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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Diagnosis and Management of Little League Shoulder: A Systematic Review
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Diagnosis and Management of Little League Shoulder: A Systematic Review

机译：小联盟肩部的诊断和管理：系统评价

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Background: Little League shoulder (LLS) is an overuse injury characterized by throwing-related pain that commonly presents in adolescent male athletes. Investigations into the optimal duration of rest from throwing and protocols for graduated return to sports (RTS) are lacking. Purpose: To summarize the current literature with respect to the diagnosis, management, RTS, and return to throwing for LLS. Design: Systematic review; Level of evidence, 4. Methods: The databases EMBASE, MEDLINE, and PubMed were searched between inception and April 22, 2020. References of retrieved records were reviewed for potentially eligible studies. English-language studies that reported the diagnosis and/or management of LLS in children or adolescents were included. Studies of animals or cadavers, review articles, and non—peer reviewed records were excluded. Data were summarized narratively using descriptive statistics. Results: Overall, 23 studies (21 level 4 studies, 2 level 3 studies) met the criteria for a total of 266 participants with a weighted mean age of 12.8 years (range, 7.4-17 years). Treatment recommendations evolved from prolonged rest and complete cessation of throwing to shorter periods of rest and graduated RTS. Less than half (11/23) of studies reported specific criteria to RTS; 1 case report discussed a coaching strategy to resume throwing, and 1 case report discussed a regimented throwing program. The proportion of participants returning to any sport participation was 94.0% (n = 157/167). The proportion returning to their preinjury level of sport was 92.5% (n = 123/133). Upon RTS, 18.7% (n = 35/187) of participants experienced a recurrence of symptoms. Premature closure of the epiphysis was reported in 1 participant. Conclusion: Young athletes with LLS may return to play after a period of rest, and a high proportion return to their preinjury level of sport. Further prospective studies are warranted to develop evidence-based, graduated RTS protocols and to better capture any long-term sequelae of the condition.
机译：背景：小联盟肩部（LLS）是一种过度使用的伤害，其特征在于患有与青少年男运动员常见的痛苦。缺乏调查从投掷和毕业返回返回运动（RTS）的休息时间的最佳持续时间。目的：总结当前文献关于诊断，管理，RTS以及返回LLS的抛出。设计：系统评价;证据级别，4.方法：在成立和4月22日之间搜查了数据库embase，Medline和PubMed，并在2020年4月22日之间搜查。检讨检索记录的参考资料进行潜在合格的研究。包括报告儿童或青少年LLS诊断和/或管理的英语学习。除了动物或尸体，审查文章和非同行评审记录的研究被排除在外。使用描述性统计来概述数据。结果：总体而言，23项研究（21级研究，2级研究）达到了共有266名参与者的标准，加权平均年龄为12.8岁（范围，7.4-17岁）。治疗建议从长时间休息并完全停止播种到休息时间更短，毕业的RTS。不到一半（11/23）研究报告了RTS的具体标准; 1案例报告讨论了恢复投掷的教练策略，1例报告讨论了一项军团投掷计划。回复任何运动参与的参与者的比例为94.0％（n = 157/167）。返回其前津属运动水平的比例为92.5％（n = 123/133）。在RTS上，参与者的18.7％（n = 35/187）经历了症状的复发。在1名参与者中报告了骨骺的过早闭合。结论：休息时间后，幼小运动员可能会重返休息时间，高比例返回他们的盛会水平。进一步的预期研究是有必要开发基于证据，毕业的RTS协议，并更好地捕获任何长期的病症后遗症。

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