Significance: Obesity is a primary risk factor for osteoarthritis, involving complex interactions among the metabolic, biomechanical, and inflammatory factors caused by increased adiposity. Using a mouse model of lipodystrophy, we demonstrate that fat-free mice on either a chow or high-fat diet are protected from cartilage damage, despite demonstrating many factors previously associated with osteoarthritis. Furthermore, implantation of a small fat pad reverses cartilage protection in lipodystrophic mice, indicating a direct relationship between adipose tissue and cartilage damage, independent of body weight. This study provides evidence of adipose–cartilage signaling, indicating that tissues outside the joint can influence cartilage health. These findings support the notion that osteoarthritis involves a systemic component, providing insight into the development of new therapeutic targets for osteoarthritis.

The decision to perform endoscopic versus the mini-open carpal tunnel release technique is most likely left to surgeons rather than patients with idiopathic carpal tunnel syndrome. We hypothesized that (1) at 3 months after surgery, the subjective outcomes of endoscopic release, performed on one hand, and mini-incision release, performed on the other, would not differ in patients with bilateral carpal tunnel syndrome; however, (2) each patient would likely prefer one technique over the other for specific reasons. Fifty-two patients with bilateral carpal tunnel syndrome had one hand randomized to undergo endoscopic release and the other to undergo mini-incision release. Each patient was assessed with the Boston Carpal Tunnel Questionnaire (BCTQ) and DASH preoperatively and at each followup. Three months after surgery, the patients commented on which technique they preferred and completed a questionnaire regarding the reasons for not preferring the other technique. The mean BCTQ symptom/function score and DASH improved similarly in the endoscopic release group and the mini-incision release group. Thirty-four patients preferred endoscopic release and 13 preferred the mini-incision technique. Scar or pillar pain was the most commonly cited factor in not preferring either technique followed by postoperative pain for the open technique and transient worsening of symptoms for the endoscopic technique. Despite similar improvements in BCTQ and DASH scores after endoscopic and open techniques at 3 months postoperatively, the majority of our patients preferred the endoscopic technique. The most concerning reason for not preferring the other technique was scar or pillar pain. Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Follistatin gene therapy prevents obesity, metabolic disease, and post-traumatic osteoarthritis.

Arthroscopic management of scaphoid nonunions has been advanced as a less invasive technique that allows evaluation of associated intrinsic and extrinsic ligamentous injuries; however, few studies have documented the effectiveness of arthroscopic treatment of scaphoid nonunions and which intraarticular pathologies coexist with scaphoid nonunions.

Genome editing of stem cells creates a living implant that can produce arthritis-fighting drugs in response to inflammation.