Sports Medicine Archive

SUMMARY: This review outlines surgical uses of bone marrow aspirate concentrate as an adjuvant orthobiologic for cartilage repair, though robust randomized trial evidence remains lacking.

SUMMARY: This review covers evolving surgical techniques—physeal-sparing, partial transphyseal, and transphyseal ACL reconstruction—for skeletally immature patients with ACL injuries.

SUMMARY: This narrative review outlines neck anatomy at risk, on-ice management, and evidence supporting mandatory neck laceration protectors to prevent potentially fatal skate-related neck injuries in ice hockey.

SUMMARY: This review concludes that structured exercise remains a reasonable first-line treatment for degenerative meniscal tears, with arthroscopic partial meniscectomy reserved for patients failing nonoperative therapy.

SUMMARY: This review outlines an evidence-based, size- and location-driven approach to knee chondral defects, favoring osteochondral autograft for small lesions and allograft or matrix-associated chondrocyte implantation for larger ones.

SUMMARY: This meta-analysis found female athletes have roughly 3 times higher ACL tear rates than males in soccer and basketball, with injury-reduction training helping in soccer but not basketball.

SUMMARY: Arthroscopic double-row rotator cuff repair improves repair integrity over open/mini-open techniques, but large/massive tears still have a 40% retear rate with worse outcomes when repair fails structurally.

SUMMARY: Knee arthroscopy in pediatric OI patients restores function in most cases but carries notably higher complication (48%) and revision (35%) rates than the general population.

SUMMARY: Adolescents presenting with shoulder instability commonly show bipolar bone loss and short distance to dislocation, suggesting isolated arthroscopic Bankart repair alone may be inadequate for many in this population.

SUMMARY: In traumatic massive rotator cuff tears, arthroscopic repair within 3 weeks of injury yielded better ASES functional scores than delayed repair, though retear rates were similar.

SUMMARY: Arthroscopic suture anchor fixation of bony Bankart lesions maintained excellent shoulder stability, high satisfaction, and low reoperation rates at a mean 18-year follow-up.

SUMMARY: Cadaveric testing shows increased lateral tibial slope drives anterior tibial translation, while slope asymmetry between compartments drives internal rotation, informing ACL injury and correction strategies.

SUMMARY: This meta-analysis found patellar tendon autografts gave better knee stability and lower failure rates than hamstring autografts in ACL reconstruction, but with more anterior knee pain.

SUMMARY: In 456 hips undergoing arthroscopy for FAI, a high femoral impingement index (>75°) predicted worse sport-specific outcome improvement and lower odds of clinically meaningful benefit, especially in men.

SUMMARY: In 441 ACL reconstruction patients with concomitant chondral lesions, cartilage severity and location did not affect return-to-play rates, timing, or performance at 5 years, though high-grade medial lesions predicted worse PROs.

SUMMARY: This commentary argues the SANTI classification is useful for clinically screening arthrogenic muscle inhibition after ACL reconstruction but should not be equated with mechanistic measures like voluntary activation testing.

SUMMARY: Most patients achieve MCID, PASS, and SCB thresholds after Bernese PAO, but longer symptom duration and severe femoral antetorsion predict worse clinically meaningful outcomes, informing preoperative counseling.

SUMMARY: This review discusses rehabilitating painful shoulders in overhead athletes by combining pathoanatomic and movement-impairment assessments to guide more individualized, evidence-based treatment.

SUMMARY: Propensity-matched TriNetX cohort study found female athletes on hormonal contraceptives had significantly lower 5-year risk of ACL sprain, meniscal tear, and stress fractures than nonusers.

SUMMARY: This review covers current arthroscopic management of anterior shoulder instability, emphasizing glenoid track concept, remplissage indications, and Latarjet versus distal tibial allograft reconstruction for bone loss.

SUMMARY: This literature review found AIS patients typically return to sport 6-18 months after spinal fusion, with up to a third switching to lower-impact activities but no reported complications from RTS.

SUMMARY: This review critically evaluates superior capsular reconstruction for irreparable rotator cuff tears, noting promising early outcomes but insufficient long-term data, unclear mechanism, and undefined optimal indications.

SUMMARY: A scoping review finds deep learning models for sports medicine imaging show excellent internal diagnostic accuracy but are narrowly focused, rarely externally validated, and have limited current clinical applicability.

SUMMARY: This scoping review of 37 studies found BMX injury surveillance is inconsistent and mostly limited to elite competitions, highlighting a need for rigorous community-based studies to guide prevention strategies.

SUMMARY: Comprehensive review recommends staged management of Achilles mid-substance tendinopathy starting with eccentric exercise, then high-volume injection or shockwave therapy, reserving surgery for refractory cases.

SUMMARY: This review proposes a stepwise algorithm for managing surgical site infections after extensor mechanism repair, escalating from outpatient care for mild cellulitis to debridement, suture exchange, and flap coverage for refractory deep infections.

SUMMARY: Long-term follow-up of 292 patients with acute ACL injury shows that ACL reconstruction did not prevent progressive joint arthrosis, with reconstructed knees actually showing higher arthrosis scores on imaging.

SUMMARY: In elite female footballers, preseason isokinetic strength testing had limited independent value for predicting noncontact lower extremity injuries, though a lower hamstring-to-quadriceps ratio showed a modest protective association, arguing against its use as a standalone screening tool.

SUMMARY: Summarizes the ROCK consortium's decade of multicenter research on knee osteochondritis dissecans, including epidemiology, validated imaging classifications, outcome measures, and trials comparing drilling techniques.

SUMMARY: This review outlines sex-specific biologic and biomechanical factors underlying shoulder and elbow injuries in female athletes, an area less studied than other sex-based orthopaedic differences.