PDF(Pubmed)
Abstract：
UNASSIGNED: Destabilizing shoulder injuries are common in high school American football players; however, the rate of recurrent glenohumeral instability and return to play after arthroscopic labral stabilization surgery remains unknown.
UNASSIGNED: The purpose of this study was to determine the rate of recurrent instability on return to competitive high school football after arthroscopic shoulder labral stabilization and capsulorrhaphy procedures. It was hypothesized that the instability rate would be greater in players with more years of eligibility remaining (YER) to play at the high school level.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: Consecutive male high school football players with at least 1 YER who sustained at least 1 anterior traumatic inseason shoulder instability episode and underwent arthroscopic stabilization between 2012 and 2017 were identified. Patients and/or families were contacted by phone to discuss (1) recurrent instability episodes and (2) return to competitive sport and/or recreational athletic activity. Statistical analysis was conducted using chi-square tests to compare recurrent shoulder instability with return to play and YER.
UNASSIGNED: A total of 45 football players aged 14 to 17 years were included, with a mean follow-up of 4.1 years. Most patients (60%) chose not to return to competitive football, due mainly to fear of recurrent injury. Overall, the recurrent instability rate was 15.6% (7/45). The instability rate in players who returned to football was 16.7%, with 66.7% requiring revision surgery. The instability rate in patients who did not return to football was 14.8%, with no revision procedures required. In players who returned to football, the instability rate in YER group 4 was significantly higher than that in YER groups 1 to 3 (42% vs 10.5%, respectively, P = .03), with each year of play conferring an additional 10% risk of reinjury. There was a significant difference in the type of recurrent instability in players who returned to any sport versus those who did not (P = .029).
UNASSIGNED: High school football players who returned to competitive play after arthroscopic shoulder stabilization surgery experienced a higher rate of recurrent instability that was dependent on their YER. Over half of the players chose not to return to football, with fear of reinjury being the most common reason.
UNASSIGNED: The purpose of this study was to determine the rate of recurrent instability on return to competitive high school football after arthroscopic shoulder labral stabilization and capsulorrhaphy procedures. It was hypothesized that the instability rate would be greater in players with more years of eligibility remaining (YER) to play at the high school level.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: Consecutive male high school football players with at least 1 YER who sustained at least 1 anterior traumatic inseason shoulder instability episode and underwent arthroscopic stabilization between 2012 and 2017 were identified. Patients and/or families were contacted by phone to discuss (1) recurrent instability episodes and (2) return to competitive sport and/or recreational athletic activity. Statistical analysis was conducted using chi-square tests to compare recurrent shoulder instability with return to play and YER.
UNASSIGNED: A total of 45 football players aged 14 to 17 years were included, with a mean follow-up of 4.1 years. Most patients (60%) chose not to return to competitive football, due mainly to fear of recurrent injury. Overall, the recurrent instability rate was 15.6% (7/45). The instability rate in players who returned to football was 16.7%, with 66.7% requiring revision surgery. The instability rate in patients who did not return to football was 14.8%, with no revision procedures required. In players who returned to football, the instability rate in YER group 4 was significantly higher than that in YER groups 1 to 3 (42% vs 10.5%, respectively, P = .03), with each year of play conferring an additional 10% risk of reinjury. There was a significant difference in the type of recurrent instability in players who returned to any sport versus those who did not (P = .029).
UNASSIGNED: High school football players who returned to competitive play after arthroscopic shoulder stabilization surgery experienced a higher rate of recurrent instability that was dependent on their YER. Over half of the players chose not to return to football, with fear of reinjury being the most common reason.
摘要：
■不稳定的肩膀受伤在高中美式足球运动员中很常见；但是，关节镜下唇固定手术后复发性肱骨不稳定和恢复功能的发生率仍然未知.
■这项研究的目的是确定关节镜下肩关节前唇稳定和包囊修补术后重返竞技高中足球的复发性不稳定率。据推测，在高中阶段还有更多资格（YER）的球员中，不稳定率会更高。
■案例系列；证据级别，4.
■在2012年至2017年期间，至少1岁的连续男高中足球运动员持续至少1次前部创伤性季肩不稳定发作，并接受关节镜稳定治疗。通过电话与患者和/或家属联系，讨论（1）反复发作的不稳定事件和（2）恢复竞技体育和/或娱乐性体育活动。使用卡方检验进行统计分析，以比较复发性肩关节不稳定与重返比赛和YER。
■共包括45名14至17岁的足球运动员，平均随访4.1年。大多数患者（60％）选择不重返竞技足球，主要是由于害怕反复受伤。总的来说,复发不稳定率为15.6%(7/45)。重返足球的球员不稳定率为16.7%,66.7%需要翻修手术。没有重返足球运动的患者不稳定率为14.8%,无需修订程序。在重返足球界的球员中，YER组4的不稳定率明显高于YER组1至3（42％vs10.5％，分别,P=.03)，每年的比赛都会增加10％的再受伤风险。重返任何运动的运动员与未参加运动的运动员的复发性不稳定类型存在显着差异（P=0.029）。
■在关节镜下肩关节稳定手术后恢复竞技比赛的高中足球运动员经历了更高的复发性不稳定率，这取决于他们的YER。超过一半的球员选择不重返足球，害怕再受伤是最常见的原因。
■这项研究的目的是确定关节镜下肩关节前唇稳定和包囊修补术后重返竞技高中足球的复发性不稳定率。据推测，在高中阶段还有更多资格（YER）的球员中，不稳定率会更高。
■案例系列；证据级别，4.
■在2012年至2017年期间，至少1岁的连续男高中足球运动员持续至少1次前部创伤性季肩不稳定发作，并接受关节镜稳定治疗。通过电话与患者和/或家属联系，讨论（1）反复发作的不稳定事件和（2）恢复竞技体育和/或娱乐性体育活动。使用卡方检验进行统计分析，以比较复发性肩关节不稳定与重返比赛和YER。
■共包括45名14至17岁的足球运动员，平均随访4.1年。大多数患者（60％）选择不重返竞技足球，主要是由于害怕反复受伤。总的来说,复发不稳定率为15.6%(7/45)。重返足球的球员不稳定率为16.7%,66.7%需要翻修手术。没有重返足球运动的患者不稳定率为14.8%,无需修订程序。在重返足球界的球员中，YER组4的不稳定率明显高于YER组1至3（42％vs10.5％，分别,P=.03)，每年的比赛都会增加10％的再受伤风险。重返任何运动的运动员与未参加运动的运动员的复发性不稳定类型存在显着差异（P=0.029）。
■在关节镜下肩关节稳定手术后恢复竞技比赛的高中足球运动员经历了更高的复发性不稳定率，这取决于他们的YER。超过一半的球员选择不重返足球，害怕再受伤是最常见的原因。
