Previous research has clearly shown that surgeon case volume is directly correlated with surgical outcomes in arthroscopic surgery. This study aimed to evaluate the exposure to wrist and elbow arthroscopy that graduating orthopedic surgery residents and fellows receive. Accreditation Council for Graduate Medical Education (ACGME) case log data from 2014 to 2024 was reviewed for graduating orthopedic residents, hand surgery fellows, and orthopedic sports medicine fellows in the United States. Mean and median numbers of wrist and elbow arthroscopy cases logged per resident or fellow were compared to assess procedure volume. The 10th and 90th percentiles of case volumes were analyzed to assess variability. Trends were evaluated over time to determine changes in case exposure. Wrist arthroscopy volume reported by orthopedic residents decreased from 4.6±5 (median 3, range 0-46) to 3.0±3 (1, 0-23) cases per resident (p<0.001). Elbow arthroscopy volume decreased from 2.1±2 (2, 0-18) to 1.8±3 (1, 0-38) cases per resident (p<0.001). Among hand surgery fellows, wrist arthroscopy volume decreased from 18.5±13 (15, 3-102) to 14.4±8 (13, 5-65) cases per fellow (p<0.001), and elbow arthroscopy volume from 5.2±7 (4, 0-35) to 2.6±3 (1, 0-20) cases per fellow (p<0.001). Sports medicine fellow elbow arthroscopy volume decreased from 6.6±8 (4, 0-48) to 3.1±4 (2, 0-23) cases per fellow (p<0.001). Wrist arthroscopy volume was not reported for sports medicine fellows. Despite the established role of wrist arthroscopy in upper extremity orthopedic surgery, resident exposure is limited and has declined over recent years. Fellowship training has not offset this decline, with wrist and elbow arthroscopy volume decreasing significantly in hand and sports medicine fellowships. These trends raise concerns over preparedness to safely and independently perform these technically demanding procedures in practice after training. IV.

To compare the clinical outcome of patients electing to undergo the Cross Bracing Protocol (CBP) for ACL rupture with those choosing surgical stabilization. Observational prospective cohort study with 2-year follow-up. Private subspecialist sports orthopedics and sports medicine practice. The 80 patients who both entered and completed the study were skeletally mature 16 to 40 years old, presenting with an acute noncontact isolated ACL rupture, taking part in pivoting sports and intent on returning to that activity. ACL rupture was diagnosed on both clinical assessment and MRI. Patients were fit for general anesthetic and free of significant medical conditions. Group A (40 patients) underwent surgical stabilization, and group B (40 patients) followed the CBP. The groups were similar regarding the following independent variables: age, body mass index, gender, dominance of the injured knee, and posterior tibial slope ( P > 0.05). Recurrent instability, incidence of meniscal tears, and the following patient-reported outcome measures (PROMs); Tegner Activity Scores; Knee Injury Osteoarthritis Outcome Score subscales of sport/recreation and knee-related quality of life; subjective International Knee Documentation Committee score; and Lysholm Knee Score. Group B had significantly higher risk of recurrent instability (70% vs 2.5%, P < 0.001), medial meniscal tear (62% vs 2.5%, P < 0.001), and inferior performance on all PROMs ( P < 0.001). The CBP is associated with an unacceptably high rate of recurrent instability when used to treat ACL ruptures in patients taking part in pivoting sports.

