对接受髌腱撕裂手术的美国职业篮球联赛球员的全面重返赛场分析。
A Comprehensive Return-to-Play Analysis of National Basketball Association Players With Operative Patellar Tendon Tears.
作者信息
Nguyen Michael V, Nguyen John V, Taormina David P, Pham Hien, Alaia Michael J
机构信息
New York University School of Medicine, New York, New York, USA.
Department of Electrical Engineering and Computer Science, University of Michigan College of Engineering, Ann Arbor, Michigan, USA.
出版信息
Orthop J Sports Med. 2018 Oct 12;6(10):2325967118800479. doi: 10.1177/2325967118800479. eCollection 2018 Oct.
BACKGROUND
Patellar tendon tears impart potentially debilitating sequelae among professional basketball athletes.
HYPOTHESIS
Professional basketball athletes with patellar tendon tears have decreased return-to-play performance in seasons after injury compared with preinjury statistics.
STUDY DESIGN
Case series; Level of evidence, 4.
METHODS
Patellar tendon tears among National Basketball Association (NBA) athletes from the 1999-2000 to 2014-2015 seasons were identified. Player performance statistics for players who underwent operative patellar tendon repair were compared from 1 season before injury to 1 season after injury and 2 seasons before injury to 2 seasons after injury using the primary outcome of player efficiency rating (PER). Secondary performance outcomes were also analyzed.
RESULTS
A total of 13 patellar tendon tears (10 complete, 3 partial) were identified among 12 NBA athletes. Three players (25%) did not return to play in the NBA. No significant differences were found in PER in comparisons of 1 season before and after injury (16.6 ± 1.5 vs 14.3 ± 1.7; = .20) or in comparisons of 2 seasons before and after injury (15.8 ± 0.8 vs 6.3 ± 2.3; = .49). Diminished performance outcomes were noted for total minutes played (2598 ± 100 vs 1695 ± 78; = .01), games played (74.8 ± 1.9 vs 60.5 ± 1.4; = .04), and minutes per game (34.8 ± 1.5 vs 28.2 ± 1.8; = .02) in comparisons of 1 season before and after injury. Total minutes played per season (2491 ± 190 vs 799 ± 280; = .045) decreased in comparisons of 2 seasons before and after injury.
CONCLUSION
Patellar tendon tears were not associated with diminished efficiency-adjusted performance, as measured by PER, games played, minutes per game played, points per 36 minutes, and rebounds per 36 minutes. However, decreases in total minutes played were observed following patellar tendon tear. Orthopaedic surgeons may be better prepared to counsel basketball athlete patients with patellar tendon tear given these findings.
背景
髌腱撕裂会给职业篮球运动员带来潜在的致残后遗症。
假设
与受伤前的数据相比，髌腱撕裂的职业篮球运动员在受伤后的赛季中重返赛场的表现会下降。
研究设计
病例系列；证据等级，4级。
方法
确定1999 - 2000赛季至2014 - 2015赛季美国国家篮球协会（NBA）运动员中的髌腱撕裂情况。使用球员效率值（PER）这一主要指标，比较接受髌腱手术修复的球员在受伤前1个赛季与受伤后1个赛季以及受伤前2个赛季与受伤后2个赛季的表现数据。还分析了次要表现指标。
结果
在12名NBA运动员中共发现13例髌腱撕裂（10例完全撕裂，3例部分撕裂）。3名球员（25%）未重返NBA赛场。在比较受伤前后1个赛季的PER时（16.6±1.5对14.3±1.7；P = 0.20）或比较受伤前后2个赛季的PER时（15.8±0.8对6.3±2.3；P = 0.49），未发现显著差异。在比较受伤前后1个赛季时，总上场时间（2598±100对1695±78；P = 0.01）、比赛场次（74.8±1.9对60.5±1.4；P = 0.04）和场均上场时间（34.8±1.5对28.2±1.8；P = 0.02）的表现指标有所下降。在比较受伤前后2个赛季时，每个赛季的总上场时间（2491±190对799±280；P = 0.045）有所减少。
结论
髌腱撕裂与经效率调整后的表现下降无关，经PER、比赛场次、场均上场时间、每36分钟得分和每36分钟篮板数衡量。然而，髌腱撕裂后总上场时间有所减少。鉴于这些发现，骨科医生在为髌腱撕裂的篮球运动员患者提供咨询时可能会有更充分的准备。
Zotero 插件