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Journals American Journal of Sports Med...

American Journal of Sports Medicine

https://read.qxmd.com/read/38884318/early-postoperative-rapid-rehabilitation-yields-more-favorable-short-term-outcomes-in-patients-undergoing-patellar-realignment-surgery-for-recurrent-patellar-dislocation-a-prospective-randomized-controlled-study
#1
JOURNAL ARTICLE
Jiayao Zhang, Sike Lai, Junqiao Li, Chenghao Zhang, Lei Yao, Yuyan Zhang, Kunhao Chen, Wufeng Cai, Jian Li, Qi Li
BACKGROUND: Use of a rapid rehabilitation protocol for postoperative recovery after recurrent patellar dislocation (RPD) has gradually gained attention; nonetheless, evidence of its safety and effectiveness is lacking. PURPOSE: To compare the short-term postoperative outcomes of early rapid rehabilitation with those of conservative rehabilitation in patients with RPD. STUDY DESIGN: Randomized controlled trial; Level of evidence, 2. METHODS: A total of 50 patients with RPD who underwent tibial tubercle osteotomy combined with medial patellofemoral ligament reconstruction were enrolled between January 2018 and February 2019...
June 17, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38880490/the-subscapularis-healing-index-a-new-scoring-system-for-predicting-subscapularis-healing-after-arthroscopic-repair
#2
JOURNAL ARTICLE
Ali I Kilic, Nicholas A Zuk, Javier Ardebol, Lisa A Galasso, Matthew B Noble, Mariano E Menendez, Patrick J Denard
BACKGROUND: Previous research has emphasized the effect of prognostic factors on arthroscopic rotator cuff repair (ARCR) success, but a specific focus on subscapularis (SSC) tendon repair healing is lacking. PURPOSE: To identify prognostic factors for SSC healing after ARCR and develop the Subscapularis Healing Index (SSC-HI) by incorporating these factors. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: This was a retrospective study using prospectively maintained data collected from patients with isolated or combined SSC tears who underwent ARCR between 2011 and 2021 at a single institution with a minimum 2-year follow-up...
June 16, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38877730/quadriceps-tendon-anterior-cruciate-ligament-reconstruction-in-skeletally-immature-patients-3-year-clinical-and-patient-reported-outcomes
#3
JOURNAL ARTICLE
Frank A Cordasco, Sofia Hidalgo Perea, Tyler J Uppstrom, Danielle E Chipman, Nicolas Pascual-Leone, Alexandra Hunter Aitchison, Emilie Lijesen, Lori Ann Asaro, Daniel W Green
BACKGROUND: The rate of anterior cruciate ligament (ACL) rupture in active, skeletally immature patients is increasing. Although hamstring tendon autograft (HTA) was previously deemed the gold standard, recent studies have shown HTA to have a high failure rate in this high-risk population of young competitive athletes, and quadriceps tendon autograft (QTA) has yielded excellent preliminary outcomes in some studies examining this population. PURPOSE: To evaluate 3-year clinical and patient-reported functional outcomes of primary ACL reconstruction (ACLR) with soft tissue QTA in skeletally immature patients...
June 14, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38874505/arthroscopic-bankart-repair-with-remplissage-in-anterior-shoulder-instability-results-in-fewer-redislocations-than-bankart-repair-alone-at-medium-term-follow-up-of-a-randomized-controlled-trial
#4
JOURNAL ARTICLE
Jarret M Woodmass, Sheila McRae, Peter Lapner, Ivan Kamikovski, Benjamin Jong, Jason Old, Jonathan Marsh, Jamie Dubberley, Greg Stranges, Treny M Sasyniuk, Peter B MacDonald
BACKGROUND: A multicenter, double-blinded randomized controlled trial comparing isolated Bankart repair (NO REMP) to Bankart repair with remplissage (REMP) reported benefits of remplissage in reducing recurrent instability at 2 years postoperative. The ongoing benefits beyond this time point are yet to be explored. PURPOSE: To (1) compare medium-term (3 to 9 years) outcomes of these previously randomized patients undergoing isolated Bankart repair (NO REMP) or Bankart repair with remplissage (REMP) to manage recurrent anterior glenohumeral instability; (2) examine the failure rate, overall recurrent instability, and reoperation rate...
