Alentorn-Geli Eduard, Álvarez-Díaz Pedro, Doblas Jesús, Steinbacher Gilbert, Seijas Roberto, Ares Oscar, Boffa Juan José, Cuscó Xavier, Cugat Ramón
Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Mutualidad de Futbolistas, Federación Española de Fútbol - Delegación Cataluña, Barcelona, Spain.
Knee Surg Sports Traumatol Arthrosc. 2016 Feb;24(2):440-6. doi: 10.1007/s00167-015-3895-y. Epub 2015 Dec 19.
To report the return to sports and recurrence rates in competitive soccer players after arthroscopic capsulolabral repair using knotless suture anchors at a minimum of 5 years of follow-up.
All competitive soccer players with anterior glenohumeral instability treated by arthroscopic capsulolabral repair using knotless suture anchors between 2002 and 2009 were retrospectively identified through the medical records. Inclusion criteria were: no previous surgical treatment of the involved shoulder, absence of glenoid or tuberosity fractures, absence of large Hill-Sachs or glenoid bone defect, minimum follow-up of 5 years, instability during soccer practice or games, and failure of non-surgical treatment. The charts of included players were reviewed, and a phone call was performed in a cross-sectional manner to obtain information on: current soccer, return to soccer, recurrence of instability, shoulder function (Rowe score), and disability [Quick-Disability of the Arm, Shoulder, and Hand (DASH) score and Quick-DASH Sports/Performing Arts Module].
Fifty-seven young male soccer players were finally included with a median (range) follow-up of 8 (5-10) years. Forty-nine (86 %) of the soccer players were able to return to soccer and 36 of them (73 %) at the same pre-injury level. There were 6 (10.5 %) re-dislocations in the 57 players, all of them of traumatic origin produced during soccer and other unrelated activities. The main reasons to not return to soccer were: knee injuries (two players), changes in personal life (two players), and job-related (three players). None of the players quit playing soccer because of their shoulder instability injury. The median (range) Rowe score, Quick-DASH score, and Quick-DASH sports score were 80 (25-100), 2.3 (0-12.5), and 0 (0-18.8), respectively.
Competitive soccer players undergoing arthroscopic capsulolabral repair with knotless suture anchors for shoulder instability without significant bone loss demonstrate excellent return to play at mid-to-long-term follow-up, with a 10.5 % chances of re-dislocating.
IV.
报告使用无结缝合锚钉进行关节镜下关节囊盂唇修复的竞技足球运动员在至少5年随访后的运动恢复情况和复发率。
通过病历回顾性识别2002年至2009年间所有接受使用无结缝合锚钉进行关节镜下关节囊盂唇修复治疗的肩前盂肱关节不稳的竞技足球运动员。纳入标准为：患侧肩部既往未接受过手术治疗、无肩胛盂或结节骨折、无巨大的希尔-萨克斯损伤或肩胛盂骨缺损、至少随访5年、在足球训练或比赛期间存在不稳且非手术治疗失败。对纳入球员的病历进行审查，并以横断面方式进行电话随访，以获取以下信息：目前的足球运动情况、恢复足球运动情况、不稳复发情况、肩部功能（罗威评分）以及残疾情况[手臂、肩部和手部快速残疾评定量表（Quick-DASH）评分和Quick-DASH运动/表演艺术模块]。
最终纳入57名年轻男性足球运动员，中位（范围）随访时间为8（5 - 10）年。49名（86%）足球运动员能够恢复足球运动，其中36名（73%）恢复到受伤前的水平。57名球员中有6例（10.5%）再次脱位，均为在足球运动及其他无关活动中发生的创伤性脱位。未恢复足球运动的主要原因有：膝部损伤（2名球员）、个人生活变化（2名球员）以及工作相关原因（3名球员）。没有球员因肩部不稳损伤而停止踢足球。中位（范围）罗威评分、Quick-DASH评分和Quick-DASH运动评分分别为80（25 - 100）、2.3（0 - 12.5）和0（0 - 18.8）。
对于无明显骨质丢失的肩部不稳，接受使用无结缝合锚钉进行关节镜下关节囊盂唇修复的竞技足球运动员在中长期随访中运动恢复情况良好，再次脱位的几率为10.5%。
四级。
