Return to sport or work following surgical management of scapholunate ligament injury: a systematic review.

IF 6.7 2区医学 Q1 Medicine British medical bulletin Pub Date : 2023-04-05 DOI:10.1093/bmb/ldac026

Mei Yen Liew, Lewis A Dingle, Abi Semple, Philippa A Rust

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Abstract

Introduction: This systematic review aims to compare the rate and time to return to sport or work following surgical interventions for isolated scapholunate ligament (SLL) injury.

Sources of data: A PRISMA-compliant systematic search of Medline, EMBASE, Cochrane, AMED, CINAHL Plus and SPORTDiscus was performed using keywords 'scapholunate', 'scapholunate ligament', 'scaphoid lunate', 'sport', 'sport injury', 'athlete', 'athletic performance', 'elite', 'return to sport', 'training', 'work', 'activity', 'return to activity'. Adult patients with isolated SLL injury, without osteoarthritis, were included.

Areas of agreement: Fourteen papers, including six different surgical interventions, met the criteria for the final analysis. All surgical techniques demonstrated acceptable rates of return to work or sport (>80%).

Areas of controversy: The optimal surgical intervention for isolated SLL injury remains undetermined due to heterogeneity and limited sample sizes of published studies.

Growing points: This systematic review has provided clarification on the available literature on treatment modalities for isolated SLL injuries in the absence of osteoarthritis.

Areas timely for developing research: Prospective, randomized, primary studies are needed to establish optimal treatment for acute isolated SLL injuries.

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舟月骨韧带损伤手术治疗后恢复运动或工作:系统回顾。

本系统综述旨在比较孤立性舟月骨韧带(SLL)损伤手术干预后恢复运动或工作的比率和时间。数据来源:使用关键词“舟月骨”、“舟月骨韧带”、“舟月骨”、“运动”、“运动损伤”、“运动员”、“运动表现”、“精英”、“重返运动”、“训练”、“工作”、“活动”、“重返活动”，对Medline、EMBASE、Cochrane、AMED、CINAHL Plus和SPORTDiscus进行了符合prisma标准的系统搜索。成人孤立性SLL损伤，无骨关节炎，纳入研究对象。一致领域:14篇论文，包括6种不同的手术干预，符合最终分析的标准。所有手术技术均显示恢复工作或运动的可接受率(>80%)。争议领域:由于已发表研究的异质性和样本量有限，孤立性SLL损伤的最佳手术干预仍未确定。成长要点:本系统综述澄清了无骨关节炎的孤立性SLL损伤的治疗方法的现有文献。及时开展研究的领域:需要前瞻性、随机、初步研究来确定急性孤立性SLL损伤的最佳治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.