American Journal of Sports Medicine




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Fostering Compliance

Bruce Reider MD

doi : 10.1177/03635465221139191

Volume 51 Issue 1, January 2023

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Unpacking the Tibial Tubercle–Trochlear Groove Distance: Evaluation of Rotational Factors, Trochlear Groove and Tibial Tubercle Position, and Role of Trochlear Dysplasia

J. Lee Pace MD Link to ORCID Mauricio Drummond MD Michael Brimacombe PhD Chris Cheng MD David Chiu BS S. Brandon Luczak MD Jeffrey B. Shroff MD Francine Zeng BA Greg M. Kanski MD Rafael Kakazu MD Andrew Cohen MS

doi : 10.1177/03635465221125780

The tibial tubercle to trochlear groove (TT-TG) distance is often utilized for determining the surgical treatment for patients with patellar instability (PI). It is thought to directly represent the position of the TT on the tibia. Recent work has shown that the measurement of the TT-TG distance is multifactorial.

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Factors That Affect the Magnitude of Tibial Tubercle–Trochlear Groove Distance in Patients With Patellar Instability

Mario Hevesi MD, PhD Navya Dandu MD Kevin Credille BSE, MS Zachary Wang BS Athan G. Zavras MD William M. Cregar MD Nicholas A. Trasolini MD Adam B. Yanke MD, PhD

doi : 10.1177/03635465221136535

Tibial tubercle–trochlear groove (TT-TG) distance is a risk factor for recurrent patellar dislocation and is often included in algorithmic treatment of instability. The underlying factors that determine TT-TG have yet to be clearly described in orthopaedic literature.

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The Relationship Between Posterior Tibial Slope and Pediatric Tibial Eminence Fractures

Mitchell K. Messner, * MD, Andrew S. McGee, * MD, Joseph W. Elphingstone, * MD, David F. Schartung, * BSE, Mason B. Frazier,y MD, Samuel Schick, * MD, Eugene W. Brabston, * MD, and Amit M. Momaya, *z MD

doi : 10.1177/03635465221137888

Tibial eminence fractures are bony avulsions of the anterior cruciate ligament from its insertion on the intercondylar eminence. Numerous anatomic factors have been associated with anterior cruciate ligament injuries, such as posterior tibial slope, but there are few studies evaluating the association with tibial eminence fracture.

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Association of Elevated Posterior Tibial Slope With Revision Anterior Cruciate Ligament Graft Failure in a Matched Cohort Analysis

Robert A. Duerr, *y MD , Benjamin Ormseth,z BS, Alex DiBartola,z MD, Katie Geers, § BS, Christopher C. Kaeding,z MD, Robert Siston, § PhD, David C. Flanigan,z MD, and Robert A. Magnussen,z MD

doi : 10.1177/03635465221134806

Elevated posterior tibial slope (PTS) has been identified as an important risk factor in anterior cruciate ligament (ACL) injuries and ACL graft failures. The cutoff value to recommend treatment with slope-reducing osteotomy remains unclear and is based on expert opinion and small case series.

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Preoperative Risk Factors for Subsequent Ipsilateral ACL Revision Surgery After an ACL Restoration Procedure

Ryan M. Sanborn, BA, Gary J. Badger, MS, Braden C. Fleming, PhD , Ata M. Kiapour, PhD , BEAR Trial Team, Martha M. Murray, MD, Yi-Meng Yen, MD, PhD, and Dennis E. Kramer, * MD Investigation performed at Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

doi : 10.1177/03635465221137873

Anterior cruciate ligament (ACL) revision surgery is challenging for both patients and surgeons. Understanding the risk factors for failure after bridge-enhanced ACL restoration (BEAR) may help with patient selection for ACL restoration versus ACL reconstruction.

