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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return to Play after Shoulder Instability Surgery in NCAA Division I Intercollegiate Football Athletes
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Return to Play after Shoulder Instability Surgery in NCAA Division I Intercollegiate Football Athletes

机译：NCAA第一类大学生足球运动员的肩部不稳定手术后恢复比赛

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Objectives: The purpose of this study was to evaluate return to play (RTP) rates and variables influencing RTP in division I intercollegiate football athletes following shoulder instability surgery. Methods: Requests for participation in the study were sent to select sports medicine programs caring for athletes participating in football from the PAC-12, SEC, and ACC athletic conferences. After gaining IRB approval, 7 programs were able to participate in the study. Inclusion criteria were restricted to athletes active during the 2004-2013 seasons that required surgical treatment for shoulder instability. Direction of instability, type of surgery, time to resume participation, quality and level of play data both before and after surgery was collected for each athlete. Data was analyzed to determine overall RTP and the influence that scholarship and depth chart position prior to surgery had on RTP. To determine the effect that surgery had on players’ ability to RTP, the percent of games played before and after surgery was determined. Results: 177 shoulder injuries in 153 athletes were identified and met inclusion criteria. Overall, 85.4% of players who underwent arthroscopic surgery without concomitant procedures returned to play. 82.4% of players who underwent anterior labral repair, 88.7% of those that underwent posterior labral repair, and 84.8% who underwent combined anterior-posterior repair returned to sport. Categorized by depth chart position, 93.3% of starters, 95.4% of utilized players, and 75.7% of rarely used players returned to play. The percentage of games played in by athletes prior to injury was 49.9%, and rose to 71.5% following surgery. Athletes who played in a higher percentage of games prior to injury (49.4 +/- 43.4%) were more likely to return to play than athletes who played in a fewer percentage of games (19.6 +/- 39.4%). Of the 42 athletes identified as starters prior to injury that returned to play, 98% continued as starters; 2% became utilized players. Of the 41 players that prior to injury were utilized, 49% became starters, 49% remained utilized, and 2% rarely played following surgery. For the 56 players identified as rarely playing pre-injury that returned to play, 36% became starters, 23% were utilized athletes, and 41% maintained their rarely playing status. Having a scholarship significantly correlated with RTP after surgery. Conclusion: RTP rates in high-level intercollegiate football players undergoing shoulder stabilization surgery was 85%. Posterior labral repair, anterior labral repair, and combined labral repair demonstrated no statistical difference in RTP rates. The majority of surgical interventions were isolated arthroscopic stabilization procedures, and demonstrated no statistically significant difference in RTP rates when concomitant arthroscopic procedures or open stabilization procedures were performed. Finally, athletes who return to play often did so in a higher percentage of games following surgery than they did prior to injury, and many players were utilized at the same or a higher level by their teams following surgery. These findings suggest that the majority of football players at the division 1 level who undergo shoulder stabilization surgery are able to participate fully in their programs, and progress and develop as players following their return to sport.
机译：目的：本研究的目的是评估肩部不稳手术后I类大学生足球运动员的比赛收益率（RTP）和影响RTP的变量。方法：参加研究的请求从PAC-12，SEC和ACC运动会中选择了运动医学项目，以照顾足球运动员。在获得IRB批准后，有7个计划能够参与研究。纳入标准仅限于2004-2013赛季期间活跃的运动员，这些运动员需要进行手术治疗以防止肩关节不稳定。收集每个运动员在手术前后的不稳定方向，手术类型，恢复参加的时间，质量和比赛水平数据。分析数据以确定总体RTP以及术前奖学金和深度图位置对RTP的影响。为了确定手术对玩家RTP能力的影响，确定了手术前后的游戏百分比。结果：153名运动员中的177例肩部受伤被确定并符合纳入标准。总体而言，接受关节镜手术且未进行相应手术的球员中有85.4％返回比赛。进行了前唇修复的球员为82.4％，进行了后唇修复的球员为88.7％，并且进行了前后修复的球员为84.8％。按深度图表位置进行分类，有93.3％的首发球员，95.4％的已用球员和75.7％的很少用的球员会重新比赛。运动员受伤前参加比赛的百分比为49.9％，而手术后上升到71.5％。受伤之前参加比赛百分比较高的运动员（49.4 +/- 43.4％）比参加较少比赛百分比的运动员（19.6 +/- 39.4％）更有可能重返比赛。在恢复受伤之前被确定为先发球员的42名运动员中，有98％继续担任先发球员。 2％成为被利用的球员。在受伤之前被利用的41名球员中，有49％成为首发球员，剩余49％仍被利用，而2％的球员在手术后很少参加比赛。对于被确定为很少玩过的伤前恢复比赛的56名选手，有36％成为了先发球员，有23％是受过训练的运动员，还有41％的人保持了很少参加比赛的状态。获得奖学金与手术后的RTP显着相关。结论：接受肩部稳定手术的高水平大学间足球运动员的RTP率为85％。后唇修复，前唇修复和联合唇修复显示RTP率无统计学差异。大多数外科手术是孤立的关节镜稳定手术，并且当进行关节镜手术或开放稳定手术时，RTP率无统计学显着差异。最后，比起受伤之前，回到比赛的运动员经常在比赛后的比赛中所占的百分比更高，并且许多运动员在手术之后被相同或更高级别的团队所利用。这些发现表明，大部分接受了肩部稳定手术的1级足球运动员能够充分参与其计划，并在返回运动后随着运动员的成长和发展。

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