American Journal of Sports Medicine




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A Transformative Supreme Court Decision?

Timothy E. Foster, MD, MBA, MS

doi : 10.1177/03635465211040818

Volume: 49 issue: 11, page(s): 2875-2877

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Articular Cartilage and Meniscus Predictors of Patient-Reported Outcomes 10 Years After Anterior Cruciate Ligament Reconstruction: A Multicenter Cohort Study

Robert H. Brophy, MD*, Laura J. Huston, MS, Isaac Briskin, MS, MOON Knee Group, Annunziato Amendola, MD, Charles L. Cox, MD, MPH, Warren R. Dunn, MD, MPH, David C. Flanigan, MD, Morgan H. Jones, MD, MPH, Christopher C. Kaeding, MD, Robert G. Marx, MD, MSc, Matthew J. Matava, MD, Eric C. McCarty, MD, Richard D. Parker, MD, Armando F. Vidal, MD, Michelle L. Wolcott, MD, Brian R. Wolf, MD, MS, Rick W. Wright, MD, Kurt P. Spindler, MD

doi : 10.1177/03635465211028247

Volume: 49 issue: 11, page(s): 2878-2888

Articular cartilage and meniscal damage are commonly encountered and often treated at the time of anterior cruciate ligament reconstruction (ACLR). Our understanding of how these injuries and their treatment relate to outcomes of ACLR is still evolving.

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Long-term Graft Rupture Rates After Combined ACL and Anterolateral Ligament Reconstruction Versus Isolated ACL Reconstruction: A Matched-Pair Analysis From the SANTI Study Group

 Bertrand Sonnery-Cottet, MD*, â€ , Ibrahim Haidar, MD*, â€ , Johnny Rayes*, â€ , Thomas Fradin, MD*, â€ , Cedric Ngbilo, MD*, â€ ,  Thais Dutra Vieira, MD*, â€ â€–, Benjamin Freychet, MD*, â€ ,  Herve Ouanezar, MD‡,  Adnan Saithna, MD§

doi : 10.1177/03635465211028990

Volume: 49 issue: 11, page(s): 2889-2897

Clinical studies have demonstrated significant advantages of combined anterior cruciate ligament and anterolateral ligament reconstruction (ACL+ALLR) over isolated ACL reconstruction (ACLR) with respect to reduced graft rupture rates, a lower risk of reoperation for secondary meniscectomy, improved knee stability, and higher rates of return to sports. However, no long-term studies exist.

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Lateral Extra-articular Tenodesis Alters Lateral Compartment Contact Mechanics under Simulated Pivoting Maneuvers: An In Vitro Study

 Niv Marom, MD*, â€ , â€¡, Hamidreza Jahandar, MS§, Thomas J. Fraychineaud, MD§, Zaid A. Zayyad, MD, MS§,  Hervé Ouanezar, MD‖, Daniel Hurwit, MD¶, Andrew Zhu, BSE§, Thomas L. Wickiewicz, MD¶, Andrew D. Pearle, MD¶, Carl W. Imhauser, PhD§, Danyal H. Nawabi, MD¶

doi : 10.1177/03635465211028255

Volume: 49 issue: 11, page(s): 2898-2907

There is concern that utilization of lateral extra-articular tenodesis (LET) in conjunction with anterior cruciate ligament (ACL) reconstruction (ACLR) may disturb lateral compartment contact mechanics and contribute to joint degeneration.

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Longitudinal Changes of Patellar Alignment Before and After Anterior Cruciate Ligament Reconstruction With Hamstring Autograft

Tzu-Chieh Liao, PT, PhD*, â€ , Valentina Pedoia, PhD‡, Sharmila Majumdar, PhD‡, Richard B. Souza, PT, PhD‡, Â§

doi : 10.1177/03635465211028993

Volume: 49 issue: 11, page(s): 2908-2915

Evidence has suggested that after anterior cruciate ligament (ACL) reconstruction (ACLR), individuals exhibit patellar malalignment; however, it is unknown if patellar alignment changes over time.

