American Journal of Sports Medicine




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No Wine Before Its Time

doi : 10.1177/03635465221149719

Volume 51 Issue 2, February 2023

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A 2-Year Follow-up May Not be Enough to Accurately Evaluate Recurrences After Arthroscopic Bankart Repair: A Long-term Assessment of 272 Patients With a Mean Follow-up of 10.5 Years

Luciano Andre � s Rossi, *y MD, PhD, Ignacio Pasqualini,y MD, Iva � n Huespe,y MD, Rodrigo Brandariz,y MD, Cecilia Fieiras,y MD, Ignacio Tanoira,y MD, PhD, and Maximiliano Ranalletta,y MD, PhD

doi : 10.1177/03635465221139290

There is a great discrepancy between the rates of recurrent instability reported after arthroscopic Bankart repair in relation to the follow-up time.

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Intraoperative Channeling in Arthroscopic Rotator Cuff Repair: A Multicenter Randomized Controlled Trial

Peter Lapner, * MD, FRCSC , Martin Bouliane, MD, FRCSC, J. W. Pollock, MD, FRCSC , Stephanie Coupal, MD, FRCSC, Elham Sabri, PhD, Taryn Hodgdon, MD, FRCPC, Jason Old, MD, FRCPC, Katie McIlquham, MSc , Peter MacDonald, MD, FRCSC, and CSES Investigators

doi : 10.1177/03635465221138562

Despite recent advances in arthroscopic rotator cuff repair, the retear rate remains high. New methods to optimize healing rates must be sought. Bone channeling may create a quicker and more vigorous healing response by attracting autologous mesenchymal stem cells, cytokines, and growth factors to the repair site.

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Evaluation of the Potential of Umbilical Cord Mesenchymal Stromal Cell–Derived Small Extracellular Vesicles to Improve Rotator Cuff Healing: A Pilot Ovine Study

Florien Jenner,*z DVM, Andrea Wagner,yz PhD, Iris Gerner, *z DVM, Eberhard Ludewig,§ DVM, Robert Trujanovic, || DVM, Eva Rohde,{# MD, Brigitte von Rechenberg, **yy DVM, Mario Gimona, #zz PhD, and Andreas Traweger,yz§§ PhD

doi : 10.1177/03635465221145958

Despite significant advancements in surgical techniques to repair rotator cuff (RC) injuries, failure rates remain high and novel approaches to adequately overcome the natural biological limits of tendon and enthesis regeneration of the RC are required.

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Superior and Anterior Glenoid Labral Tears Are Associated With Increased Neurofilament Concentration

Geoffrey T. Murphy,* Bmed(hons), MD, Julia Beretov,y BSc, PhD, Salman Marvi,y MD, FRCPA, MSc, Patrick H. Lam,* MD, PhD, and George A.C. Murrell,*yz MBBS, Dphil

doi : 10.1177/03635465221142611

Pain is a common presentation after glenohumeral labral injuries. However, the source of that pain is undetermined.

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Long-Term Patient-Reported Outcomes After Arthroscopic Debridement of Grade 3 or 4 Capitellar Osteochondritis Dissecans Lesions

Daniel C. Austin,* MD, MS, Bryant Song, * BS, Jorge L. Rojas Lievano, * MD, MSc, Thomas H. Rogers, * MD, Jonathan D. Barlow, * MD, Christopher L. Camp, * MD, Mark E. Morrey, * MD, Joaquin L. Sanchez-Sotelo, * MD, PhD, James S. Fitzsimmons, * BSc, and Shawn W. O’Driscoll, *y PhD, MD

doi : 10.1177/03635465221137894

Arthroscopic debridement for osteochondritis dissecans (OCD) lesions of the capitellum is a relatively common and straightforward surgical option for failure of nonoperative management. However, the long-term outcomes of this procedure remain unknown.