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The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI

Sophia Y. Kim-Wang, *y PhD, Charles E. Spritzer,z MD, Kwadwo Owusu-Akyaw, * MD , James A. Coppock, *y MS, Adam P. Goode, * §{ DPT, PhD, Zoe ̈ A. Englander, * PhD, Jocelyn R. Wittstein,* MD, and Louis E. DeFrate, *y||# ScD Investigation performed at Duke University, Durham, North Carolina, USA

doi : 10.1177/03635465221131551

Bone bruises observed on magnetic resonance imaging (MRI) can provide insight into the mechanisms of noncontact anterior cruciate ligament (ACL) injury. However, it remains unclear whether the position of the knee near the time of injury differs between patients evaluated with different patterns of bone bruising, particularly with regard to valgus angles.

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Bioactive Decellularized Tendon-Derived Stem Cell Sheet for Promoting Graft Healing After Anterior Cruciate Ligament Reconstruction

Shiyi Yao, * PhD, Zuru Liang, * MSc, Yuk Wa Lee, * MPhil, Patrick Shu Hang Yung, * FRCSEd, and Pauline Po Yee Lui,*y PhD

doi : 10.1177/03635465221135770

Stem cell sheets provide a scaffold-free option for the promotion of graft healing after anterior cruciate ligament reconstruction (ACLR). However, cell viability, stability, and potential uncontrolled actions create challenges for clinical translation.

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Depressed Protein Synthesis and Anabolic Signaling Potentiate ACL Tear–Resultant Quadriceps Atrophy

Alexander R. Keeble, *y BS, Camille R. Brightwell,yz PhD, Christine M. Latham,yz PhD, Nicholas T. Thomas,yz MS, C. Brooks Mobley, *y PhD, Kevin A. Murach,y§ PhD, Darren L. Johnson, || MD, Brian Noehren,y§|| PT, PhD, and Christopher S. Fry,yz{ PhD

doi : 10.1177/03635465221135769

Anterior cruciate ligament (ACL) tear (ACLT) leads to protracted quadriceps muscle atrophy. Protein turnover largely dictates muscle size and is highly responsive to injury and loading. Regulation of quadriceps molecular protein synthetic machinery after ACLT has largely been unexplored, limiting development of targeted therapies.

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Ambulatory Surgery Centers Significantly Decrease Total Health Care Expenditures in Primary Anterior Cruciate Ligament Reconstruction

Justin Tiao, * BS , Kevin Wang, * MD, Andrew D. Carbone,y MD , Michael Herrera, * BS, Nicole Zubizarreta, * MPH, James N. Gladstone, * MD, Alexis C. Colvin, * MD, and Shawn G. Anthony, *z MD, MBA

doi : 10.1177/03635465221136542

Anterior cruciate ligament reconstruction (ACLR) is a commonly performed orthopaedic procedure. The volume and cost of ACLR procedures are increasing annually, but the drivers of these cost increases are not well described.

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The Clinical Application of Machine Learning Models for Risk Analysis of Ramp Lesions in Anterior Cruciate Ligament Injuries

Yong-Beom Park,* MD, PhD , Hyojoon Kim,y PhD, Han-Jun Lee, * MD, PhD, Suk-Ho Baek, * MD, Il-Youp Kwak,z PhD, and Seong Hwan Kim, * § MD, PhD

doi : 10.1177/03635465221137875

Peripheral tears of the posterior horn of the medial meniscus, known as “ramp lesions,� are commonly found in anterior cruciate ligament (ACL)–deficient knees but are frequently missed on routine evaluation.

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Survivorship and Reoperation of 324 Consecutive Isolated or Combined Arthroscopic Meniscal Allograft Transplants Using Soft Tissue Fixation

Alberto Grassi, * MD, PhD, Stefano Di Paolo,y Eng, PhD , Vito Coco,* MD, Iacopo Romandini, * MD, Giuseppe Filardo,z MD, PhD, MBA, Prof., Gian Andrea Lucidi, * § MD, Maurilio Marcacci, || Prof., and Stefano Zaffagnini, * Prof.

doi : 10.1177/03635465221131522

Meniscal allograft transplant (MAT) is an effective treatment for relieving symptoms and improving knee function in patients who experience symptomatic unicompartmental knee pain after a previous meniscectomy. However, the literature contains a paucity of studies assessing the survival rate and prognostic factors of soft tissue MAT.

