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Return to Sport After Arthroscopic Rotator Cuff Repair: Is There a Difference Between the Recreational and the Competitive Athlete?
The American Journal of Sports Medicine ( IF 4.2 ) Pub Date : 2019-03-11 , DOI: 10.1177/0363546519825624
Burak Altintas 1, 2 , Nicole Anderson 1 , Grant J Dornan 1 , Robert E Boykin 3 , Catherine Logan 1, 2 , Peter J Millett 1, 2
Affiliation  

BACKGROUND Return to sport (RTS) remains an important challenge and measure of success for athletes undergoing arthroscopic rotator cuff repair (RCR). PURPOSE To determine the rate of RTS after RCR and to analyze predictive factors associated with a lower rate of return. STUDY DESIGN Systematic review and meta-analysis. METHODS A systematic review of the literature was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The electronic databases of PubMed, MEDLINE, Cochrane, and Google Scholar were used for the literature search. Study quality was evaluated according to the Coleman Methodology Score. Studies in English evaluating RTS after arthroscopic repair of partial- or full-thickness rotator cuff tears among athletes of all levels, ages, and sports were included. Random effects meta-analysis and metaregression were performed to investigate RTS activity rate after arthroscopic RCR and to explore study heterogeneity, respectively. RESULTS Fifteen studies were reviewed, including 486 patients (499 shoulders) who were treated with arthroscopic RCR and who had a mean follow-up of 40.1 months (range, 18-74.4 months). Eighteen patients were lost to follow-up, leaving 468 patients with outcome data; 347 identified themselves as athletes (81 competitive, 266 recreational). The most commonly included sports were baseball (n = 45), golf (n = 38), football (n = 23), and tennis (n = 18). RTS specific to the type of athlete was reported for 299 of 347 athletes. According to the meta-analysis, the overall rate of RTS at a similar level of play or higher was 70.2%, with 73.3% of recreational athletes and 61.5% of competitive athletes able to return. A subset of 43 baseball and softball players across 4 studies yielded a 79% rate of RTS; however, only 38% returned to the same level of play or higher. Subgroup meta-analysis revealed no significant difference in the rate of RTS between competitive and recreational athletes. Metaregression analysis revealed that the mean follow-up time and mean age at surgery were not significantly associated with RTS rate. CONCLUSION Most athletes (70.2%) were able to return to a preinjury level of play after arthroscopic RCR. While recreational sports participation (73.3%) was associated with higher return, competitive sports (61.5%) and overhead sports (38%) were associated with lower return. Exactly why all athletes do not return remains uncertain and likely multifactorial.

中文翻译:

关节镜式肩袖修复后重返运动:休闲型运动员与竞技型运动员之间是否有区别?

背景技术对于接受关节镜肩袖修复术(RCR)的运动员,重返运动(RTS)仍然是一项重要的挑战和成功的衡量标准。目的确定RCR后的RTS发生率,并分析与较低的收益率相关的预测因素。研究设计系统评价和荟萃分析。方法按照PRISMA(系统评价和荟萃分析的首选报告项目)指南进行文献的系统评价。使用PubMed,MEDLINE,Cochrane和Google Scholar的电子数据库进行文献搜索。根据科尔曼方法论评分评估研究质量。包括英语在内的各种水平,年龄和运动水平的运动员经关节镜修复部分或全部厚度的肩袖撕裂后对RTS进行评估的研究。进行随机效应荟萃分析和荟萃回归,以研究关节镜下RCR后的RTS活性,并探讨研究的异质性。结果回顾了15项研究,包括486例(499肩)患者接受了关节镜RCR治疗,平均随访40.1个月(18-74.4个月)。18名患者失去随访,留下468名患者的结局数据。347位选手被定为运动员(81位选手,266位娱乐者)。最常见的运动是棒球(n = 45),高尔夫(n = 38),足球(n = 23)和网球(n = 18)。据报道,在347名运动员中,有299名特定于运动员的RTS。根据荟萃分析,在类似或更高水平的比赛中,RTS的总体率为70.2%,其中休闲运动员为73.3%,为61岁。5%的竞技运动员能够返回。在4项研究中,有43名棒球和垒球运动员的子集产生了79%的RTS率;但是,只有38%的人恢复了同等水平或更高水平的比赛。亚组荟萃分析显示,竞技和休闲运动员的RTS率无显着差异。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。在4项研究中,有43名棒球和垒球运动员的子集产生了79%的RTS率;但是,只有38%的人恢复了同等水平或更高水平的比赛。亚组荟萃分析显示,竞技和休闲运动员的RTS率无显着差异。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。在4项研究中,有43名棒球和垒球运动员的子集产生了79%的RTS率;但是,只有38%的人恢复了同等水平或更高水平的比赛。亚组荟萃分析显示,竞技和休闲运动员的RTS率无显着差异。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。为何所有运动员都不回来的确切原因仍然不确定,而且可能是多因素的。只有38%的人恢复了同等水平或更高水平的比赛。亚组荟萃分析显示,竞技和休闲运动员的RTS率无显着差异。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。只有38%的人恢复了同等水平或更高水平的比赛。亚组荟萃分析显示,竞技和休闲运动员的RTS率无显着差异。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。为何所有运动员都不回来的确切原因仍然不确定,而且可能是多因素的。Meta回归分析显示,平均随访时间和平均手术年龄与RTS发生率无显着相关。结论大多数运动员(70.2%)在关节镜下进行RCR后能够恢复到损伤前的水平。参与休闲运动(73.3%)与较高的回报相关,而竞技体育(61.5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。5%)和高架运动(38%)与较低的回报相关。究竟为什么所有运动员都不回来,仍然是不确定的,而且可能是多因素的。
更新日期:2019-12-27
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