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Degree of Accuracy With Which Deep Learning for Ultrasound Images Identifies Osteochondritis Dissecans of the Humeral Capitellum

Issei Shinohara, MD, Tomoya Yoshikawa, MD, Atsuyuki Inui, * MD, PhD , Yutaka Mifune, MD, PhD, Hanako Nishimoto, MD, PhD, Shintaro Mukohara, MD, PhD, Tatsuo Kato, MD, Takahiro Furukawa, MD, Yuichi Hoshino, MD, PhD, Takehiko Matsushita, MD, PhD , and Ryosuke Kuroda, MD, PhD

doi : 10.1177/03635465221142280

Medical screening using ultrasonography (US) has been performed on young baseball players for early detection of osteochondritis dissecans (OCD) of the humeral capitellum. Deep learning (DL) and artificial intelligence (AI) techniques are widely adopted in the medical imaging research field.

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A Randomized Trial of Autologous Chondrocyte Implantation Versus Alternative Forms of Surgical Cartilage Management in Patients With a Failed Primary Treatment for Chondral or Osteochondral Defects in the Knee

Martyn Snow, * MSc , Lee Middleton, MSc, Samir Mehta, MSc, Andrew Roberts, DM, Richard Gray, PhD, James Richardson, MD, Jan Herman Kuiper, PhD, and ACTIVE Consortium

doi : 10.1177/03635465221141907

There are limited randomized controlled trials with long-term outcomes comparing autologous chondrocyte implantation (ACI) versus alternative forms of surgical cartilage management within the knee.

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Osteochondral Allografts for Large Oval Defects of the Medial Femoral Condyle: A Comparison of Single Lateral Versus Medial Femoral Condyle Oval Grafts Versus 2 Overlapping Circular Grafts

Timothy S. Mologne,* MD, William D. Bugbee,y MD, Shankar Kaushal,z BS , Conor S. Locke,z MS, Robert W. Goulet,z PhD, Michael Casden,z BS, and John A. Grant,§|| MD, PhD, Dip Sports Med

doi : 10.1177/03635465221139272

Studies have demonstrated the acceptability of using a contralateral nonorthotopic lateral femoral condyle (LFC) graft for a circular medial femoral condyle (MFC) osteochondral defect up to 20 to 25 mm in diameter. Larger oblong defects can now be managed using either overlapping circle grafts or a single oblong-shaped osteochondral allograft (OCA).

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Age, Sex, and BMI Differences Related to Repairable Meniscal Tears in Pediatric and Adolescent Patients

Matthew S. Rohde, BS, Kevin G. Shea, MD, Timothy Dawson II, BS, Benton E. Heyworth, MD , Matthew D. Milewski, MD, Eric W. Edmonds, MD , Elizabeth Adsit, MHA, Philip L. Wilson, MD, SCORE Group, and Henry B. Ellis, * MD

doi : 10.1177/03635465221145939

The incidence of meniscus tears and ACL tears in pediatric patients continues to rise, bringing to question the risk factors associated with these injuries. As meniscus tears are commonly repaired in pediatric populations, the epidemiology of repairable meniscus tears is an important for consideration for surgeons evaluating treatment options.

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Effect of Delayed Anterior Cruciate Ligament Reconstruction on Repair of Concomitant Medial Meniscus Tears in Young Athletes

Woody Sorey, * BA, Mia S. Hagen,y MD, Simran Mand, * BS, Joey Sliepka,y MD, Kenneth Chin,y MD, Gregory A. Schmale,y MD, Christopher Kweon,y MD, Albert O. Gee,y MD, and Michael G. Saper,yz DO, ATC, CSCS

doi : 10.1177/03635465221142325

Delayed anterior cruciate ligament (ACL) reconstruction (ACLR) is associated with an increased risk of meniscal injury. Limited data are available regarding the relationship between surgical delay and meniscal repairability in the setting of ACLR in young patients.

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Nonextruded Grafts Result in Better Cartilage Quality After Lateral Meniscal Allograft Transplantation: Quantitative 3-T MRI T2 Mapping

Hyo Yeol Lee, *y MD, Seong-Il Bin,yz MD, PhD , Jong-Min Kim,y MD, PhD, Bum-Sik Lee,y MD, PhD, Seung-Min Kim, § MD, and Seon-Jong Lee,y MD

doi : 10.1177/03635465221143373

Several studies have reported that graft extrusion after meniscal allograft transplantation (MAT) is associated with deterioration of surgical outcomes. However, no study has investigated the effect of graft extrusion on the articular cartilage using objective quantitative methods.

