PDF(Pubmed)
Abstract：
UNASSIGNED: There is limited information on return to shooting following shoulder surgery. The purpose of this study is to determine the rate and timing for resuming shooting a rifle following shoulder surgery.
UNASSIGNED: We performed a retrospective review of prospectively collected data. The study included patients undergoing arthroscopic and open shoulder stabilization for unidirectional shoulder instability, and arthroscopic surgery for rotator cuff tears, SLAP lesions, biceps tendinopathy, and acromioclavicular pathology. Data collected included the laterality of surgery, shooting dominance, and patient-reported outcome measures at the preoperative and postoperative visits. Starting at the 4.5-month clinic visit, patients were asked if they could shoot a military rifle.
UNASSIGNED: One hundred patients were identified with arthroscopic and open shoulder surgery with a mean age of 30 years (range, 18-45) and a mean follow-up of 24 months (range, 12-32). The cohort consisted of patients undergoing arthroscopic Bankart repair (n = 23), arthroscopic posterior labral repair (n = 18), open Latarjet (n = 16), mini-open subpectoral biceps tenodesis (OBT) (n = 25), OBT with open distal clavicle resection (DCR) (n = 10), open DCR (n = 4), and arthroscopic rotator cuff repair with concomitant OBT (n = 4). Significant improvement in SSV, VAS, ASES, and WOSI was shown at 1-year postoperative, SSV 85, VAS 2, ASES 85, WOSI 239, P = .001. The percentage of patients reporting the ability to shoot a military rifle postoperatively were 47%, 63%, 85%, and 94% at 4.5 months, 6 months, 1 year, and 2 years, respectively. At 4.5 months postoperatively, patients who underwent surgery ipsilateral to their shooting dominance (n = 59) had a rate of return to shooting (33%) versus shoulder surgery on the contralateral side of shooting dominance (n = 41) (60%), P = .04. However, there was no significant difference in the groups at 6 months and 1 year. Additionally, there was a significant difference in the rate of return to shooting at 6 months in patients undergoing arthroscopic posterior labral repair versus the remainder of the cohort (posterior instability (33%) vs. (69%), P = .016), and a significant difference between posterior shoulder stabilization and anterior shoulder stabilization (70%), P = .03.
UNASSIGNED: Patients undergoing arthroscopic and open shoulder surgery have a high rate of return to shooting. Approximately 60% of patients resume shooting at 6 months postoperatively and 85% return at 1 year. Patients undergoing shoulder surgery on the contralateral side of their shooting dominance return to shooting significantly faster than those with shoulder surgery ipsilateral to their shooting dominance. Additionally, those undergoing arthroscopic posterior shoulder stabilization return to shooting at a slower rate than anterior stabilization surgery.
UNASSIGNED: We performed a retrospective review of prospectively collected data. The study included patients undergoing arthroscopic and open shoulder stabilization for unidirectional shoulder instability, and arthroscopic surgery for rotator cuff tears, SLAP lesions, biceps tendinopathy, and acromioclavicular pathology. Data collected included the laterality of surgery, shooting dominance, and patient-reported outcome measures at the preoperative and postoperative visits. Starting at the 4.5-month clinic visit, patients were asked if they could shoot a military rifle.
UNASSIGNED: One hundred patients were identified with arthroscopic and open shoulder surgery with a mean age of 30 years (range, 18-45) and a mean follow-up of 24 months (range, 12-32). The cohort consisted of patients undergoing arthroscopic Bankart repair (n = 23), arthroscopic posterior labral repair (n = 18), open Latarjet (n = 16), mini-open subpectoral biceps tenodesis (OBT) (n = 25), OBT with open distal clavicle resection (DCR) (n = 10), open DCR (n = 4), and arthroscopic rotator cuff repair with concomitant OBT (n = 4). Significant improvement in SSV, VAS, ASES, and WOSI was shown at 1-year postoperative, SSV 85, VAS 2, ASES 85, WOSI 239, P = .001. The percentage of patients reporting the ability to shoot a military rifle postoperatively were 47%, 63%, 85%, and 94% at 4.5 months, 6 months, 1 year, and 2 years, respectively. At 4.5 months postoperatively, patients who underwent surgery ipsilateral to their shooting dominance (n = 59) had a rate of return to shooting (33%) versus shoulder surgery on the contralateral side of shooting dominance (n = 41) (60%), P = .04. However, there was no significant difference in the groups at 6 months and 1 year. Additionally, there was a significant difference in the rate of return to shooting at 6 months in patients undergoing arthroscopic posterior labral repair versus the remainder of the cohort (posterior instability (33%) vs. (69%), P = .016), and a significant difference between posterior shoulder stabilization and anterior shoulder stabilization (70%), P = .03.