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Morphological Risk Factors for Posterior Cruciate Ligament Tear and Tibial Avulsion Injuries of the Tibial Plateau and Femoral Condyle

Wen-Tao Huang, * MD, Kai Kang, * MD, Juan Wang, *yz MD, Tong Li, * MD, Jiang-Tao Dong, * MD, and Shi-Jun Gao, *y§ MD

doi : 10.1177/03635465221131295

Identification of morphological risk factors associated with the knee that threaten ligaments is important for understanding injury mechanisms and prevention. However, the morphological risk factors for posterior cruciate ligament (PCL) lesions are not clearly understood.

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Moderators, Mediators, and Prognostic Indicators of Treatment With Hip Arthroscopy or Physical Therapy for Femoroacetabular Impingement Syndrome: Secondary Analyses From the Australian FASHIoN Trial

Nicholas J. Murphy, * MBBS, Jillian Eyles, PhD, Libby Spiers, BPhysio, Emily Davidson, MBBS Hons, Young Jo Kim, MD, PhD, James M. Linklater, BMBS, Kim L. Bennell, PhD, Damian R. Griffin, BM, BCh, Gillian Heller, PhD, John O’Donnell, MBBS, Stephan Reichenbach, MD, MSc, and David J. Hunter, PhD

doi : 10.1177/03635465221136547

Although randomized controlled trials comparing hip arthroscopy with physical therapy for the treatment of femoroacetabular impingement (FAI) syndrome have emerged, no studies have investigated potential moderators or mediators of change in hip-related quality of life.

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A Prospective Comparison of Groin-Related Complications After Hip Arthroscopy With and Without a Perineal Post

Matthew J. Kraeutler, *y MD, Sydney M. Fasulo,z MD, Iciar M. Da � vila Castrodad,z MD, Omer Mei-Dan, § MD, and Anthony J. Scillia,z|| MD Investigation performed at Department of Orthopaedic Surgery, St Joseph’s University Medical

doi : 10.1177/03635465221130768

Previous studies have demonstrated various groin-related nerve and soft tissue complications in patients undergoing hip arthroscopy with a perineal post.

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Natural History of Degenerative Hip Abductor Tendon Lesions

Pascal Schenk, * MD, Dimitris Dimitriou, *y MD, Stefan Rahm, * MD, Stefan M. Zimmermann, * MD, Michael Finsterwald, * MD, Kai Higashigaito,z MD, Reto Sutter,z MD, and Patrick O. Zingg, * MD

doi : 10.1177/03635465221135759

The best treatment of degenerative hip abductor tendon lesions remains largely unknown, as the natural course of the disease has not yet been reported. The aim of the present study was to investigate the natural history of symptomatic degenerative hip abductor lesions.

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Epidemiology of Lateral Ligament Complex Tears of the Ankle in National Collegiate Athletic Association (NCAA) Sports: 2014-15 Through 2018-19

Avinash Chandran, *y PhD, MS, Reagan E. Moffit,y MPH, Alexandra F. DeJong Lempke,z§|| PhD, ATC, Adrian J. Boltz,y{ MSH, Andrew S. Alexander, # MD, Hannah J. Robison,y MS, LAT, ATC, Zachary Yukio Kerr,** PhD, MPH , Christy L. Collins,y PhD, and Erik A. Wikstrom,yy PhD, LAT, ATC

doi : 10.1177/03635465221138281

Epidemiological studies of lateral ankle sprains in NCAA sports are important in appraising the burden of this injury and informing prevention efforts.

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The Effect of Patients’ Understanding of Sling Necessity and Home Assistance on Sling Wear After Shoulder Surgery

Michael G. Livesey,* MD, Tristan B. Weir, * MD, Jacqueline L. Addona, * BS, Ryan A. Curto, * BA, Anuj Apte,* BS, Marcus Hughes, * BS, Blessing Enobun, * MD, MPH, R. Frank Henn III, * MD, S. Ashfaq Hasan, * MD, and Mohit N. Gilotra, *y MD, MS

doi : 10.1177/03635465221131984

Perioperative education and socioeconomic factors influence patient behavior. Recent evidence has suggested that sling compliance is associated with improved outcomes after shoulder surgery; it is important to investigate factors that influence sling compliance.

