Porcellini Giuseppe, Ziroglu Nezih, De Santis Elisa, Micheloni Gian Mario, Tarallo Luigi, Giorgini Andrea
Department of Orthopedics and Traumatology, University of Modena Reggio Emilia, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Department of Orthopedics and Traumatology, Acibadem University, Acibadem Atakent Hospital, Kucukcekmece/Istanbul, Turkey.
Orthop J Sports Med. 2023 Aug 16;11(8):23259671231186820. doi: 10.1177/23259671231186820. eCollection 2023 Aug.
The decision-making process and predicting the time to return to sport (RTS) and return to performance (RTP) after arthroscopic rotator cuff repair (ARCR) in elite volleyball players are difficult issues to address, even among experienced shoulder surgeons.
PURPOSE/HYPOTHESIS: The purpose of the study was to evaluate the results in Olympic-level volleyball players treated with arthroscopic supraspinatus repair and to report the RTS and the RTP. It was hypothesized that these athletes had higher RTS and faster RTP.
Case series; Level of evidence, 4.
This study included 17 elite volleyball athletes (11 male, 6 female; mean age, 26.2 years) who underwent ARCR for partial- and full-thickness supraspinatus tears that did not improve despite nonoperative treatment. The clinical results were evaluated at 12 months postoperatively. The authors compared the athletes' preoperative, 6-month, and 12-month Kerlan-Jobe Orthopaedic Clinic (KJOC) scores and the visual analog scale (VAS) for pain after competition and conducted 6- and 12-month isometric strength analyses. The athletes' RTS and RTP times were recorded.
All tears were on the dominant side (15 right, 2 left), and 82% were partial tears (14 partial thickness, 3 full thickness). The mean time from the onset of symptoms to surgery was 11.3 ± 6.7 months. While the mean Kerlan-Jobe Orthopaedic Clinic score was 31 preoperatively, it was 89 after 6 months ( < .001 vs preoperative) and 96 after 12 months ( = .003 vs 6 months). The mean VAS for pain was 7.9 preoperatively, 0.4 at 6 months ( < .001 vs preoperative), and 0.1 at 12 months ( = .02 vs 6 months). All athletes were able to reach their preinjury level, with RTS at a mean of 6.9 months and RTP at a mean of 12.4 months.
ARCR appears to be an effective option for Olympic-level volleyball players who do not benefit from nonoperative treatment. All athletes returned to their preinjury level of sports. The surgeon and athlete can plan surgical decision-making and timing based on the mean RTS time of 6.9 months and mean RTP time of 12.4 months.
对于精英排球运动员，在关节镜下肩袖修复术（ARCR）后，决策过程以及预测恢复运动（RTS）和恢复竞技水平（RTP）的时间是难以解决的问题，即使在经验丰富的肩部外科医生中也是如此。
目的/假设：本研究的目的是评估接受关节镜下冈上肌修复术的奥运水平排球运动员的治疗结果，并报告RTS和RTP情况。假设这些运动员有更高的RTS和更快的RTP。
病例系列；证据等级，4级。
本研究纳入了17名精英排球运动员（11名男性，6名女性；平均年龄26.2岁），他们因部分和全层冈上肌撕裂接受了ARCR，尽管进行了非手术治疗但病情未改善。在术后12个月评估临床结果。作者比较了运动员术前、术后6个月和12个月的Kerlan-Jobe骨科诊所（KJOC）评分以及比赛后疼痛的视觉模拟量表（VAS），并进行了6个月和12个月的等长肌力分析。记录运动员的RTS和RTP时间。
所有撕裂均发生在优势侧（15例右侧，2例左侧），82%为部分撕裂（14例部分厚度，3例全层厚度）。从症状出现到手术的平均时间为11.3±6.7个月。术前KJOC评分平均为31分，术后6个月为89分（与术前相比，P<0.001），术后12个月为96分（与术后6个月相比，P = 0.003）。术前疼痛VAS平均为7.9分，术后6个月为0.4分（与术前相比，P<0.001），术后12个月为0.1分（与术后6个月相比，P = 0.02）。所有运动员都能够恢复到受伤前的水平，平均RTS为6.9个月，平均RTP为12.4个月。
对于未从非手术治疗中获益的奥运水平排球运动员，ARCR似乎是一种有效的选择。所有运动员都恢复到了受伤前的运动水平。外科医生和运动员可以根据平均RTS时间6.9个月和平均RTP时间12.4个月来规划手术决策和时机。