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Incidence and Risk Factors of Acute Patellar Tendon Rupture, Repair Failure, and Return to Activity in the Active-Duty Military Population

Donald R. Fredericks, MD*, â€ , Sean E. Slaven, MD*, â€ , Conor F. McCarthy, MD*, â€ , Marvin E. Dingle, MD*, â€ , Daniel I. Brooks, PhD*, Theodore J. Steelman, MD§, Michael A. Donohue, MD‡, Daniel W. Griffin, MD‖, Jeffrey R. Giuliani, MD¶,  Jonathan F. Dickens, MD*, â€ , â€¡#

doi : 10.1177/03635465211026963

Volume: 49 issue: 11, page(s): 2916-2923

Patellar tendon ruptures have a reported incidence of 0.68 per 100,000 person-years in the general population. The epidemiology of surgically treated patellar tendon ruptures in the US military has yet to be reported, which would provide opportunity for identification of risk factors for these otherwise healthy and active patients.

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Improved Healing of Rabbit Patellar Tendon Defects After an Atelocollagen Injection

Duck Kyu Kim, MD, PhD*, Jiyong Ahn, MD, PhD†, Seon Ae Kim, PhD†, Eun Jeong Go, MS†, Dong Hwan Lee, MD, PhD†, Seung Chan Park, MD†, Asode Ananthram Shetty, MD, PhD‡, Seok Jung Kim, MD, PhD†§

doi : 10.1177/03635465211030508

Volume: 49 issue: 11, page(s): 2924-2932

Patellar tendinopathy is a common cause of limitations in daily life activities in young and/or active people. The patellar tendon consists of a complex of collagen fibers; therefore, collagen could be used as a scaffold in the treatment of patellar tendinopathy.

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Synthetic PVA Osteochondral Implants for the Knee Joint: Mechanical Characteristics During Simulated Gait

Tony Chen, PhD*, â€ , â€¡, Caroline Brial, MEng†, Moira McCarthy, MD§, Russell F. Warren, MD‡, Â§, Suzanne A. Maher, PhD†, â€¡

doi : 10.1177/03635465211028566

Volume: 49 issue: 11, page(s): 2933-2941

Although polyvinyl alcohol (PVA) implants have been developed and used for the treatment of femoral osteochondral defects, their effect on joint contact mechanics during gait has not been assessed.

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Prediction and Development of Preventive Strategies for Lateral Hinge Fracture During Opening Wedge High Tibial Osteotomy Based on Osteotomy Configurations

Han Gyeol Choi, MD*, â€ , Joo Sung Kim, MD*, You Sun Jung, MD*, Hyun Jin Yoo, MD*, Yong Seuk Lee, MD, PhD*‡

doi : 10.1177/03635465211028985

Volume: 49 issue: 11, page(s): 2942-2954

Lateral hinge fracture (LHF) is a major complication of opening wedge high tibial osteotomy (OWHTO) and may result in poor outcomes.

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Creation and Validation of a Shorthand Magnetic Resonance Imaging Bone Age Assessment Tool of the Knee as an Alternative Skeletal Maturity Assessment

Cary S. Politzer, MD*, James D. Bomar, MPH†, Hakan C. Pehlivan, MD‡, Pradyumna Gurusamy, MD*, Eric W. Edmonds, MD, FAOA†,  Andrew T. Pennock, MD†§

doi : 10.1177/03635465211032986

Volume: 49 issue: 11, page(s): 2955-2959

In managing pediatric knee conditions, an accurate bone age assessment is often critical for diagnostic, prognostic, and treatment purposes. Historically, the Greulich and Pyle atlas (hand atlas) has been the gold standard bone age assessment tool. In 2013, a shorthand bone age assessment tool based on this atlas (hand shorthand) was devised as a simpler and more efficient alternative. Recently, a knee magnetic resonance imaging (MRI) bone age atlas (MRI atlas) was created to circumvent the need for a left-hand radiograph.