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Clinical and Radiological Outcomes in Patients With Anterior Shoulder Instability and Glenoid Bone Loss after Arthroscopic Free Bone Block Combined With Dynamic Anterior Stabilization

Chenliang Wu,*y MD , Junjie Xu, *yz MD , Zhaoyi Fang, *y MD, Jiebo Chen, * MD , Zipeng Ye, * MD , Xiulin Wu,* MD, Ziyun Li, * MD, Liren Wang, * MD, Yuhao Kang, * MD, Song Zhao, * MD, Caiqi Xu,*z MD, and Jinzhong Zhao, *z MD

doi : 10.1177/03635465221137883

As an alternative to the Latarjet procedure, the arthroscopic free bone block (FBB) procedure combined with dynamic anterior stabilization (DAS) has been recently proposed to provide both glenoid augmentation and a tendon sling effect for treating anterior shoulder instability (ASI) with glenoid bone loss.

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Biomechanical Efficacy of Tape Cerclage as an Augment or Stand-alone for Coracoclavicular Ligament Reconstruction

Ian J. Wellington, *y MD , Benjamin C. Hawthorne,y BS , Brian Ford,y MD, Caitlin G. Dorsey,y BS, Kevin J. Quindlen,y MS, Bennett E. Propp,y BS, Elifho Obopilwe,y MS, Paul J. Cagle,z MD, and Augustus D. Mazzocca, § MS, MD

doi : 10.1177/03635465221134812

Loss of initial reduction of the acromioclavicular joint after coracoclavicular (CC) ligament reconstruction remains a challenge for various repair techniques. Previous studies using polydioxanone suture cerclage augments for CC ligament reconstruction demonstrated poor clinical and biomechanical outcomes.

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Biomechanical Effect of Differential Tensioning on Suture-Augmented Ulnar Collateral Ligament Reconstruction of the Elbow

Leanne E. Iannucci, * MEng , Jonathan M. Koscso,y MD, Ryan M. Castile,z BS, Spencer P. Lake, *yz PhD, and Matthew V. Smith,y§ MD

doi : 10.1177/03635465221131905

Medial ulnar collateral ligament (mUCL) reconstructions are becoming increasingly prevalent among the overhand throwing population. Suture tape augmentation has the potential to provide biomechanical advantages over standard docking reconstruction. However, the optimal tensioning of the suture augmentation technique has not yet been evaluated.

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Optimizing Concussion Care Seeking: A Longitudinal Analysis of Recovery

Julianne D. Schmidt, * PhD, ATC, Steven P. Broglio, PhD, ATC, Kristen Knight, PhD, Daniel Leeds, PhD, Robert C. Lynall, PhD, ATC , Christopher D’Lauro, PhD , Johna K. Register-Mihalik, PhD, ATC, Emily Kroshus, PhD, Michael McCrea, PhD, Thomas W. McAllister, PhD, Zachary Yukio Kerr, PhD, MPH , and the CARE Consortium Investigators

doi : 10.1177/03635465221135771

Approximately half of concussions go undisclosed and therefore undiagnosed. Among diagnosed concussions, 51% to 64% receive delayed medical care. Understanding the influence of undiagnosed concussions and delayed medical care would inform medical and education practices.

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The Post-Concussion Symptom Scale: Normative Data for Adolescent Student-Athletes Stratified by Gender and Preexisting Conditions

Justin E. Karr, *y PhD , Brandon G. Zuccato,z MA, Eric O. Ingram,y BS, Tara L. McAuley,z PhD, Bradley Merker, § PhD, and Christopher A. Abeare,z PhD

doi : 10.1177/03635465221131987

The Post-Concussion Symptom Scale (PCSS) is a self-report questionnaire measuring symptoms that commonly occur after a concussion; however, these symptoms are nonspecific and can be related to co-occurring orthopaedic injuries (eg, cervical strain) or patient characteristics and preexisting conditions, even in the absence of a recent injury.