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Quantitative MRI Biomarkers to Predict Risk of Reinjury Within 2 Years After Bridge-Enhanced ACL Restoration

Dominique A. Barnes, BS , Gary J. Badger, MS, Yi-Meng Yen, MD, PhD , Lyle J. Micheli, MD, Dennis E. Kramer, MD, Paul D. Fadale, MD, Michael J. Hulstyn, MD, Brett D. Owens, MD , The BEAR Trial Team, Martha M. Murray, MD, Braden C. Fleming, * PhD , and Ata M. Kiapour, PhD

doi : 10.1177/03635465221142323

Quantitative magnetic resonance imaging (qMRI) methods were developed to establish the integrity of healing anterior cruciate ligaments (ACLs) and grafts. Whether qMRI variables predict risk of reinjury is unknown.

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Elevated In Vivo ACL Strain Is Associated With a Straight Knee in Both the Sagittal and the Coronal Planes

Jacqueline N. Foody, *y BS, Patrick X. Bradley,yz BSE, Charles E. Spritzer, § MD, Jocelyn R. Wittstein,y MD, Louis E. DeFrate, *yz|| ScD, and Zoe ̈ A. Englander,y PhD

doi : 10.1177/03635465221141876

Noncontact anterior cruciate ligament (ACL) injuries typically occur during deceleration movements such as landing or cutting. However, conflicting data have left the kinematic mechanisms leading to these injuries unclear. Quantifying the influence of sagittal and coronal plane knee kinematics on in vivo ACL strain may help to elucidate noncontact ACL injury mechanisms.

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Accuracy of Magnetic Resonance Imaging in the Diagnosis of Multiple Ligament Knee Injuries: A Multicenter Study of 178 Patients

Enrique Sanchez-Munoz, * MD , Beatriz Lozano Hernanz, MD, Jacco A.C. Zijl, MD, Luı �s Eduardo Passarelli Tirico, MD, Fabio Janson Angelini, MD, Peter C.M. Verdonk, MD, PhD, Kristien Vuylsteke, PhD, Renato Andrade, BSc, Joa ̃ o Espregueira-Mendes, MD, PhD, Cristina Valente, PhD, Francisco Figueroa, MD , and Antonio Maestro Ferna � ndez, MD, PhD

doi : 10.1177/03635465221145697

Magnetic resonance imaging (MRI) has shown limited diagnostic accuracy for multiple ligament knee injuries (MLKIs), especially posterolateral corner (PLC) injuries.

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Clinical Effect of Isolated Lateral Closing Wedge Distal Femoral Osteotomy Compared to Medial Opening Wedge High Tibial Osteotomy for the Correction of Varus Malalignment: A Propensity Score–Matched Analysis

Marco-Christopher Rupp, *y MD , Felix Lindner,y cand. MD, Philipp W. Winkler,y MD, Lukas N. Muench,y MD, Julian Mehl,y MD, Andreas B. Imhoff,y MD , Sebastian Siebenlist,y MD, and Matthias J. Feucht,z§ MD

doi : 10.1177/03635465221142615

Recent evidence questions the role of medial opening wedge high tibial osteotomy (mowHTO) in the correction of femoral-based varus malalignment because of the potential creation of an oblique knee joint line.

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Lateral Patellofemoral Ligament Reconstruction: A Biomechanical Comparison of 2 Techniques

Hailey P. Huddleston, * MD, Elizabeth F. Shewman,y MS, Derrick Knapik,y MD, and Adam B. Yanke,yz MD, PhD

doi : 10.1177/03635465221145017

The importance of maintaining lateral patellar stabilizing structures has been demonstrated by the presence of iatrogenic medial patellar instability after lateral retinacular release (LRR) procedures. In patients with medial patellar instability, lateral patellofemoral ligament (LPFL) reconstruction has been clinically shown to restore patellar stability while improving patient-reported outcomes.

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Anteromedialization Tibial Tubercle Osteotomy Improves Patellar Contact Forces: A Cadaveric Model of Patellofemoral Dysplasia

Joseph D. Lamplot, *y MD, Amirhossein Jahandar,z MSc, Kathleen N. Meyers,z MSc, Andreas H. Gomoll,z MD, Suzanne A. Maher,z PhD, and Sabrina M. Strickland,z MD

doi : 10.1177/03635465221138287

Patellofemoral (PF) dysplasia is common in patients with recurrent patellar instability. Tibial tubercle osteotomy (TTO) is performed with goals of correcting patellar maltracking and redistributing contact forces across the PF joint. The biomechanical effects of TTO in the setting of PF dysplasia have not been quantified.

