Ranalletta Maximiliano, Rossi Luciano A, Alonso Hidalgo Ignacio, Sirio Adrian, Puig Dubois Julieta, Maignon Gastón D, Bongiovanni Santiago L
Department of Orthopedics and Traumatology, Prof. Dr. Carlos E. Ottolenghi Institute, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Orthop J Sports Med. 2017 Sep 25;5(9):2325967117729321. doi: 10.1177/2325967117729321. eCollection 2017 Sep.
There is no universally accepted definition of "contact" or "collision" sports in the literature. The few available studies evaluating contact and collision sports consider them to be synonymous. However, athletes in collision sports purposely hit or collide with each other or with inanimate objects with greater force and frequency than in contact sports, which could jeopardize functional outcomes.
To compare the functional outcomes, return to sports, and recurrences in a series of contact and collision athletes with a first-time anterior shoulder dislocation treated using arthroscopic stabilization with suture anchors.
Cohort study; Level of evidence, 2.
A total of 56 athletes were enrolled in this study, including 22 contact athletes and 34 collision athletes. All athletes underwent arthroscopic shoulder stabilization using suture anchors. Range of motion, the Rowe score, a visual analog scale (VAS) for pain, and the Athletic Shoulder Outcome Scoring System (ASOSS) were used to assess functional outcomes. Return to sports and recurrences were also evaluated.
The mean age at the time of surgery was 22.2 years, and the mean follow-up was 62.4 months (range, 36-94 months). No significant difference in shoulder motion was found between preoperative and postoperative results or between the contact and collision groups. The Rowe, VAS, and ASOSS scores showed statistical improvement in both groups after surgery ( = .001). Patients in the contact group returned to sports significantly faster than those in the collision group (5.2 vs 6.9 months, respectively; = .01). In all, 43 athletes (76.8%) returned to near-preinjury sports activity levels (≥90% recovery) after surgery: 86.4% of patients in the contact group and 70.6% in the collision group ( = .04). The total recurrence rate was 8.9%. There were 5 recurrences (14.7%) in the collision group and no recurrences in the contact group ( < .01).
Arthroscopic stabilization for anterior instability of the shoulder is a reliable procedure with respect to shoulder function, range of motion, and postoperative return to sports in contact and collision athletes. Compared with the contact group (0%), the collision group yielded a higher failure rate (14.7%). Moreover, patients in the contact group returned significantly faster (5.2 vs 6.9 months, respectively) and to and more returned to preinjury or near-preinjury activity levels (86.4% vs 70.6% of patients, respectively) than patients in the collision group.
文献中对于“接触性”或“碰撞性”运动尚无普遍接受的定义。少数评估接触性和碰撞性运动的现有研究将它们视为同义词。然而，与接触性运动相比，从事碰撞性运动的运动员彼此之间或与无生命物体故意进行撞击或碰撞的力度更大、频率更高，这可能会影响功能恢复结果。
比较一系列因首次肩关节前脱位接受关节镜下缝合锚钉稳定术治疗的接触性和碰撞性运动运动员的功能恢复结果、重返运动情况和复发率。
队列研究；证据等级，2级。
本研究共纳入56名运动员，包括22名从事接触性运动的运动员和34名从事碰撞性运动的运动员。所有运动员均接受了关节镜下肩关节稳定术，使用缝合锚钉。采用活动范围、Rowe评分、疼痛视觉模拟量表（VAS）和运动肩关节结果评分系统（ASOSS）评估功能恢复结果。还对重返运动情况和复发情况进行了评估。
手术时的平均年龄为22.2岁，平均随访时间为62.4个月（范围36 - 94个月）。术前和术后结果之间以及接触性和碰撞性运动组之间，肩关节活动度均未发现显著差异。两组术后Rowe、VAS和ASOSS评分均有统计学意义的改善（P = 0.001）。接触性运动组的运动员比碰撞性运动组的运动员重返运动的速度明显更快（分别为5.2个月和6.9个月；P = 0.01）。总共有43名运动员（76.8%）术后恢复到接近受伤前的运动活动水平（恢复≥90%）：接触性运动组为86.4%，碰撞性运动组为70.6%（P = 0.04）。总复发率为8.9%。碰撞性运动组有5例复发（14.7%），接触性运动组无复发（P < 0.01）。
对于接触性和碰撞性运动运动员的肩关节功能、活动范围及术后重返运动而言，关节镜下稳定术治疗肩关节前不稳定是一种可靠的手术方法。与接触性运动组（0%）相比，碰撞性运动组的失败率更高（14.7%）。此外，接触性运动组的运动员比碰撞性运动组的运动员重返运动的速度明显更快（分别为5.2个月和6.9个月），且恢复到受伤前或接近受伤前活动水平的比例更高（分别为86.4%和70.6%）。
