George Andrew, Saltzman Matthew D, Hsu Wellington K
Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.
Cureus. 2019 Sep 14;11(9):e5654. doi: 10.7759/cureus.5654.
Orthopaedic injuries can significantly impact the careers of professional tennis players. It is currently unknown how professional tennis players fare after arthroscopic surgery. For the purpose of this study, players ranked in the Association of Tennis Professionals (ATP) and Women's Tennis Association (WTA) who underwent arthroscopic surgery of any joint between 1996 and 2016 were identified through a well-established, previously published protocol of injury reports and public archives. Performance statistics both before and after surgery, time to return (TTR) to play, and career length following surgery were collected for each player. Statistical analysis was performed with significance accepted at a probability value (p) of <0.05. A total of 55 (39 males and 16 females) players met the inclusion criteria (shoulder, n = 15; elbow, n = 15; wrist, n = 13; hip, n = 12). The average age of the players at the time of surgery was 25.8 (±4) years, and the average career length before surgery was 8.4 (±4) years. Tennis players who underwent arthroscopic shoulder surgery experienced a longer TTR to play (279 days, p <0.01), as well as a greater decline in their rankings, both in the first and second years postoperatively (p <0.01 and p = 0.01, respectively), compared to all other surgical cohorts. Players who underwent surgery on the elbow, wrist, and hip had no significant decline in the ranking by the second postoperative year. There were no significant differences between genders. This study represents the largest database of professional tennis players who have undergone arthroscopic surgery and may allow physicians to provide evidence-based recommendations about expectations after surgical treatment.
骨科损伤会对职业网球运动员的职业生涯产生重大影响。目前尚不清楚职业网球运动员在关节镜手术后的表现如何。为了本研究的目的，通过一份完善的、先前发表的伤病报告和公共档案协议，确定了在1996年至2016年间接受过任何关节镜手术的男子职业网球协会（ATP）和女子网球协会（WTA）排名球员。收集了每位球员手术前后的表现统计数据、恢复比赛时间（TTR）以及手术后的职业生涯长度。进行了统计分析，显著性水平设定为概率值（p）<0.05。共有55名（39名男性和16名女性）球员符合纳入标准（肩部，n = 15；肘部，n = 15；腕部，n = 13；髋部，n = 12）。球员手术时的平均年龄为25.8（±4）岁，手术前的平均职业生涯长度为8.4（±4）年。与所有其他手术队列相比，接受关节镜肩部手术的网球运动员恢复比赛的时间更长（279天，p <0.01），并且在术后第一年和第二年的排名下降幅度更大（分别为p <0.01和p = 0.01）。接受肘部、腕部和髋部手术的球员在术后第二年排名没有显著下降。性别之间没有显著差异。本研究代表了接受关节镜手术的职业网球运动员的最大数据库，可能使医生能够提供关于手术治疗后预期的循证建议。
