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Can We Identify Why Athletes Fail to Return to Sports After Arthroscopic Bankart Repair: A Systematic Review and Meta-analysis
The American Journal of Sports Medicine ( IF 4.8 ) Pub Date : 2022-06-06 , DOI: 10.1177/03635465221089980
Michael Kim 1 , Aryan Haratian 1 , Amir Fathi 1 , Daniel R Kim 1 , Nilay Patel 1 , Ioanna K Bolia 1 , Laith K Hasan 1 , Frank A Petrigliano 1 , Alexander E Weber 1
Affiliation  

Background:

No previous systematic reviews have reported on athletes who fail to return to sports after arthroscopic Bankart repair.

Purpose:

To review the literature on athletes who fail to return to sports after arthroscopic Bankart repair to determine the rate of athletes who did not return to sports and to identify the specific reasons for failure to return to sports by nonreturning athletes.

Study Design:

Systematic review and meta-analysis.

Methods:

A meta-analysis was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Three electronic databases (PubMed, Scopus, Web of Science) were queried for articles meeting the inclusion criteria. Studies were considered eligible only if reporting the rate of failure for return to sports and providing the specific reasons why athletes were unable to return to sports. All records were screened by title, abstract, and full text by 2 authors independently, with any discrepancies resolved by a third senior author. For articles selected for inclusion, data were collected on the number of athletes, average age, average follow-up time, type of sport played, rate of failure to return to sports, and specific reasons for failure to return. A random-effects model was used to conduct the meta-analysis.

Results:

Seventeen studies were selected for inclusion reporting on a total of 813 athletes. The calculated weighted rate of failure to return to sports after arthroscopic Bankart repair was 15.6% (95% CI, 10.9%-21.1%). A significantly higher proportion of athletes cited shoulder-dependent versus shoulder-independent reasons for failure to return to sports (81.7% vs 18.3%; P < .0001). The most cited reasons for failure to return included recurrent or persistent instability (33.3%), fear of reinjury (17.7%), apprehension (9.9%), changes in priorities or personal interest (8.5%), lack of time (7.1%), and discomfort or pain with sports (6.4%).

Conclusion:

Our study estimated the rate of failure to return to sports after arthroscopic Bankart repair to be 15.6%, with most athletes citing shoulder-related reasons as the primary factor precluding return. Identifying the potential reasons preventing successful return to sports can guide surgeons in counseling athletes regarding postoperative expectations and addressing hesitations for returning to sports.



中文翻译:

我们能否确定为什么运动员在关节镜 Bankart 修复后无法重返运动场:系统回顾和荟萃分析

背景:

之前没有系统评价报道过关节镜 Bankart 修复后未能重返运动的运动员。

目的:

回顾关于关节镜 Bankart 修复后未能重返运动的运动员的文献,以确定未重返运动的运动员的比例,并确定未回归运动员未能重返运动的具体原因。

学习规划:

系统回顾和荟萃分析。

方法:

荟萃分析是按照 PRISMA(系统评价和荟萃分析的首选报告项目)指南进行的。查询了三个电子数据库(PubMed、Scopus、Web of Science)以查找符合纳入标准的文章。仅当报告了重返运动的失败率并提供了运动员无法重返运动的具体原因时,研究才被视为合格。所有记录均由两位作者独立按标题、摘要和全文进行筛选,任何差异均由第三位资深作者解决。对于入选的文章,收集了有关运动员人数、平均年龄、平均随访时间、运动类型、未能重返运动的比率以及未能重返运动的具体原因的数据。使用随机效应模型进行荟萃分析。

结果:

选择了 17 项研究来纳入报告,总共涉及 813 名运动员。计算得出的关节镜 Bankart 修复术后加权失败率为 15.6%(95% CI,10.9%-21.1%)。提及肩部依赖性与肩部非依赖性原因导致未能重返运动的运动员比例明显更高(81.7% vs 18.3%;P < .0001)。未能返回的最常见原因包括反复或持续不稳定(33.3%)、担心再次受伤(17.7%)、忧虑(9.9%)、优先事项或个人兴趣发生变化(8.5%)、缺乏时间(7.1%) ,以及运动时的不适或疼痛(6.4%)。

结论:

我们的研究估计,关节镜 Bankart 修复术后无法重返运动的比例为 15.6%,大多数运动员将肩部相关原因视为阻碍回归的主要因素。确定阻碍成功恢复运动的潜在原因可以指导外科医生就术后期望向运动员提供咨询,并解决恢复运动的犹豫问题。

更新日期:2022-06-06
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