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Nonoperative Management of Femoroacetabular Impingement in Adolescents: Clinical Outcomes at a Mean of 5 Years: A Prospective Study

Andrew M. Zogby, MD*, â€ , James D. Bomar, MPH*, â€ , Kristina P. Johnson, ATC, OPA*, â€ , Vidyadhar V. Upasani, MD*, â€ ,  Andrew T. Pennock, MD*, â€ â€¡

doi : 10.1177/03635465211030512

Volume: 49 issue: 11, page(s): 2960-2967

There is a lack of midterm or long-term outcome data on nonoperative management of femoroacetabular impingement (FAI) syndrome in adolescents despite expanding research mostly focused on arthroscopic management.

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Multicenter Outcomes After Revision Hip Arthroscopy: Comparative Analysis of 2-Year Outcomes After Labral Repair Versus Labral Reconstruction

 Blake M. Bodendorfer, MD*, Thomas D. Alter, MS*†, Andrew B. Wolff, MD‡, Dominic S. Carreira, MD§, John J. Cristoforetti, MD‖, Â¶, #, John P. Salvo, MD**, â€ â€ , Dean K. Matsuda, MD‡‡, Benjamin R. Kivlan, PhD, PT§§, Shane J. Nho, MD, MS*

doi : 10.1177/03635465211030511

Volume: 49 issue: 11, page(s): 2968-2976

There is a paucity of literature evaluating patient outcomes in patients undergoing revision labral repair and labral reconstruction.

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Proximal Overresection During Femoral Osteochondroplasty Negatively Affects the Distractive Stability of the Hip Joint: A Cadaver Study

Lionel E. Lazaro, MD*, â€ , â€¡, Daniel P. Lim, MD†, Â§, Trevor J. Nelson, BS‖, Sam A. Eberlein, BS‖, Michael B. Banffy, MD†, Melodie F. Metzger, PhD‖

doi : 10.1177/03635465211028979

Volume: 49 issue: 11, page(s): 2977-2983

Contact between the acetabular labrum and articular cartilage of the femoral head creates a suction seal that helps maintain stability of the femoral head in the acetabulum. A femoral osteochodroplasty may occasionally extend proximally into the femoral head, diminishing the articular surface area available for sealing contact.

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Impaired Lower Extremity Biomechanics, Hip External Rotation Muscle Weakness, and Proximal Femoral Morphology Predict Impaired Single-Leg Squat Performance in People With FAI Syndrome

Philip Malloy, PhD, PT*, â€ , â€¡, Daniel M. Wichman, BS‡, Flavio Garcia, MD‡, Â§, Alejandro Espinoza-Orías, PhD‡, Jorge Chahla, MD, PhD‡, Shane J. Nho, MD, MS‡

doi : 10.1177/03635465211029032

Volume: 49 issue: 11, page(s): 2984-2993

Impairments in squat depth have been reported in patients with femoroacetabular impingement syndrome (FAIS). However, little is known about single-leg squat (SLS) performance in these patients, despite this task being commonly used in the rehabilitation and training settings.

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Hip Muscle Strength Explains Only 11% of the Improvement in HAGOS With an Intersegmental Approach to Successful Rehabilitation of Athletic Groin Pain

 Samuel R. Baida, PT, PhD*, â€ , â€¡, Â§, Enda King, PT, PhD†, â€–,  Chris Richter, PhD†, Shane Gore, PhD‡, Â§,  Andrew Franklyn-Miller, MD†, Â¶, Kieran Moran, PhD‡, Â§

doi : 10.1177/03635465211028981

Volume: 49 issue: 11, page(s): 2994-3003

Exercise-based rehabilitation targeting intersegmental control has high success rates and fast recovery times in the management of athletic groin pain (AGP). The influence of this approach on hip strength and lower limb reactive strength and how these measures compare with uninjured athletes (CON) remain unknown. Additionally, the efficacy of this program after return to play (RTP) has not been examined.

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One-Year Clinical and Imaging Follow-up After Exercise-Based Treatment for Acute Complete Adductor Longus Tendon Avulsions in Athletes: A Prospective Case Series

 Andreas Serner, PT, PhD*, â€ , Per Hölmich, MD, DMSc†, â€¡, Javier Arnaiz, MD†, Johannes L. Tol, MD, PhD†, Â§, â€–, Kristian Thorborg, PT, PhD‡, Adam Weir, MBBS, PhD¶, #

doi : 10.1177/03635465211015996

Volume: 49 issue: 11, page(s): 3004-3013

Complete avulsions of the adductor longus tendon are serious injuries, yet we have few data to inform clinical decisions on management. Previous studies are limited by a lack of detailed follow-up.

