OrthoDigest

Today's sports medicine edition covers emerging techniques and outcomes research across multiple subspecialty areas. We examine a novel combined approach to meniscal root repair with aragonite scaffolds, comprehensive return to sport data for elbow dislocations and shoulder arthroplasty patients, and evidence-based strategies for cartilage treatment during ACL reconstruction. "Medial Meniscal Root Repair and Double Medial Femoral Condyle Aragonite-Based Scaffold Implantation" — Vega TF et al., Video J Sports Med — https://doi.org/10.1177/26350254251389135 "Return to Sport Following Elbow Dislocation: A Systematic Review" — Albright AS et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261419505 "Return to Sport After Shoulder Arthroplasty: An ASES Multicenter Analysis of Sport-Specific Predictors of Performance in Reverse Shoulder Arthroplasty and Total Shoulder Arthroplasty" — Corban J et al., J Shoulder Elbow Surg — https://doi.org/10.1016/j.jse.2026.03.014 "Clinical Outcomes of Cartilage Procedures Performed in Conjunction With Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review" — Thamrongskulsiri N et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251413265

Today's trauma edition covers four key studies: an RCT comparing suprapatellar versus infrapatellar approaches for tibial nailing showing functional advantages for the suprapatellar technique, an experimental study suggesting finite element planning may improve tibial plateau fracture fixation stability, a retrospective analysis finding no infection prevention benefit from local antibiotic calcium sulfate in plateau fractures, and a comprehensive review of evidence-based brachial plexus injury prevention strategies across clinical settings. "Comparative Analysis of Suprapatellar and Infrapatellar Nailing in Tibial Fracture: A Randomized Clinical Study" — Sakale HS et al., J Orthop Case Rep — https://doi.org/10.13107/jocr.2026.v16.i03.6988 "Biomechanical Stability of Tibia Plateau Fracture Treatment: Conventional vs. Finite Element-Based Preoperative Planning" — Sandriesser S et al., J Orthop Res — https://doi.org/10.1002/jor.70188 "Local use of antibiotic-impregnated calcium sulfate for infection prophylaxis: A novel study" — Gómez-Masdeu M et al., Injury — https://doi.org/10.1016/j.injury.2026.113173 "Prevention of Brachial Plexus Injuries: A Comprehensive Review of Causes, Challenges and Protective Strategies" — Vyas AK et al., Indian J Orthop — https://doi.org/10.1007/s43465-025-01655-4

Today's hand surgery edition covers four diverse topics affecting daily practice. We examine biomechanical data on multiple K-wire passes in fifth metacarpal fractures, revealing that additional drilling attempts may be less detrimental than previously thought. A systematic review highlights the underrecognized association between scaphoid fractures and scapholunate ligament injuries, with detection rates varying dramatically by diagnostic method. A large national cohort study exposes significant racial disparities in carpal tunnel syndrome management within the VA system, showing lower surgical rates and longer wait times for minoritized veterans despite universal healthcare access. Finally, a case report describes the first reported digital artery pseudoaneurysm following collagenase injection for Dupuytren contracture, expanding our awareness of potential vascular complications. "The Swiss Cheese Effect: A Biomechanical Study of Fifth Metacarpal Structural Integrity After Multiple Kirschner Wire Passes" — Bickley R et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100962 "Scapholunate Injuries in the Context of Acute Scaphoid Fractures: A Systematic Literature Review" — Glévarec L et al., Hand (N Y) — https://doi.org/10.1177/15589447261430936 "Racial and Ethnic Differences in Carpal Tunnel Syndrome Management: Analysis of a National Single-payer System" — Benítez TM et al., Plast Reconstr Surg Glob Open — https://doi.org/10.1097/GOX.0000000000007545 "Digital Artery Pseudoaneurysm After Collagenase Injection for Dupuytren Contracture: A Case Report" — Schwarz N et al., Hand (N Y) — https://doi.org/10.1177/15589447261430938

Today's foot and ankle edition covers four open-access studies examining radiographic assessment techniques in pediatric foot deformities, midterm outcomes of large-caliber tendon allograft reconstruction for chronic Achilles ruptures, clinical outcomes of subtalar arthroereisis with or without spring ligament repair, and a clinical consensus statement on perioperative medication management in elective podiatric surgery. "Clinical validity of radiographic parameters for evaluating pediatric foot deformities: correlation with pedobarographic analysis" — Kim WS et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09643-x "Midterm Results of Large-Caliber Tendon Allografting for Chronic Achilles Tendon Rupture With Large Defects" — Chu CH et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251385126 "Clinical outcomes of subtalar arthroereisis in pediatric flatfoot with or without spring ligament repair" — Xin Y et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09744-7 "Clinical Consensus Statement: Perioperative Management of Prothrombotics, Antiplatelets, Anticoagulants, DMARDs and Biologics in Elective Podiatric Surgery" — Tang J et al., J Foot Ankle Res — https://doi.org/10.1002/jfa2.70121

Today's shoulder and elbow edition examines economic justification for robotic assistance in reverse shoulder arthroplasty, histological predictors of rotator cuff repair failure, machine learning approaches to tear prediction, and geographic differences in total shoulder arthroplasty outcomes. Key findings include the economic challenges of routine robotic adoption, the limited predictive value of muscle histology for repair failure, promising but moderate performance of AI-based tear prediction, and surprisingly favorable outcomes at rural centers with experienced surgeons. "Is Robotic-Assisted Reverse Shoulder Arthroplasty Economically Justified? A Break-Even Analysis." — Menendez ME et al., J Shoulder Elbow Surg — https://doi.org/10.1016/j.jse.2026.03.010 "Characterizing histological fatty accumulation, muscle atrophy, and fibrosis in relation to re-tear and revision after primary rotator cuff repair: a mean 3-year follow-up study." — Ruderman LV et al., JSES Rev Rep Tech — https://doi.org/10.1016/j.xrrt.2026.100702 "Machine learning-based prediction of rotator cuff tears using anatomical parameters: a retrospective cohort study." — Hou Z et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09765-2 "Revision rates following total shoulder arthroplasty in rural and urban hospitals : an Australian Orthopaedic Association National Joint Replacement Registry analysis of high-volume surgeons." — Dragan Z et al., Bone Jt Open — https://doi.org/10.1302/2633-1462.73.BJO-2025-0299.R1

Today's knee edition examines four diverse topics in knee surgery research. We explore decision-making for lateral extra-articular tenodesis in ACL reconstruction, evaluate the reliability of CPAK classification systems in total knee arthroplasty, review a predictive model for early TKA outcomes, and investigate the mechanisms behind revision component failures through advanced materials analysis. "Extra-articular Tenodesis for ACL Reconstruction: Who Needs it and is there a Superior Technique?" — Veizi E et al., Curr Rev Musculoskelet Med — https://doi.org/10.1007/s12178-026-10028-9 "Reliability of the CPAK classification assessed on long-leg X-rays in patients undergoing total knee arthroplasty." — Gasparutto X et al., Arthroplasty — https://doi.org/10.1186/s42836-026-00381-y "Predictive model for early prognosis after total knee arthroplasty based on multidimensional indicators." — Li P et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09693-1 "Metal Fatigue Fracture After Revision Total Knee Arthroplasty: A Retrieval Analysis." — Kurtz MA et al., J Orthop Res — https://doi.org/10.1002/jor.70198

