Grana William A, Boscardin James B, Schneider Herman J, Takao Scott H, Vera Tomas, Goin Scott G
Department of Orthopaedic Surgery, University of Arizona Health Sciences Center, Tucson, AZ 85724-5024, USA.
Am J Orthop (Belle Mead NJ). 2007 Jun;36(6):308-13.
When a professional athlete injures an elbow or shoulder, the uninjured joint must receive as much attention as the injured joint. Is there a relationship between injury of one joint and subsequent injury of the other joint? In the prospective study reported here, we created a database (a) to determine whether injury to one joint was more likely to result in a problem with the other joint and (b) to analyze for trends and correlations. A survey was administered to all pitchers on a professional baseball team to collect data about shoulder and elbow problems during their careers. Eighty-four pitchers (737 seasons of experience, 52 index injuries) were evaluated. Of the injured players, 27 were treated surgically. Risk for later injury was 4.6 times larger for players who had an index surgery than for those who had not. Of the players who had ulnar collateral ligament (UCL) reconstruction, 42% later sustained a shoulder injury. No player with rotator cuff surgery sustained a subsequent elbow or shoulder injury. There were significantly more upper extremity injuries with right-handed throwers. An elbow injury was more likely to result in shoulder problems, specifically after UCL reconstruction. Players who required surgery were almost 5 times more likely to have a later injury or surgery than players who did not require surgery.
当一名职业运动员肘部或肩部受伤时，未受伤的关节必须得到与受伤关节同样多的关注。一个关节的损伤与另一个关节随后的损伤之间是否存在关联？在本文所报道的前瞻性研究中，我们创建了一个数据库，（a）以确定一个关节的损伤是否更有可能导致另一个关节出现问题，以及（b）分析趋势和相关性。对一支职业棒球队的所有投手进行了一项调查，以收集他们职业生涯中肩部和肘部问题的数据。对84名投手（737个赛季的经验，52例索引损伤）进行了评估。在受伤球员中，27人接受了手术治疗。接受索引手术的球员后期受伤的风险是未接受手术球员的4.6倍。在接受尺侧副韧带（UCL）重建的球员中，42%后来肩部受伤。接受肩袖手术的球员均未出现后续的肘部或肩部损伤。右投手的上肢损伤明显更多。肘部损伤更有可能导致肩部问题，尤其是在UCL重建后。需要手术的球员后期受伤或手术的可能性几乎是不需要手术球员的5倍。
