The American journal of sports medicine
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Indications for Isolated Arthroscopic Bankart Repair in the Adolescent Shoulder May Be Limited: Bipolar Bone Loss and Low Distance to Dislocation Found Commonly in an Adolescent Population With Glenohumeral Instability

Sep 22, 2026

This study aimed to evaluate the prevalence of bone loss and its correlation with various factors in adolescent patients presenting with anterior shoulder instability. The findings revealed that 34.3% of the adolescents had bipolar bone loss, with male sex and a history of five or more dislocations identified as independent predictors. The high prevalence of off-track lesions and short distance to dislocation suggests that isolated arthroscopic Bankart repair may not be adequate for many adolescents with this condition.

Autologous Platelet-Rich Plasma-Enriched Chondral Matrix Implantation Improves Cartilage Repair in an Ovine Model: A Magnetic Resonance Assessment Using the MOCART 2.0 Scoring System

Sep 22, 2026

The authors aimed to evaluate the effectiveness of autologous chondral platelet-rich plasma matrix implantation (PACI) in enhancing cartilage repair in an ovine model, using magnetic resonance imaging and the MOCART 2.0 scoring system. The results indicated that PACI treatment significantly improved cartilage repair compared to control treatments, demonstrating better defect filling, integration with surrounding cartilage, and overall structural quality. These findings suggest that PACI combined with plasma rich in growth factors could be a promising approach for treating focal cartilage defects in active patients.

Lateral Tibial Posterior Slope Induces Anterior Tibial Translation While Lateral-Medial Slope Difference Induces Internal Rotation: A Cadaveric Biomechanical Study

Sep 22, 2026

This study aimed to investigate how changes in medial and lateral posterior tibial slope (PTS) affect anterior tibial translation (ATT) and internal rotation (IR) during axial loading. The findings revealed that an increase in lateral PTS significantly increased ATT, while the difference between medial and lateral PTS (delta PTS) was the primary factor influencing IR. These insights could inform surgical approaches to optimize tibiofemoral kinematics in ACL injury and reconstruction.

Periacetabular Osteotomy and Combined Open Femoral Head-Neck Junction Osteochondroplasty: A Concise Follow-up of a Previous Report at a Mean 10-Year Follow-up

Sep 21, 2026

The authors aimed to compare the long-term outcomes, reoperation rates, and survivorship of periacetabular osteotomy (PAO) with and without concurrent open femoral head-neck junction osteochondroplasty (OCP) in patients with hip dysplasia. Their findings indicate that while both procedures resulted in similar clinical improvements after a mean follow-up of 10 years, the PAO-only group experienced significantly higher reoperation rates due to residual impingement, suggesting that adding OCP may reduce the need for secondary interventions without compromising overall outcomes. Further research is recommended to explore the long-term effects of residual impingement on joint health following PAO.

Labral Repair With Concomitant Endoscopic Gluteus Medius and/or Minimus Repair: Outcomes at a Minimum 5-Year Follow-up Relative to a Propensity Score-Matched Control Group

Sep 16, 2026

The authors aimed to compare patient-reported outcomes (PROs), clinically significant outcomes, and reoperation-free survival between patients undergoing concomitant endoscopic gluteus medius/minimus repair and arthroscopic labral repair versus those receiving isolated labral repair. Their findings indicate that both groups experienced significant improvements in PROs over a minimum five-year follow-up, with no significant differences in outcomes or reoperation rates, suggesting that managing abductor abnormalities alongside labral repair does not compromise patient outcomes.

More Horizontal ACL Posterolateral Bundle Position in Osteochondritis Dissecans of the Lateral Femoral Condyle

Sep 16, 2026

The authors investigate whether there is a correlation between the position of the anterior cruciate ligament's (ACL) posterolateral (PL) bundle and the occurrence of osteochondritis dissecans (OCD) of the lateral femoral condyle (LFC). Their findings reveal that patients with LFC OCD exhibit a more horizontal position of the PL bundle compared to control groups, suggesting that this anatomical variation may serve as a predictive factor for the healing of LFC OCD. Further research is warranted to explore the implications of this association.

Outcomes and Return-to-Sport Rates of Competitive Athletes Treated for Femoroacetabular Impingement Syndrome With Contemporary Hip Arthroscopy Techniques: A Matched Comparison to Early Techniques

Sep 16, 2026

The authors aimed to compare patient-reported outcomes (PROs) and return-to-sport (RTS) rates between athletes treated for femoroacetabular impingement syndrome (FAIS) using contemporary hip arthroscopy techniques versus early techniques. The study found that athletes in the contemporary cohort experienced significantly greater improvements in PROs and a higher RTS rate (97.6% vs. 81.0%) compared to those treated with early techniques. Overall, contemporary techniques yielded better clinical outcomes for athletes undergoing hip arthroscopy for FAIS and labral tears.

Association of Slope-Reducing Osteotomy With Return to Preinjury Level of Sport After Failed Anterior Cruciate Ligament Reconstruction in Elite Athletes

Sep 12, 2026

The authors aimed to determine whether combining slope-reducing osteotomy (SRO) with revision anterior cruciate ligament reconstruction (ACLR) could facilitate a return to preinjury levels of sport in elite athletes with increased posterior tibial slope (PTS). The study found that all 19 included athletes successfully returned to competition within an average of 12.1 months, demonstrating significant improvements in clinical and functional outcomes without major complications. These findings suggest that this combined surgical approach is both safe and effective for this patient population.

Patella Alta and Trochlear Dysplasia as a Determinant of Patellar Tendon Lateralization and Inclination: A Cross-sectional MRI Study in Adolescents With Patellofemoral Instability

Sep 10, 2026

This study aims to define and validate a new MRI-based parameter, the patellar tendon inclination angle (PTIA), and compare its effectiveness with the patellar tendon-lateral trochlear ridge distance (PT-LTR) in assessing patellofemoral instability (PFI) in adolescents. The authors found that both PT-LTR and PTIA are reliable markers for PFI, correlating with established risk factors such as patella alta and trochlear dysplasia, and demonstrating strong diagnostic accuracy even when traditional measurements are normal.

Psychiatric Comorbidity Is Associated With Increased Failure Rates and Inferior Clinical Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome at a Minimum 10-Year Follow-up

Sep 9, 2026

The authors aimed to investigate the impact of preoperative psychiatric comorbidity on clinical outcomes following hip arthroscopy for femoroacetabular impingement syndrome (FAIS) over a minimum 10-year follow-up. Their findings revealed that patients with psychiatric comorbidity had significantly higher failure rates, reduced long-term survivorship, and lower patient-reported outcome measures compared to those without such comorbidities. This study highlights the importance of considering psychiatric health in the management and prognosis of patients undergoing hip arthroscopy.