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Outcomes of Surgically Treated Fifth Metatarsal Fractures in Major League Soccer Athletes

Jonathan A. Stone, MD*, â€ , Alejandro D. Miranda, MD‡, Michael B. Gerhardt, MD§, Bert R. Mandelbaum, MD§, Eric Giza, MD‖

doi : 10.1177/03635465211030279

Volume: 49 issue: 11, page(s): 3014-3020

Sports-related fractures of the fifth metatarsal are common in professional athletes. Data regarding outcomes of surgical management including refracture, complications, and return-to-play statistics are available for other professional American sports with a notable exception of soccer.

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A Multicenter Randomized Controlled Trial Comparing Single-Row With Double-Row Fixation in Arthroscopic Rotator Cuff Repair: Long-Term Follow-up

Peter Lapner, MD*, â€ , Ang Li, MD†, J. W. Pollock, MD†, Tinghua Zhang, MSc‡, Katie McIlquham, MSc†, Sheila McRae, PhD§, â€–, Peter MacDonald, MD§, â€–

doi : 10.1177/03635465211029029

Volume: 49 issue: 11, page(s): 3021-3029

The long-term outcomes of single- versus double-row fixation in arthroscopic rotator cuff repair are not currently known.

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Prediction of Shoulder Stiffness After Arthroscopic Rotator Cuff Repair

Laurent Audigé, DVM, PhD*, â€ , â€¡, Â§, Soheila Aghlmandi, PhD‡, Cécile Grobet, MSc†, Thomas Stojanov, MSc†, Â§, Andreas M. Müller, MD§, Quinten Felsch, MD‖, Johannes Gleich, MD‖, Matthias Flury, MD¶, Markus Scheibel, MD‖

doi : 10.1177/03635465211028980

Volume: 49 issue: 11, page(s): 3030-3039

Postoperative shoulder stiffness (POSS) is a prevalent adverse event after arthroscopic rotator cuff repair (ARCR) that is associated with major limitations in everyday activities and prolonged rehabilitation.

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Effectiveness of Adding a Large Dose of Shoulder Strengthening to Current Nonoperative Care for Subacromial Impingement: A Pragmatic, Double-Blind Randomized Controlled Trial (SExSI Trial)

Mikkel Bek Clausen, PhD*, â€ , â€¡, Per Hölmich, DMSc, Prof.†, Michael Rathleff, PhD, Prof.§, â€–, Thomas Bandholm, PhD, Prof.¶, #, Karl Bang Christensen, PhD**, Mette Kreutzfeldt Zebis, PhD‡, Kristian Thorborg, PhD, Prof.†, Â¶

doi : 10.1177/03635465211016008

Volume: 49 issue: 11, page(s): 3040-3049

A strong recommendation against subacromial decompression surgery was issued in 2019. This leaves nonoperative care as the only treatment option, but recent studies suggest that the dose of strengthening exercise is not sufficient in current nonoperative care. At this point, it is unknown if adding more strengthening to current nonoperative care is of clinical value.

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Effect of a Porous Suture Containing Transforming Growth Factor Beta 1 on Healing After Rotator Cuff Repair in a Rat Model

Jong Pil Yoon, MD*, Hun-Min Kim, MS†, Jin-Hyun Choi, PhD‡, Hae Rim Kang, BS‡, Dong Hyun Kim, MD*, Young Seo Choi, MD*, Kyung-Rock Kim, MD*, Ja-Yeon Kim, MS§, Samuel Baek, MD§, Seok Won Chung, MD, PhD§‖

doi : 10.1177/03635465211028547

Volume: 49 issue: 11, page(s): 3050-3058

The healing failure rate after rotator cuff repair is considerably high.

