PDF(Pubmed)
Abstract：
There exists a considerable amount of evidence regarding short-term outcomes of shoulder arthroscopy in athletes; however, mid- to long-term data are limited. Therefore, the purpose of this review is to evaluate studies assessing mid- to long-term outcomes and rates of return to sport in athletes undergoing primary shoulder arthroscopy. A search for the systematic review was performed in PubMed, Scopus, and Embase on 14 March 2023. Study parameters, as well as their respective outcomes, were described in detail and compiled into diagrams. Five studies were included, which contained data on a total of 307 shoulders in patients with mean ages ranging from 20.3 to 26.9 years and mean follow-up times ranging from 6.3 to 14 years. The arthroscopic Bankart repair was the primary surgical intervention performed in all five studies. The overall rate of return to sport was 84% (range, 70-100%) across the studies. The rate of return to sport at pre-injury level was 65.2% (range, 40-82.6%) across four studies. The overall rate of recurrent instability was 17.3%, with redislocation specifically occurring in 13.7% of patients across all studies. The overall rate of revision surgery was 11.1%. Athletes who underwent primary shoulder arthroscopy demonstrated favorable outcomes and a high rate of RTS at a minimum follow-up of 5 years. However, rates of recurrent instability, redislocation, and revision surgery occurred at less than favorable numbers, which emphasizes the importance of proper patient selection when considering candidates for arthroscopic versus open repairs.
摘要：
关于运动员肩关节镜检查的短期结果，有相当多的证据；然而，中长期数据有限。因此,本综述的目的是评估评估接受初次肩关节镜检查的运动员的中长期结局和运动恢复率的研究.在PubMed中进行了系统评价的搜索，Scopus,和Embase于2023年3月14日。研究参数,以及他们各自的结果，进行了详细描述并编译为图表。包括五项研究，其中包含总共307名患者的数据,这些患者的平均年龄为20.3~26.9岁,平均随访时间为6.3~14年.关节镜Bankart修复是所有五项研究中进行的主要手术干预。运动的总体回报率为84%(范围，70-100%）在整个研究中。受伤前水平的运动恢复率为65.2％（范围，40-82.6%）在四项研究中。总的复发率为17.3%,在所有研究中，有13.7%的患者发生再脱位。总的翻修手术率为11.1%。接受原发性肩关节镜检查的运动员在至少5年的随访中表现出良好的结果和较高的RTS率。然而,反复出现的不稳定率，再脱位,翻修手术的发生人数少于有利数字，这强调了在考虑关节镜修复与开放式修复的候选人时，适当选择患者的重要性。
