{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:57:57Z","timestamp":1781272677539,"version":"3.54.1"},"reference-count":13,"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:title>Abstract<\/jats:title>\n                  <jats:p>Orthopaedic surgeons are routinely exposed to a variety of occupational hazards in the operating room; however, intraoperative noise exposure remains an underrecognized risk that may contribute to the development of occupational noise\u2010induced hearing loss. Although traditional metrics such as time\u2010weighted average noise levels (average decibels [dBA] over an 8\u2010hour period) below 85 dBA may be considered low risk, repeated intraoperative exposure to maximum decibel levels \u226585\u2009dBA may represent a clinically relevant cumulative hazard. These concerns are further supported by recent high\u2010level evidence, suggesting that orthopaedic spine and arthroplasty surgeons are frequently exposed to hazardous intraoperative noise levels and that a substantial proportion may exhibit evidence of noise\u2010induced hearing loss; however, few studies have specifically evaluated the intraoperative noise patterns during arthroscopic surgeries. Recent evidence suggests that maximum decibel levels consistently exceed recommended safety thresholds (\u226585 dBA) across shoulder, hip, and knee arthroscopic procedures. Although shoulder arthroscopy may be associated with the highest intraoperative maximum decibel levels, potentially due to the closer proximity of noise\u2010generating instruments to the surgeon when procedures are performed with the patient in the beach\u2010chair position, elevated noise exposure is observed across all arthroscopic procedures. As such, the selective use of hearing protection or consideration of modifiable procedural factors, such as patient positioning, may be appropriate during the higher risk, noise\u2010generating arthroscopic procedures. Ultimately, continued efforts to better understand cumulative intraoperative noise exposure, procedure\u2010specific variability, and mitigation strategies are needed to optimize the long\u2010term occupational health of sports medicine surgeons.<\/jats:p>","DOI":"10.1002\/arj.70233","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:05:25Z","timestamp":1778839525000},"page":"1059-1061","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Arthroscopic Surgery Is Not Silent; Repetitive Peak Noise Exposure During Surgery May Represent an Underrecognized Occupational Hazard"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-3047","authenticated-orcid":false,"given":"Jay","family":"Moran","sequence":"first","affiliation":[{"name":"Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9194-1150","authenticated-orcid":false,"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12199-020-00906-0"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.5134465"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00516-X"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1769587"},{"key":"e_1_2_3_6_1","unstructured":"Prevention CfDCa. Noise and hearing loss: Understanding noise exposure.https:\/\/www.cdc.gov\/niosh\/noise\/prevent\/understand.html. Accessed March 2026."},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00582"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.25.00276"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/arj.70226"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.19001"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1258\/002221504323219509"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000003172"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2021.02.023"},{"key":"e_1_2_3_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."}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70233","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:14:09Z","timestamp":1781270049000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/arj.70233"],"URL":"https:\/\/doi.org\/10.1002\/arj.70233","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":"2026-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}