Orthopaedic journal of sports medicine
Audio Summaries

Four-Strand Short Graft Failure Loads of Half-Peroneus Longus Tendon Grafts Compared With Full Semitendinosus Tendon Grafts

Jun 23, 2026

The authors aimed to compare the load to failure of half-peroneus longus tendon (PLT) grafts with full semitendinosus tendon (STT) grafts in a short 4-strand configuration for anterior cruciate ligament (ACL) reconstruction. Their findings revealed that half-PLT grafts exhibited a significantly lower mean load to failure (964.5 N) compared to STT grafts (1291 N), suggesting that surgeons should exercise caution when using half-PLT grafts in ACL surgeries. The study supports the use of full PLT grafts as a viable alternative to STT grafts.

Reverse Microfracture for Acetabular Wave Signs: Clinical and MRI Outcomes at Minimum 2-Year Follow-up

Jun 23, 2026

The authors aimed to evaluate the clinical and imaging outcomes of reverse microfracture as a treatment for acetabular wave signs in patients with femoroacetabular impingement (FAI). Their findings indicated significant improvements in pain and function scores, with MRI results showing no additional cartilage damage post-procedure. However, the study's retrospective design and lack of a control group limit the ability to attribute these improvements solely to the reverse drilling technique.

Corrigendum to "Return to Sport Following Elbow Dislocation: A Systematic Review"

Jun 23, 2026

This corrigendum addresses errors in the previously published systematic review titled "Return to Sport Following Elbow Dislocation." The original article aimed to evaluate factors influencing the return to sports after elbow dislocation, and this correction ensures the accuracy of the findings presented.

Recovery and Return to Sport in Pediatric Osteochondral Defects of the Knee: Evaluating the Influence of Lesion Size

Jun 23, 2026

This study investigates how lesion size affects patient characteristics, treatment decisions, and recovery outcomes in pediatric patients with osteochondral defects (OCDe) of the knee. The authors hypothesized that larger lesions would lead to worse outcomes and delayed return-to-sport (RTS) compared to smaller lesions. Results indicated that while lesion size influenced surgical choices, it did not significantly affect mid-term patient-reported outcomes, although smaller lesions were associated with quicker recovery times in the absence of ligament injuries.

Females Meet Return to Sport Criteria at Lower Rates Than Males 9 Months After ACL Reconstruction

Jun 23, 2026

The authors aimed to investigate sex-based differences in return-to-sport (RTS) testing metrics following anterior cruciate ligament reconstruction (ACLR) in adolescent athletes. Their findings revealed that females met RTS criteria at significantly lower rates than males, with only 44.2% of patients passing quadriceps strength testing and 50% passing the ACL-Return to Sport after Injury scale at 9 months post-operation, suggesting that the standard RTS timeline may be inadequate for many athletes.

Midterm Quadriceps Strength Outcomes of Revision ACL Reconstructions Comparing Ipsilateral Extensor Mechanism Autografts and Hamstring Tendon Autografts

Jun 19, 2026

The authors aimed to investigate how the choice of ipsilateral autograft for revision anterior cruciate ligament reconstructions (ACLR) affects quadriceps strength symmetry recovery at six months post-surgery. Their findings indicate that patients receiving a hamstring tendon autograft exhibited significantly better quadriceps limb symmetry index (Q-LSI) compared to those receiving extensor mechanism autografts, suggesting that the type of graft used in revision ACLR plays a crucial role in strength recovery.

Morphologic Factors Associated With Secondary Anterior Cruciate Ligament Injury After Primary Anterior Cruciate Ligament Reconstruction

Jun 19, 2026

The authors aimed to investigate the relationship between lower-extremity bone morphology and the risk of ipsilateral graft rupture and contralateral ACL injury in patients who underwent primary ACL reconstruction. They found that a smaller medial tibial spinal height was significantly associated with a higher risk of graft rupture, while greater tibial torsion correlated with an increased risk of contralateral ACL injury. These findings highlight the importance of specific morphological factors in predicting secondary ACL injuries post-reconstruction.

Return to Play and Performance After Revision Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers

Jun 18, 2026

The authors aimed to evaluate the return to performance of Major League Baseball pitchers following revision ulnar collateral ligament reconstruction (rUCLR). They found that only 63% of pitchers returned to play after surgery, with a significant decline in performance metrics compared to both their pre-revision levels and those of pitchers who underwent primary UCL surgery. Overall, the study highlights the challenges faced by pitchers in regaining full performance post-rUCLR.

Medial Meniscus Root Repair Is Associated With Superior Outcomes As Compared With Partial Medial Meniscectomy at Minimum 5 Years: A Systematic Review and Meta-analysis

Jun 18, 2026

The authors aimed to compare the long-term clinical and radiographic outcomes of medial meniscus root repair (MMR) versus partial medial meniscectomy (PMM) for posterior medial meniscus root tears (PMMRTs). Their systematic review and meta-analysis of studies with over five years of follow-up revealed that MMR is associated with significantly lower failure rates, better patient-reported outcomes, and improved radiographic scores compared to PMM, suggesting that MMR offers superior long-term benefits.

Evaluation of Differences in Imaging Findings on Stress-MRI in Throwing Athletes With and Without a History of Ulnar Collateral Ligament Reconstruction

Jun 18, 2026

This study aimed to evaluate differences in imaging findings, specifically ulnohumeral joint space widening, on stress-MRI (FEVER view) between throwing athletes with and without a history of ulnar collateral ligament reconstruction (UCLR). The results indicated a significant increase in absolute joint space opening and UCL signal grade in athletes with a UCLR history, although no differences were found in relative joint space opening. The authors conclude that while some imaging differences exist, their clinical significance remains unclear and requires further investigation.