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Articular Cartilage Repair After Implantation of Hyaline Cartilage Beads Engineered From Adult Dedifferentiated Chondrocytes: Cartibeads Preclinical Efficacy Study in a Large Animal Model

Halah Kutaish, MD, PhD, Philippe Matthias Tscholl, MD, Erika Cosset, PhD, Laura Bengtsson, MSc, Vincent Braunersreuther, # PD, PhD, Dimitrios Stafylakis, MD, Didier Hannouche, Prof., MD, Eric Gerstel, PD, MD, Karl-Heinz Krause, Prof., MD, Mathieu Assal, PD, MD, Jacques Menetrey, Prof., MD, and Vannary Tieng, * PhD

doi : 10.1177/03635465221138099

Chondrocyte-based cell therapy to repair cartilage has been used for >25 years despite current limitations. This work presents a new treatment option for cartilage lesions.

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Transtibial Versus Anteromedial Portal Technique for Femoral Tunnel Drilling in Primary Single-Bundle Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Level 1 and 2 Evidence of Clinical, Revision, and Radiological Outcomes

Yunhe Mao,* MD, Kaibo Zhang, * MD, Jian Li, * MD, and Weili Fu, *y MD

doi : 10.1177/03635465211044476

Although numerous clinical studies have compared transtibial (TT) and anteromedial portal (AMP) drilling of femoral tunnels during anterior cruciate ligament reconstruction (ACLR), there is no high-quality, evidence-based consensus regarding which technique affords the best outcome.

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Complications Related to Latarjet Shoulder Stabilization: A Systematic Review

Chul-Hyun Cho,* MD, Sang Soo Na,* MD, Byung-Chan Choi,* MD, and Du-Han Kim,*y MD

doi : 10.1177/03635465211042314

In cases of recurrent anterior shoulder instability with a glenoid defect, Latarjet procedures are widely used for stabilization. Although complications with this procedure have been reported, few studies have comprehensively analyzed issues related to the Latarjet procedure.

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Return to Sports After Total Hip Arthroplasty: An Umbrella Review for Consensus Guidelines

Christopher B. Sowers, * MD, Alberto C. Carrero,y MD, John W. Cyrus,* MLIS, Jeremy A. Ross,y MD, Gregory J. Golladay,y MD, and Nirav K. Patel,yz MD, FRCS

doi : 10.1177/03635465211045698

Current recommendations on safe return to sports (RTS) after total hip arthroplasty (THA) are subjective and based on studies of varying quality.

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A Practical Guide to Lower Extremity Nerve Blocks for the Sports Medicine Surgeon

Connor R. Crutchfield, * BA, Eric A. Schweppe, * MD, Ajay S. Padaki, * MD, Gabrielle K. Steinl, * BS, Brian A. Roller, * MD, Anthony R. Brown, * MD, and T. Sean Lynch, *y MD

doi : 10.1177/03635465211051757

Peripheral nerve blocks (PNBs) are vital in the administration of surgical analgesia and have grown in popularity for use in lower extremity arthroscopic procedures because of their capacity to safely and effectively control pain.

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Abaloparatide Improves Rotator Cuff Healing Via Anabolic Effects on Bone Remodeling in a Chronic Rotator Cuff Tear Model of Rat With Osteoporosis: A Comparison With Denosumab: Letter to the Editor

Jakob E. Schanda MD, PhD

doi : 10.1177/03635465221139114

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Abaloparatide Improves Rotator Cuff Healing Via Anabolic Effects on Bone Remodeling in a Chronic Rotator Cuff Tear Model of Rat With Osteoporosis: A Comparison With Denosumab: Response

Junjie Xu MD Link to ORCID Zipeng Ye MD Link to ORCID Chang’an Chen MD Xueying Zhang MD Link to ORCID Kang Han MD Link to ORCID Xiulin Wu MD Ziyun Li MD Jia Jiang MD Xiaoyu Yan MD Jiangyu Cai MD Link to ORCID Jinzhong Zhao MD

doi : 10.1177/03635465221139116

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