Anterior cruciate ligament (ACL) graft failure from rupture, attenuation, or malposition may cause recurrent subjective instability and objective laxity, occurs in 3% to 22% of ACL reconstruction (ACLr) procedures. Revision ACLr is often indicated restore knee stability, improve function, facilitate return cutting pivoting activities. Prior reconstruction, a thorough clinical diagnostic evaluation required identify factors that have predisposed an individual injury, appreciate concurrent...

Background: Addressing patella alta often involves a distalization of the tibial tubercle with an osteotomy. Yet such osteotomies have several potential complications, including nonunion, fracture, and hardware irritation. In addition, are contraindicated in children because presence open apophysis. Purpose/Hypothesis: The primary aim this study was to quantify change Caton-Deschamps Index (CDI) maximum patellar tendon elongation achieved cyclic loading novel transection-free imbrication...

Introduction: Aspiration of a posttraumatic hemarthrosis has been postulated to improve pain and reduce the burden proinflammatory cytokines chemokines that accumulate in aftermath an acute anterior cruciate ligament injury. However, clinical implications routine aspiration have not fully investigated. The purpose this study was determine effect preoperative on (1) development arthrofibrosis (2) overall revision surgery rate following ACL reconstruction (ACLr). Methods: population interest...

Social determinants of health (SDOH) contribute to delays in access care and inferior outcomes following anterior cruciate ligament (ACL) reconstruction. The interplay between multiple SDOH factors has not been investigated children adolescents during rehabilitation. To assess the relationships variables, including demographics, singular surrogate indicators multivariate indices, quadriceps strength recovery at time return-to-play testing pediatric ACL Retrospective Cross-Sectional Study....

Dislocation of the native knee represents a challenging injury, further complicated by high rate concurrent injury to common peroneal nerve (CPN). Initial management this requires thorough neurovascular examination, given prevalence popliteal artery and limb-threatening ischemia. Further dislocation with associated CPN palsy coordinated care involving sports surgeon for ligamentous reconstruction peripheral staged or decompression and/or reconstruction. Finally, foot ankle is often required...

Case: This case report describes 3 patients who developed acromioclavicular joint cysts secondary to rotator cuff arthropathy. The underwent arthroscopic cyst decompression and distal clavicle resection, resulting in successful excision of the minimal recurrence. Conclusion: Based on these cases, with concomitant resection should be considered as an effective alternative serial aspirations or open resection.

Surgical residents cite increased income potential as a motivation for pursuing fellowship training, despite little evidence supporting this perception. Thus, our goal is to quantify the financial impact of surgical training on career value. By using Medical Group Management Association and American Colleges physician data, accounting resident salary, student debt, progressive tax structure, forgone wages associated with prolonged we generated net present value (NPV) both generalist...

Inside-out meniscal repair is considered the gold standard for reparable tears of medial and lateral menisci despite recent popularity all-inside devices. Accurate suture passage required to perform a stable as well prevent inadvertent neurovascular injury from needles. Placement deep soft-tissue retractor necessary identify retrieve these needles prior tying sutures. Several authors have recommended placement this in interval anterior gastrocnemius muscle belly above semimembranosus tendon....

Background: Meniscal pathology is commonly encountered in the setting of anterior cruciate ligament (ACL) rupture and increasingly common pediatric adolescent population. Studies have shown that over half individuals presenting with ACL will concurrent meniscal pathology. Purpose: To define trends utilization procedures (ie, meniscus repair vs partial meniscectomy) short-term complications young adult patients a reconstruction. Study Design: Cohort study; Level evidence, 3. Methods: The IBM...

The COVID-19 pandemic precluded in-person interviews for the 2020-2021 fellowship application cycle and may impact future interview cycles. No information is available detailing implications of a virtual format on either interviewee or program.Two surveys regarding season were developed distributed by Pediatric Orthopaedic Society North America (POSNA) Fellowship Training Practice Qualifications Committee: one survey applicants program directors.Surveys completed 45 pediatric orthopaedic 34...

Background: The COVID-19 pandemic has substantially impacted the delivery of health care, both through direct care associated with and more pervasive effects. Our goal was to evaluate whether number orthopaedic consultations for firearm injuries differed during early months compared same period in prior years. We hypothesized that initial pandemic, years, would have a higher lower rate outpatient follow-up after consultations. Methods: A prospectively collected database trauma at level-I...

» Sudden cardiac events during sports competition are rare but tragic occurrences that require a timely, comprehensive response by well-prepared athletic trainers and medical providers. This sequence should prioritize prompt emergency system activation, immediate initiation of cardiopulmonary resuscitation (CPR), automated early defibrillation (AED), advanced life support efforts. Exercise-induced remodeling, referred to as the “athlete's heart,” refers host adaptive changes increase chamber...

Aims The purpose of this study is to determine an individual’s age-specific prevalence total knee arthroplasty (TKA) after cruciate ligament surgery, and identify clinical genetic risk factors associated with undergoing TKA. Methods This was a retrospective case-control using the UK Biobank individuals reporting history surgery. Data from verbal procedural codes recorded through NHS were used instances Patient data for progression surgery Individuals without reconstruction comparison....

Alpine skiing is a sport enjoyed by more than 50 million people across the world every year. However, despite advancements in safety practices and technology, anterior cruciate ligament (ACL) injuries remain significant concern. This narrative review investigates prevalence mechanisms of ACL alpine differentiates between intrinsic (e.g., age, sex, skill level) extrinsic factors equipment design environmental conditions) that contribute to risk injuries. article outlines 4 primary through...