Annals of Joint

Anterior cruciate ligament injuries are a prominent issue in the field of sports medicine, especially for the female athlete. Extensive research has been performed that acknowledges the disparity in anterior cruciate ligament injury rates between male and female athletes and the high prevalence of risk factors specific to females. The underlying causes of anterior cruciate ligament injuries are widespread and are important to consider when approaching injury prevention. For example, prevention techniques aim to correct neuromuscular imbalances and improve biomechanical deficits, which are some of the most significant risk factors leading to these injuries. While there is a lack of opportunity for intervention related to anatomical and hormonal risks, awareness of their influence on injury mechanisms remains an important factor in clinical decision-making. In pursuit of addressing the risks of this injury, several prevention programs have been established that have been shown to successfully reduce anterior cruciate ligament injury rates when properly executed. The most effective programs include early intervention with continuous training and are multicomponent programs including various targeted exercises to modify associated risk factors. Unfortunately, despite the development of these readily available programs, anterior cruciate ligament injury rates remain high due to insufficient implementation of these methods. Recognizing the efficacy and feasibility of utilizing prevention strategies and continuing to develop effective techniques remain of utmost importance to reduce the incidence of this substantial injury among athletes.

Hannah Bradsell

Rachel M. Frank

Anterior cruciate ligament injury prevention

前交叉韧带损伤预防

Syndesmotic ankle fractures occur when there is damage to the syndesmosis complex, resulting in severe pain and instability. Treatment methods include static fixation, dynamic fixation, and fibular nailing. This systematic review and meta-analysis aims to compare the outcomes of these surgical interventions for syndesmotic ankle fractures.

Thomas Cho

Amy Waters

Shiva Senthilkumar

Shradha Shendge

Jiayong Liu

Comparison of the outcomes of syndesmotic ankle fractures treated with dynamic fixation versus static fixation versus fibular nail: a meta-analysis and systematic review

动态固定与静态固定及腓骨钉治疗踝关节骨折的疗效比较：Meta分析与系统评价

The peroneus muscles, consisting of the peroneus longus (PL) and peroneus brevis (PB) tendons, are vulnerable to injury at anatomically specific sites or within tendon sheaths. Peroneal tendon dislocation (PTD) is often misdiagnosed as a lateral ankle sprain as it occurs at a lower frequency than a lateral ankle sprain. Anatomical variations in the retromalleolar groove, soft tissue overstuffing, and presence of accessory peroneal muscles contribute to the etiology of PTD. PTD has been classified into four types based on injury patterns involving the superior peroneal retinaculum (SPR) and fibrocartilaginous ridge. Diagnosis involves recognizing tender points and using imaging including magnetic resonance imaging (MRI) and ultrasonography. Conservative treatments, including below-knee plaster casts, have varying success rates, and some patients progress to recurrent PTD (RPTD), prompting consideration of surgical interventions. Diagnosis is easy in patients with RPTD who can reproduce the dislocation by themselves; however, in many cases, this is not possible. In such cases, ultrasonography after intrasheath injection is effective in confirming the presence of a pseudo-pouch. RPTD can be diagnosed if a pseudo-pouch is identified during ultrasonography. Surgical approaches such as osteotomy, soft tissue procedures, and groove deepening techniques are used to stabilize the peroneal tendons. Soft tissue procedures, especially SPR reattachment, have emerged as a preferred option, demonstrating outcomes comparable to those of osteotomy, with fewer complications. Intrasheath subluxation, a unique PTD subtype, is diagnosed using ultrasonography. In this type of subluxation, no damage to the SPR is observed, and the positions of the PL and PB tendons are interchanged. Surgical intervention may involve excision of the synovium and SPR repair. In cases of PTD complicated by a longitudinal rupture of the PB tendon, suturing of the torn area or tubularization of the remaining tendon for partial resection of the degenerated tendon can be performed. The purpose of this article is to describe the methods for diagnoses and management of PTD.

Akinobu Nishimura

Yuki Fujikawa

Yoshiyuki Senga

Shigeto Nakazora

Chihiro Konno

Akihiro Sudo

Recurrent peroneal tendon dislocation—the current concept of management

腓骨肌腱反复脱位——当前管理概念

Angiotensin II receptor blockers (ARBs) are commonly prescribed for hypertension and heart failure, and have well-described antifibrotic properties throughout medical literature. The etiology and pathogenesis of fibrosis is biologically complex with a multitude of factors playing a role in the process. Consequently, pathologic fibrosis may be significant within orthopaedics contributing to post-operative stiffness and, ultimately, negative patient outcomes. The pharmacology of ARBs has been described to combat fibrosis in preclinical settings, while the literature of ARBs antifibrotic properties in relation to orthopaedics remains scarce. However, fibrosis is one of the primary factors contributing to tissue healing and functional recovery in the field of orthopaedic surgery. Fibrosis has specifically been described in relation to shoulder surgery, knee arthroplasty and hip arthroscopy. As such, outcomes of various orthopaedic surgeries are dependent upon a balance between tissue healing and stiffness, both of which may be mediated by a fibrotic response. Importantly, ARBs have recently emerged as a potential therapy to combat fibrosis-mediated stiffness in orthopaedic surgery patients. Thus, the following review article seeks to highlight the basic and clinical science of ARBs with emphasis on their implications and indications for orthopaedic surgery and musculoskeletal medicine.

Edward J Testa

Phillip Schmitt

Tucker C Callanan

John D Milner

Ian R Penvose

Brett D Owens

Angiotensin II receptor blockers and their applications in orthopaedic surgery and musculoskeletal medicine

血管紧张素II受体阻滞剂及其在骨科手术和肌肉骨骼医学中的应用

Prashant Meshram

Ann Jt

Controversies in shoulder surgery and algorithmic approach to decision making

肩部手术中的争议及决策的算法化方法

Jewel A. Stone

Luke V. Tollefson

Evan P. Shoemaker

Robert F. LaPrade

The role of anterolateral complex surgery and slope-reducing osteotomies in revision ACL reconstructions: a narrative review

前外侧复合体手术和斜面减小截骨术在修订前交叉韧带重建中的作用：叙述性综述

短名	Ann. Jt.
Journal Impact	0.47
国际分区	ORTHOPEDICS(Q4)

涉及主题	医学外科生物放射科解剖病理心理学内科学物理物理疗法关节置换术口腔正畸科精神科替代医学地质学遗传学
出版信息	出版商: AME Publishing Company，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2019，原创研究文献占比: 52.63%，自引率:20.00%， Gold OA占比: 96.26%

Annals of Joint

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Anterior cruciate ligament injury prevention

Comparison of the outcomes of syndesmotic ankle fractures treated with dynamic fixation versus static fixation versus fibular nail: a meta-analysis and systematic review

Recurrent peroneal tendon dislocation—the current concept of management

Angiotensin II receptor blockers and their applications in orthopaedic surgery and musculoskeletal medicine

Controversies in shoulder surgery and algorithmic approach to decision making

Angiotensin II receptor blockers and their applications in orthopaedic surgery and musculoskeletal medicine

Controversies in shoulder surgery and algorithmic approach to decision making

The role of anterolateral complex surgery and slope-reducing osteotomies in revision ACL reconstructions: a narrative review

Diagnostic strategies for chronic lateral ankle instability: a narrative review

Bone loss in shoulder instability and shoulder arthroplasty

ISSN	2415-6809
h-index	8