UNASSIGNED: Patients undergoing arthroscopic and open shoulder surgery have a high rate of return to shooting. Approximately 60% of patients resume shooting at 6 months postoperatively and 85% return at 1 year. Patients undergoing shoulder surgery on the contralateral side of their shooting dominance return to shooting significantly faster than those with shoulder surgery ipsilateral to their shooting dominance. Additionally, those undergoing arthroscopic posterior shoulder stabilization return to shooting at a slower rate than anterior stabilization surgery.
摘要：
未经授权：关于肩部手术后返回射击的信息有限。这项研究的目的是确定肩部手术后恢复射击步枪的速度和时间。
UNASSIGNED：我们对前瞻性收集的数据进行了回顾性回顾。这项研究包括接受关节镜和开放性肩关节稳定治疗的患者，肩袖撕裂的关节镜手术，SLAP损伤,肱二头肌肌腱病,和肩锁病理。收集的数据包括手术的偏侧性，射击优势,和术前和术后访视时患者报告的结局指标。从4.5个月的诊所就诊开始，患者被问及是否可以射击军用步枪。
UNASISIGNED：100名患者被确定为关节镜和开放性肩关节手术，平均年龄为30岁（范围，18-45）和平均随访24个月（范围，12-32).该队列包括接受关节镜Bankart修复的患者（n=23），关节镜后唇修复术（n=18），开放式Latarjet（n=16），小型开放式胸肌二头肌下肌腱固定术（OBT）（n=25），OBT与开放锁骨远端切除术（DCR）（n=10），开放DCR（n=4），关节镜下肩袖修复伴OBT（n=4）。SSV的显着改善，VAS,ASES,WOSI在术后1年显示，SSV85，VAS2，ASES85，WOSI239，P=.001。术后报告有军用步枪射击能力的患者比例为47%，63%,85%,在4.5个月时为94%，6个月,1年,2年,分别。术后4.5个月，在射击优势同侧（n=59）接受手术的患者的射击恢复率（33％）与对侧的射击优势（n=41）（60％）相比，P=.04。然而,6个月和1年两组间无显著差异。此外,接受关节镜后唇修复术的患者与其余队列患者在6个月时的返回率存在显着差异（后部不稳定（33％）与（69%），P=.016)，后肩稳定和前肩稳定之间存在显着差异（70％），P=.03。
UNASSIGNED：接受关节镜和开放性肩关节手术的患者具有很高的射击回报率。大约60%的患者在术后6个月恢复射击，85%在1年恢复。在射击优势的对侧进行肩部手术的患者比在射击优势的同侧进行肩部手术的患者恢复射击的速度要快得多。此外,接受关节镜下肩关节后稳定手术的患者恢复射击的速度比前稳定手术慢。
UNASSIGNED：我们对前瞻性收集的数据进行了回顾性回顾。这项研究包括接受关节镜和开放性肩关节稳定治疗的患者，肩袖撕裂的关节镜手术，SLAP损伤,肱二头肌肌腱病,和肩锁病理。收集的数据包括手术的偏侧性，射击优势,和术前和术后访视时患者报告的结局指标。从4.5个月的诊所就诊开始，患者被问及是否可以射击军用步枪。
UNASISIGNED：100名患者被确定为关节镜和开放性肩关节手术，平均年龄为30岁（范围，18-45）和平均随访24个月（范围，12-32).该队列包括接受关节镜Bankart修复的患者（n=23），关节镜后唇修复术（n=18），开放式Latarjet（n=16），小型开放式胸肌二头肌下肌腱固定术（OBT）（n=25），OBT与开放锁骨远端切除术（DCR）（n=10），开放DCR（n=4），关节镜下肩袖修复伴OBT（n=4）。SSV的显着改善，VAS,ASES,WOSI在术后1年显示，SSV85，VAS2，ASES85，WOSI239，P=.001。术后报告有军用步枪射击能力的患者比例为47%，63%,85%,在4.5个月时为94%，6个月,1年,2年,分别。术后4.5个月，在射击优势同侧（n=59）接受手术的患者的射击恢复率（33％）与对侧的射击优势（n=41）（60％）相比，P=.04。然而,6个月和1年两组间无显著差异。此外,接受关节镜后唇修复术的患者与其余队列患者在6个月时的返回率存在显着差异（后部不稳定（33％）与（69%），P=.016)，后肩稳定和前肩稳定之间存在显着差异（70％），P=.03。
UNASSIGNED：接受关节镜和开放性肩关节手术的患者具有很高的射击回报率。大约60%的患者在术后6个月恢复射击，85%在1年恢复。在射击优势的对侧进行肩部手术的患者比在射击优势的同侧进行肩部手术的患者恢复射击的速度要快得多。此外,接受关节镜下肩关节后稳定手术的患者恢复射击的速度比前稳定手术慢。
