Orthopaedic Journal of Sports Medicine

Comparison of Clinical Outcomes Between Nonoperative Treatment and Arthroscopically Assisted Stabilization in Patients With Acute Rockwood Type 5 Acromioclavicular Dislocation
Akgün D, Gebauer H, Paksoy A, Eckl L, Hayta A, Ücertas A, Barthod-Tonnot N, Hazra RD, Lacheta L, Moroder P and Pawelke J
Currently, Rockwood type 3 acromioclavicular (AC) joint dislocations are initially treated nonoperatively, whereas surgery is recommended for Rockwood type 5 dislocations. However, multiple studies have been published favoring nonoperative approaches in patients with high-grade Rockwood injuries.
Abdominal Oblique and Rectus Muscle Injuries in Major and Minor League Baseball Players: An Updated Epidemiological Review
Tenner ZM, Lamba A, Camp CL, Griffith TB and Conte S
Abdominal musculature injuries comprise the third most prevalent time-loss injury across professional baseball. Despite increased awareness and prevention attempts in the recent decade, the trends of these abdominal injury numbers in Major League Baseball (MLB) are not fully understood.
A Novel Machine Learning Model to Predict Revision ACL Reconstruction Failure in the MARS Cohort
, Vasavada K, Vasavada V, Moran J, Devana S, Lee C, Hame SL, Jazrawi LM, Sherman OH, Huston LJ, Haas AK, Allen CR, Cooper DE, DeBerardino TM, Spindler KP, Stuart MJ, Ned Amendola A, Annunziata CC, Arciero RA, Bach BR, Baker CL, Bartolozzi AR, Baumgarten KM, Berg JH, Bernas GA, Brockmeier SF, Brophy RH, Bush-Joseph CA, Butler V JB, Carey JL, Carpenter JE, Cole BJ, Cooper JM, Cox CL, Creighton RA, David TS, Dunn WR, Flanigan DC, Frederick RW, Ganley TJ, Gatt CJ, Gecha SR, Giffin JR, Hannafin JA, Lindsay Harris N, Hechtman KS, Hershman EB, Hoellrich RG, Johnson DC, Johnson TS, Jones MH, Kaeding CC, Kamath GV, Klootwyk TE, Levy BA, Ma CB, Maiers GP, Marx RG, Matava MJ, Mathien GM, McAllister DR, McCarty EC, McCormack RG, Miller BS, Nissen CW, O'Neill DF, Owens BD, Parker RD, Purnell ML, Ramappa AJ, Rauh MA, Rettig AC, Sekiya JK, Shea KG, Slauterbeck JR, Smith MV, Spang JT, Svoboda SJ, Taft TN, Tenuta JJ, Tingstad EM, Vidal AF, Viskontas DG, White RA, Williams JS, Wolcott ML, Wolf BR, Wright RW and York JJ
As machine learning becomes increasingly utilized in orthopaedic clinical research, the application of machine learning methodology to cohort data from the Multicenter ACL Revision Study (MARS) presents a valuable opportunity to translate data into patient-specific insights.
The Relationship Between Exogenous Testosterone Use and Risk for Primary Anterior Cruciate Ligament Rupture
Quinn M, Albright A, Lemme NJ, Testa EJ, Morrissey P, Arcand M, Daniels AH and Fadale P
In the United States, testosterone therapy has markedly increased in recent years. Currently, there is a paucity of evidence evaluating the risk of ligamentous injuries in patients taking testosterone replacement therapy (TRT).
Evaluation of an Active Rehabilitation Program With Early Weightbearing and No Immobilization After Tibial Tubercle Distalization
Rahnel T, Weitz FK, Launonen AP, Sillanpää PJ and Hyvärinen AV
Abnormal patellar height (patella alta) has been reported to be one of the main predisposing factors for recurrent patellar dislocation, and it can be surgically corrected by distalizing tibial tubercle osteotomy (DTTO). Rehabilitation after DTTO often includes limitations on weightbearing and restrictions on knee range of motion by means of bracing, increasing the risk of slow progression of the rehabilitation.