Today's hip edition covers four diverse studies examining complex arthroplasty scenarios, surgical approach optimization, pharmaceutical interventions, and fracture fixation biomechanics. We explore outcomes in the challenging population of LVAD recipients undergoing joint replacement, compare thirteen different surgical approaches for total hip arthroplasty, examine five-year follow-up data on denosumab efficacy, and review optimal screw placement strategies for femoral neck fractures. "Perioperative management and outcomes of hip and knee arthroplasty among heartmate 3 left ventricular assist device recipients" — Turan O et al., Eur J Orthop Surg Traumatol — https://doi.org/10.1007/s00590-026-04692-3 "Early clinical efficacy and safety of different surgical approaches in total hip arthroplasty: a systematic review and network meta-analysis" — Wang X et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09683-3 "Denosumab and bone loss in uncemented total hip arthroplasty: a secondary 5-year follow-up of a randomized controlled trial" — Sköld C et al., Acta Orthop — https://doi.org/10.2340/17453674.2026.45695 "Does the distal screw location in the Biplane double-supported screw fixation technique affect the risk of subtrochanteric fractures after femoral neck fixation? A finite element analysis" — Wang Z et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09770-5

Today's sports medicine edition covers four diverse topics in athletic injury and recovery. We explore wearable sensor technology for objective gait assessment during ACL rehabilitation, examine the psychological readiness of elite judokas returning to sport after injury, investigate machine learning approaches to predict rotator cuff tears using anatomical parameters, and compare tourniquet types in ACL reconstruction surgery. "Integrating Wearable Sensors and Clinical Tools for Assessing Pelvic Gait Symmetry During ACL Recovery" — Drumev AK et al., Life (Basel) — https://doi.org/10.3390/life16030531 "Kinesiophobia and Psychological Readiness of Return to Sport in High-Performance Judokas After an Injury: A Cross-Sectional Study" — Puchalt-Muñoz U et al., Medicina (Kaunas) — https://doi.org/10.3390/medicina62030587 "Machine learning-based prediction of rotator cuff tears using anatomical parameters: a retrospective cohort study" — Hou Z et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09765-2 "The effect of silicone ring tourniquet in anterior cruciate ligament reconstruction: a retrospective comparative study" — Shen X et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09732-x

Today's trauma edition covers four diverse studies spanning pediatric ballistic injuries, open elbow fractures, innovative bone graft techniques, and incidental anatomical discoveries. We examine outcomes from thirty-four pediatric ballistic femur fractures, explore the challenges of open supracondylar humerus fractures in children, review a novel technique for processing devitalized bone fragments into autologous demineralized bone matrix, and discuss the clinical implications of incidentally discovered heterotaxy syndrome during trauma imaging. "Pediatric and adolescent ballistic femur fractures: treatment, outcomes, and costs from a level-one trauma center." — Jodoin Z et al., Eur J Orthop Surg Traumatol — https://doi.org/10.1007/s00590-026-04730-0 "Open supracondylar humerus fractures in children: Associated injuries and clinical outcomes." — Emet A et al., J Child Orthop — https://doi.org/10.1177/18632521261435431 "The fate of comminuted extruded or devitalized fragments of bone in Gustilo type III open fractures and an innovative form of treating them." — Yu L et al., Bone Joint J — https://doi.org/10.1302/0301-620X.108B4.BJJ-2025-0542.R1 "Incidental Heterotaxy Syndrome With Polysplenia and Inferior Vena Cava Agenesis Identified During Trauma Evaluation." — Ahmed Z et al., Cureus — https://doi.org/10.7759/cureus.104094

Today's hand edition covers four key studies examining injection techniques, traumatic wrist injuries, salvage procedures, and healthcare disparities. We explore national trends showing increased ultrasound guidance for carpal tunnel injections, the underrecognized association between scaphoid fractures and scapholunate injuries, comparative outcomes of different wrist fusion techniques, and significant demographic disparities affecting congenital hand difference care. "Rising Use of Ultrasound-Guided Carpal Tunnel Injections: National Trends, Drivers of Utilization, and Outcomes." — Zehner KM et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100950 "Scapholunate Injuries in the Context of Acute Scaphoid Fractures: A Systematic Literature Review." — Glévarec L et al., Hand (N Y) — https://doi.org/10.1177/15589447261430936 "Capitolunate arthrodesis versus four-corner fusion for advanced wrist collapse: a systematic review and meta-analysis." — Al-Badaineh M et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-026-06747-x "Demographic and Socioeconomic Disparities in Congenital Hand Difference Surgery." — King ECB et al., Curr Rev Musculoskelet Med — https://doi.org/10.1007/s12178-026-10018-x

Today's foot and ankle edition covers radiographic assessment techniques for pediatric deformities, biomechanical changes in first MTP osteoarthritis, predictors of calcaneoplasty success, and evidence on gastrocnemius recession procedures. All studies are open access and explore practical clinical questions relevant to daily foot and ankle practice. "Clinical validity of radiographic parameters for evaluating pediatric foot deformities: correlation with pedobarographic analysis" — Kim WS et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09643-x "Effects of First Metatarsophalangeal Osteoarthritis on Plantar Pressures Across Multiple Activities" — Telfer S et al., J Foot Ankle Res — https://doi.org/10.1002/jfa2.70146 "Influence of bump height and bump-calcaneus ratio on clinical outcomes following calcaneoplasty for Haglund's deformity: a prospective study" — Altıntaş K et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09775-0 "Gastrocnemius Recessions in the Management of Chronic Recalcitrant Plantar Fasciopathy-A Systematic Review" — Gemini G et al., J Funct Morphol Kinesiol — https://doi.org/10.3390/jfmk11010122

Today's shoulder and elbow edition explores critical decision-making and diagnostic challenges across the spectrum from adult arthroplasty to pediatric trauma. We examine how surgeons choose between reverse and total shoulder arthroplasty in cuff-intact osteoarthritis, factors affecting coracoid graft survival after Latarjet procedures, technical considerations for preventing stem subsidence in reverse shoulder arthroplasty, and systematic diagnostic pitfalls in pediatric elbow fractures. "Osteoarthritis with an intact rotator cuff, reverse shoulder arthroplasty, or total shoulder arthroplasty? : a qualitative study of surgeon decision-making." — O'Malley O et al., Bone Jt Open — https://doi.org/10.1302/2633-1462.73.BJO-2025-0306.R1 "Predictors of coracoid graft osteolysis after the Latarjet procedure: A systematic review." — Harrell M et al., Shoulder Elbow — https://doi.org/10.1177/17585732261434974 "Prevalence and risk factors for stem subsidence following reverse shoulder arthroplasty using on-lay press-fit short stems." — Nishiura R et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06253-z "Diagnostic Pitfalls and Management of Transphyseal Fractures of the Distal Humerus: A Retrospective Review of 25 Cases." — Zhang L et al., Children (Basel) — https://doi.org/10.3390/children13030352

Today's knee edition covers four diverse topics in knee surgery and rehabilitation. We explore whether lateral unicompartmental knee arthroplasty can be successfully performed through a medial approach, examine the co-design process for pain intervention models, evaluate the additive benefit of iPACK blocks over local infiltration analgesia, and review predictive factors for rehabilitation outcomes after joint arthroplasty. "Lateral unicompartmental knee arthroplasty through a medial parapatellar approach: surgical technique and mid-term results in 108 patients" — Leggieri et al., Archives of Orthopaedic and Trauma Surgery — https://doi.org/10.1007/s00402-026-06274-8 "Co-Designing the Early Pain Intervention After Knee Replacement (EPIK) Model of Care for People With Persistent Pain After Knee Replacement" — Chadha et al., Health Expectations — https://doi.org/10.1111/hex.70655 "No Additive Analgesic Effect of Interspace Between Popliteal Artery and Capsule of the Knee Block Over Local Infiltration Analgesia Only Around Arthrotomy Site in Bilateral Total Knee Arthroplasty" — Laoruengthana et al., Arthroplasty Today — https://doi.org/10.1016/j.artd.2026.101953 "Prediction of Inpatient Rehabilitation Length, Discharge Destination and Home-Care Needs After Total Hip and Knee Arthroplasty for Osteoarthritis: A Follow-Up Study on 1.679 Patients" — Pennestrì et al., Journal of Clinical Medicine — https://doi.org/10.3390/jcm15062294

