Editorial Material
Orthopedics
Thomas Tampere, Pieter D'Hooghe
Summary: Recent literature has seen a rise in interest in high ankle sprains, with new evidence pointing to similarities between the distal tibiofibular syndesmosis and the anterior cruciate ligament in the knee. This raises questions about whether these injuries are identical entities, part of a continuum, or separate injuries, and calls for further investigation into mechanisms of injury, diagnostics, treatment, and outcomes.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Review
Orthopedics
Allison K. Perry, Derrick M. Knapik, Bhargavi Maheshwer, Evan M. Polce, Alexander J. Hodakowski, Garrett Jackson, Safa Gursoy, Jorge Chahla
Summary: A systematic review indicates that lateral meniscus posterior root (LMPR) repair with concomitant anterior cruciate ligament reconstruction (ACLR) can improve biomechanical and clinical outcomes. Biomechanical studies showed that transtibial pullout repair significantly restored joint contact pressures and mechanics and improved anterior or rotational stability. Clinical studies demonstrated improved Lysholm and IKDC scores postoperatively, with decreased meniscal extrusion following repair.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Helder Pereira, Ibrahim Fatih Cengiz, Joana Silva-Correia, Joaquim M. Oliveira, Jose C. Vasconcelos, Sergio Gomes, Pedro L. Ripoll, Jon Karlsson, Rui L. Reis, Joao Espregueira-Mendes
Summary: The study evaluated the clinical outcomes of a one-step procedure combining ACL reconstruction and partial meniscus replacement using a polyurethane scaffold in symptomatic patients with previously failed ACL reconstruction and partial medial meniscectomy. Clinical assessment showed improvement at 2- and 5-year follow-ups, but MRI evaluation suggested inconsistent integration of the scaffold.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Philipp Forkel, Jonas Noack, Maximilian Hinz, Andreas B. Imhoff, Klaus Woertler, Matthias J. Feucht
Summary: The study aimed to evaluate the clinical and radiological outcome of posterior lateral meniscus root (PLMR) repair accompanying anterior cruciate ligament (ACL) reconstruction. The results showed high healing rates of PLMR repair and no significant increase in coronal meniscal extrusion following the repair. The healing status of PLMR showed no significant association with meniscal extrusion or patient-reported outcome measures (PROMs), but a greater increase in coronal meniscal extrusion negatively affected the clinical results.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Neurosciences
Andreas Stotz, Cornelius John, Julian Gmachowski, Anna Lina Rahlf, Daniel Hamacher, Karsten Hollander, Astrid Zech
Summary: Elastic ankle support reduces the range of sagittal plane running ankle kinematics in individuals with chronic ankle instability but not in healthy controls. The study suggests that the use of ankle support may help reduce the risk of injuries in individuals with CAI.
Article
Orthopedics
Rebecca J. Spatholt, Chelsea E. Minoughan, Cynthia Gooch, Samuel P. Harms, Michal L. Taylor, Marc T. Galloway, Jason T. Shearn
Summary: Our current understanding of knee mechanics and ACL function is limited to data recorded during simulations or nonphysiologic loads. This study quantified the effects of activity level on knee mechanics and ACL forces during in vivo motions, providing valuable information for ACL reconstruction techniques.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Marcello Zappia, Luca Maria Sconfienza, Salvatore Guarino, Michele Tumminello, Germano Iannella, Pier Paolo Mariani
Summary: The study evaluated the diagnostic performance of MR in detecting meniscal ramp area lesions, showing that MR has high diagnostic accuracy in identifying ramp lesions with substantial inter-reader agreement among radiologists.
Article
Engineering, Biomedical
Kimmery G. Migel, Erik A. Wikstrom
Summary: Vibration feedback gait retraining reduces inversion and adduction during loading response for people with chronic ankle instability. Real-world training may have more beneficial frontal plane changes compared to lab training for individuals with chronic ankle instability.
CLINICAL BIOMECHANICS
(2021)
Article
Biotechnology & Applied Microbiology
Adam J. Yoder, Anthony J. Petrella, Shawn Farrokhi
Summary: This study developed a probabilistic simulation model to accelerate innovation in ankle sprain prevention by simulating ankle sprains during single-limb drop landing. The model identified parameters that strongly influenced predictions, providing insights for research and prevention of ankle sprains.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2021)
Article
Orthopedics
Thomas Bestwick-Stevenson, Laura A. Wyatt, Debbie Palmer, Angela Ching, Robert Kerslake, Frank Coffey, Mark E. Batt, Brigitte E. Scammell
Summary: Ankle sprains are common injuries that may be related to ankle osteoarthritis. This study aims to identify risk factors for ankle ligament injuries, investigate why individuals may develop osteoarthritis, and explore factors influencing this chance.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Review
Medicine, General & Internal
Diego Gaddi, Angelo Mosca, Massimiliano Piatti, Daniele Munegato, Marcello Catalano, Giorgia Di Lorenzo, Marco Turati, Nicolo Zanchi, Daniele Piscitelli, Kevin Chui, Giovanni Zatti, Marco Bigoni
Summary: This study conducted an umbrella review to identify the most effective evidence-based treatments for ankle sprains. The findings suggest that non-surgical treatment, functional treatment, and alternative medications are effective in managing acute ankle sprains.