The rapid expansion of glucagon-like peptide-1 receptor agonist (GLP-1 RA) use for weight management and diabetes has raised perioperative questions, particularly regarding delayed gastric emptying and infection risk. Emerging real-world data suggest a more nuanced perioperative profile. This scoping review synthesizes evidence on preoperative GLP-1 RA exposure and postoperative outcomes across orthopaedic procedures, with emphasis on soft-tissue sports medicine, and is intended to map associative perioperative outcomes rather than establish causality. Following Arksey-O'Malley and Joanna Briggs Institute methodology and PRISMA-ScR reporting, we searched PubMed, Scopus, Web of Science, CINAHL Ultimate, Academic Search Premier, and Ovid Emcare (2015 to 2025). Eligible studies evaluated adult orthopaedic patients with documented GLP-1 RA use and postoperative outcomes. Three reviewers independently screened and extracted study characteristics, exposure timing, perioperative management, and outcomes. Of 117 records screened, 35 studies met inclusion. Most were large retrospective cohorts spanning arthroplasty, spine fusion, trauma fixation, foot/ankle fusion, shoulder arthroplasty, and rotator cuff repair. Across hip, knee, and shoulder arthroplasty, GLP-1 RA use was generally associated with similar or lower 90-day complications, reduced periprosthetic joint infection, shorter length of stay, and fewer readmissions or revisions. Spine findings were mixed: Several cohorts showed lower infection and readmission, while others noted increased pneumonia, acute kidney injury, or pseudarthrosis in long-term semaglutide users. Trauma and ankle fracture cohorts showed no increase in short-term complications and in some cases lower mortality, with isolated signals for increased late fall-related injuries. Soft-tissue cohorts (rotator cuff repair and distal radius fixation) demonstrated fewer adverse events without increased aspiration or revision surgery risk. Functional outcomes (PROMIS) were rarely reported. Preoperative GLP-1 RA exposure is not broadly associated with increased postoperative risk and often correlates with lower infection, readmission, and mortality rates-particularly in arthroplasty, spine, and ankle fracture fixation cohorts. Findings in spine surgery are more mixed and warrant cautious interpretation, especially with prolonged semaglutide exposure. Outcomes in sports-medicine procedures seem reassuring, although prospective multicenter studies with standardized perioperative protocols and PROMIS-based outcomes are needed.

Children and adolescents represent a challenging population due to their incomplete physical development, and lack of specific criteria for interpreting electrocardiography (ECG) in children and adolescent athletes. We aimed to investigate the prevalence and clinical significance of short PR interval in pediatric and adolescent athletes undergoing pre-participation cardiac screening. This is a cross-sectional study, where a total of 1310 athletes (age range: 7-18years) underwent a comprehensive screening including medical history, physical examination, 12-lead ECG, echocardiography, and exercise testing under stress at Exercise and Sports Medicine Unit, University of Molise, Campobasso Italy between January 2023 and June 2024. Short PR interval prevalence and clinical significance were evaluated by frequency analysis and association with cardiac symptoms, respectively. Short PR interval (< 120ms) was present in 26.9% of athletes, while using a z-score threshold of - 2 as the age- and sex-adjusted lower limit of normal, 3.82% of the athletes met criteria for a short PR interval. No significant associations were found between short PR interval and cardiac symptoms: syncope, palpitations, chest pain, exercise-induced arrhythmias, or need for additional diagnostic testing beyond standard screening (p > 0.05). Isolated short PR interval was not associated with adverse cardiac findings among children and adolescent athletes following pre-participation screening, supporting its interpretation as a benign age-dependent variant. However, long-term outcome data are needed to confirm these observations.