Today's hip edition covers diagnostic innovations for periprosthetic joint infection, biomechanical considerations in spinopelvic alignment, femoral stem design comparison, and advanced functional testing methods. "Is three-phase bone scintigraphy really obsolete? : a combined TPBS-CRP diagnostic method." — Chen et al., Bone Joint Res — https://doi.org/10.1302/2046-3758.154.BJR-2025-0278.R1 "A Narrative Review of Spinopelvic Alignment Changes After Total Hip Arthroplasty." — Ike et al., J Clin Med — https://doi.org/10.3390/jcm15062228 "Radiological stability of a quadrangular uncemented femoral component compared with its shortened version in primary total hip arthroplasty : a prospective randomized controlled trial." — Kruse et al., Bone Jt Open — https://doi.org/10.1302/2633-1462.74.BJO-2026-0006.R1 "Reliability and Discriminant Ability of an Instrumented Timed Up and Go Test in People With Postsurgical Orthopedic Conditions: Quantitative Study." — Giardini et al., JMIR Rehabil Assist Technol — https://doi.org/10.2196/82632

This sports medicine edition covers four open-access studies examining key clinical questions in shoulder and knee surgery. Topics include optimal timing for rotator cuff repair based on tear etiology, a novel bone density assessment protocol for the proximal humerus, the utility of critical shoulder angle measurements following shoulder dislocation, and the extended recovery timeline following ACL reconstruction. "Functional Outcomes of Early vs. Delayed Arthroscopic Repair for Traumatic and Degenerative Rotator Cuff Tears: A Retrospective Cohort Study" — Chen Y et al., J Clin Med — https://doi.org/10.3390/jcm15062205 "A Novel Dual-Energy X-Ray Absorptiometry Protocol for the Proximal Humerus Reveals a Fatty Infiltration Dependent Reduction in Bone Mineral Density" — Cho JW et al., J Orthop Res — https://doi.org/10.1002/jor.70187 "Are Rotator Cuff Tears in Anterior Shoulder Dislocation Associated With a High Critical Shoulder Angle? A Retrospective Analysis" — Aldarragi A et al., Cureus — https://doi.org/10.7759/cureus.103974 "Serial Changes in Knee Muscle Strength and Functional Performance After Anterior Cruciate Ligament Reconstruction: A Retrospective Cohort Study of 107 Patients" — Cho SI et al., Medicina (Kaunas) — https://doi.org/10.3390/medicina62030489

Today's trauma edition covers four key studies: pediatric forearm nail retention rates with protrusion thresholds, clavicle hook plate peri-implant fracture risk factors, minimally invasive versus open talonavicular arthrodesis outcomes, and proximal femoral replacement complication patterns across oncologic and non-oncologic indications. "Long-term implant retention after impacted elastic stable intramedullary nailing in pediatric diaphyseal forearm fractures: a retrospective cohort study." — Brattgjerd et al., Acta Orthop — https://doi.org/10.2340/17453674.2026.45693 "Hook plate fixation for distal clavicle and acromioclavicular joint injuries: Insights into peri-implant fracture risk." — Yang et al., J Orthop Surg (Hong Kong) — https://doi.org/10.1177/10225536261439414 "Minimally invasive versus open talonavicular arthrodesis: comparable functional outcomes in a retrospective comparative cohort." — Werneburg et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06282-8 "Proximal femoral replacement for oncologic and non-oncologic indications: a retrospective study over a 13-year period." — Ramón et al., Eur J Trauma Emerg Surg — https://doi.org/10.1007/s00068-026-03151-2

Today's hand edition covers four diverse topics in hand surgery. We examine a narrative review showing progressively shorter return-to-work times with less invasive carpal tunnel release techniques, a small case series demonstrating successful DRUJ stabilization with isolated ulnar shortening osteotomy, a prospective study revealing low lymphedema risk in post-breast cancer patients undergoing elective hand surgery, and a cost analysis comparing office-based versus hospital-based carpal tunnel procedures. "Return-to-Work After Carpal Tunnel Release Across Surgical Techniques: A Narrative Review" — Lobos CA et al., Medicina (Kaunas) — https://doi.org/10.3390/medicina62030557 "Clinical outcomes of isolated ulnar shortening osteotomy for ulnar impaction syndrome with concomitant distal radioulnar joint instability" — Gao X et al., J Plast Surg Hand Surg — https://doi.org/10.2340/jphs.v61.45517 "The Risk of Lymphedema in Elective Hand Surgery After Axillary Lymph Node Sampling: A Prospective, Cohort Study" — Odum SM et al., Hand (N Y) — https://doi.org/10.1177/15589447261428585 "A Cost Analysis of Carpal Tunnel Procedures Performed in an Office Procedure Room Versus a Hospital Operating Room in a Rural Midwest Health System" — Hurley LJ et al., Plast Surg (Oakv) — https://doi.org/10.1177/22925503261429901

Today's foot and ankle edition covers four studies examining Achilles tendon recovery assessment, surgical outcomes for posterior heel pain, and pediatric foot deformity evaluation. We explore novel imaging techniques for monitoring tendon healing, investigate how rupture affects complex tendon biomechanics, review calcaneoplasty effectiveness regardless of bump morphology, and validate radiographic measurements against functional testing in children. "Achilles Tendon Shear Wave Velocity Within a 1-Year Follow-Up After Non-Operatively Treated Rupture" — Sukanen et al., J Orthop Res — https://doi.org/10.1002/jor.70201 "A Novel Measurement of Altered Achilles Subtendon Load Sharing 6-12 Months Following Rupture" — Strand et al., J Orthop Res — https://doi.org/10.1002/jor.70182 "Influence of bump height and bump-calcaneus ratio on clinical outcomes following calcaneoplasty for Haglund's deformity: a prospective study" — Altıntaş et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09775-0 "Clinical validity of radiographic parameters for evaluating pediatric foot deformities: correlation with pedobarographic analysis" — Kim et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09643-x

Today's shoulder and elbow edition covers four important studies spanning infection prevention, pediatric trauma outcomes, regenerative medicine, and perioperative risk assessment. We examine how povidone-iodine irrigation can reduce bacterial contamination in reverse shoulder arthroplasty, identify risk factors for complications in pediatric proximal radius fractures, evaluate platelet-rich plasma therapy effectiveness across different shoulder procedures, and compare postoperative complication rates between influenza and COVID-19 patients undergoing shoulder arthroplasty. "Evaluating the impact of povidone-iodine irrigation on microbial contamination in reverse total shoulder arthroplasty" — Bellato E et al., Bone Joint Res — https://doi.org/10.1302/2046-3758.153.BJR-2025-0460.R2 "Primary displacement predicts complications and poorer outcomes after pediatric proximal radius fractures: A retrospective study of 140 fractures" — Zilliacus K et al., J Child Orthop — https://doi.org/10.1177/18632521261434093 "Effectiveness of platelet-rich plasma therapy in promoting wound healing and shoulder function recovery after shoulder surgery" — Hu Z et al., Sci Rep — https://doi.org/10.1038/s41598-026-44844-3 "Influenza infection has higher risk of postoperative complications than COVID-19 in shoulder arthroplasty patients" — Lawand JJ et al., Shoulder Elbow — https://doi.org/10.1177/17585732261435999

Today's knee edition examines four studies spanning anesthesia techniques, enhanced recovery protocols, and navigation technology in total knee arthroplasty. We explore regional anesthesia options for elderly patients, implementation of ERAS protocols in geriatric populations, accuracy of computer-assisted navigation, and validation of novel navigation platforms. "Combined iPACK and adductor canal block versus two-level erector spinae plane block in elderly patients undergoing total knee arthroplasty: a randomized, triple-blinded clinical trial." — Pietraszek P et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06247-x "Assessment of enhanced recovery after surgery protocol in older adults undergoing total knee arthroplasty." — He P et al., Medicine (Baltimore) — https://doi.org/10.1097/MD.0000000000048011 "Efficacy of computer-assisted navigation in improving radiographic and clinical outcomes after total knee arthroplasty." — Ji W et al., Medicine (Baltimore) — https://doi.org/10.1097/MD.0000000000048152 "Concurrent validation of a novel intraoperative navigation platform for total knee arthroplasty." — Demeulenaere M et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06265-9

