胸出口综合征(TOS)仍然是一种罕见的诊断,但被认为是职业棒球运动员上肢功能障碍的原因。
■目的是确定TOS手术治疗后职业棒球运动员的表现和重返比赛(RTP)结果。假设是,TOS手术后,职业棒球运动员的RTP率会很高,而进行TOS手术的投手与匹配的对照组之间的表现没有统计学差异。
■队列研究;证据水平,3.
■所有在2010年至2017年期间接受TOS手术治疗的职业棒球运动员均使用美国职业棒球大联盟健康与伤害跟踪系统数据库进行识别。记录每个运动员的人口统计学和表现数据(手术前后)。然后比较接受TOS手术的球员和匹配的对照组之间的表现变量。匹配的标准是在受影响的手臂上没有先前的手术史,手术时的年龄,投掷侧,水平的发挥(主要或次要联盟棒球),和多年打职业棒球的经验。
■总的来说,52名球员接受了TOS手术,其中46人(88%)是投手。TOS的类型为神经源性69%,静脉源性29%。一名球员有动脉TOS。TOS手术后,79%的球员在9.5个月后恢复了相同或更高水平(RTSP)的比赛,并在手术后≥3年。根据TOS的类型,RTSP率没有差异。大联盟和小联盟球员之间的RTP率没有统计学差异。投手有76%的RTSP,这与对照投手的自然损耗相似(P=.874)。TOS手术后,投手看到几个性能指标下降,但是这些下降与控制投手的下降没有什么不同,表明TOS手术后的表现下降速度并不比健康的专业投手年龄增长快。
■职业棒球运动员TOS手术后的RTSP率为79%。基于TOS类型的RTP没有差异。与匹配的对照组相比,接受TOS手术的投手在手术后的投手表现指标没有显着差异。
UNASSIGNED: Thoracic outlet syndrome (TOS) remains a rare diagnosis but is being recognized as a cause of upper extremity dysfunction in professional baseball players.
UNASSIGNED: The purpose was to determine performance and return-to-play (RTP) outcomes in professional baseball players after surgical treatment of TOS. The hypothesis was that there would be a high RTP rate in professional baseball players after TOS surgery with no statistical differences in performance between pitchers who had TOS surgery and matched controls.
UNASSIGNED: Cohort study; Level of evidence, 3.
UNASSIGNED: All professional baseball players who underwent surgical treatment of TOS between 2010 and 2017 were identified using the Major League Baseball Health and Injury Tracking System database. Demographic and performance data (before and after surgery) for each player were recorded. Performance variables were then compared between players who underwent TOS surgery and matched controls. The matching criteria were no history of previous surgeries on affected arm, age at time of surgery, throwing side, level of play (Major or Minor League Baseball), and years of experience playing professional baseball.
UNASSIGNED: Overall, 52 players underwent surgery for TOS, of whom 46 (88%) were pitchers. The type of TOS was neurogenic in 69% and venous in 29%. One player had
arterial TOS. After TOS surgery, 79% of players returned to play at the same or higher level (RTSP) by 9.5 months and played ≥3 years after surgery. No differences were found in RTSP rate based on the type of TOS. No statistical difference was found in RTP rates between major and minor league players. Pitchers had a 76% RTSP, which was similar to the natural attrition for control pitchers (P = .874). After TOS surgery, pitchers saw a decline in several performance metrics, but these declines were not different from those of control pitchers, indicating that the decline in performance after TOS surgery was no faster than is seen in healthy professional pitchers as they age.
UNASSIGNED: The rate of RTSP after surgery for TOS in professional baseball players was 79%. There was no difference in RTP based on the type of TOS. Pitchers who underwent surgery for TOS had no significant differences in pitching performance metrics after surgery compared with matched controls.