Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Audio Summaries

Editorial Commentary: If You're Performing Superior Capsule Reconstruction With Human Dermal Allograft, Prepare a Thick Graft

May 10, 2026

This editorial commentary addresses the question of whether superior capsule reconstruction using human dermal allograft remains a viable treatment for massive irreparable rotator cuff tears, despite previous declines in enthusiasm due to inconsistent outcomes and high failure rates. The author suggests that utilizing a double-thickness folded graft may enhance the success of this procedure, indicating a potential pathway for improving clinical results and broader acceptance in orthopedic practice.

Editorial Commentary: Is Biceps Smash in Rotator Cuff Repair Augmentation a Smash Hit? Well, Maybe…

May 10, 2026

This editorial commentary discusses the potential of the biceps smash technique as an autograft method for augmenting rotator cuff repairs, highlighting its advantages such as low cost and lack of antigenicity. The author emphasizes the need for high-level clinical studies to validate the effectiveness of this technique in clinical practice.

Editorial Commentary: Lumbar Pathology Likely Negatively Affects Surgical Outcomes in Patients With Femoroacetabular Impingement Syndrome, Though the Strength of the Relationship is Unclear

May 10, 2026

This editorial commentary explores the impact of concomitant lumbar pathology on surgical outcomes for patients with femoroacetabular impingement syndrome undergoing hip arthroscopy with labral repair. While evidence suggests that lumbar pathology may negatively affect these outcomes, the extent of this relationship remains unclear; nonetheless, patients with both conditions can still experience significant improvement post-surgery, albeit less than those without lumbar issues. The authors advocate for surgery in appropriately indicated cases, emphasizing the need for realistic expectations regarding recovery.

In Vivo 3-Dimensional Glenohumeral Joint Geometry Based Upon Magnetic Resonance Imaging and Computed Tomography Analysis Shows Deeper, Thicker, and Taller Glenoid Labrum Morphology at 12 O'Clock Position in Healthy Young Adults

May 10, 2026

The authors aimed to investigate the morphology of the glenoid labrum in healthy young adults, focusing on location- and sex-specific differences and their effects on the glenohumeral joint's depth and radius of curvature. Their findings revealed that the labrum at the 12 o'clock position is significantly deeper, thicker, and taller than at other locations, contributing substantially to glenoid depth and joint congruence, with no notable differences between sexes. This enhanced understanding of labrum morphology may inform surgical practices and the design of shoulder replacements.

Superior Capsule Reconstruction With Thicker Human Dermal Allograft Leads to Lower Lateral-Sided Graft Tears and Better Functional Outcomes

May 10, 2026

The authors aimed to compare the clinical outcomes and graft integrity of superior capsule reconstruction using 3 mm versus 6 mm human dermal allografts. Their findings indicate that the 6 mm graft resulted in significantly lower rates of lateral-sided graft tears and improved functional outcomes, as measured by various clinical scores. This suggests that thicker grafts may provide superior stability and effectiveness in surgical repairs.

Generative Artificial Intelligence Considerations Beyond Natural Language Processing: Computer Vision Applications in Health Care

May 10, 2026

The authors explore how generative artificial intelligence (AI) techniques, particularly in computer vision, can enhance medical image reconstruction and improve healthcare applications beyond natural language processing. They highlight the potential benefits of these technologies, such as better image quality and surgical planning, while emphasizing the need for governance and ethical frameworks to ensure responsible use. The paper ultimately addresses the question of how generative AI can be effectively and ethically integrated into healthcare practices.

Establishing a Sustainable Artificial Intelligence Infrastructure for Health Care Systems Part II: Consideration of Key Regulatory and Bioethical Barriers to Implementation

May 8, 2026

The authors aim to identify the key regulatory and bioethical barriers to implementing a sustainable artificial intelligence (AI) infrastructure in healthcare systems. They emphasize the need for structured governance, compliance with regulations, and addressing challenges such as user acceptance and integration into existing workflows to ensure responsible and effective use of AI in improving healthcare quality and value.

Arthroscopic Treatment Shows Noninferior Outcomes to Open Treatment for Native Glenohumeral Septic Arthritis: A Systematic Review

May 8, 2026

The authors aimed to evaluate the efficacy of arthroscopic treatment compared to open treatment for native glenohumeral septic arthritis, specifically examining reinfection rates and postoperative functional outcomes. Their systematic review of nine studies involving over 10,000 patients revealed mixed results, with significant variability in reinfection rates and complications between the two treatment methods, ultimately preventing definitive conclusions about which approach is superior.

Large to Massive Rotator Cuff Tears With Only Partial Repair Possible Treated With Human Dermal Allograft Results in Lower Retear Rates and Improved Function Compared With Matched Group Without Augmentation

May 8, 2026

The authors aimed to evaluate the clinical and radiologic outcomes of incomplete rotator cuff repairs with and without the use of human dermal allograft patches in patients with large to massive tears. Their findings indicate that patch augmentation resulted in significantly lower retear rates and improved clinical outcomes compared to incomplete repair alone, suggesting that the use of allografts may enhance recovery in such cases.

Hip Arthroscopy in Femoroacetabular Impingement Syndrome With Versus Without Low Back Pain and Lumbar Spine Pathology Shows Comparable Outcomes at Minimum 5-Year Follow-Up

May 6, 2026

The study aimed to evaluate the patient-reported outcomes of hip arthroscopy in patients with femoroacetabular impingement syndrome, comparing those with and without low back pain and lumbar spine pathology over a minimum of five years. The findings revealed no significant differences in postoperative outcomes, satisfaction, or reoperation rates between the groups, indicating that patients with concomitant low back issues can expect similar results to those with isolated hip conditions. Additionally, the prevalence of low back pain and lumbar spine pathology in the cohort was found to be 28.9% and 11.5%, respectively.