Knapik Derrick M, Tu Leigh-Anne, Sheehan Joseph, Salata Michael J, Voos James E, Malone Kevin J
1University Hospitals Sports Medicine Institute, Cleveland, OH USA.
2School of Medicine, Case Western Reserve University, Cleveland, OH USA.
HSS J. 2019 Jul;15(2):137-142. doi: 10.1007/s11420-018-9640-6. Epub 2018 Nov 5.
Fixation of scaphoid fractures is recommended in elite athletes to hasten healing and return-to-sport times. Complications such as nonunion negatively affect athletic performance.
QUESTIONS/PURPOSES: The purpose of this study was to examine the prevalence and impact of scaphoid repair on National Football League (NFL) participation during athletes' first season in the NFL, while identifying significant predictors for development of carpal arthritis and scaphoid nonunion.
A total of 1311 football athletes invited to the NFL Scouting Combine from 2012 to 2015 were evaluated for history of scaphoid fracture repair. Athlete demographics, surgical history, and imaging and physical examination findings were recorded. Future NFL participation based on draft status, games played, and games started during athletes' first season were gathered using publicly available databases.
Nineteen (1.4%) athletes underwent 24 operations for scaphoid repair. Limitations in wrist range of motion or strength were present in 47.4% of athletes with a history of repair. Arthritic changes were present in 32% of wrists, while radiographic nonunion was present in two athletes following scaphoid fracture. Defensive backs were observed to have a higher incidence for arthritic changes following repair compared to other positions. No significant difference in prospective NFL participation was found in athletes with a history of scaphoid repair than in those without.
Athletes with a history of scaphoid repair are not at significant risk for diminished participation during their first season in the NFL.
对于精英运动员，建议对舟骨骨折进行固定，以加速愈合并缩短恢复运动的时间。骨不连等并发症会对运动表现产生负面影响。
问题/目的：本研究的目的是调查舟骨修复在国家橄榄球联盟（NFL）运动员首个赛季参与比赛期间的发生率和影响，同时确定腕关节关节炎和舟骨骨不连发生的重要预测因素。
对2012年至2015年受邀参加NFL联合试训的1311名橄榄球运动员进行舟骨骨折修复史评估。记录运动员的人口统计学资料、手术史以及影像学和体格检查结果。利用公开可用数据库收集基于选秀状态、比赛场次以及运动员首个赛季首发出场次数的未来NFL参赛情况。
19名（1.4%）运动员接受了24次舟骨修复手术。有修复史的运动员中，47.4%存在腕关节活动范围或力量受限的情况。32%的腕关节出现了关节炎改变，两名运动员舟骨骨折后出现了影像学骨不连。与其他位置相比，观察到防守后卫修复后关节炎改变的发生率更高。有舟骨修复史的运动员与无修复史的运动员相比，在未来NFL参赛方面未发现显著差异。
有舟骨修复史的运动员在其NFL首个赛季参赛减少的风险并不显著。
