Rossi Luciano Andrés, Pasqualini Ignacio, Tanoira Ignacio, Ranalletta Maximiliano
Hospital Italiano de Buenos Aires, Investigation Performed at the Shoulder Unit Department of Orthopedic Surgery, Buenos Aires, Argentina.
Open Access J Sports Med. 2022 Apr 2;13:35-40. doi: 10.2147/OAJSM.S340699. eCollection 2022.
Numerous studies have reported high rates of return to sports following arthroscopic Bankart repair (ABR) However, there is enormous controversy regarding the optimal management of these patients in the postoperative period. Controversy issues include rehabilitation, criteria for returning to sports, and the specific management of each athlete according to the sport they practice. Even though there are several rehabilitation protocols published in the literature, wide variability exists concerning the key elements of rehabilitation after an ABR. Regarding criteria for return to sports, there is a wide variation across the different published studies. The type of sports has been shown to affect an athlete's decision to return to sports. Nevertheless, most research is evaluated by classifications that cluster different sports into categories that may have other influences in return to sports when analyzed separately. Finally, in addition to physical readiness, the athlete's psychological state is crucial for returning to sports. However, the contribution of psychological readiness to an athlete's return to sports after shoulder instability surgery remains uncertain and unexplored.
众多研究报告了关节镜下Bankart修复术（ABR）后运动员重返运动的高比率。然而，对于这些患者术后的最佳管理存在巨大争议。争议问题包括康复、重返运动的标准以及根据运动员所从事的运动对其进行的具体管理。尽管文献中已发表了多种康复方案，但ABR术后康复的关键要素仍存在很大差异。关于重返运动的标准，不同的已发表研究存在很大差异。已表明运动类型会影响运动员重返运动的决定。然而，大多数研究是通过将不同运动分类进行评估的，这些分类在单独分析时可能对重返运动有其他影响。最后，除了身体准备情况外，运动员的心理状态对于重返运动至关重要。然而，心理准备对肩部不稳定手术后运动员重返运动的贡献仍不确定且未被探索。
