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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return to Play and Performance Perceptions of Baseball Players After Isolated SLAP Tear Repair
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Return to Play and Performance Perceptions of Baseball Players After Isolated SLAP Tear Repair

机译：孤立的SLAP撕裂修复后棒球运动员的重返比赛状态和对性能的看法

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Background: Variable return-to-play (RTP) rates have been reported after surgical repair of superior labral anterior-posterior (SLAP) tears in baseball players. Many studies, however, have not controlled for concomitant shoulder injuries. Purpose/Hypothesis: The purpose of this study was to evaluate rates of RTP and return to previous or higher performance level (RTPP) and long-term outcomes after isolated SLAP tear repair. The hypothesis was that improved outcomes would be identified compared with previous reports. Study Design: Case series; Level of evidence, 4. Methods: The records of 232 players who underwent isolated SLAP tear repair from 2004 to 2014 were reviewed. A total of 98 players who were at least 12 months out from surgery were identified. Through telephone interviews, participants completed the Western Ontario Shoulder Instability Index (WOSI) and Veterans RAND 12-Item Health Survey (VR-12) and answered scripted questions about RTP, RTPP, and current symptoms. Results: Of the 98 players who met the inclusion criteria, 73 (74.5%) participated. The mean age at the time of surgery was 19.8 ± 2.9 years. The mean follow-up time was 86.2 ± 25.1 months overall; it was 84.4 ± 24.4 months for pitchers and 90.3 ± 26.7 months for other position players, ( P = .40). There were 10 professional, 36 collegiate, and 27 high school players. Most players perceived successful RTP (83.6%), including 80.0% of pitchers and 91.3% of other position players ( P = .23). However, RTPP rates were lower, at 52.3% (n = 26) and 78.3% (n = 18) for pitchers and other position players, respectively ( P = .03). Pitchers were younger at the time of surgery (19.3 ± 3.0 vs 20.8 ± 3.0 years, respectively; P = .03) and had greater perceived shoulder and general health impairments compared with other position players ( P ≤ .02). Players who perceived successful RTPP had better WOSI of the healthy shoulder and individual physical, sports, lifestyle, and emotion scores compared with players who did not perceive successful RTPP. Conclusion: After the surgical repair of isolated type II or greater SLAP tears, other position players displayed superior RTP (91.3% vs 80.0%, respectively) and RTPP (78.3% vs 52.3%, respectively) rates than pitchers. Long-term follow-up suggests that pitchers may perceive greater long-term impairments than other position players and are less likely to return to their previous or higher performance level.
机译：背景：据报道，在对棒球运动员的上唇前-后（SLAP）眼泪进行手术修复后，出现了不同的重返比赛率（RTP）。然而，许多研究并没有控制肩部受伤。目的/假设：本研究的目的是评估孤立的SLAP泪液修复后的RTP率，恢复至先前或更高的性能水平（RTPP）和长期结果。假设是与以前的报告相比，可以确定改善的结果。研究设计：案例系列;证据等级，4。方法：回顾了2004年至2014年间进行过孤立SLAP泪液修复的232名球员的记录。总共有98名手术后至少12个月的球员被确认。通过电话采访，参与者完成了西安大略省肩膀不稳定性指数（WOSI）和退伍军人RAND 12项健康调查（VR-12），并回答了有关RTP，RTPP和当前症状的脚本问题。结果：在满足入选标准的98名球员中，有73名（74.5％）参加了比赛。手术时的平均年龄为19.8±2.9岁。总体平均随访时间为86.2±25.1个月。投手为84.4±24.4个月，其他位置球员为90.3±26.7个月（P = .40）。有10名专业人士，36名大学球员和27名高中球员。大多数球员认为成功的RTP（83.6％），包括80.0％的投手和91.3％的其他位置球员（P = 0.23）。但是，RTPP比率较低，投手和其他位置球员的分别为52.3％（n = 26）和78.3％（n = 18）（P = .03）。投手在手术时较年轻（分别为19.3±3.0和20.8±3.0岁; P = .03），并且与其他位置球员相比，对肩膀和一般健康的感觉更大（P≤.02）。相比未感知到RTPP成功的玩家，感知过RTPP的玩家的WOSI更好，肩膀健康，个人的身体，运动，生活方式和情感得分更高。结论：在手术修复孤立的II型或更大的SLAP眼泪后，其他位置参与者的RTP率（分别为91.3％和80.0％）和RTPP（分别为78.3％和52.3％）要优于投手。长期跟踪表明，投手比其他位置球员可能会感觉到更大的长期损伤，并且不太可能恢复到先前或更高的表现水平。

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