The optimal therapeutic approach for early-stage NSCLC (I-II, and, in some specific cases, IIIa) is lung resective surgery with mediastinal lymphadenectomy. However, it should be remarked that lung resection surgery further negatively affects respiratory muscle function and health-related quality of life (HRQoL). It is well known that exercise interventions may improve pulmonary function but the optimal approach has not been determined yet. The aim of the present study is to investigate the results obtained by administering a specific athletic/physical protocol to a cohort of patients who undergo lung surgery after NSCLC diagnosis. Among patients who underwent a surgical treatment of NSCLC and followed in our Institution, those with the highest scores of performance status, defined after multidisciplinary evaluation by Interdisciplinary Group for Thoracic Neoplasms (GINT) will be addressed to the Interdipartimental Centre in Motor and Sport Activities, Sport Medicine Centre, University of Pavia for a work protocol based on mesocycles of 3times/week for 6 months. Respiratory function, cardiopulmonary exercise capacity, caloric expenditure expressed as metabolic equivalents (METs), and health-related quality of life will be assessed at baseline, 3 months, and 6 months in a prospective single-arm pilot cohort. Caloric consumption will be measured by metabolic equivalents (MET). A quality of life (QoL) questionnaire and a spirometry will be administered to patients at the same intervals. The primary exploratory endpoint will be the change in CPET-derived VO₂peak from baseline to 6 months; secondary endpoints will include changes in FEV₁, DLCO, MIP/MEP, METs, muscle power, and EORTC QLQ-C30 scores. For each patient, written informed consent will be obtained before the enrollment. Our study is, to the best of our knowledge the first perspective clinical trial encompassing athletic programs for patients with surgical treatment of NSCLC. The study is designed to provide preliminary data on feasibility, safety, and functional outcomes of a structured post-surgical athletic intervention in carefully selected patients with early-stage NSCLC.

To investigate the relationship between injury factors, nonsteroidal anti-inflammatory medication (NSAID) use, and concussion outcomes. Prospective cohort. Adolescents (N = 118) ≤14 days of concussion seen at a sports medicine center between November 2020 and May 2025. Participants who reported ibuprofen and/or naproxen use were assigned to the "NSAID use" group, all others were assigned to the "No NSAID use" group. Symptom severity, medical history, and medication use information were collected. The development of persisting symptoms after concussion (symptoms > 28 days, [PSaC]) was monitored via time to symptom resolution. We enrolled 118 participants with concussion (15.4 ± 1.7 years, 54% female, 8.4 ± 3.1 days postinjury): 29 (25%) reported taking NSAIDs (n = 24 ibuprofen, n = 3 naproxen, n = 2 ibuprofen/naproxen) before their evaluation. Those who reported NSAID use were evaluated sooner (7.4 ± 2.8 vs 8.7 ± 3.2 days postinjury; P = 0.05), weighed less (57.2 ± 11.0 vs 63.5 ± 17.0 kg; P = 0.06), and had more severe symptoms (59.9 ± 32.6 vs 39.3 ± 22.2; P < 0.001). More participants who reported NSAID use sustained a sport-related concussion (93% vs 73%; P = 0.02), and fewer participants who reported NSAID use started physical activity before evaluation (17% vs 39%; P = 0.03). Severe symptoms were associated with NSAID use (OR = 1.03; 95% confidence interval [CI], 1.01-1.05). Non-sport-related injuries (OR = 0.27; 95% CI, 0.08-0.91) and higher symptom severity (OR = 1.02; 95% CI = 1.00, 1.04) were associated with greater odds of PSaC, but NSAID use was not (OR = 0.62; 95% CI, 0.19-1.97). In adolescents, NSAID use was associated with more severe symptoms but not PSaC. To optimize clinical guidance, future research should further evaluate the role of NSAIDs in concussion recovery.

In children (≤14 yr) and adolescents (15-19 yr), cancer is highly heterogeneous and essentially differs from adult malignancies. Given the numerous sequelae and fitness impairments associated with treatment, there is a growing number of randomized controlled trials assessing the effects of exercise interventions in affected children/adolescents. As such, the purpose of this American College of Sports Medicine Expert Consensus Statement was to develop the first set of exercise guidelines for children/adolescents with cancer. We identified a list of outcomes with clinical relevance for the target population on which exercise may theoretically induce an improvement and developed exercise recommendations for those outcomes where there is sufficient evidence supporting such effect during/beyond treatment in children/adolescents. Exercise training can generally be performed safely for children/adolescents with cancer. There is moderate evidence that concurrent (aerobic and strength) exercise training can improve two common cancer/treatment-related health outcomes, muscle strength and physical function, but not physical activity levels. Moderate evidence also supports that aerobic exercise improves cardiorespiratory fitness after (but not during) treatment. The evidence is, however, insufficient for other important outcomes (e.g., cardiac function, bone health, and immune function), reflecting a gap in the current state of knowledge. The proposed recommendations should serve as an initial guide for healthcare and fitness professionals working with children/adolescents with cancer. Although current advances in the field are tantalizing, more research is needed to fill remaining gaps in knowledge to better serve this population and to improve clinical practice.