June 14, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38872427/association-between-severity-of-chondrolabral-junction-breakdown-and-functional-outcomes-after-hip-arthroscopy-for-acetabular-labral-tears
#5
JOURNAL ARTICLE
Stephen M Gillinov, Jonathan S Lee, Bilal S Siddiq, Kieran S Dowley, Kaveh A Torabian, Michael C Dean, Nathan J Cherian, Mark P Cote, Scott D Martin
BACKGROUND: Despite focus on surgical preservation of the chondrolabral junction (CLJ), the transition zone between the acetabular cartilage and labrum, the association between severity of CLJ breakdown and functional outcomes after hip arthroscopy remains unexplored. PURPOSE: To assess the influence of CLJ breakdown on patient-reported outcome measures (PROMs) at a 24-month follow-up after hip arthroscopy for symptomatic labral tears. STUDY DESIGN: Cohort study; Level of evidence, 3...
June 14, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38872411/effect-of-medial-patellofemoral-complex-reconstruction-technique-on-patellofemoral-contact-pressure-contact-area-and-kinematics
#6
JOURNAL ARTICLE
Alexander E White, Evan W James, Amirhossein Jahandar, Ruth H Jones, Peter D Fabricant
BACKGROUND: Medial patellofemoral ligament (MPFL) reconstruction is considered by many to be the gold standard to treat lateral patellar instability; however, some investigators have reported good clinical results after isolated medial quadriceps tendon-femoral ligament (MQTFL) reconstruction or a combined MPFL/MQTFL reconstruction. A handful of studies have preliminarily investigated the biomechanical consequences of these various medial patellar stabilizing procedures. Despite this, no existing study has included multiple medial patellofemoral complex (MPFC) reconstructions and assessment of lateral patellar translation at distinct flexion angles...
June 14, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38869367/predictors-of-clinical-outcomes-after-hip-arthroscopy-10-year-follow-up-analysis-of-1038-patients
#7
JOURNAL ARTICLE
Benjamin G Domb, Omkar N Prabhavalkar, Saiswarnesh Padmanabhan, Andrew D Carbone
BACKGROUND: Although hip arthroscopy has been shown to have beneficial outcomes, there is a paucity of literature examining predictive factors of 10-year clinical outcomes. PURPOSE: (1) To identify predictive factors of 10-year outcomes of hip arthroscopy and (2) to compare these factors with those found in 2-year and 5-year studies. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were prospectively collected and retrospectively reviewed on all patients undergoing hip arthroscopy between February 2008 and June 2012...
June 13, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38868946/return-to-soccer-after-acute-anterior-cruciate-ligament-primary-repair-a-2-year-minimum-follow-up-study-of-50-amateur-players
#8
JOURNAL ARTICLE
Alessandro Annibaldi, Edoardo Monaco, Alessandro Carrozzo, Vito Caiolo, Natale Criseo, Matteo Romano Cantagalli, Andrea Ferretti, Nicola Maffulli
BACKGROUND: Return to sport (RTS) after treatment of an anterior cruciate ligament (ACL) tear is a critical parameter to assess the outcome of a surgical procedure. However, few studies have investigated RTS after ACL repair. PURPOSE: To evaluate RTS of a group of amateur soccer players at a minimum follow-up of 2 years after ACL repair. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A retrospective review of all patients treated with acute ACL repair was conducted...
June 13, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38860727/supraspinatus-muscle-and-tendon-characteristics-1-year-after-surgical-rotator-cuff-repair-compared-with-contralateral-shoulder-data-from-the-cut-n-move-trial
#9
JOURNAL ARTICLE
Birgitte Hougs Kjær, Rene B Svensson, Susan Warming, S Peter Magnusson
BACKGROUND: It is necessary to better understand the structural characteristics of the supraspinatus tendon and associated muscle after rotator cuff repair and in the event of retear. PURPOSE: To study structural differences between the repaired and contralateral shoulders 1 year after rotator cuff repair in patients who received either progressive exercise therapy (PR) or usual care (UC) in a randomized controlled trial and to investigate whether there was interaction with tendon retear and limb dominance...
June 11, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38857057/latent-profiles-of-acute-symptoms-cognitive-performance-and-balance-in-sport-related-concussions
#10
JOURNAL ARTICLE
Mary U Simons, Michael A McCrea, Steven Broglio, Thomas W McAllister, Lindsay D Nelson, Holly Benjamin, Alison Brooks, Thomas Buckley, Kenneth Cameron, Jay Clugston, John DiFiori, Chris D'Lauro, James Eckner, Luis Alejandro Feigenbaum, Christopher Giza, Joseph Hazzard, Thomas Kaminski, Louise Kelly, Anthony Kontos, Christina Master, Jason Mihalik, Christopher Miles, Nicholas Port, Margot Putukian, Adam Susmarski
BACKGROUND: A sport-related concussion (SRC) is a common injury that affects multiple clinical domains such as cognition, balance, and nonspecific neurobehavioral symptoms. Although multidimensional clinical assessments of concussion are widely accepted, there remain limited empirical data on the nature and clinical utility of distinct clinical profiles identified by multimodal assessments. PURPOSE: Our objectives were to (1) identify distinct clinical profiles discernible from acute postinjury scores on the Sport Concussion Assessment Tool (SCAT), composed of a symptom checklist, a cognitive assessment (Standardized Assessment of Concussion), and a balance assessment (Balance Error Scoring System), and (2) evaluate the clinical utility of the identified profiles by examining their association with injury characteristics, neuropsychological outcomes, and clinical management-related outcomes...