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Rare Symptomatic Meta–Os Acromiale in an Athlete

Gabrielle R. Kuhn, BS*, Blake T. Moskal, BS†, Marie E. Rivers, PA-C‡, Rebecca E. Cheski, ATC‡, Jeffrey S. Earhart, MD*, Â§, Rolando Izquierdo, MD‡‖

doi : 10.1177/03635465211028238

Volume: 49 issue: 11, page(s): 3059-3065

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Return to Professional Australian Rules Football After Surgery for Traumatic Anterior Shoulder Instability

Michael Perret, MBBS(Hons)*, â€ , Sarah Warby, PhD*, Â§, â€–¶, Godefroy Brais, MD*, Stephanie Hinse, MD*, Sophie Hoy, MBBS‡, Gregory Hoy, MBBS*, Â§, #

doi : 10.1177/03635465211029022

Volume: 49 issue: 11, page(s): 3066-3075

The treatment of traumatic anterior shoulder instability in professional Australian Football League (AFL) players is challenging, with an emphasis on early return to play and avoidance of instability recurrence.

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Factors Associated With Noncontact Injury in Collegiate Soccer: A 12-Team Prospective Study of NCAA Division I Men’s and Women’s Soccer

Ryan M. Curtis, PhD, ATC, CSCS*D*, â€ , Robert A. Huggins, PhD, ATC†, Courteney L. Benjamin, PhD, CSCS†, Yasuki Sekiguchi, PhD, CSCS†, Lindsey K. Lepley, PhD, ATC‡, Tania B. Huedo-Medina, PhD§, Douglas J. Casa, PhD, ATC†

doi : 10.1177/03635465211036447

Volume: 49 issue: 11, page(s): 3076-3087

Multiteam, multi-institution prospective studies of both women’s and men’s sports are essential for collectively investigating injury and primary to the generalization and individualization of injury prevention strategies.

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Increased Upper Arm Length and Loading Rate Identified as Potential Risk Factors for Injury in Youth Baseball Pitchers

Jessica L. Downs, PhD*,  Kyle W. Wasserberger, MS*, Jeff W. Barfield, PhD†, Michael G. Saper, DO‡, Gretchen D. Oliver, PhD*§

doi : 10.1177/03635465211028555

Volume: 49 issue: 11, page(s): 3088-3093

In the throwing elbow, increased elbow torque has been correlated with increased injury risk. Additional insight into the relationships between anthropometric factors and elbow joint loading is warranted.

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Are Wearable Sensors Valid and Reliable for Studying the Baseball Pitching Motion? An Independent Comparison With Marker-Based Motion Capture

Christopher L. Camp, MD*, â€ , Stacy Loushin, MS‡, Stuart Nezlek, MS‡, Anthony P. Fiegen, MD†, Dan Christoffer, ATC†, Kenton Kaufman, PhD‡

doi : 10.1177/03635465211029017

Volume: 49 issue: 11, page(s): 3094-3101

In recent years, the prevalence of medial ulnar collateral ligament injuries has increased in throwers of all ages and skill levels. The motusBASEBALL sensor possesses an inertial measurement unit (IMU) that has been developed and applied to the throwing arm to allow for measurements of several objective parameters, which may prove beneficial for monitoring, rehabilitation, and injury prevention in the throwing athlete. However, the reliability, consistency, and validity of the IMU have not been independently assessed.

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Use of Platelet-Rich Plasma Plus Suramin, an Antifibrotic Agent, to Improve Muscle Healing After Injuries

Wen-Chung Tsai, MD, PhD*, â€ , Tung-Yang Yu, MD*, â€¡, Gwo-Jyh Chang, PhD‡, Hsiang-Ning Chang, MD*, Li-Ping Lin, MS*, â€¡, Miao-Sui Lin, BS*, Jong-Hwei S. Pang, PhD*, â€¡Â§

doi : 10.1177/03635465211030295

Volume: 49 issue: 11, page(s): 3102-3112

The increasing use of platelet-rich plasma (PRP) to treat muscle injuries raises concerns because transforming growth factor–beta (TGF-β) in PRP may promote fibrosis in the injured muscle and thus impair muscle regeneration.