Stroke survivors experience physical, emotional, and cognitive-communication impairments, requiring rehabilitation services across multiple care settings. Transitional care interventions (TCIs) are actions to ensure care coordination. This scoping review aimed to describe the intervention components and outcomes of TCIs in stroke rehabilitation. A scoping review was conducted using 5 databases (PubMed, CINAHL, OVID MEDLINE, PsycINFO, Rehabilitation & Sports Medicine) for the years 2012-2026. After removing duplicates, 4,663 abstracts were screened, and the full text of articles was reviewed. Intervention characteristics, components, and outcomes were extracted from the full-text articles. Descriptive, numeric and narrative summaries were prepared; intervention components and outcomes were categorized. The review included 49 articles, representing 31 TCIs with 23 different intervention components. Interventions predominantly employed individual-level components (education, self-management). System-level components (care coordination) were used less frequently. Clinical outcomes are predominantly focused on physical function. Cognitive-communication outcomes were evaluated less frequently; persons with aphasia and cognitive impairments were often excluded from studies. Implementation outcomes were assessed for 20 TCIs. Alignment of individual- and system-level intervention components with intended outcomes is necessary to advance TCI research. Further work is needed to tailor TCIs to the needs of persons with cognitive-communication disabilities.

Editorial Commentary: A Call for Clarity-Standardizing Return-to-Sport Definitions Is Essential for Interpreting Hip Arthroscopy Outcomes.

Purpose. The infinite tone phenomenon (ITP), defined as the absence of Korotkoff phase V during blood pressure measurement, is observed more frequently in sports medicine following controlled physical exercise than in general clinical practice. Despite reported prevalence rates of up to 57.5% among athletes, its clinical significance and the need for individual clinical assessment remain debated. The aim of this study was to determine the prevalence of ITP following submaximal PWC170 testing in adolescent male athletes aged 11–17 years. Materials &amp; Methods. A retrospective cross-sectional study was conducted using data from routine medical examinations at the Zaporizhzhya Medical and Sports Dispensary (2021–2022). The study included 471 male athletes aged 11–17 years (soccer, swimming, handball) divided into two groups: ITP group (n=249) and non-ITP group (n=222). Physical work capacity was assessed using the PWC170 submaximal test. HR and BP were measured at rest, after each exercise bout, and during recovery. Results. ITP was identified in 249 (52.9%) of 471 pubertal male athletes. Athletes exhibiting ITP demonstrated significantly higher absolute (208.3 [171.6; 236.1] vs. 175.7 [142.9; 220.4] W; p&lt;0.001) and relative (3.0 [2.5; 3.3] vs. 2.7 [2.3; 3.2] W/kg; p=0.002) physical work capacity compared with the non-ITP group. ITP prevalence was significantly higher among athletes aged 18–36 years than in adolescents aged 11–17 years (OR=1.35; 95% CI 1.07–1.71; p=0.013). ITP was significantly more frequent among athletes with higher athletic qualification (1st class – MS: 60.7%) compared with lower qualification (3rd–2nd class: 39.8%) (OR=2.34; 95% CI 1.60–3.42; p&lt;0.001). Conclusions. The dystonic response with ITP following submaximal PWC170 test was identified in 249 (52.9%) of 471 male athletes aged 11–17 years, with significantly higher prevalence among athletes aged 18–36 years, confirming that pubertal age is not a primary factor contributing to ITP occurrence. High physical work capacity in ITP athletes may indicate the absence of overtraining and does not necessitate withdrawal from training. ITP occurrence was associated with higher athletic qualification; the higher prevalence among swimmers was attributable to the greater proportion of highly qualified athletes within this group.

