelly M.D. ,&nbsp;Anil S. Ranawat M.D. ,&nbsp;Danyal H. Nawabi M.D.","doi":"10.1016/j.arthro.2025.07.047","DOIUrl":"10.1016/j.arthro.2025.07.047","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare patient-reported outcomes in patients with femoral retroversion (&lt;5° of femoral anteversion) treated with either isolated hip arthroscopy (HA), femoral derotation osteotomy (FDO), or a combined procedure.</div></div><div><h3>Methods</h3><div>Patients treated between 2013 and 2019 were identified from an institutional hip preservation registry. Inclusion criteria were age 14 to 60 years, femoral version &lt;5° as measured on preoperative computed tomography, and a minimum 1-year follow-up. Patients underwent isolated HA, isolated FDO, or combined HA + FDO. The primary outcome was improvement in the modified Harris Hip Score. Secondary outcomes included hip range of motion, postoperative complications, revision surgery rates, and achievement of minimum clinically important difference (MCID), substantial clinical benefit, and patient acceptable symptomatic state (PASS).</div></div><div><h3>Results</h3><div>A total of 82 patients met the inclusion criteria. The combined HA + FDO group had the greatest improvement in modified Harris Hip Score, followed by the FDO group, then the HA group (<em>P</em> = .001). A significantly higher proportion of FDO patients achieved the MCID (95%) compared to HA patients (67%) (<em>P</em> = .03). PASS was also more frequently achieved in the FDO and combined groups (90% and 78%, respectively) compared to HA (48%) (<em>P</em> = .004). No patients required conversion to total hip arthroplasty.</div></div><div><h3>Conclusions</h3><div>In patients with femoral retroversion, treatment with FDO, either alone or combined with HA, resulted in greater improvements in functional outcomes and higher rates of MCID and PASS compared to isolated hip arthroscopy.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective comparative case series.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5127-5134"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Sex, Reduced Glenoid Bone Width, and Glenoid Bone Loss Greater Than 11% to 15% May Increase the Risk of Failure After Arthroscopic Posterior Capsulolabral Repair: A Systematic Review","authors":"Eddie K. Afetse B.S., B.A. ,&nbsp;Joshua Noonan B.S. ,&nbsp;Anna Munro B.S. ,&nbsp;Brian R. Waterman M.D. ,&nbsp;Joseph J. Ruzbarsky M.D. ,&nbsp;Ajay C. Kanakamedala M.D. ,&nbsp;Matthew T. Provencher M.D., M.B.A.","doi":"10.1016/j.arthro.2025.07.023","DOIUrl":"10.1016/j.arthro.2025.07.023","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify and evaluate the most relevant preoperative risk factors for failure and revision surgery in patients undergoing primary arthroscopic capsulolabral shoulder repair for posterior shoulder instability (PSI).</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, MEDLINE library, and EMBASE from inception to April 2024 was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Studies assessing preoperative factors influencing failure or revision rates were included. Failure was defined as persistent pain or recurrent instability. The methodologic quality of the included studies was assessed using the Methodological Index for Non-randomized Studies (MINORS) scoring system.</div></div><div><h3>Results</h3><div>Nine articles published between 2016 and 2023 met the inclusion criteria. In total, 960 patients were included. The mean patient age was 20.7 years (range, 12.4-65.0 years), 79.9% of patients were male, and the mean postoperative follow-up time was 5.3 years (range, 1.0-19.4 years). Of the risk factors included, female sex, small glenoid bone width (&lt;27.7 mm), and preoperative glenoid bone loss greater than 11% to 15% were the only significant risk factors associated with failure and/or revision in patients undergoing arthroscopic capsulolabral repair for PSI. Glenoid version, type of sport, labral version, and labral width were found not to be significant risk factors for revision and/or failure.</div></div><div><h3>Conclusions</h3><div>Female sex, small glenoid bone width, and greater than 11% to 15% preoperative glenoid bone loss may be significant risk factors for failure or revision in arthroscopic capsulolabral repair for PSI. In contrast, glenoid version, type of sport, labral width, and labral version do not appear to significantly influence outcomes.</div></div><div><h3>Level of Evidence</h3><div>Level IV, systematic review of Level III and IV studies.</div></div>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":"41 12","pages":"Pages 5332-5342.e1"},"PeriodicalIF":5.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}