Paul Ryan W, Osman Alim, Windsor Jordan T, Slavick Charlotte, Romeo Anthony A, Erickson Brandon J
Rothman Orthopaedic Institute, Philadelphia, PA, USA.
Hackensack Meridian School of Medicine, Nutley, NJ, USA.
J Orthop. 2024 Dec 26;66:43-48. doi: 10.1016/j.jor.2024.12.033. eCollection 2025 Aug.
Surveys such as the Shoulder Instability-Return to Sport after Injury (SIRSI) scores can help identify athletes who are better prepared to return to sport (RTS) after arthroscopic Bankart repair (ABR). Therefore, the purpose of this systematic review was to clarify how psychologically ready athletes are to RTS after ABR, with the secondary purpose of evaluating the impact of psychological readiness on athletes' ability to RTSS after ABR.
The Ovid Medline, PubMed, and SportDiscus databases were searched from inception until January 2023 using keywords such as Bankart, anterior labral repair, shoulder stabilization, return to play, and return to sport. Original studies were included if both RTS outcomes after ABR and a psychological factor were reported, with potential psychological factors being psychological readiness to RTS and reasons of failing to RTS.
Overall, 707 studies were screened and 16 met criteria for inclusion. The mean MINORS score of included studies was 13.3 ± 4.1. In patients who failed to RTS, most (74 %) patients failed due to recurrent shoulder instability, pain, or injury, while 26 % reported failing to RTS due to non-shoulder related causes such as apprehension and fear of reinjury. Eight studies evaluated post-operative SIRSI scores with a mean of 65.4 (95 % CI: 62.9-72.8) at an average of 5.4 years post-operatively.
Most athletes fail to RTS due to shoulder-related causes, with apprehension and fear of reinjury as common causes as shoulder-independent causes for failed RTS. The mean SIRSI score after ABR was 65.4, and athletes with higher post-operative SIRSI scores were more likely to RTS.
IV.
诸如肩不稳-伤后恢复运动（SIRSI）评分等调查有助于确定哪些运动员在关节镜下Bankart修复术（ABR）后更有准备恢复运动（RTS）。因此，本系统评价的目的是阐明运动员在ABR后恢复运动的心理准备程度，次要目的是评估心理准备对运动员ABR后恢复运动能力的影响。
使用Bankart、前盂唇修复、肩关节稳定、重返比赛和恢复运动等关键词，对Ovid Medline、PubMed和SportDiscus数据库从建库至2023年1月进行检索。如果报告了ABR后的RTS结果和一个心理因素，则纳入原始研究，潜在的心理因素为恢复运动的心理准备和未能恢复运动的原因。
总体而言，共筛选了707项研究，16项符合纳入标准。纳入研究的平均MINORS评分为13.3±4.1。在未能恢复运动的患者中，大多数（74%）患者因复发性肩不稳、疼痛或损伤而未能恢复运动，而26%的患者报告因恐惧和害怕再次受伤等与肩部无关的原因未能恢复运动。八项研究评估了术后SIRSI评分，术后平均5.4年时的评分为65.4（95%CI：62.9-72.8）。
大多数运动员因与肩部相关的原因未能恢复运动，恐惧和害怕再次受伤是与肩部无关的未能恢复运动的常见原因。ABR后的平均SIRSI评分为65.4，术后SIRSI评分较高的运动员更有可能恢复运动。
IV级。
