肩胛运动障碍在欧洲职业水平的无症状篮球运动员中很常见。

Scapular dyskinesis is common among asymptomatic European basketball players at the professional level.

作者信息

Paksoy Alp, Akgün Doruk, Pawelke Jonas, Eckl Larissa, Mavi Arda, Uzun Selda, Bayram Berhan, Canbakal Murat, Dilicikik Ugur, Erdem Murat, Demirkiran Nihat D, Kocaoglu Baris

机构信息

Charité University Hospital, Center for Musculoskeletal Surgery, Berlin, Germany.

Justus Liebig University Clinic, Gießen, Germany.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2025 Sep 5. doi: 10.1002/ksa.70060.

DOI:10.1002/ksa.70060

PMID:40910426

Abstract

PURPOSE

Scapular dyskinesis (SD) is present in as many as 67%-100% of athletes with shoulder injuries but it is also highly present in many asymptomatic individuals. The aim of the present study was to identify and analyse SD among asymptomatic professional basketball players.

METHODS

A total of 54 European professional basketball players of various professional levels and ages were included in this prospectively recruited cross-sectional study. Participants were assessed using subjective shoulder value (SSV), visual analogue score (VAS) and active range of motion (ROM). Visual combined palpation was used to classify scapular position and movement patterns according to Kibler's method. The clinical examination was completed by evaluating potential coexisting instability (apprehension test, Kim/Jerk and O'Brien tests) and hyperlaxity (Beighton score).

RESULTS

The mean age of all participants (27 female, 27 male; 108 shoulders) was 23.9 ± 6.5 years. 28.7% of the included shoulders had SD (31/108; right: n = 12; left: n = 19), while none of the participants had a diagnosed SD before the present study. Shoulders with SD exhibited a significantly lower SSV (95.0 ± 10.5% vs. 99.0 ± 4.0%; p = 0.004) and reduced abduction (171.8 ± 11.7° vs. 176.6 ± 8.3°, p = 0.013) compared to shoulders without SD. Shoulders with at least one previous injury showed a significantly lower SSV compared to shoulders without previous injury (92.9 ± 12.0% vs. 98.4 ± 5.6%; p = 0.001). Shoulders with pain occurring at least once in last 12 months showed a significantly higher prevalence of SD (6/10 vs. 25/98; p = 0.022) and a lower SSV (90.5 ± 16.4% vs. 98.6 ± 4.4%; p = 0.024) compared to shoulders without pain in last 12 months.

CONCLUSION

SD was observed in 28.7% of the shoulders in asymptomatic European professional basketball players. SD may represent a sport-specific adaptation, but its association with reduced shoulder function and pain suggests clinical relevance, emphasising the need for early detection and intervention.

LEVEL OF EVIDENCE

Level III, cohort study.

摘要

目的

肩胛运动障碍（SD）在多达67%-100%的肩部受伤运动员中存在，但在许多无症状个体中也很常见。本研究的目的是识别和分析无症状职业篮球运动员中的肩胛运动障碍。

方法

本前瞻性招募的横断面研究共纳入了54名不同职业水平和年龄的欧洲职业篮球运动员。使用主观肩部评分（SSV）、视觉模拟评分（VAS）和主动活动范围（ROM）对参与者进行评估。采用视觉联合触诊法，根据基布勒方法对肩胛位置和运动模式进行分类。通过评估潜在的并存不稳定（恐惧试验、金氏/急拉试验和奥布赖恩试验）和关节过度松弛（贝ighton评分）来完成临床检查。

结果

所有参与者（27名女性，27名男性；108个肩部）的平均年龄为23.9±6.5岁。纳入的肩部中28.7%存在肩胛运动障碍（31/108；右侧：n = 12；左侧：n = 19），而在本研究之前，没有参与者被诊断出患有肩胛运动障碍。与无肩胛运动障碍的肩部相比，有肩胛运动障碍的肩部主观肩部评分显著更低（95.0±10.5%对99.0±4.0%；p = 0.004），外展活动度降低（171.8±11.7°对176.6±8.3°，p = 0.013）。与无既往损伤的肩部相比，至少有一次既往损伤的肩部主观肩部评分显著更低（92.9±12.0%对98.4±5.6%；p = 0.001）。与在过去12个月内无疼痛的肩部相比，在过去12个月内至少疼痛一次的肩部肩胛运动障碍患病率显著更高（6/10对25/98；p = 0.022），主观肩部评分更低（90.5±16.4%对98.6±4.4%；p = 0.024）。