Stenson James F, Cheesman Quincy T, Kirsch Jacob M, Antonacci Christopher L, Alberta Frank G, Austin Luke S
Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, U.S.A.
Rowan University School of Osteopathic Medicine, Stratford, New Jersey, U.S.A.
Arthrosc Sports Med Rehabil. 2021 Jul 16;3(5):e1295-e1299. doi: 10.1016/j.asmr.2021.05.010. eCollection 2021 Oct.
We sought to determine the rate of return to play (RTP) in baseball players following arthroscopic elbow debridement for the management of the symptomatic elbow.
A retrospective case series with prospectively collected data via questionnaire was conducted on all baseball players who underwent an arthroscopic elbow debridement, from July, 15, 2004 to November 1, 2017. A postoperative questionnaire was released at an average 7.25 year follow-up. Data collected included age, gender, laterality, preoperative diagnosis, range of motion, duration and characterization of symptoms, visual analog scale (VAS) pain score, complications, level of play, and RTP.
Follow-up data were available on 18 baseball players. Average age was 19.7 years (range 16-24). Seventeen were pitchers, and 1 was a catcher. Level of play included 12 collegiate athletes, 2 high school athletes, 2 recreational athletes, 1 minor league athletes, and 1 major league athlete. Rate of RTP was 61% (11/18) with 6 returning to a greater level and 5 to an equal level. The length of time to RTP following surgery was most commonly within 6-8 months (44.4%, 8/18). Mean VAS pain score improved from 6.9 to 0.75 ( = <.001). 27.8% (5/18) had repeat surgery secondary to recurrent/persistent stiffness or heterotopic ossification. 77.8% (14/18) of patients rated their final outcome as either "very satisfied" (9/18), or "satisfied" (5/18).
Pain can reliably be relieved following arthroscopic elbow debridement in baseball players. Although patient satisfaction may be high, patients do not always return to their previous level of play. Patients must be counseled on the risk of limited postoperative athletic capacity before the time of surgery.
Level IV, therapeutic case series.
我们试图确定棒球运动员在接受关节镜下肘关节清创术治疗有症状的肘关节后恢复比赛（RTP）的比率。
对2004年7月15日至2017年11月1日期间所有接受关节镜下肘关节清创术的棒球运动员进行了一项回顾性病例系列研究，并通过问卷调查前瞻性收集数据。在平均7.25年的随访时发放术后问卷。收集的数据包括年龄、性别、患侧、术前诊断、活动范围、症状持续时间和特征、视觉模拟量表（VAS）疼痛评分、并发症、比赛水平和RTP。
有18名棒球运动员的随访数据可用。平均年龄为19.7岁（范围16 - 24岁）。17名是投手，1名是捕手。比赛水平包括12名大学运动员、2名高中运动员、2名业余运动员、1名小联盟运动员和1名大联盟运动员。RTP比率为61%（11/18），其中6人恢复到更高水平，5人恢复到同等水平。术后恢复比赛的时间最常见于6 - 8个月内（44.4%，8/18）。平均VAS疼痛评分从6.9改善到0.75（P = <.001）。27.8%（5/18）因复发性/持续性僵硬或异位骨化而再次手术。77.8%（14/18）的患者将他们的最终结果评为“非常满意”（9/18）或“满意”（5/18）。
棒球运动员在接受关节镜下肘关节清创术后疼痛能够可靠缓解。尽管患者满意度可能较高，但患者并不总是能恢复到之前的比赛水平。术前必须向患者告知术后运动能力受限的风险。
IV级，治疗性病例系列。
