Benjamin T Lack, Justin T Childers, Colton C Mowers, Rodrigo S Berreta, Garrett R Jackson, Steven F DeFroda, Derrick M Knapik, Nikhil N Verma
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引用次数: 0

摘要

目的:比较接受SLAP修复术与BT术(至少随访一年)的高空投掷运动员SLAP病变的临床结果、重返赛场(RTP)结果以及术后并发症的发生率:2024 年 7 月 9 日,根据 2020 年系统综述和元分析首选报告项目指南,通过查询 PubMed、Scopus 和 EMBASE 数据库进行了文献检索。纳入标准包括 I-IV 级人类临床研究,这些研究报告了高空投掷运动员 SLAP 病变 SLAP 修复术与 BT 术后的 RTP 率、并发症和/或失败率,随访时间至少为一年。研究质量采用 MINORS 标准确定:结果:2005 年至 2023 年期间共有 16 项研究符合纳入标准,报告了 547 名患者,平均年龄为 17.4-36.0 岁,平均随访时间为 2.7-7.2 年。12项研究(n=459名运动员)报告了SLAP修复术后的疗效,5项研究(n=88名运动员)报告了BT术后的疗效。共有 15 项研究报告了棒球运动员的情况,8 项报告了垒球运动员的情况,2 项报告了手球运动员的情况。有 220 名投手接受了 SLAP 修复术,而 34 名投手接受了 BT。所有投手在接受 SLAP 修复术后的 RTP 率从 37.5% 到 94.7% 不等,在接受 BT 术后的 RTP 率从 35.3% 到 93.1% 不等。在 SLAP 修复术后,投手和位置球员的 RTP 率分别为 40%-80% 和 76.3%-91.3% ,而在 BT 术后,RTP 率分别为 16.7% 和 80%。SLAP 修复术后的并发症发生率为 0%-21.8%,而 BT 修复术后的并发症发生率为 0%。SLAP修复术的失败率和翻修率为7.5%-12.5%,而BT修复术的失败率和翻修率为0%:对 16 项研究的 547 名患者进行的分析表明,SLAP 修复术和 BT 术后的 RTP 率各不相同,棒球投手的 RTP 率低于体位运动员。在治疗高空投掷运动员的SLAP撕裂时,SLAP修复术和BT术的结果存在很大差异。
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Biceps Tenodesis and SLAP Repair Show Similar Outcomes in Overhead Throwing Athletes With Baseball Pitchers Exhibiting Worse Rates of Return to Sport: A Systematic Review.

Purpose: To compare clinical outcomes, return-to-play (RTP) outcomes, and incidence of postoperative complications in overhead throwing athletes with SLAP lesions undergoing SLAP repair versus biceps tenodesis (BT) with minimum 1-year follow-up.

Methods: Using the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was conducted on July 9, 2024, by querying PubMed, Scopus, and EMBASE databases. Inclusion criteria consisted of Level I to IV human clinical studies reporting RTP rate, complications, and/or failure rates following SLAP repair versus BT for SLAP lesions in overhead throwing athletes with a minimum 1-year follow-up. Study quality was determined using the Methodological Index for Non-Randomized Studies criteria.

Results: A total of 16 studies from 2005 to 2023, reporting on 547 patients with a mean age ranging from 17.4 to 36.0 years and a mean follow-up ranging from 2.7 to 7.2 years, met inclusion criteria. Twelve studies (n = 459 athletes) reported outcomes following SLAP repair and 5 (n = 88 athletes) following BT. A total of 15 studies reported on baseball players, 8 on softball players, and 2 on handball players. There were 220 pitchers who underwent SLAP repair compared to 34 pitchers who underwent BT. RTP rates for all throwers ranged from 37.5% to 94.7% following SLAP repair and 35.3% to 93.1% following BT. The RTP rate for pitchers and position players following SLAP repair ranged from 40% to 80% and 76.3% to 91.3%, respectively, compared to 16.7% and 80%, respectively, following BT. Complication rates ranged from 0% to 21.8% following SLAP repair compared to 0% following BT. Failure rates and revisions ranged from 7.5% to 12.5% for SLAP repair versus 0% for BT.

Conclusions: In overhead throwing athletes with SLAP tears, an analysis of 547 patients from 16 studies shows variable RTP rates following SLAP repair and BT, with baseball pitchers having lower RTP rates compared to position players for both procedures. Outcomes for both SLAP repair and BT exhibit massive variability when treating SLAP tears in overhead throwers.

Level of evidence: Level IV, systematic review of Level III and IV studies.

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来源期刊
CiteScore
9.30
自引率
17.00%
发文量
555
审稿时长
58 days
期刊介绍: Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
期刊最新文献
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