doi : 10.1016/S0749-8063(21)00990-7
Volume 38, Issue 1, January 2022, Pages A9-A10, A12, A14
doi : 10.1016/S0749-8063(21)00995-6
Volume 38, Issue 1, January 2022, Pages A31-A37
doi : 10.1016/S0749-8063(21)00996-8
Volume 38, Issue 1, January 2022, Page A39
Jefferson C.BrandM.D.(Assistant Editor-in-Chief)Michael J.RossiM.D.(Assistant Editor-in-Chief)James H.LubowitzM.D.(Editor-in-Chief)
doi : 10.1016/j.arthro.2021.11.015
Volume 38, Issue 1, January 2022, Pages 1-6
With sincere appreciation to the AANA Education Foundation for their generous support, we announce our Annual Awards for the best Clinical Research, Basic Science Research, Resident/Fellow Research, and Systematic Reviews published in 2021, as well as the Most Downloaded and Most Cited papers published 5 years ago. Also, as is customary and as we require of authors, our editors update their annual disclosures of potential conflicts of interest. Finally, we annually update our masthead, thus introducing a new Associate Editor and many new members of the Editorial Board and Social Media Board.
James H.LubowitzM.D.(Editor-in-Chief)
doi : 10.1016/j.arthro.2021.11.019
Volume 38, Issue 1, January 2022, Page 6
Michael J.RossiM.D., M.S.(Assistant Editor-in-Chief)Jefferson C.BrandM.D.(Assistant Editor-in-Chief)
doi : 10.1016/j.arthro.2021.11.016
Volume 38, Issue 1, January 2022, Pages 7-9
Medical providers, rehabilitation specialists, and researchers must incessantly refine and adjust specific protocols, understanding that rehabilitation is the critical ingredient for return to sport in athletes. This month introduces a Special Issue in Arthroscopy, Sports Medicine, and Rehabilitation entitled “Rehabilitation and Return to Sport in Athletes.” The articles have been authored by invited experts and rehabilitation specialists deemed thought leaders. The goal of the issue is to provide readers, researchers, and clinicians high-yield and high-impact articles that will optimize return to sport in athletes. For athletes, and non-athletes alike, there lies an essential quartet for recovery: 1) correct diagnosis, 2) restoration of anatomy, 3) biological healing, and 4) functional rehabilitation. Most importantly, a coordinated rehabilitation program must be chosen with appropriate specialization to synchronize the return to play. This Special Issue explores specific rehabilitation paradigms regarding return to sport using evidence-based medicine with support from literature to optimize the functional return of athletes.
Matthew R.CohnM.D.Amar S.VadheraB.S.Grant E.GarriguesM.D.Nikhil N.VermaM.D.
doi : 10.1016/j.arthro.2021.11.011
Volume 38, Issue 1, January 2022, Pages 20-21
The intact rotator cuff provides dynamic stability for the glenohumeral joint through range of motion by compressing the humeral head to the center of the glenoid. Maintenance of articular congruity provides a stable fulcrum for the more forceful muscles of the shoulder girdle. Massive rotator cuff tears disrupt the concavity-compression mechanism and lead to unopposed superior pull of the deltoid. As a result, superior migration of the humerus, abutment of the acromion, and, in some cases, progression to cuff tear arthropathy occur. Arthroscopic superior capsular reconstruction has emerged as an effective treatment in select indications. Several potential biomechanical advantages to SCR have been described on the basis of cadaver studies. By tethering the greater tuberosity to the glenoid, superior migration is resisted, and the center of rotation is stabilized. The interpositional spacer effect describes reduced subacromial contact pressure, and the reduction is greater with thicker grafts. Side-to-side suturing of the graft to residual tendon and capsule achieves capsular continuity and may further improve the stabilizing function of the residual capsule and prevent medial-lateral elongation of the graft. Although these biomechanical principles overlap to some degree, their summation offers an explanation for the improved pain and function seen in patients who undergo superior capsular reconstruction.