Today's hip edition covers four important studies spanning femoral head sizing patterns, mental health outcomes in elderly joint replacement patients, imaging methodology for dislocation risk assessment, and basicervical fracture management. We examine German registry data on extra-large femoral heads as revision risk markers, depression trajectory improvements following geriatric arthroplasty, discrepancies between EOS and lateral radiographic measurements for spinopelvic assessment, and comparative outcomes of basicervical versus neighboring proximal femur fractures. "Extra-long femoral heads as a surrogate marker for revision risk in primary total hip arthroplasty." — Beckers et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06273-9 "Exploratory analysis of depressive symptom trajectories before and after hip or knee arthroplasty in geriatric patients." — Schiegl et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06268-6 "Can EOS and lateral pelvic radiographs reliably identify patient with reduced pelvic roll back at risk for dislocation ?" — Spilo et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06266-8 "Fixation of Basicervical Hip Fractures: Are Outcomes Distinct from Neighboring Valgus Neck and Intertrochanteric Fractures?" — Hammond et al., HSS J — https://doi.org/10.1177/15563316261429896

This sports medicine edition covers four open-access studies examining psychological factors in ACL recovery, scapular contributions to shoulder instability, psychosocial predictors of outcomes, and graft augmentation strategies for massive rotator cuff tears. "Psychological Readiness Is Related to Force Production Asymmetry, but Not Biomechanical Asymmetry After Anterior Cruciate Ligament Reconstruction: A Pilot Study" — Crowell MS et al., Sports Health — https://doi.org/10.1177/19417381251400367 "Shoulder Instability from Scapular Dyskinesia: How Rebalancing the Scapula Stabilizes the Shoulder" — Wagner ER et al., Curr Rev Musculoskelet Med — https://doi.org/10.1007/s12178-026-10017-y "The Impact of Psychological and Social Factors on Recovery After ACL Reconstruction" — Malempati M et al., Sports Health — https://doi.org/10.1177/19417381261430758 "Does graft thickness affect outcomes in massive rotator cuff repairs with on-lay and bridging graft augmentation? A systematic review and meta-analysis" — Sain B et al., Shoulder Elbow — https://doi.org/10.1177/17585732261433554

Today's trauma edition covers technological innovations and clinical strategies across multiple injury patterns. We examine three-dimensional printed surgical guides for femoral neck fractures, explore circular external fixation techniques for ballistic trauma in resource-limited settings, review blood pressure-guided resuscitative balloon occlusion strategies, and analyze risk factors for peri-implant fractures after hook plate fixation. "Efficacy and factors of 3D-printed guide-assisted hollow screw internal fixation for femoral neck fractures in the elderly" — Bai J et al., Ann Med — https://doi.org/10.1080/07853890.2026.2634458 "High-velocity gunshot-related humeral fractures managed with circular external fixation in a resource-limited setting, Samburu County, Kenya: Surgical technique highlights from a case series" — Sciuto D et al., OTA Int — https://doi.org/10.1097/OI9.0000000000000476 "Partial resuscitative endovascular balloon occlusion of the aorta as a resuscitative strategy in traumatic hemorrhagic shock: A retrospective analysis of a Chinese single-center cohort" — Deng H et al., Chin J Traumatol — https://doi.org/10.1016/j.cjtee.2025.10.007 "Hook plate fixation for distal clavicle and acromioclavicular joint injuries: Insights into peri-implant fracture risk" — Yang MY et al., J Orthop Surg (Hong Kong) — https://doi.org/10.1177/10225536261439414

Today's hand edition covers four diverse topics in upper extremity surgery. We start with a prospective study on intramedullary screw fixation showing excellent functional recovery for metacarpal and phalangeal fractures with minimal complications. Next, we examine a first-in-human trial of sutureless nerve repair demonstrating promising sensory recovery using polymer-assisted coaptation. We then review outcomes in brachial plexus surgery, highlighting how anatomical injury severity trumps mechanism in predicting recovery. Finally, we explore a meta-analysis comparing capitolunate and four-corner fusion, finding comparable outcomes between these approaches for advanced wrist collapse. "Clinical outcome of Intramedullary Screw Fixation in Metacarpal and Phalangeal Fractures" — Champawat VS et al., J Orthop Case Rep — https://doi.org/10.13107/jocr.2026.v16.i03.6972 "A Sutureless Approach to Nerve Repair: Results From a Clinical Study in Digital Nerves" — Bindra R et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100956 "Factors Affecting Shoulder and Elbow Functions in Traumatic Brachial Plexus Surgery" — Kıratlıoğlu Y et al., Indian J Orthop — https://doi.org/10.1007/s43465-025-01531-1 "Capitolunate arthrodesis versus four-corner fusion for advanced wrist collapse: a systematic review and meta-analysis" — Al-Badaineh M et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-026-06747-x

Today's foot and ankle edition covers four diverse studies examining surgical techniques, biomechanical modeling, radiographic assessment, and functional evaluation in foot and ankle care. We explore endoscopic versus minimally invasive Achilles tendon repair outcomes, finite element analysis of hallux valgus and flatfoot relationships, validation of radiographic parameters in pediatric foot deformities, and the association between ankle dorsiflexion and locomotive syndrome in older adults. "All-inside endoscopic and minimally invasive modified Bunnell suture yield favourable outcomes in acute midsubstance Achilles tendon ruptures: a comparative study." — Xue Y et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-026-06769-5 "Finite element study of the role of medial longitudinal arch in hallux valgus deformity." — Zhang Y et al., Bone Joint Res — https://doi.org/10.1302/2046-3758.153.BJR-2025-0021.R2 "Clinical validity of radiographic parameters for evaluating pediatric foot deformities: correlation with pedobarographic analysis." — Kim WS et al., BMC Musculoskelet Disord — https://doi.org/10.1186/s12891-026-09643-x "Passive Ankle Dorsiflexion and Single-Leg Balance Are Independently Associated with Locomotive Syndrome Severity in Community-Dwelling Older Adults: A Cross-Sectional Study." — Hakukawa S et al., Healthcare (Basel) — https://doi.org/10.3390/healthcare14060742

Today's shoulder and elbow edition examines tendon transfer techniques and the emerging role of GLP-1 receptor agonists in orthopaedic surgery. We review comparative outcomes of single versus dual tendon transfers for irreparable rotator cuff tears, explore the potential healing benefits of GLP-1 agonists in both rotator cuff repair and total joint arthroplasty, and examine soft tissue reconstruction options for anterosuperior rotator cuff defects. "Single versus dual tendon transfer for global irreparable rotator cuff tears" — Baek et al., Shoulder Elbow — https://doi.org/10.1177/17585732261432200 "Outcomes of primary rotator cuff repair in non-diabetic patients using glucagon-like peptide-1 (GLP-1) receptor agonists: A propensity-matched analysis" — Ambrose Martino et al., Shoulder Elbow — https://doi.org/10.1177/17585732261434004 "Glucagon-like peptide-1 receptor agonists in total joint arthroplasty: a comprehensive systematic review of what orthopaedic surgeons should know" — Abdelaziz et al., Arthroplasty — https://doi.org/10.1186/s42836-026-00375-w "Soft tissue reconstruction techniques for irreparable anterosuperior rotator cuff tears: A systematic review of clinical outcomes" — Gilbert et al., Shoulder Elbow — https://doi.org/10.1177/17585732261431826

