Alben Matthew G, Gambhir Neil, Papalia Aidan G, Bostrom Nicholas, Larose Gabriel, Virk Mandeep S, Rokito Andrew S
Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, New York.
Clin J Sport Med. 2023 Feb 23. doi: 10.1097/JSM.0000000000001130.
Perform a systematic literature review regarding return to sport (RTS) outcomes after arthroscopic rotator cuff repair (aRCR) for full-thickness rotator cuff tears (FTRCTs).
Systematic review of all articles in PubMed, Medline, and Excerpta Medica Database (EMBASE) was conducted in April 2022 using a combination of keywords: "rotator cuff repair," "RCR," "complete," "full-thickness," "tear," "RCT," "injury," "shoulder," "arthroscopic," "return to sport," "RTS," "sport," "return to play," and "athlete." Cohorts were included from all articles reporting RTS after aRCR for FTRCTs. Studies that were non-English, failed to distinguish between partial and FTRCT outcomes, or treated FTRCTs by open RCR, mini-open RCR, debridement, or nonsurgical management were excluded. Abstracted data included study design, surgical techniques, concomitant procedures, demographics, FTRCT type and size, patient-reported outcomes, type of sport, competition level, time to return, and reasons for failing to RTS.
11 studies were reviewed, with inclusion of 463 patients (385 athletes; mean age 47.9). RTS varied considerably in rate and timing, with 50.0% to 100% of patients returning on average between 4.8 to 14 months. In addition, 31 patients returned to a higher level of sport, 107 returned to or near preinjury level, and 36 returned to a lower level of competition or failed to RTS entirely.
The ability for athletes to RTS after aRCR for FTRCTs is likely multifactorial, demonstrating high variability in return rates and time to RTS. Given the paucity of available literature, future studies are warranted to provide a more definitive consensus.
对关节镜下全层肩袖撕裂修复术后恢复运动（RTS）的结果进行系统的文献综述。
2022年4月，通过组合关键词“肩袖修复”“RCR”“完全”“全层”“撕裂”“RCT”“损伤”“肩部”“关节镜检查”“恢复运动”“RTS”“运动”“重返比赛”和“运动员”，对PubMed、Medline和医学文摘数据库（EMBASE）中的所有文章进行了系统综述。纳入所有报道关节镜下全层肩袖撕裂修复术后恢复运动情况的文章中的队列研究。排除非英文研究、未区分部分和全层肩袖撕裂结果的研究，以及采用开放RCR、小切口开放RCR、清创术或非手术治疗全层肩袖撕裂的研究。提取的数据包括研究设计、手术技术、同期手术、人口统计学、全层肩袖撕裂的类型和大小、患者报告的结果、运动类型、比赛水平、恢复时间以及未能恢复运动的原因。
共纳入11项研究，463例患者（385名运动员；平均年龄47.9岁）。恢复运动的速度和时间差异很大，平均4.8至14个月有50.0%至100%的患者恢复运动。此外，31例患者恢复到更高水平的运动，107例恢复到或接近受伤前水平，36例恢复到较低水平的比赛或完全未能恢复运动。
运动员在关节镜下全层肩袖撕裂修复术后恢复运动的能力可能受多种因素影响，恢复率和恢复时间差异很大。鉴于现有文献较少，有必要开展进一步研究以达成更明确的共识。
