首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures
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Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures

机译:运动员上肢手术后的返回体育标准 - 一个范围审查,第2部分:肘部程序的ulnar侧支韧带

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Background: There is a lack of consensus to guide patient return to sport (RTS) after elbow ulnar collateral ligament surgery (eUCLS). Purpose: To describe the reported RTS criteria after eUCLS in the athletic population. Study Design: Scoping review; Level of evidence, 4. Methods: This scoping review was performed by adhering to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Scoping Review) guidelines. We searched 5 electronic databases (MEDLINE, Scopus, SPORTDiscus, Embase, Google Scholar Advanced) and the gray literature for English-language studies that reported at least 1 RTS criterion in athletes after eUCLS. Data were extracted and summarized as frequencies or arithmetic mean and standard deviation. Results: Included were 14 studies and 1335 athletes with a mean age of 21.4 ± 1.1 years. Time from surgery (range, 6-16 months) was the most common RTS criterion used, and it was reported by all 14 of the included articles. RTS criteria reported less often were pain (3/14; 21%), successful completion of a throwing program (3/14; 21%), muscle strength of the forearm muscles (1/14; 7%), and “normal” range of motion and muscle strength of the elbow and shoulder joints on the operated upper extremity (1/14; 7%). All studies used 1 to 5 of the above RTS criteria. Conclusion: Only 14 studies reported 1 or more RTS criteria after eUCLS in athletes, and time was the most common RTS criterion used. Our results highlight the need for a coordinated effort among surgeons, physical therapists, and athletic trainers in order to establish evidence-based RTS criteria after eUCLS in athletes so athletes can safely to sport and prolong their athletic careers.
机译:背景:在肘尺尺侧韧带手术(EUCLS)后,缺乏共识导致患者返回运动(RTS)。目的:在运动人群中描述报告的RTS标准。研究设计:划分评论;证据级别,4.方法:通过遵守PRISMA-SCR来执行此范围审查(首选的系统评价和Meta-Analys-Scoping Revice审查审查)指导方针进行。我们搜索了5个电子数据库(Medline,Scopus,Sportdiscus,Embase,Google Scholar Advanced)以及英语学习的灰色文学,在EUCLS之后报告了在运动员中的至少1个RTS标准。提取数据并汇总为频率或算术平均值和标准偏差。结果:包括14项研究和1335名运动员,平均年龄为21.4±1.1岁。从手术(范围,6-16个月)的时间是最常见的RTS标准,并通过所有14篇包括的文章报道。 RTS标准较少往往是痛苦(3/14; 21%),成功完成投掷计划(3/14; 21%),前臂肌肉的肌肉力量(1/14; 7%)和“正常”肘部和肩关节的运动范围和肩部的上肢(1/14; 7%)。所有研究都使用上述1至5个上述标准。结论:仅在运动员中报告14项或更多RTS标准,时间是最常见的RTS标准。我们的结果突出了外科医生,物理治疗师和运动培训师之间协调努力的必要性,以便在运动员的EUCLS后建立基于证据的RTS标准,因此运动员可以安全地延长运动和延长运动职业生涯。

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