Today's knee edition covers ceramic implant alternatives, navigation-assisted constitutional alignment, adolescent patellofemoral reconstruction, and cardiac risk stratification in arthroplasty. Key findings include promising mid-term survivorship for ceramic total knee replacements, excellent accuracy with three-dimensional navigation for constitutional alignment restoration, high return-to-sport rates after medial quadriceps tendon femoral ligament reconstruction in adolescents, and significantly increased perioperative risks for heart failure patients with reduced ejection fraction. "Evaluating the effectiveness of completely metal-free ceramic total knee replacement compared to traditional metal-based implants: a systematic review" — Alhomayani KM et al., Knee — https://doi.org/10.1016/j.knee.2026.104423 "Patient-Specific Restoration of Constitutional Alignment Within Predefined Safety Boundaries Using Three-Dimensional Navigation in Primary Total Knee Arthroplasty: One-Year Clinical and Radiographic Outcomes" — Kasparek MF et al., J Clin Med — https://doi.org/10.3390/jcm15062441 "Outcomes After Medial Quadriceps Tendon Femoral Ligament Reconstruction in Adolescent Patients" — Harris J et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261427744 "Postoperative Complications in Patients With Heart Failure With Reduced vs Preserved Ejection Fraction Undergoing Total Hip and Knee Arthroplasty" — Wahid M et al., Arthroplast Today — https://doi.org/10.1016/j.artd.2026.101993

Today's hip edition covers four diverse studies addressing practical challenges in hip surgery. We examine a comprehensive meta-analysis showing tranexamic acid reduces blood loss by over 250ml and transfusion risk by 45% in hip fracture surgery, explore how traditional Japanese herbal medicine may reduce postoperative swelling and pain after total hip arthroplasty, review outcomes of bone morphogenetic protein augmentation for massive acetabular defects in revision surgery, and discuss how comorbidity burden affects actual weight bearing patterns during early recovery from hip fractures. "Tranexamic Acid for Reduction of Blood Loss in Patients with Extracapsular Proximal Femur Fractures: Systematic Review and Meta-Analysis of Randomized Clinical Trials" — Ilic I et al., Pharmaceutics — https://doi.org/10.3390/pharmaceutics18030374 "Goreisan May Reduce Postoperative Swelling and Pain After Total Hip Arthroplasty: A Retrospective Comparative Study" — Uehara Y et al., J Clin Med — https://doi.org/10.3390/jcm15062317 "Bone Morphogenetic Protein Augmentation of Large Acetabular Defects in Revision Total Hip Arthroplasty: A Viable Option for Massive Bone Loss" — Heckmann ND et al., Arthroplast Today — https://doi.org/10.1016/j.artd.2026.101998 "Association of Charlson Comorbidity Index and ASA Score with Postoperative Mobility in Geriatric Hip Fracture Patients" — Pachmann F et al., J Clin Med — https://doi.org/10.3390/jcm15062296

Today's sports medicine edition covers four open-access studies spanning pediatric knee anatomy, shoulder instability, ACL reconstruction, and patellar dislocation. We discuss the first anatomic study of the anterior intermeniscal ligament in children and its implications for ACL surgery, examine how native anatomy influences bone loss severity in posterior shoulder dislocation, review evidence for slope-reducing osteotomy in revision ACL reconstruction, and explore the high prevalence of ligamentous laxity in complex patellar dislocation cases. "The Anatomy of the Anterior Intermeniscal Ligament in Children: Implications for Tibial Spine Fractures, Meniscal Injuries, and Anterior Cruciate Ligament Reconstruction" — Alayleh AM et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251412407 "Bony Lesion Severity in First-Time Posterior Shoulder Dislocation: The Role of Glenoid and Acromial Morphology" — Jessen M et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261419373 "A Research Hotspot-Guided Meta-Analysis of Anterior Closing-Wedge High Tibial Osteotomy in Revision Anterior Cruciate Ligament Reconstruction" — Liu X et al., Bioengineering (Basel) — https://doi.org/10.3390/bioengineering13030327 "High prevalence of generalized ligamentous laxity in patellar dislocation with posterior weight-bearing lateral femoral condyle osteochondral fractures: an observational study and treatment outcomes" — Nian Z et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-026-06748-w

This trauma edition covers four key areas of orthopaedic trauma care. We examine outcomes of the UOL II plate system for ulnar shortening osteotomy, showing excellent union rates with zero non-union cases but noting seventeen percent implant removal requests. A pediatric study demonstrates ninety-two percent favorable outcomes with elastic intramedullary nailing for forearm fractures, though complications occur in nearly one quarter of cases. A comprehensive review synthesizes current bone cyst management approaches, recommending risk-stratified treatment algorithms for both aneurysmal and simple bone cysts. Finally, we review outcomes of cement-augmented pedicle screw fixation for osteoporotic spine fractures, showing excellent clinical results with potential advantages for twelve-screw over eight-screw constructs. "The ulna osteotomy locking plate II in patients with ulnocarpal impaction syndrome: a retrospective evaluation." — Benedikt S et al., Arch Orthop Trauma Surg — https://doi.org/10.1007/s00402-026-06223-5 "Elastic Stable Intramedullary Nail Fixation for Pediatric Forearm Bone Fractures: Outcomes and Complications Rate." — Kaziz H et al., Tunis Med — https://doi.org/10.62438/tunismed.v103i9.6022 "The best solution is the simplest: advances in surgical and minimally invasive management of aneurysmal and simple bone cysts." — Alaseem A et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-026-06792-6 "Outcomes of Hybrid Cement-Augmented Pedicle Screw Fixation in Complicated Osteoporotic Thoracolumbar Fractures: A Single-Centre Experience." — Abishev N et al., Medicina (Kaunas) — https://doi.org/10.3390/medicina62030573

Today's hand edition covers four important studies spanning neuroma management, pain control, and oncologic vigilance. We examine outcomes of regenerative peripheral nerve interface surgery across different mental health baselines, sobering long-term results of traditional neuroma surgery, evolving opioid prescribing patterns after flexor tendon repairs, and a critical case of unexpected sarcoma discovery during routine carpal tunnel surgery. "Outcomes Following Regenerative Peripheral Nerve Interface Surgery and Associations With Preoperative Mental Health: A Retrospective Analysis of Upper-Extremity Neuromas" — Manzoor et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100985 "Long-term outcomes of symptomatic neuromas in the wrist, hand, and digits: A prospective cohort study" — Raasveld et al., J Plast Reconstr Aesthet Surg — https://doi.org/10.1016/j.bjps.2026.03.016 "Opioid Prescription Patterns Following Zone II Flexor Tendon Repairs: A National Database Study" — Ajjawi et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100971 "Unexpected detection of clear cell sarcoma of soft tissue during single-channel endoscopic carpal tunnel release for recurrent carpal tunnel syndrome: a case report with literature review" — Zhang et al., Front Surg — https://doi.org/10.3389/fsurg.2026.1767446

Today's foot and ankle edition covers four open-access studies examining digital rehabilitation, perioperative drug management, preoperative interventions, and tarsal coalition treatment. We review evidence for smartphone-based rehabilitation after Achilles repair, consensus recommendations for managing complex medications in foot surgery, third-generation cryotherapy benefits for ankle fractures, and updated diagnostic and treatment approaches for talocalcaneal coalition. "Home-Based Digital Exercise Program for Patients After Open Repair of Acute Achilles Tendon Rupture: Noninferiority Randomized Controlled Trial" — Wang H et al., JMIR Mhealth Uhealth — https://doi.org/10.2196/78100 "Clinical Consensus Statement: Perioperative Management of Prothrombotics, Antiplatelets, Anticoagulants, DMARDs and Biologics in Elective Podiatric Surgery" — Tang J et al., J Foot Ankle Res — https://doi.org/10.1002/jfa2.70121 "Third-generation cryotherapy reduces time to surgery and local complications in patients with ankle fractures: a prospective randomised controlled trial" — Lanzetti RM et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-025-06599-x "Talocalcaneal Coalition: Current Concepts, Clinical Implications, and Management Strategies" — Mascio A et al., Life (Basel) — https://doi.org/10.3390/life16030495