Effect of Acetabular Labral Tear Orientation on Hip Joint Kinematics: A Comparison of Radial Tears, Chondrolabral Junction Tears and Complex Tears in Cadaveric Hips
Fithian AT, Storaci HW, Chan CK, Finlay AK and Safran MR
Acetabular labral tear morphology or orientation may influence hip stability.
Evaluating the Impact of Biological Augmentation on Failure Rates and Complications in Acute Patellar Tendon Rupture Surgery Compared With Isolated Repair
Olivieri R, Laso JI, Franulic N, Muñoz JT, Ugarte J and Innocenti P
Patellar tendon ruptures are infrequent but disabling injuries. Surgical treatment is the gold standard to obtain good outcomes, and numerous techniques have been described. Biomechanical studies report better results when augmented techniques are used. However, there is a lack of consensus regarding the best standard technique.
Slovenian Translation, Cross-Cultural Adaptation, and Content Validation of the Updated Oslo Sports Trauma Research Center Questionnaire on Health Problems (OSTRC-H2)
Drole K, Steffen K and Paravlic A
The updated Oslo Sports Trauma Research Questionnaire on Health Problems (OSTRC-H2) has been translated into a limited set of languages and lacks full validation of its new measures.
Translation and Cross-cultural Adaptation of the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score Into Japanese and Comparison of Visual Analog Scale and 10-Point Scale Formats
Ishigaki T, Yokota H, Akuzawa H, Akiho-Toyoda N, Ushiro K, Ebihara Y, Tanaka S, Wada T, Jigami H, Matsumoto H, Ito Y, Kikumoto T, Matsuura Y, Hirabayashi R, Sekine C, Yamamoto N, Omori G and Edama M
The Kerlan-Jobe Orthopaedic Clinic shoulder and elbow score (KJOC) is sensitive enough to detect subtle changes in the functional level of the shoulder or elbow in overhead athletes. However, a Japanese version of the KJOC is not yet available. Moreover, the original KJOC uses a visual analog scale (VAS) assessment format that requires a print version so that users can add a check mark along a horizontal line. The KJOC can be completed using online tools such as Google Forms if a 10-point scale format can be used with comparable results.
Comparison of Elbow Flexion in Youth Baseball Pitchers With and Without Throwing-Arm Pain
Nebel AR, Fava AW, Bordelon NM and Oliver GD
More than half of all youth baseball pitchers report throwing-related pain in their throwing arm throughout a season.
Trends in Ulnar Collateral Ligament Injuries and Surgery From 2010 to 2019: An Analysis of a National Medical Claims Database
Solomito MJ, Kostyun RO, Sabitsky JT and Nissen CW
Ulnar collateral ligament (UCL) injuries have been on the rise for the past 3 decades. Current epidemiological studies on the incidence of UCL injuries have been limited to state or regional data.
Return to Activity After Patellofemoral Osteochondral Fracture: A Comparison of Metallic Screw and Bioabsorbable Fixation
Orellana KJ, Baghdadi S, Yang D, Lee J, Lawrence JT, Maguire K, Williams BA and Ganley T
Patellofemoral osteochondral fractures (OCFs) have the potential to hinder patients' function and quality of life. Several fragment fixation techniques have been described, with both metallic screw and bioabsorbable fixation showing favorable functional outcomes. Despite the promising results associated with both fixation methods, no study has directly compared their functional outcomes.
Association Between Tibiofemoral Bone Shape Features and Retears After Anterior Cruciate Ligament Reconstruction
Bailey KN, Gao KT, Halvorson RT, Oeding JF, Majumdar S, Pedoia V and Lansdown DA
A retear after anterior cruciate ligament (ACL) reconstruction remains a common and devastating complication. Knee bone morphology is associated with the risk of ACL injuries, ACL retears, and osteoarthritis, and a combination of tools that derive bone shape from clinical imaging, such as magnetic resonance imaging (MRI) and statistical shape modeling, could identify patients at risk of developing these joint conditions.