Erick M.MarigiM.D.Ryan R.WilburB.A.Bryant M.SongM.S.Aaron J.KrychM.D.Kelechi R.OkorohaM.D.Christopher L.CampM.D.
doi : 10.1016/j.arthro.2021.05.021
Volume 38, Issue 1, January 2022, Pages 22-27
Brian R.WatermanM.D., Associate EditorGarrettBullockPh.D.
doi : 10.1016/j.arthro.2021.07.034
Volume 38, Issue 1, January 2022, Pages 28-30
ElenaFarladanskyM.D., Ph.D.aShoshanaHazanR.N, M.A.aEranMamanM.D.bAlon MenasheReuveniM.D.cAnatCattanMs.C.aIditMatotM.D.aBarakCohenM.D.ad
doi : 10.1016/j.arthro.2021.05.022
Volume 38, Issue 1, January 2022, Pages 31-37
GregoryColbathM.D., M.S.acAlisonMurrayM.S.bcSandraSiatkowskiB.S.bcTaylorPateM.D.bcMarioKrussigB.S.bcStephanPillM.D.dRichardHawkinsM.D.dJohnTokishM.D.eJeremyMercuriPh.D.bc
doi : 10.1016/j.arthro.2021.05.064
Volume 38, Issue 1, January 2022, Pages 38-48
ErikHohmannM.B.B.S., F.R.C.S., F.R.C.S. (Tr&Orth), Ph.D., M.D.(Associate Editor)
doi : 10.1016/j.arthro.2021.06.017
Volume 38, Issue 1, January 2022, Pages 49-50
Full-thickness tears of the rotator cuff are common, and surgical treatment is indicated in most cases. Arthroscopic repair has become the standard technique, but despite improved surgical techniques, instrumentations, and implants, failure rates continue to be high and can reach 40% and more. Augmented repairs with allograft patches or autograft tissue, such as long head biceps tendon or fascia lata, have been used with mixed results. However, autograft augmentation seems to be resulting in superior outcomes and higher healing rates. Treating skin defects with split-skin grafts is the gold standard in burns and soft-tissue surgery. Given the limited supply of autograft, meshing autograft tendon and using it similar to a split-skin graft is a novel idea. When using a 2:1 expansion ratio, the long head biceps tendon can be formed into a porous scaffold with the in situ tenocytes, producing cytokines and promoting tenogenic differentiation. However, the scaffolds exhibited reduced tensile properties. The results are encouraging, and it will be interesting whether the clinical trials will demonstrate higher healing rates and better functional outcomes when compared to primary repair and allograft patch augmentation.
Pietro SimoneRandelliM.D.abcCarlo AlbertoStoppaniM.D.aeGianvitoSantarsieroM.D.eElisabettaNocerinoM.D.dAlessandraMenonPh.D.abc
doi : 10.1016/j.arthro.2021.05.017
Volume 38, Issue 1, January 2022, Pages 51-61
Eoghan T.HurleyM.B., B.Ch., M.Ch.
doi : 10.1016/j.arthro.2021.06.035
Volume 38, Issue 1, January 2022, Pages 62-64
Platelet-rich plasma (PRP) is an autologous blood product containing a high concentration of platelets, growth factors, and cytokines, which basic science studies have shown may improve tendon healing by promoting angiogenesis, cellular migration, proliferation, and matrix deposition. However, there is still controversy over its clinical efficacy, with randomized controlled trials and subsequent meta-analyses finding mixed results when PRP is used to augment rotator cuff repair. Meta-analyses have found that leukocyte-poor PRP significantly reduces the rate of incomplete tendon healing and retear, but the evidence does not support the use of leukocyte-rich PRP or platelet-rich fibrin matrix compositions. Optimizing PRP use may be as simple as the right PRP preparation or the right concentration of the important cytokines.
