Microfracture is the most commonly applied arthroscopic marrow stimulation procedure. This controlled laboratory study found that small-diameter microfracture awls improve articular cartilage repair in the translational sheep model more effectively than do larger awls. These data support the use of small microfracture instruments for the surgical treatment of cartilage defects and warrant prolonged clinical investigations.

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Five articles from the January 2016 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Arthroscopic Capsular Repair for Symptomatic Hip Instability After Previous Hip Arthroscopic Surgery”, “Return to Training and Playing After Acute Lisfranc Injuries in Elite Professional Soccer and Rugby Players”,  “Motivations Associated With Nondisclosure of Self-Reported Concussions in Former Collegiate Athletes”, “Articular Cartilage Degenerates After Subtotal/Total Lateral Meniscectomy but Radiographic Arthrosis Progression Is Reduced After Meniscal Transplantation”, and “Is Hip Abduction Strength Asymmetry Present in Female Runners in the Early Stages of Patellofemoral Pain Syndrome?”. 

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Five articles from the December 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Does Medial Meniscal Allograft Transplantation With the Bone-Plug Technique Restore the Anatomic Location of the Native Medial Meniscus?,” “Posterior Humeral Avulsion of the Glenohumeral Ligament and Associated Injuries Assessment Using Magnetic Resonance Imaging,” “Male-Female Differences in Knee Laxity and Stiffness: A Cadaveric Study,” and “Micheli Anterior Cruciate Ligament Reconstruction in Skeletally Immature Youths A Retrospective Case Series With a Mean 3-Year Follow-up.”

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As the demand increases for demonstration of competence in surgical skill, the need for validated assessment tools also increases. The results of this study provide evidence that the performance of an ACLR in a dry model is a reliable method of assessing a resident’s knowledge of the steps and instrumentation required, and the method shows evidence of validity.

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Five articles from the November 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Incidence of Stingers in Young Rugby Players,” “Effect of Arthroscopic Stabilization on In Vivo Glenohumeral Joint Motion and Clinical Outcomes in Patients With Anterior Instability,” “Relationship Between Glenoid Defects and Hill-Sachs Lesions in Shoulders With Traumatic Anterior Instability,” “Revision Risk After Allograft Anterior Cruciate Ligament Reconstruction Association With Graft Processing Techniques, Patient Characteristics, and Graft Type,” and “Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player.”

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Accumulating case reports have described tendon rupture in men who use anabolic-androgenic steroids (AAS). However, no controlled study has assessed the history of tendon rupture in a large cohort of AAS users and comparison nonusers.  AAS abusers, compared with otherwise similar bodybuilders, showed a markedly increased risk of tendon ruptures, particularly upper-body tendon rupture.  

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Five articles from the October 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are  “Novel Application of Magnetic Resonance Imaging Demonstrates Characteristic Differences in Vasculature at Predilection Sites of Osteochondritis Dissecans,” “Why Do Osteochondral Allografts Survive?: Comparative Analysis of Cartilage Biochemical Properties Unveils a Molecular Basis for Durability,” “Autograft Versus Allograft Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Clinical Study With a Minimum 10-Year Follow-up,” “Deficits in Glenohumeral Passive Range of Motion Increase Risk of Shoulder Injury in Professional Baseball Pitchers: A Prospective Study,” and “Knee Kinematics During Noncontact Anterior Cruciate Ligament Injury as Determined From Bone Bruise Location.”  

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Articular reconstruction is recommended for some unstable capitellar osteochondritis dissecans (OCD) lesions. Capitellar osteochondral autograft transplantation (OAT) through an open approach for optimal visualization and perpendicular graft implantation has been advocated. However, arthroscopic capitellar OAT may achieve the same treatment goals with decreased morbidity and ability to treat the entire joint for pathologic changes.

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Multiple techniques have been suggested for the treatment of isolated knee articular cartilage injuries. For smaller lesions (<2-5 cm2), microfracture and osteochondral autograft transplantation (OAT) are commonly used options. With an increasing focus on health care efficiency, analyzing the cost-effectiveness of treatment modalities has become increasingly important. Published level 1 and 2 clinical studies with a 10-year follow-up demonstrated that the net cost and cost-effectiveness of microfracture and OAT are comparable for the treatment of isolated articular cartilage lesions of the distal femur.

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Five articles from the September 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Factors Associated With Failure of Nonoperative Treatment in Lateral Epicondylitis,” “Select Injury-Related Variables Are Affected by Stride Length and Foot Strike Style During Running,” “The Effect of Diabetes, Hyperlipidemia, and Statins on the Development of Rotator Cuff Disease: A Nationwide, 11-Year, Longitudinal, Population-Based Follow-up Study,” “Relationship Between Quadriceps Strength and Patellofemoral Joint Chondral Lesions After Anterior Cruciate Ligament Reconstruction,” and “Effects of Acetabular Rim Trimming on Hip Joint Contact Pressures: How Much Is Too Much?”