Today's shoulder and elbow edition examines risk assessment strategies for proximal humerus fractures, highlighting how metabolic and nutritional parameters may outperform traditional frailty measures in predicting surgical outcomes. We explore a specific pattern of diagonal elbow injuries in children that can be easily missed on initial radiographs, review cost-effectiveness data comparing Latarjet and arthroscopic Bankart procedures in shoulder instability, and analyze concerning Medicare reimbursement trends for total shoulder arthroplasty over the past decade. "Does pre-operative metabolic and nutritional assessment have greater association with perioperative complications than frailty following surgical intervention for proximal humerus fractures?" — Williamson TK et al., JSES Rev Rep Tech — https://doi.org/10.1016/j.xrrt.2026.100686 "Medial to lateral diagonal injury of the elbow without elbow dislocation in children." — Hou L et al., Front Pediatr — https://doi.org/10.3389/fped.2026.1762246 "Cost-effectiveness analysis of Latarjet versus arthroscopic Bankart with remplissage in anterior shoulder instability: A retrospective cohort study from Ecuador." — Barros Castro A et al., Shoulder Elbow — https://doi.org/10.1177/17585732261433031 "Declining Medicare reimbursement and income in primary total shoulder arthroplasty: a comparison of osteopathic and allopathic orthopedic surgeons, 2013-2023." — Minerva AJ et al., J Shoulder Elb Arthroplast — https://doi.org/10.1016/j.jsea.2026.100002

Today's knee edition covers four diverse topics spanning arthroplasty outcomes, meniscal surgery, perioperative care, and preoperative optimization. We examine how bisphosphonate therapy may influence TKA revision rates, explore combined surgical approaches for complex meniscal pathology, investigate simple interventions for postoperative recovery, and compare modern weight loss strategies in joint replacement patients. "Antiresorptive Therapy and Revision Risk After Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis" — Huffman AB et al., Arthroplasty Today — https://doi.org/10.1016/j.artd.2026.101991 "Mid-Term Clinical Outcomes of Pullout Repair Combined with Osteochondral Autograft Transplantation for Medial Meniscus Posterior Root Tears with Focal Cartilage Defects: A Treatment-Stratified Cohort Study" — Akura N et al., Bioengineering (Basel) — https://doi.org/10.3390/bioengineering13030343 "Effect of Brief Guided Imagery on Short-Term Outcomes in Patients Undergoing First Elective Total Knee Arthroplasty: Randomized Controlled Trial" — Kaplun A et al., International Journal of Environmental Research and Public Health — https://doi.org/10.3390/ijerph23030340 "Weight Loss in Primary Total Hip and Knee Arthroplasty: A Comparative Study of Glucagon-Like Peptide-1 Receptor Agonists and Bariatric Surgery" — Ledford CK et al., Arthroplasty Today — https://doi.org/10.1016/j.artd.2026.101988

Today's hip edition covers infection management strategies, complications of cemented arthroplasty, biomechanical insights into FAI-related sacroiliac joint pain, and complex reconstruction techniques for post-traumatic arthritis. We examine outcomes of partial two-stage revision in elderly patients with periprosthetic joint infection, explore a rare case of delayed liver injury following bone cement implantation, analyze how posture and cam resection affect sacroiliac joint stress using finite element modeling, and review successful total hip arthroplasty decades after adolescent pelvic trauma. "Clinical Outcomes of Partial Two-Stage Revision with Femoral Stem Retention in Elderly Patients with Hip Periprosthetic Joint Infection" — Bahk JH et al., J Clin Med — https://doi.org/10.3390/jcm15062102 "Delayed Ischemic Hepatocellular Injury Following Cemented Total Hip Arthroplasty: A Case Report Within the Spectrum of Bone Cement Implantation Syndrome" — Boloș BȘ et al., Life (Basel) — https://doi.org/10.3390/life16030394 "Sacroiliac Joint Stress Is Affected by Postural Change or Cam Resection in Femoroacetabular Impingement Syndromes: A Finite Element Analysis Study" — Nagashima R et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251413584 "Post-traumatic End-Stage Hip Osteoarthritis Decades After an Adolescent Gunshot Wound Treated With Direct Anterior Total Hip Arthroplasty: A Case Report" — Mirnateghi A et al., Cureus — https://doi.org/10.7759/cureus.103899

This sports medicine edition examines four critical topics affecting athletic populations. We explore psychological readiness differences between elite and nonelite athletes during ACL recovery, revealing that competition level doesn't predict psychological outcomes. A biomechanical study shows persistent muscle stiffness changes after hamstring strain injury that may explain high reinjury rates. A comprehensive meta-analysis demonstrates substantial functional improvements with meniscal allograft transplantation, though return to preinjury performance levels remains limited. Finally, a concerning pediatric study reveals high failure rates with dynamic intraligamentary stabilization for ACL repair in young athletes. "Psychological Readiness in Elite Versus Nonelite Athletes After Anterior Cruciate Ligament Reconstruction" — McAleese et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251378746 "Changes in Passive Muscle Stiffness Following Biceps Femoris Strain Injury in Track-and-Field Athletes: Cross-Sectional and Longitudinal Analyses" — Kukuchi et al., Scand J Med Sci Sports — https://doi.org/10.1111/sms.70254 "Clinical Efficacy of Meniscal Transplantation After Meniscectomy: A Systematic Review and Meta-analysis" — Zhang et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261416522 "Dynamic Intraligamentary Stabilization (DIS) Repair for ACL Ruptures in Pediatric and Adolescent Patients: An Initial Pilot Study with Long-Term Follow Up" — Schoepke et al., Children (Basel) — https://doi.org/10.3390/children13030393

Today's trauma edition covers periprosthetic fracture management, femoral neck fracture arthroplasty techniques, pediatric forearm fixation, and acetabular surgery complications. We examine outcomes of modular taper stems for Vancouver fractures, assess modern cementless stem performance in elderly patients, review elastic nailing results in pediatric forearm fractures, and discuss a rare vascular complication case. "Clinical outcomes of revision arthroplasty with a modular taper fluted titanium stem for the treatment of Vancouver B2 and B3 periprosthetic femur fractures" — Kubik et al., Canadian Journal of Surgery — https://doi.org/10.1503/cjs.011125 "A Modern Collared Cementless Femoral Stem for the Arthroplasty Treatment of Femoral Neck Fractures" — Naylor et al., Journal of Clinical Medicine — https://doi.org/10.3390/jcm15062110 "Elastic Stable Intramedullary Nail Fixation for Pediatric Forearm Bone Fractures: Outcomes and Complications Rate" — Kaziz et al., Tunisie Médicale — https://doi.org/10.62438/tunismed.v103i9.6022 "External iliac artery thrombosis following open reduction of acetabular fracture by para-rectus approach: A case report" — Song et al., Journal of International Medical Research — https://doi.org/10.1177/03000605261432742

Today's hand edition covers four important studies spanning trauma, nerve injury prevention, and surgical decision-making. We examine whether comorbidity indices predict complications in distal radius fracture surgery, review a case of iatrogenic motor branch injury during carpal tunnel release with recommendations for prevention, compare outcomes between capitolunate and four-corner fusion techniques, and present the largest series of complex perilunate fracture-dislocations with dual styloid and scaphoid involvement. "Association of Charlson Comorbidity Index and Charlson Fracture Index With Surgical Complications in Distal Radius Fractures: A Retrospective Review" — Parker AM et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100959 "Recurrent Motor Branch Injury During Open Carpal Tunnel Release: A Case Report and Recommendations for Prevention of This Surgical Hazard" — van der Putten L et al., Plast Reconstr Surg Glob Open — https://doi.org/10.1097/GOX.0000000000007584 "Capitolunate arthrodesis versus four-corner fusion for advanced wrist collapse: a systematic review and meta-analysis" — Al-Badaineh M et al., J Orthop Surg Res — https://doi.org/10.1186/s13018-026-06747-x "Concomitant trans-styloid and trans-scaphoid perilunate fracture-dislocations: evaluation of surgical outcomes in the largest reported series" — Mazhar FN et al., Int J Surg Case Rep — https://doi.org/10.1097/RC9.0000000000000256

