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Return to Play and Outcomes in Baseball Players After Superior Labral Anterior-Posterior Repairs

Authors :
James R. Andrews
Jeffrey R. Dugas
Roger V. Ostrander
Lonnie Douglas
Glenn S. Fleisig
E. Lyle Cain
Kyle T. Aune
Brad D. Gilliam
Kylie A. Mason
Source :
The American Journal of Sports Medicine. 46:109-115
Publication Year :
2017
Publisher :
SAGE Publications, 2017.

Abstract

Background: Few studies have documented the outcomes of superior labral anterior-posterior (SLAP) repairs in baseball players. Furthermore, the results of these previous studies varied widely and were based on small numbers of patients. Hypothesis/Purpose: The purpose was to report return-to-play (RTP) rates and validated subjective outcome scores for baseball players after SLAP repair. It was hypothesized that RTP rates and outcomes would be significantly different between pitchers and nonpitchers, as well as among baseball levels. Study Design: Case series; Level of evidence, 4. Methods: A series of 216 baseball players was identified who had isolated SLAP repair or SLAP repair with debridement of partial-thickness (Results: Of the 216 baseball players, 133 were reached by phone for follow-up interview (mean, 78 months; range, 27-146 months). Overall, 62% successfully returned to play. There were no differences in RTP rates or subjective outcomes among baseball levels or between procedures. RTP rates were 59% for pitchers and 76% for nonpitchers ( P = .060). Subjectively, the percentage of patients who felt the same or better at follow-up compared to preinjury was significantly higher among nonpitchers (66%) than pitchers (43%). There was no difference in KJOC scores between the pitchers (75.3 ± 19.4) and nonpitchers (76.2 ± 17.4) who successfully returned to play, although these scores were well below the minimum desired score of 90 for healthy baseball players. Conclusion: SLAP repair should continue to be considered as an option for SLAP tear treatment only after nonsurgical management has failed. Some players may be able to return to baseball after SLAP repair, although regaining preinjury health and performance is challenging.

Details

ISSN :
15523365 and 03635465
Volume :
46
Database :
OpenAIRE
Journal :
The American Journal of Sports Medicine
Accession number :
edsair.doi.dedup.....4ac76eaaf6210737bd1663a86d6e1829
Full Text :
https://doi.org/10.1177/0363546517728256