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Return to Play and Outcomes in Baseball Players After Superior Labral Anterior-Posterior Repairs
- 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Physical Therapy, Sports Therapy and Rehabilitation
Baseball
Rotator Cuff Injuries
Rotator Cuff
Young Adult
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
Orthopedics and Sports Medicine
Rotator cuff
Anterior posterior
Child
Ontario
030222 orthopedics
Shoulder Joint
business.industry
030229 sport sciences
Evidence-based medicine
Return to play
Return to Sport
Surgery
medicine.anatomical_structure
Debridement
Athletic Injuries
Shoulder instability
Physical therapy
business
Subjects
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