Today's foot and ankle edition covers four open-access studies examining diverse aspects of foot and ankle care. We explore how platelet-rich plasma response varies by tendon location and patient sex, investigate geometric principles for safer minimally invasive metatarsal surgery, review the diagnostic challenges and outcomes of rare primary bone malignancies in the foot, and examine unexpected calcaneal morphological changes associated with progressive collapsing foot deformity. "Influence of Tendon Location on the Clinical Response to Platelet-Rich Plasma: A Prospective Cohort Study of Rotator Cuff, Achilles and Patellar Tendinopathies" — Sánchez et al., J Clin Med — https://doi.org/10.3390/jcm15052005 "Geometric Assessment and Tissue Damage Control in Anatomically, Ultrasonographically, and Fluoroscopically Guided Intracapsular DICMO Osteotomies Conducted on Cadaveric Specimens" — Suárez-Ortiz et al., Reports (MDPI) — https://doi.org/10.3390/reports9010066 "Primary osseous malignancies of the foot: a comprehensive literature review and insights from a single-centre experience" — Kruijer et al., J Bone Oncol — https://doi.org/10.1016/j.jbo.2026.100755 "The Relationship Between Calcaneal Bump Height and Progressive Collapsing Foot Deformity on Weight-Bearing Lateral Radiographs: Cross-Sectional Study in Adult Males" — Tuncez et al., Diagnostics (Basel) — https://doi.org/10.3390/diagnostics16050745

Today's shoulder and elbow edition covers four studies examining imaging and measurement techniques in shoulder arthroplasty, along with prosthetic design comparisons. We explore tomosynthesis as an alternative imaging modality for detecting glenoid bone defects after reverse shoulder arthroplasty, evaluate the reliability of 3D CT planning for glenoid version correction, compare 2D and 3D measurements of scapulohumeral rhythm, and examine functional outcomes between Grammont and lateralized reverse total shoulder arthroplasty designs. "Detection of Anterior and Posterior Glenoid Bone Defects After Reverse Shoulder Arthroplasty With Tomosynthesis in a Pig Model" — Hirakawa et al., Cureus — https://doi.org/10.7759/cureus.103625 "Three-Dimensional CT Planning for Anatomic Shoulder Arthroplasty: Reliability of Version Correction With Short-Term Clinical Outcomes" — Thakkar et al., Cureus — https://doi.org/10.7759/cureus.104284 "Comparison of two- and three-dimensional implant-based scapulohumeral rhythm measurements derived from two radiographic images in shoulders with reverse total shoulder arthroplasty" — Kawashima et al., JSES Int — https://doi.org/10.1016/j.jseint.2026.101654 "Functional Outcomes After Reverse Total Shoulder Arthroplasty: Comparing Grammont and Lateralized Prosthesis Designs" — Iglesias et al., Cureus — https://doi.org/10.7759/cureus.105919

Today's knee edition explores four critical aspects of contemporary knee surgery. We examine prolonged adductor canal catheter use for post-TKA pain management, compare PROMIS outcome measures to legacy tools, validate radiographic measurement techniques in unicompartmental knee arthroplasty, and investigate biomechanics of inter-implant gaps in revision scenarios. "Pain trajectory after total knee arthroplasty (TKA) with prolonged use of outpatient adductor canal catheters" — Barre et al., J Anesth Transl Med — https://doi.org/10.1016/j.jatmed.2025.07.001 "A Comparison of the Psychometric Properties of PROMIS Computer Adaptive Tests and Short Forms Vs Legacy Patient-Reported Outcome Measures in Total Knee Arthroplasty Patients" — Braaksma et al., Arthroplast Today — https://doi.org/10.1016/j.artd.2026.101964 "Radiographic Posterior Tibial Slope Measurement in Medial Unicompartmental Knee Arthroplasty: A Retrospective Validation Study Using Digital Volume Tomography of Tibial Resectates" — Tsimopoulos et al., J Clin Med — https://doi.org/10.3390/jcm15062095 "Should We Worry About the Inter-Implant Gap in the Tibia? A Finite Element Analysis of Revision TKA and Distal Plating" — Glória et al., Medicina (Kaunas) — https://doi.org/10.3390/medicina62030450

Today's hip edition covers delirium screening validation, antibiotic perfusion research, functional recovery patterns, and mortality risk stratification. We examine the Greek validation of the 4AT delirium screening tool in hip fracture patients, explore continuous local antibiotic perfusion pharmacokinetics through cadaveric models, analyze BMI effects on functional recovery after total hip arthroplasty, and validate the neutrophil-lymphocyte ratio as a mortality predictor in proximal femoral fracture patients. "Translation, Cultural Adaptation, and Validation of the Greek Version of the 4 'A's Test for Delirium Screening in Elderly Patients with Hip Fracture" — Spyraki M et al., Clinical Practice — https://doi.org/10.3390/clinpract16030058 "Pharmacokinetics of Continuous Local Antibiotic Perfusion in Fresh-Frozen Cadaver Models of Hip and Knee Arthroplasties" — Mizuhashi T et al., Cureus — https://doi.org/10.7759/cureus.104181 "Impact of Body Mass Index on Functional Recovery After Total Hip Arthroplasty: A Prospective Study" — Ima M et al., Arthroplasty Today — https://doi.org/10.1016/j.artd.2026.101986 "Validation of the Neutrophil-Lymphocyte Ratio as a Mortality Risk Stratification Marker in Patients with Proximal Femoral Fractures" — Civinini A et al., Biomedicines — https://doi.org/10.3390/biomedicines14030551

Today's sports medicine edition covers four key topics: risk factors for complications after proximal hamstring avulsion repair, comparison of repair techniques for meniscal ramp lesions, radiographic prediction of anchor stability in rotator cuff surgery, and surgical technique for open Latarjet procedures. All studies are open access. "Risk Factors for Complications After Proximal Hamstring Avulsion Injury: Analysis of 757 Patients From the PHAS Cohort" — Lefèvre et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261418679 "Comparison of All-Inside Suture Implant Versus Suture Hook Technique for Meniscal Ramp Lesions: A Systematic Review and Meta-analysis" — Mzeihem et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261428091 "Measurement of Proximal Humeral Cortical Bone Thickness to Predict Intraoperative Anchor Stability in Arthroscopic Rotator Cuff Repair: A Retrospective Case-Control Study of a Reliable Radiographic Marker for Surgical Planning" — Igrek et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261427779 "Open Latarjet for Traumatic Shoulder Dislocation: A Technical Note" — Alnemri et al., Video J Sports Med — https://doi.org/10.1177/26350254251387734

Today's trauma edition covers four innovative approaches to complex orthopaedic problems. We examine AI-predicted implant sizing in hip arthroplasty and its association with complication rates, explore novel intercalary prosthetic reconstruction for recalcitrant humeral nonunions, review outcomes of elastic nail fixation in pediatric forearm fractures, and detail an extraordinary case of multistage microsurgical reconstruction following shark attack trauma. "Deviation From AI-Predicted Implant Sizes in Total Hip Arthroplasty Is Associated With Increased Complication Risk" — Murphy MP et al., Arthroplast Today — https://doi.org/10.1016/j.artd.2026.101984 "Intercalary tumor prosthesis for recalcitrant humeral shaft nonunions: a case series and technique" — Grommersch BM et al., JSES Rev Rep Tech — https://doi.org/10.1016/j.xrrt.2026.100701 "Elastic Stable Intramedullary Nail Fixation for Pediatric Forearm Bone Fractures: Outcomes and Complications Rate" — Kaziz H et al., Tunis Med — https://doi.org/10.62438/tunismed.v103i9.6022 "Multistage microsurgical reconstruction after catastrophic shark attack: Vascularized ulnar nerve grafting for a large segmental sciatic nerve defect" — Bishay J et al., JPRAS Open — https://doi.org/10.1016/j.jpra.2026.02.016

