首次和复发肩关节不稳的相关风险因素:系统回顾

IF 1.6 Q3 SPORT SCIENCES International Journal of Sports Physical Therapy Pub Date : 2024-05-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.116278
Alexis Wright, Brandon Ness, Angela Spontelli-Gisselman, Dora Gosselin, Joshua Cleland, Craig Wassinger
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引用次数: 0

摘要

背景:肩关节不稳定在肩关节损伤中占很大比例,其表现形式多种多样。尽管有关盂肱关节脱位和相关风险因素的证据已被报道,但人们对各种肩关节不稳定及其风险因素却知之甚少。目的:本系统性综述旨在确定可改变的风险因素,以便在实施干预措施以预防或降低肩关节不稳定风险方面为患者管理决策提供指导:研究设计:系统综述:对电子数据库(CINAHL、Cochrane、Embase、PubMed、SportDiscus 和 Web of Science)进行了系统的计算机化检索。纳入标准为(1) 肩关节不稳的诊断;(2) 至少报告了一个风险因素的统计学关联;(3) 研究设计适合风险因素;(4) 以英语撰写;(5) 使用可接受的肩关节不稳诊断参考标准。标题和摘要至少由两名审稿人独立筛选。所有审稿人均使用纽卡斯尔-渥太华量表(NOS)对研究质量进行检查。至少有两名审稿人独立提取了有关作者、年份、研究人群、研究设计、标准规范以及与风险因素相关性统计强度的信息和数据:结果:男性性别、运动参与度、男性活动过度和盂兰盆指数与首次肩关节不稳定有中度到高度的相关性。男性性别、年龄 \结论:可能有机会对特定人群进行患者教育,使其认识到肩关节不稳定的风险会增加,尤其是年轻男性,他们似乎有更高的肩关节不稳定复发风险:证据等级:III级。
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Risk Factors Associated with First Time and Recurrent Shoulder Instability: A Systematic Review.

Background: Shoulder instabilities constitute a large proportion of shoulder injuries and have a wide range of presentations. While evidence regarding glenohumeral dislocations and associated risk factors has been reported, less is known regarding the full spectrum of instabilities and their risk factors.

Purpose: The purpose of this systematic review was to identify modifiable risk factors to guide patient management decisions with regards to implementation of interventions to prevent or reduce the risk of shoulder instability.

Study design: Systematic Review.

Methods: A systematic, computerized search of electronic databases (CINAHL, Cochrane, Embase, PubMed, SportDiscus, and Web of Science) was performed. Inclusion criteria were: (1) a diagnosis of shoulder instability (2) the statistical association of at least one risk factor was reported, (3) study designs appropriate for risk factors, (4) written in English, and (5) used an acceptable reference standard for diagnosed shoulder instability. Titles and abstracts were independently screened by at least two reviewers. All reviewers examined the quality studies using the Newcastle-Ottawa Scale (NOS). At least two reviewers independently extracted information and data regarding author, year, study population, study design, criterion standard, and strength of association statistics with risk factors.

Results: Male sex, participation in sport, hypermobility in males, and glenoid index demonstrated moderate to large risk associated with first time shoulder instability. Male sex, age \<30 years, and history of glenohumeral instability with concomitant injury demonstrated moderate to large risk associated with recurrent shoulder instability.

Conclusion: There may be an opportunity for patient education in particular populations as to their increased risk for suffering shoulder instability, particularly in young males who appear to be at increased risk for recurrent shoulder instability.

Level of evidence: Level III.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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