AlexanderZimmererM.D.abMarco M.SchneiderM.D.aChristianSobauM.D.aWolfgangMiehlkeM.D.aFrankEichlerM.D.aJohannesWawer MatosM.D.a
doi : 10.1016/j.arthro.2021.09.012
Volume 38, Issue 1, January 2022, Pages 65-71
Laura A.VogelM.D.aMatthew J.KraeutlerM.D.bMary K.JesseM.D.cCorey K.HoM.D.cDarby A.HouckB.A.dTigranGarabekyanM.D.eOmerMei-DanM.D.d
doi : 10.1016/j.arthro.2021.04.038
Volume 38, Issue 1, January 2022, Pages 72-79
Timothy J.JacksonM.D.(Associate Editor)
doi : 10.1016/j.arthro.2021.06.002
Volume 38, Issue 1, January 2022, Pages 80-81
Everted, hypoplastic acetabular labra represent a variant of acetabular rim development. It is important to be able to recognize this pathology on magnetic resonance imaging and at the time of hip arthroscopy. Proper intraoperative identification of this variant that does not make contact with the femoral head is critical to being able to successfully restore this contact, often through labral advancement, acetabuloplasty of the abnormal rim development, and occasionally labral augmentation. A broad awareness among hip arthroscopy surgeons of this topic will lead to improved clinical outcomes after hip arthroscopy for a challenging cohort.
MikhailZusmanovichM.D.WilliamHaselmanB.S.BrianSerranoD.C., A.T.C., C.S.C.S.MichaelBanffyM.D.
doi : 10.1016/j.arthro.2021.04.049
Volume 38, Issue 1, January 2022, Pages 82-87
SamuelBachmaierM.Sc.aPatrick A.SmithM.D.bEvan H.ArgintarM.D.cJorgeChahlaM.D.dLaurence D.HigginsM.D., M.B.A.aCoen A.WijdicksPh.D.a
doi : 10.1016/j.arthro.2021.09.032
Volume 38, Issue 1, January 2022, Pages 88-98
Kirk W.JeffersM.D.aSagar A.ShahM.D., M.H.A.bDerek D.CalvertM.S., L.A.T., A.T.C.cNathan P.LemoineM.S.cJackMarucciM.S., L.A.T., A.T.C.cShellyMullenixM.S.W., L.A.T., A.T.C.cRobert D.ZuraM.D.bA. BrentBankstonM.D.dLarry S.BankstonM.D.d
doi : 10.1016/j.arthro.2021.04.057
Volume 38, Issue 1, January 2022, Pages 99-106
ElizabethMatzkinM.D., Associate Editor
doi : 10.1016/j.arthro.2021.06.014
Volume 38, Issue 1, January 2022, Pages 107-108
The majority of surgeons caring for elite American football teams choose bone–patellar tendon–bone (BTB) autograft for anterior cruciate ligament reconstruction. As we strive to continue to improve currently favorable outcomes, we need to consider all options regarding graft choice, surgical technique, and postoperative rehabilitation. Advantages of BTB include an excellent track record, potential for faster incorporation with bone-to-bone healing. Disadvantages include risk of patellar fracture/tendon rupture and anterior knee pain. The pros of quadrupled hamstring (QH) graft include stronger graft (higher ultimate load to failure) and less anterior knee pain and stiffness, and the cons include loss of flexion/hamstring strength and slower healing in the tunnels. Several studies have shown that smaller grafts have higher failure rates, and recent research shows that QH grafts >9 mm had decreased risk of revision compared to BTB. We can now quadruple the semitendinosus tendon to provide elite athletes with even more robust grafts. Large-diameter QH autografts are an acceptable option for National Collegiate Athletic Association Division I college football players.
ErikHohmannM.B.B.S., Ph.D., M.D.abKevinTetsworthM.D.cdefgVaidaGlattPh.D.fhMthunziNgcelwaneM.B.Ch.B.iNatalieKeoughPh.D.jk
doi : 10.1016/j.arthro.2021.04.066
Volume 38, Issue 1, January 2022, Pages 109-118
AhmedMahmoudM.D., M.S.abStephenTorbeyM.B.B.S.bConorHoneywillB.Phty.bPeterMyersF.R.A.C.S.b
doi : 10.1016/j.arthro.2021.04.068
Volume 38, Issue 1, January 2022, Pages 119-124
AlanGetgoodM.Phil., M.D., F.R.C.S. (Tr&Orth) Dip.S.E.M.
