Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, USA.
Rothman Institute, New York, New York, USA.
Am J Sports Med. 2019 Apr;47(5):1068-1073. doi: 10.1177/0363546519832525. Epub 2019 Mar 18.
Injuries remain a significant problem for professional baseball players. There is little information regarding the incidence and outcomes of shoulder surgical procedures among these athletes.
PURPOSE/HYPOTHESIS: To report the incidence, pathology, procedure type, demographics, and return-to-sport (RTS) rate of shoulder surgery among Major League Baseball (MLB) players. Most shoulder procedures would be performed on pitchers with a history of injury; the labrum would be the most commonly involved; and that the RTS rate would be >50%.
Descriptive epidemiology study.
All MLB players who underwent surgery between 2012 and 2016 were identified from a database prospectively maintained by MLB. Demographic information and details regarding the procedure were recorded and RTS rates determined. Only those players with a minimum 2-year follow-up were included.
There were 581 shoulder procedures performed (542 players; pitchers, 60%; incidence, 1.48%). Overall, 19% of surgical procedures were performed on major league players and 81% on minor league players. Most players were between 20 and 25 years old. The majority of procedures were performed on the posterior and anterior labrum. Of these, 67% involved labral repair. Within rotator cuff surgery, 84% involved debridement; most tears were articular sided (87%); and 75% involved the supraspinatus. Overall, 11% of players had prior shoulder surgery, and 76% spent time on the disabled list before surgery. The overall rate of RTS was 63%. Of those who returned, 86% returned to at least the same level of play or higher as before surgery. Of those who returned to their prior level of play, 73% later ascended to a higher level of play or could not ascend to a higher level because they were already in the majors.
Shoulder surgery is uncommon among professional baseball players. Of those players who require surgery, the majority are pitchers and minor league players. Most procedures involve the labrum. Rotator cuff tears are mostly articular-sided supraspinatus tears. The overall RTS rate is 63%. Of those who return, 86% are able to return to the same or higher level of play as before surgery.
对于职业棒球运动员来说，受伤仍然是一个严重的问题。关于这些运动员肩部手术的发生率和结果，信息很少。
目的/假设：报告美国职业棒球大联盟（MLB）运动员肩部手术的发生率、病理学、手术类型、人口统计学和重返运动（RTS）率。大多数肩部手术将针对有受伤史的投手进行；最常涉及的是盂唇；RTS 率>50%。
描述性流行病学研究。
从 MLB 前瞻性维护的数据库中确定了 2012 年至 2016 年间接受手术的所有 MLB 球员。记录人口统计学信息和手术细节，并确定 RTS 率。仅包括至少有 2 年随访的球员。
共进行了 581 次肩部手术（542 名球员；投手占 60%；发生率为 1.48%）。总体而言，19%的手术是在大联盟球员身上进行的，81%是在小联盟球员身上进行的。大多数球员年龄在 20 至 25 岁之间。大多数手术是在盂唇的后和前进行的。其中，67%涉及盂唇修复。在肩袖手术中，84%涉及清创术；大多数撕裂发生在关节侧（87%）；且 75%涉及冈上肌。总体而言，11%的球员有过肩部手术史，76%在手术前因伤停赛。总体 RTS 率为 63%。在那些恢复的人中，86%恢复到至少与手术前相同或更高的水平。在那些恢复到之前的比赛水平的人中，73%后来上升到更高的水平，或者因为他们已经在大联盟中，所以无法上升到更高的水平。
肩部手术在职业棒球运动员中并不常见。在需要手术的球员中，大多数是投手和小联盟球员。大多数手术涉及盂唇。肩袖撕裂大多是关节侧的冈上肌撕裂。总体 RTS 率为 63%。在那些恢复的人中，86%能够恢复到手术前相同或更高的比赛水平。