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Doxycycline Promotes Graft Healing and Attenuates Posttraumatic Osteoarthritis After Anterior Cruciate Ligament Reconstruction in a Rat Model

Mingde Cao,*y MD , Shiyi Yao, *y PhD, Xiaobo Zhu, *yz PhD, Michael T.Y. Ong, *y MRCS (Edin), Patrick S.H. Yung, *yz§ FRCS (Edin), and Yangzi Jiang, *yz§|| PhD

doi : 10.1177/03635465221145015

Doxycycline (Doxy) has been shown to facilitate tendon healing by reducing on-site matrix metalloproteinase (MMP) activity, but its effect on graft healing after anterior cruciate ligament reconstruction (ACLR) has not been investigated, and the therapeutic effect of Doxy in preventing ACLR-induced posttraumatic osteoarthritis (PTOA) is unclear.

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The Reliability of the Tönnis Grading System in Patients Undergoing Hip Preservation

W. Michael Pullen, *y MD , Dominic S. Carreira,z MD, Ivan Wong, § MD, MACM, Stephen K. Aoki, || MD, T. Sean Lynch,{ MD, Richard C. Mather III, # MD, MBA, Olufemi R. Ayeni, ** MD, PhD, J.W. Thomas Byrd,yy MD, and Marc R. Safran,zz MD

doi : 10.1177/03635465221147055

The presence of pre-existing osteoarthritis (OA) has been associated with poor results after hip arthroscopic surgery. There is limited evidence validating the currently available grading systems of hip OA in patients undergoing hip preservation.

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Changes in Sports Activity After Periacetabular Osteotomy: A Qualitative and Quantitative Analysis

Vincent J. Leopold,*y MD , Adrian Szarek,y MS, Christian Hipfl,y MD, Matthias Pumberger,y MD, Carsten Perka,y MD, Sebastian Hardt,y MD, and Jannis Lo ̈ chel,y MD

doi : 10.1177/03635465221142320

Patients undergoing periacetabular osteotomy (PAO) for symptomatic developmental dysplasia of the hip are usually young and active with high functional demands. Those who participate in sports seek surgical therapy to resume or maintain sports activities. There is little evidence regarding the postoperative level of activity and the extent to which sports activity changes after PAO both qualitatively and quantitatively.

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Outcomes for Treatment of Capsulolabral Adhesions With a Capsular Spacer During Revision Hip Arthroscopy

Joseph J. Ruzbarsky, *y MD, Spencer M. Comfort, * BS, Maitland D. Martin, * BS, Karen K. Briggs, * MPH, and Marc J. Philippon, *yz MD

doi : 10.1177/03635465221145704

The presence of adhesions is a common source of pain and dysfunction after hip arthroscopic surgery and an indication for revision surgery. The placement of a capsular spacer in the capsulolabral recess after lysis of adhesions has been developed to treat and prevent the recurrence of adhesions.

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Ankle Pain After Medial Opening-Wedge High Tibial Osteotomy in Patients With Knee Osteoarthritis and Concurrent Ankle Osteoarthritis

Man Soo Kim, * MD, PhD, Jae Jung Kim, * MD, Ki Ho Kang, * MD, Joon Soo Ihm, * MD, and Yong In, *y MD, PhD

doi : 10.1177/03635465221143999

Medial opening-wedge high tibial osteotomy (MOWHTO) in patients with varus knee osteoarthritis (OA) causes changes to ankle and hindfoot alignment. However, the compensatory ability of the ankle and hindfoot varies according to the severity of ankle OA.

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Sports-Related Concussions and Adverse Health Behaviors Among Middle and High School Students

Kelly Sarmiento, *y MPH, Gabrielle F. Miller,y PhD, and Sherry Everett Jones,z PhD, MPH, JD

doi : 10.1177/03635465221141440

Concussions affect millions of youths in the United States each year, and there is concern about long-term health effects from this injury.

