Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A..
Arthroscopy. 2022 Oct;38(10):2909-2918. doi: 10.1016/j.arthro.2022.03.026. Epub 2022 Mar 30.
To perform a systematic review of return to play (RTP) and return to previous level of performance (RPP) in competitive overhead athletes after SLAP repair to identify factors associated with failure to RTP.
Systematic review was conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Review was registered with PROSPERO International prospective register of systematic reviews (CRD42020215488). Inclusion criteria were literature reporting RTP or RPP following SLAP repair in overhead athletes were run in the following databases: PubMed/MEDLINE, Scopus, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Categories for data collection for each full article included (1) article information; (2) patient demographics; (3) surgical techniques; (4) level of competition; (5) rotator cuff treatment; (6) player position; (7) patient-reported outcome measures; and (8) RTP and RPP rates. The Methodological Index for Non-randomized Studies checklist was used to evaluate quality of all included studies.
Eight studies with 333 subjects were identified. Overall RTP and RPP rates were 50% to 83.6% and 35.3% to 64%, respectively. Patients with surgically treated rotator cuff pathology had lower RTP (12.5%-64.7%) rates compared with those without (80.0%-83.6%). Professional athletes had similar RTP rates (62.5%-81.5%) compared with high-school (75.0%-90.0%) and college athletes (12.5%-83.3%). However, professional athletes demonstrated the lowest relative range of reported RPP rates (27.7%-55.6%). Pitchers had lower RTP (62.5%-80.0%) and RPP (52.0%-58.9%) compared with position players (91.3% RTP, 76.3%-78.2% RPP).
Studies reviewed reported moderate RTP and RPP rates following SLAP repairs in competitive overhead athletes. Those with associated rotator cuff tear requiring treatment, and baseball pitchers were less likely to RTP and RPP. Professional athletes had similar RTP to an amateur; however, they were less likely to RPP.
Level IV, systematic review of Level III-IV studies.
对肩盂唇前-上损伤（SLAP）修复后重返赛场（RTP）和重返先前竞技水平（RPP）的竞技性上肢运动员进行系统评价，以确定与 RTP 失败相关的因素。
根据 PRISMA（系统评价和荟萃分析的首选报告项目）指南进行系统评价。该研究在 PROSPERO 国际系统评价注册中心（CRD42020215488）进行了注册。纳入标准为文献报道的 SLAP 修复后上肢运动员的 RTP 或 RPP，检索了以下数据库：PubMed/MEDLINE、Scopus、Cochrane 对照试验中心注册库、Cochrane 系统评价数据库和 Google Scholar。每篇全文的资料收集类别包括：（1）文章信息；（2）患者人口统计学资料；（3）手术技术；（4）竞技水平；（5）肩袖治疗；（6）运动员位置；（7）患者报告的结果测量；（8）RTP 和 RPP 率。使用非随机研究方法学指数评估所有纳入研究的质量。
共纳入 8 项研究，共 333 例患者。总体 RTP 和 RPP 率分别为 50%83.6%和 35.3%64%。与未接受手术治疗肩袖病变的患者相比（80.0%83.6%），接受手术治疗肩袖病变的患者 RTP（12.5%64.7%）率较低。与高中（75.0%90.0%）和大学运动员（12.5%83.3%）相比，职业运动员的 RTP 率相似（62.5%81.5%）。然而，职业运动员的报告 RPP 率范围最低（27.7%55.6%）。与位置运动员相比（RTP 为 91.3%，RPP 为 76.3%78.2%），投手的 RTP（62.5%80.0%）和 RPP（52.0%~58.9%）较低。
本研究综述报道了竞技性上肢运动员 SLAP 修复后中等程度的 RTP 和 RPP 率。伴有需要治疗的肩袖撕裂的患者和棒球投手更不容易 RTP 和 RPP。职业运动员的 RTP 与业余运动员相似，但更不容易 RPP。
IV 级，对 III-IV 级研究的系统评价。
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