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Intra-articular Injections of Mesenchymal Stem Cells Without Adjuvant Therapies for Knee Osteoarthritis: A Systematic Review and Meta-analysis

Si Heng Sharon Tan, MBBS, MRCS, MMed*, â€ , Yiu Tsun Kwan†, Wei Jian Neo†, Jia Yan Chong†, Tze Yin Joshua Kuek†, Jun Ze Fabian See†, Keng Lin Wong, MBBS, MRCS, MMed, MCI, FRCS†, â€¡, Wei Seong Toh, PhD§, â€–, James Hoi Po Hui, MBBS, MRCS, MMed, FRCS†, Â§

doi : 10.1177/0363546520981704

Volume: 49 issue: 11, page(s): 3113-3124

While many reviews have been performed to attempt to provide conclusive evidence regarding the outcomes of mesenchymal stem cells (MSCs) in osteoarthritis treatment, the evidence for MSC treatment in osteoarthritis remains contentious, as these reviews have been limited by the heterogeneous evidence available.

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Optimizing Fixation for Distal Biceps Tendon Repairs: A Systematic Review and Meta-regression of Cadaveric Biomechanical Testing

Ainsley L. Taylor, BS*, Ankit Bansal, MD*, Brendan Y. Shi, MD*, Matthew J. Best, MD*, Eric G. Huish, Jr, DO*, Uma Srikumaran, MD, MBA, MPH*†

doi : 10.1177/0363546520986999

Volume: 49 issue: 11, page(s): 3125-3131

Various surgical techniques can be used to repair acute distal biceps tendon (DBT) tears; however, it is unknown which type of repair or implant has the greatest biomechanical strength and presents the lowest risk of type 2 failure.

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Contribution of Multimodal Analgesia to Postoperative Pain Outcomes Immediately After Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Level 1 Randomized Clinical Trials

Bhargavi Maheshwer, BS*, Derrick M. Knapik, MD*‡, Evan M. Polce, BS*, Nikhil N. Verma, MD*, Robert F. LaPrade, MD, PhD†, Jorge Chahla, MD, PhD*

doi : 10.1177/0363546520980429

Volume: 49 issue: 11, page(s): 3132-3144

Anterior cruciate ligament reconstruction (ACLR) is associated with moderate to severe pain in the immediate postoperative period. The optimal individual preemptive or intraoperative anesthetic modality on postoperative pain control is not well-known.

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Clinical Effectiveness of Intraoperative Tranexamic Acid Use in Shoulder Surgery: A Systematic Review and Meta-analysis

Alexander W. Hartland, MD*, Kar H. Teoh, MD*, Mustafa S. Rashid, MD, MSc, PhD†‡

doi : 10.1177/0363546520981679

Volume: 49 issue: 11, page(s): 3145-3154

Tranexamic acid (TXA) is widely used across surgical specialties to reduce perioperative bleeding. It has been shown to be effective in spinal surgery and lower limb arthroplasty. Among all languages, there are no systematic reviews or meta-analyses investigating its clinical effectiveness for all types of shoulder surgery.

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Society News

doi : 10.1177/03635465211039756

Volume: 49 issue: 11, page(s): 3155-3155

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No Correlation Between Depth of Acetabuloplasty or Postoperative Lateral Center-Edge Angle on Midterm Outcomes of Hip Arthroscopy With Acetabuloplasty and Labral Repair: Letter to the Editor

Sivashanmugam Raju, MD, Halis Atil Atilla, MD

doi : 10.1177/03635465211030223

Volume: 49 issue: 11, page(s): NP56-NP57

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No Correlation Between Depth of Acetabuloplasty or Postoperative Lateral Center-Edge Angle on Midterm Outcomes of Hip Arthroscopy With Acetabuloplasty and Labral Repair: Response

Marc J. Philippon, MD, Joseph J. Ruzbarsky, MD, Adam W. Johannsen, MD, Rui Soares, BS, Lauren A. Pierpont, PhD, Karen K. Briggs, MPH

doi : 10.1177/03635465211030227

Volume: 49 issue: 11, page(s): NP57-NP58

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