Volleyball-Associated Lower Extremity Injuries Among Adult Athletes of Different Ages: A Comprehensive Analysis of National Data From 2013 to 2022.

Background: The mean age of volleyball athletes has increased over the past decade, raising concern for musculoskeletal injuries.

Purpose: To evaluate epidemiologic trends, diagnoses, and mechanisms of volleyball-related lower extremity injuries within different adult age groups.

Study Design: Descriptive epidemiologic study.

Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data.

Purpose: To examine lower extremity youth soccer injuries presenting to US emergency departments.

Methods: Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition.

Incidence of concomitant intra- and extra-articular lesions and procedures in patients undergoing primary and subsequent revision single-stage or 2-stage revision anterior cruciate ligament reconstruction: a matched retrospective cohort study.

Purpose: This study compares the concomitant intra- and extra-articular pathologies in patients undergoing primary anterior cruciate ligament reconstruction (ACLR) to their subsequent single or 2-stage revision ACLR.

Methods: Patients from 2012 to 2021 with minimum two-year follow-up after single-stage revision ACLR were matched with patients who underwent 2-stage revision ACLR by age, sex, and body mass index. Concomitant pathologies and procedures were compared from primary to single or 2-stage revision ACLR.

Longer operative time increases the risk of a prolonged length of stay following primary total ankle arthroplasty.

Improving the safety profile of total ankle arthroplasty (TAA) is essential to expand its indications and global use. Identifying risk factors for complications can enhance preoperative patient optimization and surgical decision-making. While longer surgical times are known to increase perioperative risks in many orthopedic procedures, this has not been extensively studied in TAA.

Rising trends in pediatric fractures associated with electric scooter use seen in emergency departments between 2014 and 2023.

Introduction: As the use of electric scooters (e-scooters) has significantly increased in the past decade, there has been a concomitant rise in e-scooter related injuries. This study aims to analyze trends and mechanisms of e-scooter fractures in the US pediatric population. We hypothesized that there would be a significant increase in pediatric e-scooter fractures particularly from 2020 to 2023, with forearm fractures being the most prominent.

Pitch-Specific Advanced Analytic and Pitch-Tracking Risk Factors for Ulnar Collateral Ligament Injuries in Major League Baseball Pitchers.

Background: The utilization of new pitch-tracking metrics has driven player development and provides more predictive pitch-specific data on physical characteristics and performance. Given the differences in each pitcher's arsenal, these pitch-specific metrics provide new potential variables to investigate ulnar collateral ligament (UCL) injury risk.

Purpose: To evaluate the association of several pitch-specific advanced analytic and pitch-tracking metrics on UCL surgery rates in Major League Baseball (MLB) pitchers.

Sex- and Age-Specific Review of Flag Football Injuries in the United States: A 10-Year Analysis of National Injury Data.

Context: Flag football is a rapidly growing sport with injuries frequently presenting to emergency departments (EDs). Current literature on flag football lacks mechanisms of injury and any information pertaining to female athletes. The purpose of this study was to examine demographic-specific injury trends in those playing flag football.

Twenty-Year Analysis of Surfing Head and Neck Injuries Presenting to United States Emergency Departments Showed a Decrease in Overall Injuries Despite Steady Concussion Rates.

Purpose: To analyze the etiology, diagnosis, and incidence of head and neck (HN) injuries among ocean surfers.

Methods: The National Electronic Injury Surveillance System database was queried for surfing HN injuries presenting to United States emergency departments (EDs) between January 2003 and December 2022. Date of presentation, age, sex, race, injured body part, injury diagnosis, and disposition, as well as a brief injury narrative, were included in the data.

Liposomal bupivacaine after arthroscopic rotator cuff repair moderately decreases early postoperative pain and demonstrates equivocal opioid consumption compared to traditional interscalene nerve blocks: A systematic review and meta-analysis of level 1 studies.

Background: Interscalene nerve blocks (ISNBs) reduce length of stay, postoperative pain, and opioid consumption following arthroscopic rotator cuff repair (ARCR). ISNBs with anesthetic agents like bupivacaine are associated with intense rebound pain, while liposomal bupivacaine (LB) can potentially extend pain relief up to 72 h and reduce opioid consumption. The purpose of this systematic review and meta-analysis is to compare the efficacy of LB versus traditional ISNB for postoperative pain management and opioid consumption following ARCR.

Advanced Analytic and Pitch-Tracking Metrics Associated with UCL Surgery in Major League Baseball Pitchers: A Case-Control Study.

Background: Ulnar collateral ligament (UCL) injury rates have been rising steadily, while the recent development of advanced analytics and pitch-tracking analysis now drives player development and evaluation throughout Major League Baseball (MLB).

Purpose: To evaluate the association between several advanced analytic and pitch-tracking metrics on UCL surgery rates in MLB pitchers.

Study Design: Case-control study.

Lateral Femoral Notch Sign Presence, Location, and Depth Are Not Associated With Primary Anterior Cruciate Ligament Reconstruction Failure: A Retrospective Case-Control Study.

Purpose: To assess the relationship between the presence, depth, and location of the lateral femoral notch sign (LFNS) on preoperative magnetic resonance imaging (MRI) and the risk of anterior cruciate ligament reconstruction (ACLR) graft failure, as well as secondary return to sport (RTS) endpoints.

Methods: Patients with primary ACLR failure between 2012 and 2021 were identified and matched to patients without primary ACLR failure by sex, age, and body mass index. Patients with incomplete medical records, inadequate follow-up, or concomitant lateral extra-articular tenodesis or anterolateral ligament reconstruction were excluded.

