• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports
【24h】

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

机译：在参加碰撞和联系体育的青少年运动员中的关节镜纸币修复后的结果

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background:Literature on arthroscopic stabilization in adolescent patients participating in collision and contact sports is limited, as most studies include adolescents within a larger sample group comprised primarily of adults.Purpose:To review the outcomes of arthroscopic Bankart repair for anterior shoulder instability in an adolescent population participating in collision and contact sports.Study Design:Case series; Level of evidence, 4.Methods:This retrospective review included 39 shoulders in 37 adolescent (≤19 years) athletes who underwent primary arthroscopic Bankart repair using suture anchors with at least 2-year follow-up. All patients had a history of trauma to their shoulder resulting in an anterior dislocation. Outcome measures included patient satisfaction, the visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, and Rowe score. Recurrence of dislocation and return to sporting activity were also assessed.Results:The mean age at the time of surgery was 16.9 years (range, 15-19 years), and the mean follow-up was 6.3 years (range, 4.3-10.0 years); 58.6% of patients participated in collision sports. Time to surgery after the initial dislocation episode was 9.2 months (range, 0.5-36.2 months). Four shoulders (10.3%) had dislocation events postoperatively. The majority (78.1%) of patients returned to sports at the same level of competition. Mean VAS was 0.49 ± 1.0, and the mean ASES and Rowe scores were 92.8 ± 12.6 and 85.0 ± 24.2, respectively. Univariate analyses demonstrated that subjective functional outcomes were negatively correlated with recurrence (ASES, P = .005; Rowe, P = .001) and failure to return to sport (ASES, P = .016; Rowe, P = .004). Independent variables shown to have no significant relationship to functional outcomes included age, follow-up, number of preoperative dislocations, time to surgery, sport classification, competition level, tear extent, number of anchors, concurrent Hill-Sachs lesion, and repair of a superior labral anterior-posterior (SLAP) lesion.Conclusion:Arthroscopic Bankart repair is an effective surgical option for traumatic shoulder instability in adolescents participating in collision and contact sports. At a minimum 4-year follow-up, arthroscopic Bankart repair effectively restored stability in 90% of cases; 80% returned to their preinjury level of sport.
机译：背景：参与碰撞和接触体育的青少年患者中关节镜稳定的文献是有限的，因为大多数研究包括主要包含成人的较大样本组中的青少年.Purpose：审查青少年前肩部不稳定性的关节镜纸币的结果人口参与碰撞和联系运动.Study设计：案例系列;证据级别，4.方法：这个回顾性审查包括37名青少年（≤19岁）的肩部运动员，使用缝线锚在船上锚地进行至少为期两年的随访。所有患者患有创伤的历史，他们的肩膀导致前脱位。结果措施包括患者满意度，视觉模拟量表（VAS）用于疼痛，美国肩部和肘部外科医生（ASES）得分，以及Rowe得分。还评估了脱位和返回体育活动的复发。结果：手术时的平均年龄为16.9岁（范围，15-19岁），平均随访6.3岁（范围，4.3-10.0岁）; 58.6％的患者参加了碰撞运动。初始错位发作后的手术时间为9.2个月（范围，0.5-36.2个月）。四个肩膀（10.3％）术后脱位事件。大多数（78.1％）的患者在同一竞争程度上返回运动。平均VAS为0.49±1.0，平均分量分别为92.8±12.6和85.0±24.2分别。单变量分析表明，主观功能结果与复发（ASES，P = .005; Rowe，P = .001）和返回运动（ASES，P = .016; Rowe，P = .004）负相关（ASES，P = .005; Rowe，P = .004）。独立变量显示与功能结果没有明显的关系包括年龄，后续，术前错位，手术时间，运动分类，竞争水平，泪痕，锚点数，并发山脉病变，并修复了优越的reshral前后（Slap）病变。结论：关节镜底盘修复是参与碰撞和联系运动的青少年创伤肩部不稳定的有效手术选择。在至少4年的随访中，关节镜纸币在90％的病例中有效恢复稳定; 80％恢复到他们的前津属的运动水平。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号