{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T02:03:42Z","timestamp":1781316222226,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether orthopaedic surgeons performing arthroscopic shoulder, hip, and knee surgeries are exposed to damaging noise levels, while also comparing noise levels between these different arthroscopic procedures and further analyzing common arthroscopic knee procedures such as meniscectomy and anterior cruciate ligament reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted using prospectively collected intraoperative audio measurements during arthroscopic procedures from March 2021 to February 2023. Metrics included the maximum decibel (dB) level (MDL), time\u2010weighted average (TWA), dose, and projected dose. The MDL is the greatest level of noise during each case, TWA is the average dB level over an 8\u2010hour period, dose is the percentage of allowable daily noise, and projected dose extrapolates exposure over 8\u2009hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 124 recordings (13 baseline, 111 procedural\u201410 hip, 40 shoulder, and 61 knee), MDL exceeded &gt;85\u2009dB for all procedures, highest for shoulder procedures (117.5\u2009dB,\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u2009.001). The TWA remained &lt;85\u2009dB for all procedures, which was higher for hip procedures at 62.5\u2009dB (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.329).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While TWA levels stay below high\u2010risk thresholds, MDL frequently surpasses 85\u2009dB, indicating potential harmful exposure. Hip arthroscopy trended higher noise levels compared with shoulder and knee arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Cumulative exposure to the increased noise during arthroscopic procedures put high volume arthroscopic surgeons at risk for noise\u2010induced hearing loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70226","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T09:54:39Z","timestamp":1778838879000},"page":"1052-1058","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Damaging Noise Levels Are Seen in Arthroscopic Surgery"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5416-9633","authenticated-orcid":false,"given":"Hannah R.","family":"Popper","sequence":"first","affiliation":[{"name":"Jefferson Health New Jersey  Stratford New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2546-8550","authenticated-orcid":false,"given":"William","family":"Baker","sequence":"additional","affiliation":[{"name":"Jefferson Health New Jersey  Stratford New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Fliegel","sequence":"additional","affiliation":[{"name":"Jefferson Health New Jersey  Stratford New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5367-8198","authenticated-orcid":false,"given":"Stephanie","family":"Kwan","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine  Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Sherman","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute  Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Austin","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute  Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Salvo","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute  Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2021.02.023"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.03.034"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-080777"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000003172"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12199-020-00906-0"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.5134465"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00516-X"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1769587"},{"key":"e_1_2_7_10_1","unstructured":"Noise and Hearing Loss.2024.https:\/\/www.cdc.gov\/niosh\/noise\/about\/noise.html#cdc_generic_section_2\u2010take\u2010precautions\u2010when\u2010noise\u2010is\u201085dba\u2010or\u2010higher. Accessed November 24 2024."},{"key":"e_1_2_7_11_1","unstructured":"Occupational Noise Exposure. OSHA.https:\/\/www.osha.gov\/laws\u2010regs\/regulations\/standardnumber\/1910\/1910.95. Accessed November 24 2024."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00582"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/175045891702701204"},{"key":"e_1_2_7_14_1","first-page":"202","article-title":"Noise exposure and risk of noise induced hearing loss to the adult reconstruction surgeon: Recommendations for prevention and monitoring","volume":"29","author":"Baum KS","year":"2020","journal-title":"J Surg Orthop Adv."},{"key":"e_1_2_7_15_1","first-page":"183","article-title":"The risk of noise\u2010induced hearing loss performing knee replacement surgery","volume":"21","author":"Siegel MG","year":"2019","journal-title":"Noise Health."},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.05.048"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.05.030"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xnsj.2023.100297"},{"key":"e_1_2_7_19_1","unstructured":"Noise. OSHA Technical Manual.https:\/\/www.osha.gov\/otm\/section\u20103\u2010health\u2010hazards\/chapter\u20105. Accessed July 6 2022."},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.19001"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1258\/002221504323219509"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181d8d717"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.105B6.BJJ-2022-0921.R1"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0889-8"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00612"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B1.1991742"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062347"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2018.05.033"},{"key":"e_1_2_7_29_1","doi-asserted-by":"crossref","unstructured":"CarollY EichwaldJ ScinicaariellaF et al. Vital signs: Noise\u2010induced hearing loss among adults\u2014United States 2011\u20102012. Morbidity and mortality weekly report.https:\/\/www.cdc.gov\/mmwr\/volumes\/66\/wr\/mm6605e3.htmAccessed February 7 2017.","DOI":"10.15585\/mmwr.mm6605e3"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06443-9"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.01.026"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70226","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70226","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70226","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:13:46Z","timestamp":1781270026000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70226"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/arj.70226"],"URL":"https:\/\/doi.org\/10.1002\/arj.70226","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,15]]},"assertion":[{"value":"2025-04-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}