Irreparable massive rotator cuff tears represent a highly challenging clinical problem in shoulder sports medicine, and their surgery strategy remains a major focus and persistent challenge in the field. In recent years, with the deepening of basic research and the accumulation of clinical experience, notable progress has been made in fundamental theories, surgical techniques, and graft selection for reconstructive treatment. This article systematically reviews the latest advances in the reconstruction of irreparable massive rotator cuff tears, covering emerging theories, innovative surgical procedures, and the application of grafts. It also offers insights into the future directions of clinical diagnosis and treatment and scientific research, aiming to provide valuable references for further development in this area.

To characterize the composition and specialty training of sideline medical providers present during National Collegiate Athletic Association (NCAA) Division I (Power 5) college football games. Cross-sectional survey study. Power 5 NCAA Division I football programs during the 2023 to 2024 season. Head team physicians from 69 institutions were contacted; 53 (76.8%) completed the survey.Intervention: A 25-question REDCap survey assessing on-site personnel during home and away football games, including physician specialties, emergency coverage, imaging availability, emergency medicines, and athletic training support. Presence, specialty training, and roles of medical providers on the sideline during football games. All responding programs had orthopedic surgeons (OS) on-site at home games, and all but 1 had a primary care sports medicine physician (SMP). SMPs most commonly trained in family medicine (54.2%), followed by emergency medicine (13.5%) and pediatrics (11.9%). OSs were most frequently fellowship-trained in sports medicine (68.6%). Emergency/airway management physicians were present at 37.7% of schools; neurotrauma-specific providers were present at 15.1%. Away game coverage was reduced, with fewer SMPs and OSs traveling. Athletic trainer coverage remained consistent. Only a minority of schools traveled with additional medical specialists. There is significant variability in sideline medical staffing across Power 5 college football programs. While all schools met or exceeded NCAA minimums, these findings highlight opportunities for standardization and alignment with professional sports models to optimize athlete safety.

Prior studies of technology-assisted total knee arthroplasty (TA-TKA) versus manual total knee arthroplasty (mTKA) have not accounted for surgeon subspecialty training, a possible modifier of outcomes. This study analyzed surgical complications following TA-TKA versus mTKA performed by fellowship-trained adult reconstruction surgeons versus other orthopaedic surgery subspecialties. Using a national database, patients who underwent primary TA-TKA who had a minimum of five years of records were identified using side-specific coding and propensity-score matched 1:5 to mTKA controls based on demographics and comorbidities. The surgeon subspecialty was derived from standardized provider specialty codes and stratified into adult reconstruction and non-adult reconstruction cohorts (general, sports medicine, and trauma). Surgical complications were compared between TA-TKA and mTKA within and across subspecialty groups. Included were 15,407 TA-TKAs and 77,035 mTKAs. At five years, TA-TKA performed by adult reconstruction surgeons was associated with significantly less aseptic loosening (odds ratio [OR]: 0.34, 95% confidence interval [CI]: 0.15 to 0.77) and manipulation under anesthesia (MUA) OR: 0.64, 95% CI: 0.46 to 0.90) when compared to mTKA performed by all surgeons. When performed by non-adult reconstruction surgeons, TA-TKA was associated with higher rates of instability (OR: 1.22, 95% CI: 1.02 to 1.46) and all-cause reoperation (OR: 1.12 at two years, 95% CI: 1.01 to 1.24) compared with mTKA. Within the TA-TKA group, adult reconstruction surgeons achieved significantly lower rates of aseptic loosening (OR: 0.38, 95% CI: 0.01 to 0.87), instability (OR: 0.49, 95% CI: 0.25 to 0.97), MUA (OR: 0.61, 95% CI: 0.43 to 0.86), and all-cause reoperation (OR: 0.71, 95% CI: 0.53 to 0.96) at five years compared with non-adult reconstruction surgeons. Surgeons cannot assume that performing TA-TKA will inherently yield superior outcomes compared to mTKA, based on the current analysis. Future research should further investigate these findings to better elucidate TA-TKA utility.

