Quality Submissions and Editorial Commentaries Require Heavy Lifting: Journal Growth Risks Information Overload. 
Our journal has grown in pages including more articles plus commentary.  On the one hand, we see this as a subscriber benefit, but we also recognize that more is not always better.  We risk information overload resulting in fatigue and the inability to read every word of every article.  The challenge of information overload has expanded since the explosion of the internet and electronic communications.  We could increase our already high rejection rates, but at the risk of rejecting high-quality research, which we do not prefer.  In the end, guided by our Journal Board of Trustees and the Arthroscopy Association of North America Board of Directors, our Editors and Associate Editors will continue to grapple with the positive challenge of robust growth.