{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:48:30Z","timestamp":1792158510985,"version":"4.4.0"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the existing evidence regarding ergonomics in knee arthroscopy, including surgeon positioning, limb manipulation strategies, support devices, and reported ergonomic burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review was conducted in accordance with the Arksey and O\u2019Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses extension for Scoping Reviews guidelines. A literature search of PubMed, Embase, and Scopus was performed from database inception to December 2025. Eligible studies addressed ergonomic considerations in knee arthroscopy. Two independent reviewers screened titles, abstracts, and full texts, and findings were synthesized narratively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The search identified 1013 records, of which 8 met the inclusion criteria. The literature consisted predominantly of descriptive technical reports, alongside cross\u2010sectional questionnaires and 1 observational study. Routine knee arthroscopy involved sustained valgus and varus stress applied to the limb and non\u2010neutral postures maintained by surgeons or assistants. Positioning aids and technical innovations have been proposed; however, none have undergone objective ergonomic assessment. Surgeon\u2010reported data suggested that knee arthroscopy is ergonomically challenging and frequently associated with musculoskeletal discomfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The review identified 8 studies examining ergonomics in knee arthroscopy, which predominantly consisted of descriptive technical reports lacking objective ergonomic assessment. Surgeon\u2010reported data indicated that knee arthroscopy is frequently perceived as ergonomically challenging, with musculoskeletal discomfort most commonly affecting the lower back and shoulders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Knee arthroscopy places substantial physical demand on surgeons. Mapping the ergonomic challenges and limitations associated with arthroscopy may help inform future device innovation aimed at reducing work\u2010related musculoskeletal injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70111","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:23:55Z","timestamp":1790864635000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ergonomics in Knee Arthroscopy: A Scoping Review"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1498-2825","authenticated-orcid":false,"given":"Mariam","family":"Alemi","sequence":"first","affiliation":[{"name":"Faculty of Medicine Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8047-6577","authenticated-orcid":false,"given":"Yousof","family":"Alemi","sequence":"additional","affiliation":[{"name":"North West Anglia NHS Foundation Trust  Peterborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3284-7236","authenticated-orcid":false,"given":"Martinique","family":"Vella\u2010Baldacchino","sequence":"additional","affiliation":[{"name":"MSk Lab, Department of Surgery &amp; Cancer Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/175045891102100403"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.N.00095"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.07.010"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.102969"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.03.015"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-82869-1_8-1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.103214"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103879"},{"key":"e_1_2_8_10_1","first-page":"132","article-title":"Occupational hazards facing orthopedic surgeons","volume":"41","author":"Lester JD","year":"2012","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2009.11.008"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00386939"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009635"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2017.12.013"},{"key":"e_1_2_8_15_1","first-page":"e20.00244","article-title":"Musculoskeletal disorders in orthopaedic surgeons: Injuries, workplace factors, and treatment patterns","volume":"6","author":"Swank KR","year":"2022","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.22.00083"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_8_20_1","unstructured":"Covidence Systematic Review Software. 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