Two-stage revision anterior cruciate ligament reconstruction reduces failure risk but leads to lesser clinical outcomes than single-stage revision after primary anterior cruciate ligament graft failure: a retrospective cohort study.

Background: There are no studies that compare the outcomes and complications of single-versus two-stage revision anterior cruciate ligament reconstruction (ACLR) after primary ACLR failure. This purpose of this study is to examine clinical and functional outcomes and complications associated with single and two-stage revision ACLR after primary ACLR failure.

Methods: All patients who underwent single or two-stage revision ACLR after primary ACLR failure between 2012 and 2021 with a minimum of a 2 year follow-up were included.

Pediatric Snowboarding-Related Concussions and Musculoskeletal Injuries Decreased From 2012 to 2022.

Purpose: To analyze mechanisms, diagnoses, and incidence of youth snowboarding-related injuries presenting to US emergency departments.

Methods: Data from the National Electronic Injury Surveillance System were analyzed for pediatric snowboarding injuries (≤18 years old) from 2012 to 2022. Data were collected for mechanism of injury, diagnosis, location of injury, and disposition.

Decreasing Incidence of Youth Wrestling Injuries: A 10-Year Analysis of National Injury Data.

Background: Wrestling is among the most common youth sports in the United States, with about 260,000 high school participants annually. There is a lack of literature investigating wrestling injury profiles and mechanisms of injuries. In the past 15 years, urgent care utilization has increased, and National Federation of State High School Associations (NFHS) concussion protocols have been developed and implemented.

Descriptive analysis of total elbow arthroplasty for distal humerus fractures: 30-day complications.

Background: Although functional outcomes of total elbow arthroplasty (TEA) for distal humerus fractures are satisfactory, there is a high rate of complications. This study aims to characterize the 30-day complications, readmissions, and mortality of patients with TEA for distal humerus fractures in a large registry database.

Methods: Patients who underwent TEA for a distal humerus fracture were identified from the 2015 to 2020 ACS-NSQIP (American College of Surgeons National Surgical Quality Improvement Program) database.

Revision total elbow arthroplasty is associated with a high rate of 30-day complications: A descriptive analysis of a national database.

Introduction: Revision total elbow arthroplasty (TEA) is indicated for component loosening, periprosthetic joint infection, and fractures. Previous investigations into revision TEA complications have small sample sizes and limited exploration of acute complications. This study aims to characterize the 30-day complications and associated demographics of patients undergoing revision TEA using a large national database.

Is the impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty clinically relevant? A systematic review of 2879 shoulders.

Background: Outcomes of reverse shoulder arthroplasty (RSA) in patients with prior rotator cuff repair (RCR) remain inconsistent. The purpose of this study, therefore, was to systematically review the current outcomes literature on RSA in patients with prior RCR and to compare the results with controls without prior RCR.

Methods: A systematic review of the literature was performed, and outcome studies reporting on functional and clinical outcomes were included.

30-Day complications, operative time, and overnight admission following elective elbow arthroscopy.

Background: Although arthroscopic procedures are generally considered safer than open procedures, they are not without complications. This study's purpose is to characterize patient demographics, medical complications, overnight admissions, and prolonged operative times for patients undergoing elective elbow arthroscopy using a national database.

Methods: This retrospective study used the ACS NSQIP database with data from 2015 to 2020.

Patient-related risk factors for early unplanned reoperation following revision total shoulder arthroplasty.

Purpose: There has been an increase in the number of total shoulder arthroplasty (TSA) revisions performed as the number of primary surgeries increases rapidly. Revision procedures have a higher failure rate and there is a lack of understanding of patient risk factors for needing another repeat surgery following revision TSA.

Methods: Revision patients were separated into two cohorts: those needing an unplanned reoperation and those that did not within 30 days following revision TSA.

Between 2008 and 2022, Lower-Extremity Injuries Declined in Male Rugby Players, Whereas Noncontact Knee Injuries Showed No Decline in Female Rugby Players.

Purpose: To assess the distribution and mechanisms of lower-extremity injuries among high school and college age rugby players presenting to U.S. emergency departments (EDs) from 2008 to 2022.

The efficacy of tranexamic acid in primary anatomic and reverse total shoulder arthroplasty: A systematic review and meta-analysis of level I randomized controlled trials.

Purpose: The purpose of this study was to systematically review the available level I evidence regarding the impact of tranexamic acid (TXA) on early postoperative outcomes in patients undergoing anatomic total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA).

Methods: A systematic review of the literature through April 2023 was performed to identify level I RCTs examining the use of TXA at the time of primary TSA or RTSA.

Results: Among 5 included studies, a total of 435 patients (219 TXA, 216 control) were identified.

The 10-year decreasing trend of youth soccer head injuries and concussions presenting to U.S. emergency departments.

Objectives: Nearly 3 million children participate in youth soccer annually in the United States. Popularity of youth soccer within recent years has prompted investigation describing youth-soccer concussion trends presenting to United States emergency departments (EDs).

Methods: Data from National Electronic Injury Surveillance System were analyzed for soccer players 2-18 years old sustaining concussions from January 2013 to December 2022.

Return-to-Play Outcomes in Elite Athletes After Cervical and Lumbar Motion Preservation Spine Surgery: A Systematic Review.

Study Design: Systematic review.

Objective: The primary purpose of this article was to survey the present literature and report on return-to-play (RTP) outcomes in elite athletes after undergoing motion preservation spinal surgery (MPSS).

Background: For elite performance, athletes require adequate mobility throughout the trunk, torso, and spine to achieve maximal force production.