Galvin Joseph W, Slevin John M, Nowak Matthew J, Yu Henry H, Turner Eric K, Waterman Brian R, Grassbaugh Jason A, Arrington Edward D
Madigan Army Medical Center, Joint Base Lewis-McChord, Washington, U.S.A.
Orthopedic Associates of Muskegon, Muskegon, Michigan, U.S.A.
Arthrosc Sports Med Rehabil. 2023 Jul 29;5(5):100770. doi: 10.1016/j.asmr.2023.100770. eCollection 2023 Oct.
To determine the percentage of patients who report the ability to run 1 mile at various time points after arthroscopic and open shoulder surgery.
We performed a retrospective review of prospectively collected data for all active-duty military patients aged 18 to 45 years who underwent shoulder surgery at a single institution over a 2-year period. The rehabilitation protocol discouraged running before 3 months, but all patients were able to return to unrestricted running at 3 months postoperatively. Patients were excluded if they lacked 1-year follow-up data. Parameters collected included demographic information and validated patient-reported outcome measures at the preoperative and short-term postoperative visits, as well as patients' ability to run at least 1 mile postoperatively.
A total of 126 patients were identified who underwent shoulder surgery with return-to-running data. Compared with baseline, significant improvements in patient-reported outcomes were shown at 1 and 2 years postoperatively ( = .001). The percentage of patients reporting the ability to run 1 mile postoperatively was 59% at 3 months, 74% at 4.5 months, 79% at 6 months, 83% at 12 months, and 91% at 24 months. There was no significant difference in patients undergoing shoulder surgery for instability versus non-instability diagnoses or in patients undergoing open versus arthroscopic anterior stabilization. All 11 patients unable to return to running at final follow-up had chronic lower-extremity diagnoses limiting their running ability.
Young military athletes undergoing arthroscopic and open shoulder surgery have a high rate of early return to running. Approximately 60% of patients report the ability to run 1 mile at 3 months postoperatively, and three-quarters of patients do so at 4.5 months. Age, sex, military occupation, underlying diagnosis or type of surgery did not influence the rate of return to running after shoulder surgery.
Level IV, therapeutic case series.
确定在关节镜和开放性肩部手术后不同时间点报告能够跑完1英里的患者百分比。
我们对前瞻性收集的所有18至45岁现役军人患者的数据进行了回顾性分析，这些患者在两年内在单一机构接受了肩部手术。康复方案不鼓励在3个月前跑步，但所有患者在术后3个月都能恢复无限制跑步。如果患者缺乏1年的随访数据，则将其排除。收集的参数包括人口统计学信息、术前和术后短期访视时经过验证的患者报告结局指标，以及患者术后至少跑完1英里的能力。
共确定了126例接受肩部手术且有恢复跑步数据的患者。与基线相比，术后1年和2年患者报告的结局有显著改善（P = .001）。术后报告能够跑完1英里的患者百分比在3个月时为59%，4.5个月时为74%，6个月时为79%，12个月时为83%，24个月时为91%。因不稳定与非不稳定诊断接受肩部手术的患者之间，或接受开放性与关节镜下前路稳定手术的患者之间，没有显著差异。在最终随访时未能恢复跑步的所有11例患者都有慢性下肢疾病，限制了他们的跑步能力。
接受关节镜和开放性肩部手术的年轻军事运动员早期恢复跑步的比例很高。约60%的患者在术后3个月报告能够跑完1英里，四分之三的患者在4.5个月时能够做到。年龄、性别、军事职业、潜在诊断或手术类型均未影响肩部手术后恢复跑步的速度。
IV级，治疗性病例系列。