Females across the lifespan continue to engage in sport and fitness, continuously redefining the boundaries of previously recognized athletic potential. However, this rise in participation has been accompanied by a disproportionate prevalence of injuries and health-related conditions that uniquely affect female athletes and active females. Despite these trends, resources tailored to the needs of active females remain limited, particularly as females transition through key life stages, such as puberty, pregnancy, postpartum, perimenopause, and post-menopause. Females in the United States are left to traverse a disjointed healthcare system in hopes of receiving proper care, which can delay diagnosis and treatment. This review highlights primary injuries and other conditions that impact the active female, as well as calls for comprehensive sports medicine care.

This scoping review mapped interventions targeting disease-related loneliness among people living with chronic diseases and synthesized their underlying mechanisms of change. A systematic search was conducted across CINAHL, MEDLINE, Academic Search Premier, PsycInfo, AMED, Rehabilitation & Sports Medicine Source, and Embase to identify original studies reporting findings from interventions addressing loneliness among adults with chronic disease. Data were analyzed using qualitative content analysis to identify shared mechanisms of change. Seven studies representing six unique interventions were included. Three overarching mechanisms of change were identified: learning-oriented support, trusted relationships, and empathic communication. These mechanisms were observed across interventions and appear to influence participant engagement with interventions for disease-related loneliness. Although the evidence base remains limited, these findings highlight key mechanisms that may inform the development and evaluation of supportive interventions for disease-related loneliness.

Auditory neurofeedback (ANF) utilizes sound to map brain activity in real-time, guiding individuals to self-regulate neural states via operant conditioning. Compared to visual neurofeedback, ANF offers distinct advantages in millisecond-level response speed and non-visual dependency, significantly enhancing ecological validity and reducing visual fatigue. This paper reviews the physiological basis, signal processing workflows, and three typical experimental paradigms of ANF: threshold regulation, parameter modulation, and state-dependent triggering. Furthermore, it discusses current applications in neurorehabilitation, psychiatric treatment, sports medicine, and auditory cognitive screening. Finally, the paper analyzes challenges regarding mechanistic evidence and parameter standardization, and prospects future trends such as ear electroencephalography-based portable design and multimodal fusion, providing theoretical insights for clinical translation.

To establish age- and time-specific recommendations for the treatment of traumatic anterior shoulder instability (TASI) and for return-to-sport (RTS) decision-making through a formal consensus process among European experts. The European Society of Sports Medicine, Knee Surgery and Arthroscopy-European Shoulder Associates (ESSKA-ESA) formal consensus methodology was followed. A steering group formulated 35 clinically relevant questions, 23 of which addressed treatment and RTS and are reported in Part 2. A structured literature review was conducted. Statements were drafted and graded based on the level of scientific support. Then, the rating group reviewed and refined the statements, followed by validation from the reader group for cultural adaptability. Recommendations were tailored by age group (adolescents, young adults and older adults) and timing of instability (first-time vs. recurrent). The final global median (range) of the 23 questions was 9 (8-9). Eleven questions achieved strong agreement, 11 relative agreement and 1 uncertain agreement. The grades of recommendations were: A in 0 (0%) statements, B in 30 (35.3%) statements, C in 24 (28.2%) statements and D in 31 (36.5%) statements (each statement could have more than one grade of recommendation). Bone loss and soft tissue lesions were key factors in decision-making. The consensus emphasized individualized thresholds for surgical versus conservative management, highlighting the role of bone augmentation in subcritical (bone loss 10%-15%) (especially in bipolar bone loss) and critical defects (bone loss >20%), lesion-specific soft tissue repair and the limited role of immobilization. RTS criteria included pain-free full range of motion, shoulder stability, strength and sport-specific readiness, typically achieved between 4 and 6 months depending on the procedure and sport demands. This ESSKA-ESA European Formal Consensus delivers practical, evidence- and experience-based recommendations for treatment and RTS following TASI according to age- and time-specific (first time and recurrent) scenarios. By integrating recurrence status, bone loss, soft tissue injury and sport type, the consensus provides a clinically valuable framework for individualized decision-making. Level II.

