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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >The Latarjet Procedure at the National Football League Scouting Combine: An Imaging and Performance Analysis
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The Latarjet Procedure at the National Football League Scouting Combine: An Imaging and Performance Analysis

机译：国家橄榄球联盟球探联合会的Latarjet程序：成像和性能分析

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Background: The Latarjet procedure is commonly performed in the setting of glenoid bone loss for treatment of recurrent anterior shoulder instability; however, little is known regarding the outcomes of this procedure in elite American football players. Purpose: (1) Determine the prevalence, clinical features, and imaging findings of elite college football athletes who present to the National Football League (NFL) Combine with a previous Latarjet procedure and (2) describe these athletes’ performance in the NFL in terms of draft status and initial playing time. Study Design: Case series; Level of evidence, 4. Methods: After review of all football players who participated in the NFL Combine from 2009 to 2016, any player with a previous Latarjet procedure was included in this study. Medical records, position on the field, and draft position were recorded for each player. In addition, imaging studies were reviewed to determine fixation type, hardware complications, and status of the bone block. For those players who were ultimately drafted, performance was assessed based on games played and started, total snaps, and percentage of eligible snaps in which the player participated during his rookie season. Results: Overall, 13 of 2617 (<1%) players at the combine were identified with a previous Latarjet procedure. Radiographically, 8 of 13 (61%) showed 2-screw fixation, while 5 of 13 (39%) had 1 screw. Of the 13 players, 6 (46%) players demonstrated hardware complications. All players had evidence of degenerative changes on plain radiographs, with 10 (77%) graded as mild, 1 (8%) as moderate, and 2 (15%) as severe according to the Samilson Prieto classification. Six of the 13 (46%) players went undrafted, while the remaining 7 (54%) were drafted; however, no player participated in more than half of the plays for which he was eligible during his rookie season. Conclusion: Only a small percentage of players at the NFL Combine (<1%) had undergone a Latarjet procedure. High rates of postoperative complications and radiographically confirmed degenerative change were observed. Athletes who had undergone a Latarjet procedure demonstrated a variable amount of playing time, but none participated in more than half of their eligible plays during their rookie season.
机译：背景：Latarjet手术通常在关节盂骨丢失的情况下进行，以治疗复发性前肩不稳。然而，对于美国橄榄球精英队的这一程序的结果知之甚少。目的：（1）确定参加国家橄榄球联盟（NFL）的精英大学橄榄球运动员的患病率，临床特征和影像学发现，并结合先前的Latarjet程序，以及（2）用以下术语描述这些运动员在NFL中的表现：选秀状态和初始上场时间。研究设计：案例系列;证据等级，4。方法：在对2009年至2016年参加NFL联合会的所有足球运动员进行回顾之后，本研究包括任何具有Latarjet程序的运动员。记录每个球员的病历，场上位置和吃水位置。此外，还对影像学研究进行了审查，以确定固定类型，硬件并发症和骨块状态。对于最终被选中的球员，将根据新秀赛季参加的比赛和开始的比赛，总击球次数以及合格击球的百分比来评估表现。结果：总计，在联合收割机的2617名运动员中有13名（<1％）被确定为使用先前的Latarjet程序。放射学上，13个中的8个（61％）显示2个螺钉固定，而13个中的5个（39％）具有1个螺钉。在13位玩家中，有6位（46％）玩家表现出硬件复杂性。所有球员在平片上都有退行性改变的证据，根据Samilson Prieto分类，轻度评分为10（77％），中度评分为1（8％），重度评分为2（15％）。 13名球员中有6名（46％）处于未选秀状态，而其余7名（54％）被选入选秀;但是，在新秀赛季中，没有球员参加过超过一半的比赛。结论：NFL联合体中只有一小部分球员（<1％）接受了Latarjet手术。观察到较高的术后并发症发生率和影像学证实的退行性改变。接受过Latarjet程序的运动员表现出不同的比赛时间，但是在新秀赛季中，没有人参加超过一半的合格比赛。

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