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Lower Extremity Musculoskeletal Injuries After Concussion in Collegiate Student-Athletes

Thomas A. Buckley, *y EdD, Avinash Chandran,z§ PhD, MS, Timothy C. Mauntel, || PhD, Zachary Yukio Kerr,{ PhD , Derek W. Brown, # PhD, Adrian J. Boltz, ** MSH, Daniel C. Herman,yy PhD, Eric E. Hall,zz PhD, and Robert C. Lynall, §§ PhD

doi : 10.1177/03635465221125155

An association has been identified between concussion and lower extremity musculoskeletal injury (LEMSKI) after return to sports participation. However, the collegiate student-athlete studies have relied on relatively small single-institution studies, which limits generalizability.

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The Minimal Clinically Important Difference: A Review of Clinical Significance

David A. Bloom, *y MD, Daniel J. Kaplan,y MD, Edward Mojica,y BS, Eric J. Strauss,y MD, Guillem Gonzalez-Lomas,y MD, Kirk A. Campbell,y MD , Michael J. Alaia,y MD, and Laith M. Jazrawi,y MD

doi : 10.1177/03635465211053869

The minimal clinically important difference (MCID) is a term synonymous with orthopaedic clinical research over the past decade. The term represents the smallest change in a patient-reported outcome measure that is of genuine clinical value to patients. It has been derived in a myriad of ways in existing orthopaedic literature.

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Clinical Outcomes After Anterior Cruciate Ligament Reconstruction in Patients With a Concomitant Segond Fracture: A Systematic Review

Kanto Nagai, *y MD, PhD, Kohei Kamada,y MD, Jeffrey Kay,z MD, Yuichi Hoshino,y MD, PhD, Takehiko Matsushita,y MD , PhD, Ryosuke Kuroda,y MD, PhD, and Darren de SA,z MBA(c), MD, FRCSC

doi : 10.1177/03635465211045689

The Segond fracture can be observed in patients with an anterior cruciate ligament (ACL) tear. It is unclear whether the Segond fracture affects clinical outcomes after ACL reconstruction.

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Outcomes, Union Rate, and Complications After Operative and Nonoperative Treatments of Neer Type II Distal Clavicle Fractures: A Systematic Review and Meta-analysis of 2284 Patients

Sophie J. Uittenbogaard, *y MD, Laurian J.M. van Es,z MD, Chantal den Haan,§ BSc, Derek F.P. van Deurzen,y MD, PhD, and Michel P.J. van den Bekerom,y|| MD, PhD

doi : 10.1177/03635465211053336

As nonoperative treatment of Neer type II distal clavicle fractures is associated with nonunion rates up to 33%, operative treatment is frequently advocated. However, evidence is lacking regarding which operative treatment to perform and whether this is superior to nonoperative treatment in terms of functional outcome and complication rate.

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Tunnel Management in Revision Anterior Cruciate Ligament Reconstruction: Current Concepts

Theodore S. Wolfson,*y MD , Brian Mannino,y MD, Brett D. Owens,z MD , Brian R. Waterman, § MD, and Michael J. Alaia,y MD

doi : 10.1177/03635465211045705

Bone tunnel–related complications are frequently encountered during revision anterior cruciate ligament reconstruction (ACLR). Issues with tunnel positioning, enlargement, containment, and hardware interference may complicate surgery and compromise outcomes.

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Microfragmented Adipose Tissue versus Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis: Letter to the Editor

Anna Boada-Pladellorens, MD Merce` Avellanet, MD, PhD Escaldes-Engordany, Andorra Anna Veiga, PhD Barcelona, Spain Esther Page`s-Bolibar, MD, PhD

doi : 10.1177/03635465221142322

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Microfragmented Adipose Tissue Versus Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis: Response

Stefano Zaffagnini, MD, Prof. Luca Andriolo, MD Angelo Boffa, MD Alberto Poggi, MD Annarita Cenacchi, MD Maurizio Busacca, MD Bologna, Italy Elizaveta Kon, MD, Prof. Milan, Italy Giuseppe Filardo, MD, PhD, MBA, Prof. Alessandro Di Martino, MD

doi : 10.1177/03635465221142324

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Denosumab Use in Rats: Letter to the Editor

Paul Kostenuik, PhD

doi : 10.1177/03635465221144032

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Denosumab Use in Rats: Response

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

doi : 10.1177/03635465221144030

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