Sports Medicine and Arthroscopy Review (SMAR) is pleased to introduce the first of a two-part series on patellofemoral instability, guest edited by Drs. Nicola Maffulli and John Fulkerson. This issue reflects the journal's mission, as articulated by Editor-in-Chief Emeritus Dr. W. Dil Cannon, to "assemble key articles under one cover that provide an in-depth analysis of an important current topic." This collection includes invited reviews on: Precision Custom-Guided Anteromedial Tibial Tubercle Transfer Surgery; Medial Patellofemoral Ligament Reconstruction: Current Techniques, Outcomes, and Controversies; Quantifying Patellofemoral Instability: Clinical Metrics, Imaging, and AI-Based Predictive Models; Failed Patellofemoral Instability Surgery: A Practical Guide to Diagnosis and Revision; Pediatric Patellofemoral Instability Surgery-Current Concepts; and Patellofemoral Joint Preservation: Cartilage Restoration, Unloading, and Avoiding Complications; and Femoral Rotation Osteotomy in Patellofemoral Instability Surgery. The SMAR Podcast, hosted by Dr. Mikalyn DeFoor, is now available on iTunes, YouTube, Spotify, and the SMAR website, featuring interviews with contributing authors.

The purpose of this study was to determine the percentage of implants successfully deployed during arthroscopic all-inside meniscal repair. A data query of meniscus repair (Current Procedural Terminology [CPT] codes: 29882 and 29883) procedures was performed at a single institution. The query was limited to include procedures performed between June 1, 2020, and June 1, 2023. Multiple different manufacturer implants were used by five sports medicine fellowship-trained orthopaedic surgeons. The number of implants successfully used and the number of implants wasted due to intraoperative failure during meniscal repair were found on EPIC and documented for each procedure. The success rate of meniscal implants was determined by dividing the number of implants wasted by the total number of implants used. The query identified 1,026 patients who underwent meniscus repair. From this cohort, 3,867 total meniscal implants were utilized for an average of 3.77 implants per case. Overall, all-inside meniscus repair was found to have a low implant failure or waste rate (1.03% [n = 40]). The highest failure rates were found with JuggerStitch Curved (9.38%), NOVOSTITCH Cartridge 0 Suture (2.44%), and TRUESPAN 12 Degrees (2.11%) implants. The most important finding was that the overall failure rate of meniscal implants is low. Implants with higher waste rates should be addressed by the industry and considered by surgeons when selecting surgical implants. These preliminary findings establish the necessity to further examine the implant failure rate and the associated costs of meniscus repair.

This bibliometric study examines the intellectual structure, evolution, and collaboration patterns of phytotherapy research within sports science to identify key themes and research gaps. Publications indexed in the Web of Science Core Collection from 1991 to 2024 were analyzed using a search strategy combining phytotherapy and sports medicine terms, yielding 3404 records, of which 368 met the inclusion criteria after systematic screening. Performance analysis assessed publication trends, citation impact, and author productivity, while science mapping techniques-including keyword co-occurrence, bibliographic coupling, and co-authorship network analysis-were conducted using Bibliometrix and VOSviewer. Thematic positioning was evaluated through Callon's centrality-density framework. Results indicate steady growth in the field, with a CAGR of 11.83% and peak output in 2021, involving 2103 authors across 199 sources. International collaboration reached 22.55%, led by the United States, United Kingdom, and China. Dominant research themes include exercise, inflammation, oxidative stress, and phytochemicals such as curcumin and resveratrol. Thematic mapping highlights exercise performance and supplementation as central topics. Overall, the field demonstrates significant expansion, though increased international collaboration and clinical translation are needed.