Orthopaedic journal of sports medicine
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Modified Postoperative Rehabilitation Including Dynamic Posterior Cruciate Ligament Brace to Reduce Recurrence of Posterior Tibial Translation After Posterior Cruciate Ligament Reconstruction: A Retrospective Comparative Cohort Study

Aug 9, 2026

This study aimed to evaluate the effectiveness of a modified rehabilitation (MR) protocol, which includes a dynamic posterior cruciate ligament (PCL) brace, compared to conventional rehabilitation (CR) in reducing posterior tibial translation (PTT) after double-bundle PCL reconstruction. The results indicated that the MR group experienced significantly lower PTT values at multiple postoperative time points and a tendency for improved patient-reported outcomes, suggesting that the MR approach may better protect the graft and enhance recovery without increasing complications.

Association of Mental Health, Quality of Life, and Sport Specialization Using the Wisconsin Sport Specialization Questionnaire Among Adolescent Athletes

Aug 9, 2026

The authors aimed to investigate the relationship between sport specialization, as measured by the Wisconsin Sport Specialization Questionnaire (WISSQ), and mental health and quality of life outcomes among uninjured adolescent athletes. Their findings revealed that higher levels of sport specialization were associated with increased depressive symptoms and pain interference, particularly among older adolescents, suggesting that specialized athletes may be at greater risk for mental health issues and could benefit from targeted screening.

Prevalence of Capitellar Osteochondritis Dissecans and Medial Epicondylar Abnormalities in Female Youth Baseball Players: A Large-Scale Ultrasonographic Screening Study

Aug 9, 2026

The authors aimed to determine the prevalence of capitellar osteochondritis dissecans (OCD) and medial epicondylar abnormalities in female youth baseball players, using a large-scale ultrasonographic screening study. They found that while capitellar OCD was less common in females compared to males, medial epicondylar abnormalities were present, particularly among pitchers and catchers, highlighting the need for routine screening and workload management for female athletes.

Comparison of Patellofemoral Degeneration After Three Types of High Tibial Osteotomy: Retrotuberosity Biplane Open-Wedge, Supratuberosity Biplane Open-Wedge, and Closed-Wedge Techniques

Aug 9, 2026

The authors aimed to compare the effects of three types of high tibial osteotomy—retrotuberosity biplane open-wedge (RTOWHTO), supratuberosity biplane open-wedge (STOWHTO), and closed-wedge (CWHTO)—on patellofemoral cartilage degeneration and related parameters. The study found that RTOWHTO had a significantly lower prevalence of femoral trochlear cartilage degeneration and less lateral patellar translation compared to STOWHTO, while also showing less reduction in patellar height than both STOWHTO and CWHTO. These results suggest that RTOWHTO may lead to more favorable outcomes for the patellofemoral joint.

The Impact of Preoperative Anxiety on the Incidence of Arthrogenic Muscle Inhibition After Anterior Cruciate Ligament Reconstruction

Aug 9, 2026

This study aimed to evaluate the impact of preoperative anxiety on the incidence of arthrogenic muscle inhibition (AMI) 21 days after anterior cruciate ligament (ACL) reconstruction. The findings revealed that patients with high preoperative anxiety had a significantly higher rate of AMI compared to those with lower anxiety levels, suggesting that assessing anxiety preoperatively could inform targeted interventions to improve recovery outcomes.

Litigation Against Physicians Caring for Collegiate Athletes in the United States

Aug 9, 2026

The authors aimed to characterize negligence claims against physicians caring for collegiate athletes and assess trends in allegations and outcomes over time. Their findings indicate a rising number of litigation cases, predominantly involving male team physicians, with common allegations including improper treatment and negligent medical clearance. Despite a majority of cases favoring the defense, those that resulted in plaintiff victories carried significant financial implications, underscoring the need for careful medical practices in this high-stakes environment.

Differential Quadriceps Muscle Activation Preoperatively and at the Time of Return to Sport After Medial Patellofemoral Ligament Reconstruction

Aug 8, 2026

The authors aimed to investigate limb-to-limb asymmetries in quadriceps muscle activation in adolescents with patellofemoral instability, both preoperatively and at the time of return to sport after medial patellofemoral ligament reconstruction. The study found significant reductions in muscle activity, specifically a 40% decrease in rectus femoris activity preoperatively and a 73% decrease in vastus medialis activity at return to sport, suggesting ongoing muscle imbalances that may require targeted rehabilitation strategies.

Prevalence and Incidence of Isthmic Spondylolisthesis in Children and Adolescents: A Systematic Review

Aug 8, 2026

The authors aimed to systematically review the prevalence and incidence of radiologically confirmed isthmic spondylolisthesis in children and adolescents, particularly in relation to age, organized sports participation, and low back pain. They found a pooled prevalence of 3.4%, with higher rates among those involved in organized sports and experiencing low back pain, while emphasizing the need for standardized longitudinal studies to better understand the condition's incidence and underlying mechanisms.

Complications Related to Arthroscopic Isolated Posterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of 4162 Patients

Aug 8, 2026

The authors aimed to characterize the complication profile associated with isolated arthroscopic posterior cruciate ligament reconstruction (PCLR) by conducting a systematic review and meta-analysis of 65 studies involving 4162 patients. They found an overall complication rate of 14.8%, with the most common issues being persistent pain, residual posterior laxity, and arthrofibrosis, while major complications were rare. Additionally, no significant differences in complication rates were observed based on the type of reconstruction (single vs. double bundle) or graft selection (autograft vs. allograft).

How to Manage the Spinoglenoid Notch Cyst: A Systematic Review and Meta-analysis

Aug 6, 2026

The authors aimed to evaluate the optimal management strategies for spinoglenoid notch cysts, comparing outcomes of various operative approaches. Their systematic review and meta-analysis of 32 studies found that arthroscopic decompression with labral repair resulted in the lowest recurrence rates and favorable patient outcomes, while both arthroscopic and open techniques provided effective pain relief and functional recovery. The study suggests that for nonloculated cysts, arthroscopic methods are preferable, whereas larger or loculated cysts may require open decompression.