Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Sports Health. 2019 Nov/Dec;11(6):520-527. doi: 10.1177/1941738119873892. Epub 2019 Oct 4.
Superior labral anterior-posterior (SLAP) lesions often result in significant sporting limitations for athletes. Return to sport is a significant outcome that often needs to be considered by athletes undergoing the procedure.
To evaluate return to sport among individuals undergoing arthroscopic SLAP repair.
Four databases (MEDLINE, EMBASE, PubMed, and Cochrane) were searched from database inception through January 29, 2018.
English-language articles reporting on return-to-activity rates after arthroscopic SLAP repairs were included.
Systematic review.
Level 4.
Data including patient demographics, surgical procedure, and return to activity were extracted. The methodological quality of included studies was evaluated using the Methodological Index for Non-Randomized Studies (MINORS) tool.
Of 1938 screened abstracts, 22 articles involving a total of 944 patients undergoing arthroscopic SLAP repair met inclusion criteria. Of the total included patients, 270 were identified as overhead athletes, with 146 pitchers. Across all patients, 69.6% (657/944 patients) of individuals undergoing arthroscopic SLAP repair returned to sport. There was a 69.0% (562/815 patients) return to previous level of play, with a mean time to return to sport of 8.9 ± 2.4 months (range, 6.0-11.7 months). The return-to-sport rate for pitchers compared with the return-to-activity rate for nonpitchers, encompassing return to work and return to sport, was 57.5% (84/146 patients) and 87.1% (572/657 patients), respectively, after arthroscopic SLAP repair.
Arthroscopic SLAP repair is associated with a fair return to sport, with 69.6% of individuals undergoing arthroscopic SLAP repair returning to sport. SLAP repair in pitchers has significantly decreased return to sport in comparison with nonpitching athletes. Athletes on average return to sport within 9 months postoperatively.
肩盂上唇从前向后（SLAP）损伤常导致运动员运动能力显著受限。运动员在接受手术前通常需要考虑的一个重要结果就是重返运动。
评估关节镜下 SLAP 修复术后运动员重返运动的情况。
从数据库建立至 2018 年 1 月 29 日，共检索了 4 个数据库（MEDLINE、EMBASE、PubMed 和 Cochrane）。
纳入报道关节镜下 SLAP 修复术后活动恢复率的英文文献。
系统评价。
4 级。
提取患者人口统计学、手术程序和活动恢复的数据。采用非随机研究方法学指数（MINORS）工具评估纳入研究的方法学质量。
在筛选的 1938 篇摘要中，共有 22 篇文章纳入了 944 例接受关节镜下 SLAP 修复的患者，符合纳入标准。在所有纳入的患者中，有 270 例为上肢运动员，其中 146 例为投手。所有患者中，69.6%（944 例患者中的 657 例）接受关节镜下 SLAP 修复的患者重返运动。562 例（815 例患者中的 562 例）患者恢复到以前的运动水平，重返运动的平均时间为 8.9±2.4 个月（范围 6.0-11.7 个月）。与非投手相比，接受关节镜 SLAP 修复术后投手的重返运动率（包括重返工作和重返运动）分别为 57.5%（146 例患者中的 84 例）和 87.1%（657 例患者中的 572 例）。
关节镜下 SLAP 修复术后有相当比例的患者可以重返运动，69.6%的接受关节镜 SLAP 修复的患者重返运动。与非投手运动员相比，投手接受 SLAP 修复后重返运动的比例明显降低。运动员平均在术后 9 个月内重返运动。