doi : 10.1016/j.arthro.2021.07.005
Volume 38, Issue 1, January 2022, Pages 125-127
Lateral extra-articular tenodesis and other anterolateral procedures improve patient outcomes when combined with anterior cruciate ligament reconstruction. Failure rates are >50% lower in young patients at high risk of reinjury. We defined patients at high risk as those aged 14 to 25 years with 2 or more factors of the following criteria: 1) returning to contact pivoting sport, 2) high-grade anterolateral rotatory laxity, as measured by pivot shift test (grade 2 or higher), and 3) generalized ligamentous laxity (Beighton score greater than 4) or knee hyperextension recurvatum of greater than 10°. Other indications may include Segond fracture, chronic anterior cruciate ligament lesion, radiographic lateral femoral notch sign, and lateral coronal plane laxity. A clearer understanding of indications determined by a comprehensive clinical assessment and risk stratification is needed. As indications continue to be “stretched,” we need to better understand the role of lateral extra-articular tenodesis and when to employ it in our practice.
SachinAllahabadiM.D.aNirav K.PandyaM.D.b
doi : 10.1016/j.arthro.2021.05.005
Volume 38, Issue 1, January 2022, Pages 128-138
Austin G.CrossB.S.Nikhil R.YedullaB.S.Alexander C.ZiedasB.S.Kareem G.ElhageB.S.Eric W.GuoB.S.Luke T.HessburgB.S.VasiliosMoutzourosM.D.Stephanie J.MuhM.D.Eric C.MakhniM.D., M.B.A.
doi : 10.1016/j.arthro.2021.05.063
Volume 38, Issue 1, January 2022, Pages 139-144
PatrickGarvinD.O.aMark P.CoteP.T., D.P.T., M.S., Associate Editor, Statistics
doi : 10.1016/j.arthro.2021.08.030
Volume 38, Issue 1, January 2022, Pages 145-147
Patient-Reported Outcomes Measurement Information System (PROMIS) scores have considerable potential to both streamline the collection of outcome data and provide a common set of metrics to compare and benchmark patient-reported outcomes after orthopaedic procedures. An analysis of PROMIS scores collected at the preoperative clinical visit and the day of surgery found considerable changes in upper- and lower-extremity physical function, pain interference, and depression. These findings suggest that health status may vary between the day of operative consent and the day of surgery. Given the importance of patient-reported outcomes in clinical research, quality assurance, and value-based health care, the potential for large changes in scores leading up to the procedure warrants attention toward the timing of PROMIS administration to ensure that the health status of the patient—and its variation—is accurately captured.
Christopher A.ColasantiM.D.Jordan W.FriedB.S.Eoghan T.HurleyM.B., B.Ch., M.Ch.UtkarshAnilM.D.Bogdan A.MatacheM.D.GuillemGonzalez-LomasM.D.Eric J.StraussM.D.Laith M.JazrawiM.D.
doi : 10.1016/j.arthro.2021.05.050
Volume 38, Issue 1, January 2022, Pages 148-158.e6
MichelleXiaoB.S.Samuel A.CohenB.S.Emilie V.CheungM.D.Geoffrey D.AbramsM.D.Michael T.FreehillM.D.
doi : 10.1016/j.arthro.2021.05.032
Volume 38, Issue 1, January 2022, Pages 159-173.e6
WilliamYarwoodB.A. (Cantab)aKaradi HariSunil KumarM.B.B.S, M.Ch. Ortho., F.E.B.O.T., F.R.C.S.Ed. (Tr. & Orth.)bK. C. GeoffreyNgPh.D.cVikasKhandujaM.A. (Cantab), M.Sc., F.R.C.S. (Tr. & Orth.), Ph.D.d
doi : 10.1016/j.arthro.2021.05.066
Volume 38, Issue 1, January 2022, Pages 174-189
AbhishekSrivastavaB.Sc. (Hons.)aMarcGibsonB.Sc. (Hons.), B.M., M.R.C.S.bAkashPatelB.Sc. (Hons.), M.B.B.S., M.R.C.S., M.Sc., F.R.C.S. (Tr. & Orth.)b
doi : 10.1016/j.arthro.2021.05.065
Volume 38, Issue 1, January 2022, Pages 190-199.e1
doi : 10.1016/S0749-8063(21)01006-9
Volume 38, Issue 1, January 2022, Pages 200-204
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