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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Effect of Posterior Glenoid Labral Tears at the NFL Combine on Future NFL Performance
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Effect of Posterior Glenoid Labral Tears at the NFL Combine on Future NFL Performance

机译：NFL结合后后盂唇泪对NFL未来表现的影响

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Background: Posterior labral injuries have been recognized as a particularly significant clinical problem in collision and contact athletes. Purpose: To evaluate the effect that posterior labral tears have on early National Football League (NFL) performance based on position, associated injuries, and operative versus nonoperative management. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review of all participants in the NFL Combine from 2009 to 2015 was performed using medical and imaging reports documented at the combine. Magnetic resonance imaging scans were analyzed for tear location, associated injuries, and evidence of previous surgical interventions. Each player’s NFL draft position, as well as number of games played, number of games started, and snap percentage in his first 2 NFL seasons were collected for performance analysis and were compared with a control group of uninjured counterparts. Results: Players with posterior labral tears were selected significantly later in the draft than those in the control group (draft position, 171.6 vs 156.1, respectively; P = .017). Although no single individual position was significantly affected by posterior labral tears, linemen (both offensive and defensive) with posterior labral tears were drafted significantly later than those without tears (draft position, 164.0 vs 137.7, respectively; P = .018) and had a significantly lower percentage of snaps in their first NFL season (23.8% vs 27.7%, respectively; P = .014). Players who underwent surgical management before the combine had a significantly higher percentage of snaps in their second NFL season than those who were managed conservatively (31.4% vs 22.3%, respectively; P = .022). None of the concomitant injuries recorded (superior labral anterior-posterior tears, glenoid bone loss, reverse Hill-Sachs lesions, rotator cuff tears, reverse humeral avulsions of the glenohumeral ligament, and posterior labral tears combined with anterior tears) significantly affected the draft position, number of games played, number of games started, or snap percentage for the cohort as a whole or any specific position. Conclusion: Posterior labral tears did negatively and significantly affect early NFL outcomes for collegiate football players across several different metrics, especially among linemen. While operative management did not produce significantly superior performance in most outcome measures, it may allow for better longevity of the shoulder and warrants further investigation. Concomitant shoulder injuries did not significantly affect early NFL outcomes in this cohort.
机译：背景：后唇损伤已被认为是碰撞和接触运动员中特别重要的临床问题。目的：根据位置，相关伤害以及手术与非手术管理，评估后唇撕裂对早期美国国家橄榄球联盟（NFL）表现的影响。研究设计：队列研究;证据等级，3。方法：对2009年至2015年NFL联合收割机的所有参与者进行回顾性审查，使用联合收割机记录的医学和影像学报告。分析了磁共振成像扫描的泪液位置，相关损伤以及先前手术干预的证据。收集每个球员的NFL选秀位置，比赛次数，开始的比赛次数以及他的前2个NFL赛季的命中率，以进行性能分析，并将其与对照组的未受伤对手进行比较。结果：后唇撕裂的球员在选秀中的选择时间明显晚于对照组（草稿位置分别为171.6和156.1; P = .017）。尽管没有一个单独的位置受到后唇撕裂的明显影响，但是具有后唇撕裂的巡线员（进攻和防御）的起草时间明显晚于没有后唇撕裂的人（起草位置，分别为164.0和137.7; P = .018），并且具有在他们的第一个NFL赛季中，命中率显着降低（分别为23.8％和27.7％; P = .014）。在联合收割机之前接受外科手术治疗的球员其第二个NFL赛季的抢断率明显高于保守治疗的球员（分别为31.4％和22.3％; P = .022）。没有记录到任何伴随损伤（上唇前后泪，盂盂骨丢失，Hill-Sachs病灶逆转，肩袖撕裂，盂肱韧带反向肱骨撕脱和后唇后泪合并前泪）对牵伸位置没有明显影响。 ，已玩游戏的数量，已开始游戏的数量或整个同类群组或任何特定位置的快照百分比。结论：后唇撕裂确实对大学橄榄球运动员的NFL早期结果产生了负面影响，并在多个不同指标上产生了显着影响，特别是在巡边员中。尽管在大多数结局指标中手术管理并没有产生明显的优越表现，但它可以使肩膀更长寿，因此有必要进行进一步研究。在该队列研究中，肩并发伤并没有显着影响早期NFL结果。

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