肩盂唇前后上（SLAP）损伤后恢复运动的成功率：一项系统评价与Meta分析
THE SUCCESS OF RETURN TO SPORT AFTER SUPERIOR LABRUM ANTERIOR TO POSTERIOR (SLAP) TEARS: A SYSTEMATIC REVIEW AND META-ANALYSIS.
作者信息
Freijomil Nicholas, Peters Scott, Millay Alexandra, Sinda Tyler, Sunset Jordan, Reiman Michael P
机构信息
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Toronto Blue Jays Baseball Club,Toronto, Ontario, Canada.
出版信息
Int J Sports Phys Ther. 2020 Oct;15(5):659-670. doi: 10.26603/ijspt20200659.
BACKGROUND
Reviews on superior labral anterior to posterior (SLAP) injuries have been reported in the literature. However, current reviews have not focused on the success of athletes return to their previous level of sport or athletic performance.
HYPOTHESIS/PURPOSE: Systematically review return to sport (RTS) and return to sport at previous level (RTSP) proportions after SLAP injury while reporting any additional performance metrics and outcome measures.
STUDY DESIGN
Systematic Review & Meta-Analysis.
METHODS
A computer assisted literature search of MEDLINE, CINAHL, Embase and SportDiscus databases utilizing keywords related to RTS post-surgery for SLAP tear was implemented. The guidelines were utilized for study methodology. Quality assessment utilized the MINORS scale.
RESULTS
Twenty-two studies (617 athletes) qualified for analysis. Based on limited evidence from level 3b to 4 studies, athletes RTS post intervention for SLAP injury occurred at a rate of 93% (95% CI:87 to 98%) and overall RTSP rate was 72% (95% CI:60 to 83%). The mean time to RTS post intervention was reported in 59% of studies at 6.9 ± 2.9 months. Patient reported outcome measures (PROM's) were reported in 86% of studies. There was limited reporting of performance statistics, rehabilitation guidelines, return to sport criteria, and information regarding SLAP diagnosis in the available studies. None of the included studies reported post-surgical athletic performance or career longevity.
CONCLUSIONS
Limited evidence suggests that less than three in four athletes return to their previous level of sport participation after SLAP injury intervention. Treatment success for an athlete with SLAP injury remains relatively unknown as only 59% of included studies clearly delineate RTS from RTSP and neither athletic performance nor career longevity were reported in any included studies. Future studies of higher quality are required for this determination.
LEVEL OF EVIDENCE
Level 1a.
背景
文献中已有关于上盂唇前后向（SLAP）损伤的综述。然而，目前的综述尚未关注运动员恢复到之前运动水平或运动表现的成功率。
假设/目的：系统回顾SLAP损伤后恢复运动（RTS）和恢复到之前运动水平（RTSP）的比例，同时报告任何其他性能指标和结果测量。
研究设计
系统综述与荟萃分析。
方法
利用与SLAP撕裂手术后RTS相关的关键词，对MEDLINE、CINAHL、Embase和SportDiscus数据库进行计算机辅助文献检索。研究方法采用相关指南。质量评估采用MINORS量表。
结果
22项研究（617名运动员）符合分析条件。基于3b级至4级研究的有限证据，SLAP损伤干预后运动员RTS的发生率为93%（95%CI：87%至98%），总体RTSP率为72%（95%CI：60%至83%）。59%的研究报告了干预后RTS的平均时间为6.9±2.9个月。86%的研究报告了患者报告的结果测量（PROM）。现有研究中关于性能统计、康复指南、恢复运动标准以及SLAP诊断信息的报告有限。纳入的研究均未报告术后运动表现或职业寿命。
结论
有限的证据表明，不到四分之三的运动员在SLAP损伤干预后恢复到之前的运动参与水平。SLAP损伤运动员的治疗成功率仍然相对未知，因为只有59%的纳入研究明确区分了RTS和RTSP，且任何纳入研究均未报告运动表现或职业寿命。需要进行更高质量的未来研究来确定这一点。
证据水平
1a级。
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