Today's hand edition covers four important studies examining patient recovery expectations, healthcare disparities, treatment durability, and cost-effective surgical techniques. We discuss realistic recovery timelines after carpal tunnel release, the substantial economic burden of occupational hand injuries in vulnerable populations, evidence-based recurrence rates for Dupuytren contracture treatments, and achieving excellent outcomes with standard implant systems for complex distal radius fractures. "Patient-Perceived Time to Recovery After Carpal Tunnel Release" — Earp et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100973 "The Cost of Hand Injuries to Non-United States Citizen Manual Laborers" — Ulfers et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100976 "Likelihood of Dupuytren Contracture Recurrence After Limited Fasciectomy, Needle Aponeurotomy or Collagenase" — Nocek et al., J Hand Surg Glob Online — https://doi.org/10.1016/j.jhsg.2026.100979 "An Economically Feasible Solution for Distal Radius Fractures Treated with Column-specific Fixation" — Kumar et al., J Orthop Case Rep — https://doi.org/10.13107/jocr.2026.v16.i03.6986

Today's foot and ankle edition covers innovative reconstruction techniques and diagnostic challenges. We examine a successful case of three-dimensional-printed titanium prosthesis for distal tibia giant cell tumor reconstruction, explore the rare complication of Charcot neuroarthropathy following forefoot surgery in a patient with myelopathy, review the consequences of missed midtarsal injuries, and discuss a novel approach combining Achilles tendon allograft with free flap coverage for complex heel defects. "Patient-specific Distal Tibia Prosthesis for Reconstruction in a Case of Recurrent Giant Cell Tumor - A Case Report" — Basra M et al., J Orthop Case Rep — https://doi.org/10.13107/jocr.2026.v16.i03.6894 "Forefoot Charcot Neuroarthropathy following Forefoot Surgery in a Non-Diabetic Patient with Myelopathy: A Rare Presentation not to be Missed" — Malhotra K et al., J Orthop Case Rep — https://doi.org/10.13107/jocr.2026.v16.i03.6888 "Missed Medial Swivel Type of Midtarsal Injury Presenting Late with Deformity - A Case Report" — Arunkamal C et al., J Orthop Case Rep — https://doi.org/10.13107/jocr.2026.v16.i03.6872 "Reconstruction of a Composite Heel Defect Using Achilles Tendon Allograft and Latissimus Dorsi Free Flap: Case Report and Literature Review" — Karamitros G et al., Plast Reconstr Surg Glob Open — https://doi.org/10.1097/GOX.0000000000007598

In today's shoulder and elbow edition, we examine four studies spanning surgical techniques, fracture management, arthroplasty biomechanics, and return to sport outcomes. Topics include arthroscopic posterior labral repair with interval closure, fibular strut graft augmentation achieving one hundred percent union rates in proximal humerus fractures, biomechanical advantages of multiplanar humeral head osteotomies in stemless arthroplasty, and the predictive value of six-month SIRSI scores for return to sport success in adolescent athletes. "Arthroscopic Posterior Labral Repair With Capsulorrhaphy and Anterior Interval Closure: Surgical Technique." — Kopriva JM et al., Video J Sports Med — https://doi.org/10.1177/26350254251384330 "Early Functional Outcomes of Autologous Fibular Strut Graft Augmentation in Open Reduction and Internal Fixation (ORIF) of Proximal Humerus Fractures." — Chawla HKS et al., Cureus — https://doi.org/10.7759/cureus.103867 "A multiplanar humeral head osteotomy results in significantly improved bone compression strength compared to a standard humeral head osteotomy in stemless total shoulder arthroplasty." — Frear AJ et al., JSES Int — https://doi.org/10.1016/j.jseint.2026.101631 "Six-Month SIRSI Scores and Return to Sport After Shoulder Stabilization in Adolescent Athletes." — Pavlenco C et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261421228

Today's knee-focused episode covers four important studies spanning infection prevention, trauma outcomes, patellofemoral instability, and meniscus surgery. We examine a large meta-analysis questioning the routine use of antibiotic bone cement in primary total knee arthroplasty, review long-term outcomes after multiligament knee injuries showing concerning rates of osteoarthritis development, explore how lower extremity torsion impacts medial patellofemoral ligament reconstruction results, and compare fixation techniques for medial meniscus posterior root tears. "Impact of Antibiotic Bone Cement on Infection Rates in Primary Total Knee Arthroplasty: A GRADE-Assessed Systematic Review and Meta-Analysis of Observational Studies Involving Over 4 Million Patients" — Majdi A et al., Open Forum Infect Dis — https://doi.org/10.1093/ofid/ofag110 "Outcomes Following Multiligament Knee Injuries: A Systematic Review of Studies With a Minimum 7-Year Follow-up" — Moews LD et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251407247 "Impact of Lower Extremity Torsion on Clinical Outcomes Following Medial Patellofemoral Ligament Reconstruction" — Ishibashi K et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251404061 "There Is No Clinical and Radiological Difference between Suspensory and Cortical Button Fixation at the Treatment of Medial Meniscus Posterior Root Tear" — Sarikaya G et al., Acta Chir Orthop Traumatol Cech — https://doi.org/10.55095/achot2026/001

Today's hip edition examines four key areas of hip surgery research. We review a systematic review comparing safety outcomes between postless and post-assisted hip arthroscopy techniques, showing significant reductions in nerve injuries with the postless approach. We then explore how surgical approach affects intraoperative femoral fracture risk in total hip arthroplasty, discuss population-level survival disparities after hip fractures in Chile's healthcare system, and conclude with long-term return-to-sport outcomes in basketball players following hip arthroscopy for femoroacetabular impingement. "A Comparison of Postoperative Complications and Clinical Outcomes in Postless Versus Post-Assisted Hip Arthroscopy: A Systematic Review and Meta-analysis of Nonrandomized Comparative Studies" — Ajrawat P et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251407659 "Surgical Approach Influences the Risk of Intraoperative Periprosthetic Femoral Fracture in Primary Total Hip Arthroplasty: A Retrospective Cohort Study" — Izquierdo JA et al., Cureus — https://doi.org/10.7759/cureus.106065 "Disparities in survival after hip fractures in Chile in patients above 60 years: the impact of the operating room management" — Barahona M et al., Front Health Serv — https://doi.org/10.3389/frhs.2026.1554376 "Return to Basketball After Primary Hip Arthroscopy for Femoroacetabular Impingement: Minimum 5-Year Follow-up" — Mercurio AM et al., Orthop J Sports Med — https://doi.org/10.1177/23259671251397529

Today's sports medicine edition covers four key studies spanning ankle and knee pathology in both pediatric and adult populations. We examine return to sports outcomes after talar osteochondral grafting, predictive testing for ankle instability clearance, surgical technique for medial collateral ligament reconstruction, and complications following pediatric tibial spine fracture fixation. "Return To Sports After Talar OsteoPeriostic Grafting From the Iliac Crest for Large Osteochondral Lesions of the Talus" — Dahmen et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261418058 "Side Hop Test as a Predictor of Successful Return to Sports After Nonoperative Treatment or Modified Broström Operation in Patients With Chronic Ankle Instability: Based on the Ankle-GO Score" — Lee et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261419111 "Breaking Down the Posteromedial Corner: Medial Collateral Ligament Augmentation" — Gerhold et al., Video J Sports Med — https://doi.org/10.1177/26350254251376377 "Complications Leading to Reoperation After Pediatric Tibial Spine Fracture Fixation" — Caruso et al., Orthop J Sports Med — https://doi.org/10.1177/23259671261419525