We extend our sincere thanks to our Guest Editors, who are the editors for each issue, and Associate Editors for helping us build an outstanding library of content. These articles, written by acknowledged experts, cover key topics in orthopedic sports medicine and arthroscopy. To further our mission of delivering in-depth analysis on important topics, we are expanding into social media and podcasting to better engage our community of readers and authors. To maximize the impact of these platforms, we are introducing two new optional features: Visual Abstracts and Auditory Abstracts. These additions cater to different learning styles and broaden the reach of our content. While participation is voluntary, both features offer authors a unique opportunity to present their work in a more engaging and resonant format-benefiting both authors and readers through enhanced visibility and accessibility.

Together with our Guest Editors-acknowledged experts in the field-we are pleased to present this issue on Athletic Spine Disorders . Even for clinicians who are not spine specialists, these topics are highly relevant to sports medicine and arthroscopy practice. This issue also serves as a resource for counseling patients undergoing cervical or lumbar procedures. We are actively seeking readers to serve as reviewers; outstanding reviewers may be invited to join the Editorial Board and be recognized on the journal masthead.

Anterior cruciate ligament (ACL) rupture in young athletes is a common and devastating injury. The gold standard for treatment in young athlete population remains reconstruction using autografts especially bone-patellar tendon-bone (BTB) graft and hamstring tendons (HT) graft. A systematic review was conducted to compare the rates of overall return to sport (RTS), return to preinjury levels, and re-ruptures between young athletes who have undergone primary ACL reconstruction using a BTB versus HT autograft. 30 studies were included in the final analysis. A total of 5871 patient-athletes who underwent ACL reconstruction were included. Among them, 1684 patients received BTB and 4187 patients received HT. The overall RTS rate was 73.8%. The overall re-rupture rate was 4.2%. Higher rates of RTS and return to preinjury level, as well as a lower re-rupture rate, were observed in the BTB autograft. However, these differences did not reach statistical significance.

Pain catastrophizing and resilience have been shown to influence pain and postoperative patient reported outcomes (PROs) within orthopaedics. However, there are few studies examining the association between patient pain catastrophizing and resilience and their impact on outcomes following hip arthroscopy for femoroacetabular impingement (FAI). This systematic review aimed to identify any potential relationships. Seven studies met final inclusion criteria. A total of 231 patients were included from pain catastrophizing studies, and 196 patients were included from resilience studies. In all pain catastrophizing studies, postoperative PROs improved, and higher pain catastrophizing was associated with worse outcomes. Significant improvement was seen between pre and postoperative PROs in all resilience studies, and 2 of 3 resilience studies found lower resilience correlated with worse outcomes.

This review synthesizes recent advancements in surgical innovations and biological augmentation strategies aimed at enhancing bone tunnel healing after ACL reconstruction. Anterior cruciate ligament (ACL) reconstruction remains the gold standard for restoring knee function, yet suboptimal bone tunnel healing impedes graft integration and functional recovery; this biologically complex process-involving osteoblast activation, fibrovascular tissue formation, and endochondral/intramembranous ossification-is critically modulated by biomechanical and biochemical factors. We critically evaluate emerging surgical techniques (e.g., tunnel positioning optimization, fixation methods) and biological interventions (e.g., growth factor delivery, stem cell therapy), highlighting their mechanistic roles in accelerating osteointegration and mitigating healing failure risks. Evidence-based integration of these innovations demonstrates significant potential to improve graft stability, accelerate rehabilitation, and optimize long-term patient outcomes. (Level of Evidence: Level V).

The purpose of this study is to systematically review and analyze the clinical outcomes of all suture anchors (ASA) compared to conventional suture anchors (CSA) in patients undergoing arthroscopic Bankart repair (ABR) for anterior shoulder instability. A systematic review following PRISMA guidelines was performed from inception through March 2024. Studies reporting clinical outcomes of patients who underwent ABR with ASA for anterior shoulder instability were included. The meta-analysis on each outcome measure is presented in forest plots detailing the mean difference for continuous variables or odds ratio for dichotomous variables. 13 articles assessing 878 patients were included, with 497 and 381 utilizing ASA and CSA, respectively. There were no significant differences between the ASA and CSA groups across recurrent instability, redislocation, or patient-reported outcome scores. At 2-year follow-up, ASA demonstrates equivalent recurrent instability rates, reoperation rates, and patient-reported outcomes in patients undergoing ABR for anterior instability.

With increasing age, rotator cuff tears are common in symptomatic and asymptomatic patients. Yet, there remains a limited understanding of the etiology of pain associated with rotator cuff pathology. Recent research has associated patient perception, resilience, repair integrity, tear size, biomechanics of the humeral head, and muscle kinematics with pain levels. However, the evidence remains largely inconclusive in answering the fundamental question regarding why some patients experience symptoms severe enough to warrant surgery and others remain completely asymptomatic. A deeper understanding of the causes of pain with a rotator cuff tear can guide treatments to optimize pain relief in symptomatic individuals seeking treatment.

In the past 20 years, the research hotspots and trends in hip arthroscopy have been explored through bibliometric analysis. The Web of Science Core Collection database was searched for hip arthroscopy articles published between January 1, 2004, and December 31, 2023. Cite Space (Drexel University, version 6.1.6), VOS viewer (Leiden University, version 1.6.20), the Bibliometric online website ( https://bibliometric.com/ ) and Origin (version 2024) were used. The results showed an overall increasing trend in the number of publications. Hip arthroscopy has remained a future research hotspot for the treatment of hip injuries. Femoroacetabular impingement syndrome and labral tear were identified as research hotspots. However, there are relatively few studies on functional recovery and quality of life improvement in patients 10, 20, or even more years after surgery, representing a potential future research gap. The United States has been an international leader. It is advisable to establish a data exchange mechanism among countries, institutions, and scholars to enhance academic collaboration and advance the progress of hip arthroscopy. Level of Evidence: A bibliometric analysis.