June 10, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38857056/elevated-lipid-metabolites-in-stored-clinical-oca-media-correlate-with-chondrocyte-death
#11
JOURNAL ARTICLE
Suzanne M Tabbaa, Farshid Guilak, Luke R Lemmerman, Nicholas Glembotski, Darryl D D'Lima, Tong Wang, William D Bugbee
BACKGROUND: A major limitation of osteochondral allografts (OCA) is the deterioration of cartilage health associated with cell death during prolonged storage. However, little is known about the mechanisms that contribute to chondrocyte death during storage. PURPOSE/HYPOTHESIS: This study aimed to determine whether bioactive lipid metabolites accumulate in the storage media of OCA and whether they are associated with a loss of chondrocyte viability during prolonged storage...
June 10, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38857043/short-term-outcomes-after-hip-arthroscopic-surgery-in-patients-participating-in-formal-physical-therapy-versus-a-home-exercise-program-a-prospectively-enrolled-cohort-analysis
#12
JOURNAL ARTICLE
Taylor E Hobson, Allan K Metz, Trina R Bellendir, Devin L Froerer, Reece M Rosenthal, Collin D R Hunter, Joseph Featherall, Travis G Maak, Stephen K Aoki
BACKGROUND: Physical therapy is frequently utilized in the postoperative care of femoroacetabular impingement syndrome (FAIS). There has been limited research into the efficacy of a structured home exercise program (HEP) compared with formal physical therapy (FPT) in this patient population. PURPOSE/HYPOTHESIS: The purpose was to evaluate the short-term outcomes of patients utilizing FPT versus an HEP after hip arthroscopic surgery for FAIS. It was hypothesized that both groups would show similar improvements regarding outcome scores, which would improve significantly compared with their preoperative scores...
June 10, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38857030/10-year-survival-and-clinical-improvement-of-meniscal-allograft-transplantation-in-early-to-moderate-knee-osteoarthritis
#13
JOURNAL ARTICLE
Iacopo Romandini, Alberto Grassi, Gian Andrea Lucidi, Giuseppe Filardo, Stefano Zaffagnini
BACKGROUND: Meniscal allograft transplantation (MAT) is a viable option for patients experiencing unicompartmental knee pain after total or subtotal meniscectomy. Nonetheless, caution is recommended when suggesting this procedure in the presence of knee osteoarthritis (OA) because of the higher risk of poor survival and outcomes. PURPOSE/HYPOTHESIS: The purpose was to document the long-term survival of MAT performed as a salvage procedure in patients with knee OA...
June 10, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38853744/secondary-meniscectomy-rates-and-risk-factors-for-failed-repair-of-ramp-lesions-performed-at-the-time-of-primary-acl-reconstruction-an-analysis-of-1037-patients-from-the-santi-study-group
#14
JOURNAL ARTICLE
Charles Pioger, Merwane Ayata, Francesco Pettinari, Ahmad Abed Ali, Ali Alayane, Joao Pedro Campos, Thais Dutra Vieira, Adnan Saithna, Bertrand Sonnery-Cottet
BACKGROUND: Studies evaluating secondary meniscectomy rates and risk factors for failure of ramp repair are sparse and limited by small numbers and heterogeneity. PURPOSES/HYPOTHESIS: The purposes were to determine the secondary meniscectomy rate for failure of ramp repair performed using a posteromedial portal suture hook at the time of anterior cruciate ligament reconstruction (ACLR) and to identify risk factors for secondary meniscectomy. It was hypothesized that patients who underwent ACLR combined with a lateral extra-articular procedure (LEAP) would experience significantly lower rates of secondary meniscectomy compared with those undergoing isolated ACLR...
June 10, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38845474/acl-reconstruction-using-quadrupled-semitendinosus-versus-double-stranded-semitendinosus-and-gracilis-autograft-2-year-results-from-a-prospective-randomized-controlled-study
#15
JOURNAL ARTICLE
Ingunn Fleten Mo, Thomas Harlem, Anne Gro Heyn Faleide, Torbjørn Strand, Søren Vindfeld, Eirik Solheim, Eivind Inderhaug
BACKGROUND: A disadvantage of using hamstring tendon autograft consisting of the semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction is pain from tendon harvesting and persistent hamstring weakness. In the tendon-sparing all-inside technique, a quadrupled semitendinosus graft and adjustable-loop cortical fixation are suggested to give less postoperative flexion deficits while displaying overall similar clinical results to the traditional hamstring technique...