Nonoperative Management of Sublime Tubercle Fractures in Adolescent Throwing Athletes: Improved Results With Cast Immobilization
Fogleman SA, Edmonds EW, Fronek J, Leek BT, Bryan TP and Pennock AT
Avulsion fractures of the sublime tubercle of the ulna are a cause of medial elbow pain and instability in overhead athletes.
Postoperative Pain Control After ACL Reconstruction With Semitendinosus Tendon Graft: A Randomized Controlled Trial Comparing Adductor Canal Block to Local Infiltration Analgesia
Sumanont S, Jaruwanneechai K, Wittayapairoj A, Apiwatanakul P and Boonrod A
Both adductor canal block (ACB) and local infiltration (LI) are effective for postoperative pain management after arthroscopic-assisted anterior cruciate ligament (ACL) reconstruction (ACLR). While LI is a more straightforward procedure, its effectiveness remains debated.
Economic and Performance Analysis of Achilles Tendon Rupture in the National Basketball Association
Meadows K, Ye F, Qiu A, Iyawe O and Kenneth-Nwosa K
Achilles tendon ruptures are common and potentially career-ending injuries for National Basketball Association (NBA) players. Many studies have reviewed the impact of Achilles tendon ruptures on return to play (RTP) and performance, but there are no studies on their economic significance.
Alterations to the Kinetic Chain Sequence After a Shoulder Injury in Throwing Athletes
Owens LP, Coyles G and Khaiyat O
Kinetic chain (KC) sequencing is essential for efficient energy translation through the body in overhead-throwing sports. A sequencing breakdown can result in injuries to the throwing shoulder and thus the management of athlete recovery in an attempt to minimize the impact on both training and performance.
Factors Affecting Outcomes and Complications of Primary Anterior Cruciate Ligament Reconstruction: A Retrospective Study of 110 Patients
Alkhatatba M, Atallah M, Awad B, Araiqat B, Aloqaily A, Awad H, Atallah M and Ahmed M
Anterior cruciate ligament injury poses a major effect on the quality of life of patients. Anterior cruciate ligament reconstruction (ACLR) remains the mainstay of treatment.
Association of the Universal Designated Hitter Rule With Changes to Injuries in Major League Baseball Pitchers
Kholodovsky E, Luxenburg D, Hodgens B, Liebmann K and Baraga M
In 2022, Major League Baseball (MLB) implemented the universal designated hitter (DH) rule, thus allowing the pitcher to focus solely on defense while the DH, who bats for the pitcher, focuses solely on offense.
Examining the Reliability and Validity of Coding Perceived Force Severity and Bracing in the NHL Concussion Spotter Program
Riegler KE, Echemendia R, Meeuwisse W, Comper P, Hutchison MG, Delaney JS and Bruce JM
Data obtained from the National Hockey League (NHL) have shown that a risk prediction model, including both visible signs and mechanisms of injury, improves the identification of possible concussion. However, only about half of concussions diagnosed by club medical staff in the NHL exhibit visible signs. At present, the NHL concussion spotter protocol does not include central league spotters' subjective judgments of the severity of forces associated with a direct hit to the head (perceived force severity [PFS]) or whether players brace before a hit (bracing).
Postoperative Opioid Reduction Using a Multimodal Pain Protocol for Outpatient Orthopaedic Sports Medicine Surgery
Bernstein EM, Van Buren JP, Wolf KSM, Cantor AG, Wei Wu W, Bailey JR and Smith JL
Orthopaedic surgery regularly employs opioids for postoperative pain management. Multimodal pain protocols have been shown to reduce opioid prescriptions in orthopaedic surgery.