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Purpose: To utilize advanced topic modelling through the Bidirectional Encoder Representations from Transformers Topic (BERTopic) model to investigate research topics in the journal .
Methods: Titles and abstracts from 7886 original research articles and reviews published in between 1993 and 2023 were examined using the BERTopic artificial intelligence (AI) model. BERTopic applies contextual embeddings and clustering algorithms to group large textual data efficiently sets into topics based on semantic similarity. The generated AI topics were assessed by frequency (the total number of articles per topic from 1993 to 2023) and popularity trends ('hot' or increasing and 'cold' or decreasing trends determined by linear regression analyses of topic frequency from 2020 to 2023).
Results: The BERTopic model organized 7410 publications into 33 distinct topics. From 1993 to 2023, the most frequently reported topics included arthroscopic shoulder surgery, meniscus injury and treatment, and total knee arthroplasty (TKA): design biomechanics. Between 2020 and 2023, arthroscopic shoulder surgery, TKA: design biomechanics, and TKA: alignment & kinematics were identified as increasingly popular ('hot') topics. Conversely, ankle instability, non-anterior cruciate ligament (ACL) knee ligament injuries, and ACL reconstruction: bone tunnels showed declining popularity ('cold' topics).
Conclusions: This study demonstrates the efficacy of the BERTopic model in analyzing large textual data sets to identify relevant research patterns within orthopaedic literature. The results highlight BERTopic's ability to summarize thousands of articles from into 33 central topics, underscoring its utility in accurately and efficiently capturing current trends and future directions in orthopaedic sports medicine research.
Level Of Evidence: Level IV, systematic review.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255955 | PMC |
http://dx.doi.org/10.1002/jeo2.70341 | DOI Listing |
A A Pract
September 2025
From the Department of Anesthesiology and Critical Care Medicine, Ziekenhuis Oost-Limburg, Genk, Belgium.
A 48-year-old man with a superior labral tear and medical history including hemidiaphragmatic paresis, obstructive sleep apnea, vocal cord paresis, and glottic narrowing, underwent arthroscopic biceps tenodesis. Reduction in respiratory function presented anesthetic management challenges with general anesthesia or an interscalene brachial plexus block. Instead, ultrasound guidance was used to deliver a selective upper-trunk block with 1 % lidocaine and an axillary nerve block with 0.
View Article and Find Full Text PDFActa Ortop Mex
September 2025
Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra». Ciudad de México. México.
Rotator cuff injuries are common and procedures of repair have evolved from open techniques to minimally invasive and arthroscopic ones. Despite these advances, the biomechanics, biology, and value of transosseous repairs remain superior, leading to the development of innovative devices that enable the utilization of this technique without the use of anchors, improving both the efficiency and safety of the procedure. This article reviews the latest advances in transosseous rotator cuff repair, highlighting its biomechanical advantages, as well as the factors that enhance recovery and offer more consistent long-term outcomes.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.
Purpose: This study aimed to compare clinical outcomes between open and arthroscopic anterior latissimus dorsi (LD) transfer techniques for treating irreparable subscapularis (SSC) tears.
Methods: We retrospectively reviewed patients who underwent open or arthroscopic anterior LD transfer for irreparable SSC tears between February 2014 and August 2020. Patients were included if they had irreparable SSC tears with Lafosse Grade 4 or higher and Goutallier Grade 3 or higher, but without advanced arthritis (Hamada Grade < 3).
JBJS Rev
September 2025
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
» Kim's lesion of the shoulder is characterized by incomplete tearing of the junction between the posteroinferior labrum and the glenoid, with the superficial labral tissue remaining intact, and generally requires arthroscopic evaluation for accurate confirmation.» Kim's lesion represents an under-reported subtype of posterior labral injury and a source of activity-related posterior shoulder discomfort and instability.» Kim's lesions are frequently observed in young, active individuals involved in overhead and contact sports, often resulting from traumatic mechanisms with the shoulder in flexion and adduction, as well as from repetitive microtrauma and overuse.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2025
Keck School of Medicine of USC, University of Southern California, Los Angeles, California.
Background: Tranexamic acid (TXA) is an anti-fibrinolytic agent that has effectively reduced transfusion risk and minimized blood loss after total joint arthroplasty. TXA use has had mixed results on postoperative pain after arthroscopic rotator cuff repair (ARCR). The purpose of this prospective, double-blind, randomized, controlled trial was to examine the impact of TXA on prescription opioid consumption for three postoperative days in an outpatient population after ARCR.
View Article and Find Full Text PDF