Behind the Paper

How Journal Rankings Have Changed in Orthopedics & Sports Medicine (2000–2024)

Academic journals are critical for spreading new scientific knowledge, especially in fast-evolving fields like orthopedics and sports medicine. But have you ever wondered how the top journals in these fields have changed over time, and what that means for the research you read or trust?

What Are Journal Rankings and Why Do They Matter?

Imagine you’ve made a breakthrough discovery. Being published in a high-ranking journal means your work will likely receive more attention, citations, and respect from the global research community. Rankings help researchers, clinicians, and universities decide where to submit work and which studies to trust. They also influence funding and career promotions.

The ranking system discussed here is the SCImago Journal Rank (SJR). Think of SJR as a score showing how influential a journal is—the higher, the better. Unlike the traditional Journal Impact Factor (which just counts citations), SJR also weighs the influence of the journals doing the citing, offering a more refined snapshot of scientific prestige.

Key Trends from 2000 to 2024

1. Dramatic Growth in Prestige

Over 25 years, the average SJR score for leading orthopedics and sports medicine journals jumped by 36.6%. This means journals in these areas have become much more prestigious and recognized, reflecting both the surge in research and the field’s growing clinical importance.

2. Booming Number of Journals

  • In 2000: Only 140 journals were ranked.

  • By 2024: That number grew to 335.

This reflects the expansion in research, new specializations (like regenerative medicine), and a generally more global participation in science.

A sample trend line showing the rise in the number of ranked journals over 25 years.

3. Regional Imbalance: Who Dominates?

One of the biggest surprises is where top journals come from.

  • Only 12% of the top-ranking journals are based in non-Western regions.

  • Western Europe leads the pack with 143 journals, followed by North America with 95.

  • The USA alone hosts nearly 28.4% of all ranked journals, and the UK is close behind.

  • Asian countries (e.g., China and South Korea) and Latin America are growing but still lag far behind in top-ranked representation.

World map highlighting concentration of top-ranked journals. Most are in the USA and Western Europe.

4. Sports Medicine vs. Orthopedics: The Prestige Gap

Journals focusing on sports medicine outperform general orthopedics in SJR rankings.

  • Sports medicine journals: average SJR of 1.75

  • Orthopedic journals: average SJR of 1.40

This means sports medicine research is especially recognized on the international stage.

Gender in Authorship: The Diversity Challenge

When looking at who publishes in these journals, there’s a gender gap:

  • The median percentage of female authors globally is only 28.7%—showing progress, but also that women remain underrepresented in orthopedic and sports medicine research.

  • Variability exists between regions (for example, Eastern Europe shows the highest median at 34.7%, while Asia is lowest at 23.3%).

A bar chart visualizing female authorship rates by world region, revealing persistent disparities.

The Top 10 Most Influential Journals (2024)

Here are the current leaders by SJR score:

Rank Journal Name SJR H-Index
1 British Journal of Sports Medicine 4.724 241
2 Sports Medicine 3.887 247
3 Journal of Cachexia, Sarcopenia and Muscle 3.416 112
4 Journal of Sport and Health Science 3.197 76
5 Osteoarthritis and Cartilage 2.331 197
6 American Journal of Sports Medicine 2.260 277
7 Arthroscopy—Journal of Arthroscopic and Related Surgery 2.219 197
8 Bone and Joint Journal 2.131 216
9 Journal of Bone and Mineral Research 2.074 276
10 Spine Journal 1.954 143

Why Do These Shifts Matter?

  • Prestige affects knowledge: Concentration of top journals in Western countries might mean research from other regions is less likely to be seen and cited, regardless of quality.

  • Impact on careers and funding: Scientists in non-Western countries can face an uphill battle in gaining recognition.

  • Challenge for diversity: Both regional and gender diversity are lacking, potentially limiting new perspectives and innovation.

  • Sports medicine’s rise: Reflects both greater interest in sports-related injuries and advances in treatment and prevention.

What About Open Access?

Open access (OA)—making articles free for everyone—has boosted journal prestige and citation rates. As OA models grow, they could help level the playing field for researchers in countries with fewer resources by making their work more visible globally.

The Takeaway

  • Journal prestige in orthopedics and sports medicine is at an all-time high.

  • North America and Western Europe still dominate, but the rest of the world is catching up.

  • Gender and regional inequities remain key challenges.

  • Sports medicine journals stand out as global leaders in the field.

  • Open access is changing the publishing landscape, offering new opportunities for inclusion and impact.

The future will likely bring more diverse voices and visibility for emerging regions—if current trends (and efforts for inclusion) continue.

Want to See the Full Analysis?

The detailed study this post is based on is open access, so anyone can dig deeper into the data, methods, and implications. Understanding how academic publishing is changing helps all of us—researchers, clinicians, and the interested public—navigate, trust, and use scientific research better: https://pubmed.ncbi.nlm.nih.gov/40745495/