June 7, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38828912/long-term-survivorship-and-outcomes-of-patients-without-dysplasia-undergoing-capsular-repair-during-primary-hip-arthroscopy-for-femoroacetabular-impingement-syndrome
#16
JOURNAL ARTICLE
Benjamin G Domb, Michael S Lee, Jade S Owens, W Taylor Harris
BACKGROUND: There is a paucity of literature evaluating long-term outcomes and survivorship of patients undergoing primary hip arthroscopy with capsular repair for femoroacetabular impingement syndrome (FAIS). PURPOSE: To report 10-year survivorship and patient-reported outcomes (PROs) after primary hip arthroscopy with capsular repair for FAIS and evaluate the effect of capsular repair in patients at the highest risk for conversion to arthroplasty. STUDY DESIGN: Cohort study; Level of evidence, 3...
June 3, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38828660/establishment-of-a-posttraumatic-osteoarthritis-model-in-mice-induced-by-noninvasive-anterior-cruciate-ligament-tear
#17
JOURNAL ARTICLE
Yuki Okazaki, Yusuke Nakagawa, Xiang-Hua Deng, Xueying Zhang, Susumu Wada, Zoe Album, Liang Ying, Scott A Rodeo
BACKGROUND: Animal models that use open surgical transection of the anterior cruciate ligament (ACL) do not accurately simulate the clinical condition regarding the pivot-shift mechanism and the associated inflammatory response that occurs before reconstruction. PURPOSE/HYPOTHESIS: The purpose was to characterize a reproducible manual, nonsurgical method to mimic an isolated ACL tear in a clinically relevant model and to evaluate the development of progressive posttraumatic osteoarthritis due to ACL injury...
June 3, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38828652/biomechanical-and-histological-study-of-retrieved-lars-synthetic-ligaments
#18
JOURNAL ARTICLE
William G Blakeney, Alex Hayes, Alan Kop, Jeremy Parry, Michael Walsh, Peter Annear, Moreica Pabbruwe
BACKGROUND: Synthetic grafts have been used for a number of years in anterior cruciate ligament (ACL) reconstruction surgery. One of the more recent additions to the stable of synthetic ligaments is the Ligament Augmentation and Reconstruction System (LARS) ligament. PURPOSE: To analyze the biomechanics and histology of LARS grafts retrieved due to failure of the device. STUDY DESIGN: Descriptive laboratory study. METHODS: A total of 22 LARS ligament grafts that were explanted from patients were sent for analysis...
June 3, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38828643/supratubercle-anterior-closing-wedge-osteotomy-no-changes-in-patellar-height-and-significant-decreases-in-anterior-tibial-translation-at-6-months-postoperatively
#19
JOURNAL ARTICLE
Luke V Tollefson, Nicholas I Kennedy, Mark T Banovetz, Morgan D Homan, Lars Engebretsen, Gilbert Moatshe, Corey A Wulf, Christopher M Larson, Robert F LaPrade
BACKGROUND: Because of the increased prevalence of revision anterior cruciate ligament (ACL) reconstruction, there has been a desire to understand the role of posterior tibial slope on increased anterior tibial translation and increased ACL graft forces. One potential concern in supratubercle anterior closing wedge proximal tibial osteotomy (ACW-PTO) for decreasing the posterior tibial slope is the risk of altering the patellar height. PURPOSE: To radiographically assess changes in (1) patellar height, (2) anterior tibial translation, and (3) posterior tibial slope after supratubercle ACW-PTO...
June 3, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38828637/location-of-shoulder-glenoid-labral-tears-a-study-of-1763-consecutive-patients
#20
JOURNAL ARTICLE
Damaris Mohr, Michael A Nammour, Stephen E Marcaccio, Justin W Arner, James P Bradley
BACKGROUND: Anterior shoulder labral tearing has historically been considered the most common location of shoulder labral pathology. Recently, smaller studies have reported that posterior labral involvement may be more common than previously recognized. PURPOSE: To examine the location of surgically repaired labral tears by a single surgeon over a consecutive 23-year period. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 1763 consecutive patients who underwent arthroscopic or open shoulder labral repair by a single seniorsports medicine fellowship-trained orthopaedic surgeon between April 2000 and April 2023 were retrospectively reviewed...
June 3, 2024: American Journal of Sports Medicine
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