Waterford University Hospital, Waterford, Ireland.
Sports Surgery Clinic, Dublin, Ireland.
Knee Surg Sports Traumatol Arthrosc. 2021 Jan;29(1):216-222. doi: 10.1007/s00167-020-05930-9. Epub 2020 Mar 17.
Biceps tenodesis is widely used as a primary treatment for long head of the biceps brachii pathology and superior labral anterior and posterior (SLAP) lesions. However, rates and timing of full return to sports (RTSs)/duty have not been systematically analysed. This systematic review examines the literature to ascertain the rate and timing of return to athletic activity, and the availability of specific criteria for safe return to atheletic activity following the biceps tenodesis.
Based on PRISMA guidelines, this systematic review utilised the EMBASE, MEDLINE, and The Cochrane Library Databases. Eligible for inclusion were clinical studies reporting on return to athletic activity following biceps tenodesis. Statistical analysis was performed using SPSS.
This review identified 17 studies including 374 cases meeting the inclusion criteria. The majority of patients were men 260 (69.7%), with an median age of 42.2 years (range 16-88) and a mean follow-up of 37.4 months. The overall rate of RTS was 217/269 (80.7%), with 43/59 (72.9%) returning to the same level. In overhead athletes, the overall rate of return to play was 39/49 (79.6%). Among military personnel, the overall rate of return to duty was 61/74 (82.4%). The average time to RTS was 5.4 (range 3-11) months. 10 (58.8%) Studies reported a recommended time window within which patients were allowed to return to full activity. Specific criteria for return to play were not reported in any of the identified studies.
While overall rate of return to athletic activity was reportedly high following biceps tenodesis, one in four patients were not able to resume athletic activity at the same level. At present, there is no objective assessment of when patients can return to full activity reported in the literature.
IV.
肱二头肌肌腱固定术被广泛应用于治疗肱二头肌长头病变和肩盂上唇前后（SLAP）病变。然而，尚未系统分析完全恢复运动（RTS）/工作的比率和时间。本系统回顾检查文献，以确定返回运动活动的比率和时间，以及在肱二头肌肌腱固定术后恢复运动活动的安全返回的具体标准。
根据 PRISMA 指南，本系统回顾使用了 EMBASE、MEDLINE 和 The Cochrane Library 数据库。符合纳入标准的是报告肱二头肌肌腱固定术后恢复运动活动的临床研究。使用 SPSS 进行统计分析。
本综述共纳入了 17 项研究，共纳入 374 例符合纳入标准的患者。大多数患者为男性 260 例（69.7%），中位年龄为 42.2 岁（范围 16-88 岁），平均随访时间为 37.4 个月。总体 RTS 率为 217/269（80.7%），其中 43/59（72.9%）恢复到相同水平。在过顶运动员中，总体复出率为 39/49（79.6%）。在军人中，总体复职率为 61/74（82.4%）。RTS 的平均时间为 5.4 个月（范围 3-11 个月）。10 项（58.8%）研究报告了允许患者恢复全面活动的推荐时间窗口。在确定的研究中，没有任何研究报告重返赛场的具体标准。
虽然肱二头肌肌腱固定术后总体恢复运动活动的比率较高，但仍有四分之一的患者无法恢复到相同的运动水平。目前，文献中没有报告何时可以对患者进行全面活动的客观评估。
IV。