FRONTIERS IN MEDICINE
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Atul K. Taneja, Frederico C. Miranda, Laercio A. Rosemberg, Durval C. B. Santos
Summary: This review aims to describe the anatomy and lesions affecting the peripheral portion of the posterior horn of the medial meniscus, known as ramp lesions, with illustrations and MRI cases. It also discusses the correlation between imaging features and arthroscopic classification of ramp lesions, as well as postoperative and chronic changes related to meniscocapsular tears, biomechanical consequences, and treatment approach.
INSIGHTS INTO IMAGING
(2021)
Article
Sport Sciences
Eamonn Delahunt, Garreth Farrell, Andrew Boylan, Fearghal Kerin, Peter Tierney, Hugh Hogan, Colin Boreham
Summary: This study investigated the mechanisms of acute ankle syndesmosis ligament injuries in male professional rugby union players. Thirteen injuries were analyzed, with the most common biomechanical presentation characterized by specific movements of the hip, knee, ankle, and foot. The majority of injuries occurred due to external load application or a collapse of the player's body mass over the injured ankle joint during tackles.
BRITISH JOURNAL OF SPORTS MEDICINE
(2021)
Article
Biotechnology & Applied Microbiology
Ning Yu
Summary: This article examines the impact of proprioceptive training of ankle joints on preventing ankle injuries in martial arts athletes. The experimental results demonstrate that ankle proprioceptive training can improve the balance ability of martial arts athletes and effectively prevent ankle injuries.
BIOMED RESEARCH INTERNATIONAL
(2022)
Article
Sport Sciences
K. Y. E. O. N. G. T. A. K. SONG, B. R. I. A. N. PIETROSIMONE, J. T. R. O. Y. BLACKBURN, D. A. R. I. N. A. PADUA, J. O. S. H. U. A. N. TENNANT, E. R. I. K. A. WIKSTROM
Summary: This study found that talar cartilage deformation was more significant in CAI patients compared to healthy individuals after standing and hopping loading, and CAI group had greater deformation relative to the control group. Additionally, our results demonstrate that static loading results in greater cartilage deformation compared with dynamic loading for both groups.
MEDICINE & SCIENCE IN SPORTS & EXERCISE
(2021)
Article
Orthopedics
Richard Ma, Michael Schaer, Tina Chen, Joseph Nguyen, Clifford Voigt, Xiang-Hua Deng, Scott A. Rodeo
Summary: The study aimed to investigate the effect of static mechanical tension on ACL graft healing at the time of surgery. Different levels of graft pretension were found to influence the load-to-failure and stiffness properties of the graft-tunnel healing, with moderate tension at 5N showing the best healing outcomes. High graft tension, particularly at 10N, was detrimental to both graft-tunnel healing and articular joint surfaces.
JOURNAL OF KNEE SURGERY
(2021)
Article
Orthopedics
Dean Wang, Danyal H. Nawabi, Aaron J. Krych, Kristofer J. Jones, Joseph Nguyen, Ameer M. Elbuluk, Nadja A. Farshad-Amacker, Hollis G. Potter, Riley J. Williams
Summary: In this nonrandomized, retrospective comparison study, activity level and MRI appearance following treatment of cartilage lesions with the biphasic synthetic scaffold were superior to microfracture over time.
Article
Orthopedics
Claire Isabelle Verret, Joseph Nguyen, Carolyne Verret, Todd J. Albert, Duretti T. Fufa
Summary: Higher levels of burnout were found among orthopaedic residents compared to attending surgeons and fellows. Strong distinct correlations between emotional exhaustion, depersonalization, and areas of work life were detected across stages of orthopaedic career. Burnout was most strongly associated with workload and job control in orthopaedic residents and attending surgeons, and with fairness and community in orthopaedic fellows.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2021)
Article
Education, Scientific Disciplines
Jacqueline M. Brady, Derek Smith, Trevor Barronian, David Jenkins, Joseph T. Nguyen, Andrea Herzka, Darin Friess
Summary: A study evaluated the utility of a novel Orthopaedic Intern Skills Assessment (OISA) and found that postinterns had significantly higher skill completion rates compared to preinterns and medical students. This indicates that postinterns had reached the expected basic orthopedic skill level.
JOURNAL OF SURGICAL EDUCATION
(2021)
Article
Orthopedics
Colin Y. L. Woon, Joseph Nguyen, Milan Kapadia, Celeste A. Russell, Michael Henry, Andy Miller, Geoffrey Westrich
Summary: The study investigated the use of antibiotic cement spacers in two-stage exchange arthroplasty for periprosthetic joint infection after total knee arthroplasty. Among different types of spacers, new components (NEW) demonstrated higher post-reimplantation prosthesis (PRP) survival and longer inter-stage intervals compared to other spacers. Surgeons with different volumes tended to choose different spacers, with lower volume surgeons favoring cement-based spacers and higher volume surgeons preferring autoclaved components.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Theodore T. Miller, Gabrielle P. Konin, Joseph T. Nguyen, Shefali Kothary, Ogonna K. Nwawka, Yoshimi Endo, Gregory R. Saboeiro
Summary: The medial approach for sonographic evaluation of the distal biceps brachii tendon is preferred by readers and reproducible between different operators. It provides better visualization of the tendon's echogenicity, length, and insertion compared to other approaches.
