The American journal of sports medicine
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Association of Central Acetabular Osteophytes With Microinstability and Increased Combined Anteversion in Borderline Dysplasia Hips

Jun 25, 2026

This study investigates the relationship between central acetabular osteophytes (CAOs) and microinstability in hips with borderline developmental dysplasia (BDDH). The authors found that BDDH hips with CAOs exhibited higher rates of microinstability, ligamentum teres tears, and increased combined anteversion compared to those without CAOs, suggesting that CAOs may serve as a radiographic marker for instability and early osteoarthritis in this patient population.

Changes in Rate and Indications for Remplissage When Performing Arthroscopic Bankart Repair for Anterior Shoulder Instability

Jun 24, 2026

The authors aimed to investigate trends in the utilization and indications for remplissage as an adjunct to arthroscopic Bankart repair (ABR) for anterior shoulder instability from 2012 to 2024. They found that the use of remplissage increased 4.5-fold over the study period, with most patients presenting with near-track or on-track lesions, indicating a shift towards broader application of the procedure beyond traditional indications. The study highlights the need for further research to assess whether these changes in practice lead to improved patient outcomes.

Morphological Characteristics After Single Versus Recurrent Traumatic Posterior Shoulder Dislocation Events

Jun 22, 2026

The authors aimed to quantify and compare the morphological consequences of single versus recurrent traumatic posterior shoulder dislocations, specifically focusing on posterior glenoid bone loss (pGBL), glenoid version, reverse Hill-Sachs lesions, and acromial morphology. Their findings revealed that recurrent dislocations resulted in significantly greater pGBL compared to single dislocations, while no significant differences were observed in glenoid version or reverse Hill-Sachs lesion dimensions. The study highlights the importance of early recognition and intervention to prevent further bone loss in patients at risk of recurrent dislocations.

Two-Year Outcomes of the Proximal Hamstring Avulsion Rehabilitation Regimes: Longitudinal Versus Accelerated Protocol (PHARRLAP) Study: A Randomized Controlled Trial

Jun 22, 2026

The study aimed to compare the clinical outcomes, strength recovery, functional symmetry, and rates of complications and reinjuries in patients undergoing proximal hamstring repair for acute tendon avulsions, following either a conservative or accelerated rehabilitation protocol. Results indicated that both rehabilitation pathways led to significant improvements in patient-reported outcomes and strength over two years, with no major differences in functional outcomes or reinjury rates between the two groups. The accelerated rehabilitation pathway showed some subjective benefits, but the study was not sufficiently powered to draw definitive conclusions about reinjury risk.

Intraoperative Zoledronic Acid for Arthroscopic Rotator Cuff Repair Results in Distinct Circulating Micro-RNA Profiles Indicating Improved Tendon-to-Bone Healing

Jun 19, 2026

The authors aimed to investigate the effects of a single dose of zoledronic acid on circulating micro-RNA (miRNA) profiles in patients undergoing arthroscopic rotator cuff repair, particularly in relation to tendon-to-bone healing. Their findings indicate that zoledronic acid treatment is associated with distinct changes in miRNA levels that may reduce inflammation and fibrosis, enhancing collagen synthesis and vascularization at the repair site. This suggests that zoledronic acid could serve as a beneficial adjunct therapy for improving surgical outcomes in these patients.

ACL Reconstruction With Attachment-Sparing Hamstring Autograft Results in Earlier Graft Maturation and Better Short-Term Clinical Outcome in Comparison to Free Graft: A Randomized Controlled Trial

Jun 18, 2026

The authors aimed to determine whether tibial attachment-sparing hamstring grafts result in earlier graft maturation and better short-term clinical outcomes compared to free hamstring grafts in anterior cruciate ligament reconstruction (ACLR). Their randomized controlled trial found that the attachment-sparing technique led to significantly earlier graft maturation and improved clinical scores, suggesting it may be a superior option for ACLR.

Treatment of Patients With Femoroacetabular Impingement Syndrome Using a Pelvic Tilt-Focused Exercise Program: A Prospective Cohort

Jun 18, 2026

The authors aimed to evaluate the effectiveness of a pelvic tilt-focused exercise program, called HipFit10, for the nonoperative management of patients with femoroacetabular impingement syndrome (FAIS). The study found that 78% of participants were able to avoid surgery after completing the program, with significant improvements in hip function and pain reported over six months. These results suggest that the HipFit10 program is a safe and effective alternative to surgical intervention for patients with FAIS.

Impact of the Posterior Tibial Slope on Medial Meniscus Posterior Root Tear Healing Based on Second-Look Arthroscopy

Jun 15, 2026

This study investigates the impact of posterior tibial slope (PTS) on the healing outcomes of repaired medial meniscus posterior roots, hypothesizing that a steeper PTS is linked to poorer healing. The findings reveal that patients with a PTS of 8.3° or greater exhibited significantly compromised healing status, suggesting that increased PTS may lead to lax healing and potential meniscal extrusion post-repair. Thus, the authors conclude that a higher PTS could negatively influence postoperative healing and clinical outcomes in these patients.

Partial Tenotomy and Reattachment for Chronic Proximal Hamstring Tendinopathy: Functional Outcomes, Return to Sport, and Patient Satisfaction

Jun 12, 2026

The authors aimed to evaluate the functional outcomes, return-to-sport rates, and complication profiles of patients undergoing partial tenotomy and reattachment for chronic proximal hamstring tendinopathy (PHT). The study found significant improvements in functional scores, with 76.9% of patients returning to sport and high levels of patient satisfaction, indicating that this surgical intervention is effective for managing chronic PHT.

Revascularization of Transcortical Vessels Improves Tendon-to-Bone Healing for Rotator Cuff Repair

Jun 10, 2026

The authors investigate the role of transcortical vessels (TCVs) in enhancing tendon-to-bone healing during rotator cuff repair (RCR), specifically examining how TCV-mediated revascularization can be influenced by different interventions. They find that both cortical bone freshening and D-sphingosine treatment promote TCV formation, reduce oxidative stress, and improve healing outcomes, suggesting that revascularization therapies may significantly enhance RCR effectiveness.