Orthopaedic journal of sports medicine
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Clinical Outcomes of Arthroscopic Bankart Repair With Remplissage Versus Bankart Repair With Remplissage and Arthroscopic Subscapularis Augmentation in Recurrent Anterior Shoulder Instability

Mar 16, 2026

The authors aimed to compare the clinical and functional outcomes of arthroscopic Bankart repair with remplissage, with or without anterior subscapularis augmentation (ASA), in patients with recurrent anterior shoulder instability and subcritical glenoid bone loss. Their findings indicate that while both surgical approaches resulted in significant improvements in clinical outcomes and low recurrence rates, the addition of ASA was associated with greater external rotation deficits. Thus, the combination of these techniques appears to be effective for managing recurrent anterior instability, especially in cases with compromised tissue quality.

Psychological Readiness in Elite Versus Nonelite Athletes After Anterior Cruciate Ligament Reconstruction

Mar 16, 2026

This study aimed to compare psychological readiness for return to play (RTP) after anterior cruciate ligament reconstruction (ACLR) between elite and nonelite athletes. While preoperative psychological readiness scores were similar, elite athletes demonstrated significantly higher scores during rehabilitation and achieved greater RTP rates at one and two years post-surgery. The findings suggest that factors such as knee function and male sex are more influential on psychological readiness than elite status alone, indicating the need for psychological interventions for all athletes post-ACLR.

No Postoperative Difference Between Bone-Block Versus All-Soft Tissue Quadriceps Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis

Mar 16, 2026

The authors aimed to determine whether there are significant differences in outcomes between quadriceps tendon autografts harvested with a patellar bone block (QTBB) versus as an all-soft tissue graft (QTST) for anterior cruciate ligament reconstruction (ACLR). Their systematic review and meta-analysis of 44 studies revealed no clinically meaningful differences in patient-reported outcomes, graft integrity, return to sports rates, or complication rates between the two graft types. Overall, the findings suggest that both graft options are comparable in the short term for primary ACLR.

A Cost-Effectiveness Analysis of the Addition of Autograft Lateral Extra-Articular Procedures to Primary Anterior Cruciate Ligament Reconstruction

Mar 16, 2026

The authors aimed to evaluate the cost-effectiveness of augmenting anterior cruciate ligament reconstruction (ACLR) with autograft lateral extra-articular procedures (LEAP). Their analysis found that while LEAP increases both the cost and operating time of ACLR, it remains cost-effective, with an incremental cost-effectiveness ratio of $25,313 per quality-adjusted life year (QALY), well below the $50,000/QALY threshold. This suggests that LEAP is a viable option for patients who qualify for such augmentation.

Contemporary Markup Trends in Orthopaedic Sports Procedures: An Analysis of 2014-2021 Medicare Data

Mar 16, 2026

The authors aimed to quantify the markup ratios (MRs) for the 15 highest-volume orthopaedic sports procedures and assess trends from 2014 to 2021, hypothesizing that these MRs would remain persistently high. Their analysis revealed that MRs for these procedures were consistently elevated, with no significant changes over the study period, despite a decline in inflation-adjusted Medicare reimbursement. This study highlights the ongoing issue of price transparency and affordability in orthopaedic sports medicine.

Side Hop Test as a Predictor of Successful Return to Sports After Nonoperative Treatment or Modified Broström Operation in Patients With Chronic Ankle Instability: Based on the Ankle-GO Score

Mar 16, 2026

The authors aimed to determine the predictive value of the Side Hop Test (SHT) and other Ankle-GO subscales for successful return to sports (RTS) in patients with chronic ankle instability (CAI) following nonoperative treatment or modified Broström operation (MBO). Their findings indicated that SHT and the Figure-of-8 Test (F8T) significantly distinguished between patients who successfully returned to their preinjury sports levels and those who did not, with SHT emerging as the strongest independent predictor of RTS in both treatment groups. These results suggest that clinicians should prioritize these assessments in rehabilitation and RTS planning for CAI patients.

Six-Month SIRSI Scores and Return to Sport After Shoulder Stabilization in Adolescent Athletes

Mar 16, 2026

This study aimed to determine the relationship between 6-month Shoulder Instability-Return to Sport After Injury (SIRSI) scores and 1-year patient-reported outcome measures (PROMs) and return-to-sport (RTS) rates in adolescent athletes following shoulder stabilization surgery. The authors found that higher 6-month SIRSI scores were positively correlated with improved 1-year PROMs and a greater likelihood of returning to sport, suggesting that psychological readiness is a significant factor in recovery outcomes. The findings advocate for the incorporation of SIRSI assessments in postoperative evaluations to better identify athletes needing additional support in their recovery journey.

Return to Play and Performance Following UCL Reconstruction and Repair in Major League Baseball Position Players

Mar 16, 2026

The authors aimed to evaluate the return to play and performance of Major League Baseball position players following ulnar collateral ligament (UCL) surgery, utilizing advanced analytics. They found that while over 80% of players returned to play within 1.5 years post-surgery, those who underwent UCL repairs returned to play faster than those who had reconstructions. However, despite returning to play, players exhibited a significant decline in overall value, suggesting that their performance metrics did not fully recover to pre-injury levels.

Defining Minimal Clinically Important Difference Thresholds for Pediatric Knee Surgeries

Mar 16, 2026

The authors aimed to establish minimal clinically important difference (MCID) thresholds for various pediatric-specific patient-reported outcome instruments following anterior cruciate ligament reconstruction (ACLR) and medial patellofemoral ligament reconstruction (MPFLR) in patients under 18 years old. They calculated MCIDs for the Hospital for Special Surgery Pediatric Functional Activity Brief Scale, Pediatric International Knee Documentation Committee, and PROMIS questionnaires, finding that negative MCIDs indicated improvements in pain and activity levels post-surgery. This study provides essential benchmarks for evaluating outcomes in pediatric knee surgeries.

Complications Leading to Reoperation After Pediatric Tibial Spine Fracture Fixation

Mar 12, 2026

The authors aimed to identify the common complications leading to reoperation after pediatric tibial spine fracture fixation and evaluate associated risk factors. They found that stiffness and anterior cruciate ligament (ACL) insufficiency were the most frequent reasons for reoperation, with screw fixation, meniscal entrapment, and longer operative times significantly increasing the risk of complications. Additionally, older patients with concomitant meniscal injuries were more likely to require delayed ACL reconstruction.