SKELETAL RADIOLOGY
(2021)
Article
Orthopedics
Aleksey Dvorzhinskiy, Elizabeth B. Gausden, Ashley E. Levack, Benedict U. Nwachukwu, Joseph Nguyen, Naomi E. Gadinsky, David S. Wellman, Dean G. Lorich
Summary: The study validates the use of PROMIS CATs in hip fracture patients, with PROMIS PF showing significant correlations with SF-36 PCS and mHHS while requiring fewer question items compared to legacy outcome measures.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Orthopedics
J. F. Kubik, N. C. Rollick, J. Bear, O. Diamond, J. T. Nguyen, L. J. Kleeblad, D. S. Wellman, D. L. Helfet
Summary: This study found that 35% of native, uninjured ankles would be classified as malreduced by current diagnostic standards on bilateral CT, and 89% had an asymmetric incisura on unilateral CT. Current radiological parameters are insufficient to differentiate mild inherent anatomical asymmetry from malreduction of the syndesmosis.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Meghan E. Bishop, Gabriella E. Ode, Daniel J. Hurwit, Stephan Zmugg, Ryan C. Rauck, Joseph T. Nguyen, Anil S. Ranawat
Summary: The study aimed to evaluate the construct validity and reliability of a hip arthroscopy virtual simulator using the ASSET global rating scale. Results showed good validity and reliability in simulator metrics and ASSET score, suggesting a comprehensive performance assessment on hip arthroscopy simulation when using both measures.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)
Article
Orthopedics
Ajay Premkumar, Sita Nirupama Nishtala, Joseph T. Nguyen, Mathias P. G. Bostrom, Alberto Carli
Summary: The study found that povidone-iodine 10% and a 1:1 solution of povidone-iodine 10% and 4% hydrogen peroxide were the only effective solutions against biofilm across all three surfaces and time points. Saline, vancomycin, and polymyxin-bacitracin were ineffective compared to other solutions for dispersing MSSA biofilm. Furthermore, the efficacy of commercial antibacterial solutions varied significantly, with a global decrease in efficacy as biofilm maturity increased.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Yannick L. Goeb, Ethan C. Krell, Joseph T. Nguyen, Kaitlin M. Carroll, Seth A. Jerabek, David J. Mayman, Peter K. Sculco, Mark P. Figgie
Summary: Recent data suggest that a modified set of precautions after total hip arthroplasty can lead to faster recovery and wrist-based activity trackers provide valuable information on postoperative activity levels.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Clinical Neurology
Sean C. Rose, Keith Owen Yeates, Joseph T. Nguyen, Patrick M. Ercole, Natalie M. Pizzimenti, Matthew T. McCarthy
Summary: This study aimed to investigate the relationship between repetitive subconcussive head impacts and neurobehavioral outcomes in youth tackle football players. While high-intensity hits predicted worse social adjustment, cumulative head impacts did not predict changes in outcome measures. History of ADHD, anxiety, and depression were significant predictors for self-reported symptoms and social adjustment, independent of head impacts. When players were divided into 3 groups based on cumulative impact, differences in outcome measures were seen before the start of the first season and did not change over the course of 3 seasons.
JOURNAL OF CHILD NEUROLOGY
(2021)
Article
Orthopedics
Robert C. Spang, Amirhossein Jahandar, Kathleen N. Meyers, Joseph T. Nguyen, Suzanne A. Maher, Sabrina M. Strickland
Summary: The study found that severely dysplastic patellofemoral joints did not result in significantly increased contact forces and abnormal kinematics in a cadaveric simulation. Instead, a pronounced lateral shift in contact forces across the lateral patellar facet was observed in severely dysplastic knees.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Joseph N. Liu, Anirudh K. Gowd, Michael E. Steinhaus, Brenda Chang, Joseph Nguyen, Lawrence Gulotta
Summary: Preoperative patient-reported outcome measures have an impact on outcomes after total shoulder arthroplasty, with preoperative ASES scores being more predictive of achieving substantial clinical benefit. Considering mental and emotional health of patients can improve the accuracy of predicting postoperative results.
Article
Orthopedics
Ethan Krell, Amethia Joseph, Joseph Nguyen, Alejandro Gonzalez Della Valle
Summary: This study assessed the impact of minimal changes in liner thickness on soft tissue tension and patient reported outcomes following total knee arthroplasty. Results showed clinically meaningful differences favoring the control group at four months post-operatively, but no significant differences at 12 months.
INTERNATIONAL ORTHOPAEDICS
(2021)