Fahy Stephen, Ó Doinn Tiarnán, Pugh Jennifer, Kenny Patrick
Charité Universitaetsmedizin Berlin, Berlin, Germany.
Connolly Hospital Blanchardstown, Dublin, Ireland; and.
Clin J Sport Med. 2024 Oct 30. doi: 10.1097/JSM.0000000000001292.
This study explores the functional recovery and rates return to play (RTP) of professional jockeys following midshaft clavicle fractures, which have been managed conservatively. The high incidence of these fractures in horse racing underscores the importance of evaluating nonsurgical recovery paths for effective RTP.
We used a retrospective cohort study to assess treatment outcomes.
The research is set in the professional horse racing scene of Ireland.
Sixteen professional Irish jockeys with conservatively managed midshaft clavicular fractures were examined. Jockeys who underwent surgery or were inactive at injury time were excluded.
The study involved no direct interventions.
Recovery was assessed using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score and Patient-Reported Outcome Measures, alongside racing records to track RTP.
The all-male cohort had an average age of 27 years. Results showed an average 67.1-day absence from racing, with 94% returning to preinjury competition levels. Complications were minimal, and patient outcomes were positive, as indicated by a mean QuickDASH score of 2.58, suggesting minimal residual disability.
Findings highlight the success of conservative management for midshaft clavicle fractures in professional jockeys, enabling them to return to prior competitive levels with few complications and excellent functional recovery.
本研究探讨保守治疗的锁骨中段骨折职业骑师的功能恢复情况和重返赛场（RTP）率。这些骨折在赛马运动中高发，凸显了评估非手术恢复路径以实现有效RTP的重要性。
我们采用回顾性队列研究来评估治疗结果。
该研究以爱尔兰的职业赛马场景为背景。
对16名接受保守治疗的锁骨中段骨折的爱尔兰职业骑师进行了检查。排除了接受手术或在受伤时不活跃的骑师。
该研究未涉及直接干预。
使用手臂、肩部和手部快速残疾评定量表（QuickDASH）评分和患者报告的结局指标评估恢复情况，并结合比赛记录来跟踪RTP。
全男性队列的平均年龄为27岁。结果显示平均缺席比赛67.1天，94%的人恢复到受伤前的比赛水平。并发症极少，患者结局良好，平均QuickDASH评分为2.58，表明残留残疾极少。
研究结果突出了保守治疗锁骨中段骨折对职业骑师的成功，使他们能够在几乎没有并发症且功能恢复良好的情况下重返先前的竞技水平。
