在非投运动员的侧带损伤后的结果:系统性审查
Benjamin Miltenberg1, William L Johns1, Anthony N Baumann2
1The Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
JSES reviews, reports, and techniques
|July 23, 2025
概括
在非投运动员中,关侧带 (UCL) 损伤的手术治疗显示出有希望的结果. 大多数运动员在以前的水平上恢复运动,具有良好的功能结果和较低的并发症率.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复 康复 康复 康复
背景情况:
- 侧带 (UCL) 损伤在投运动员中很普遍.
- 有限的数据存在于UCL伤害和非投运动员的结果.
- 这项研究解决了有关UCL受伤的非投运动员的知识差距.
研究的目的:
- 在非投运动员中检查UCL损伤的手术治疗后的功能结果.
- 为了确定这个特定的运动群体中的体育回归率.
- 为UCL受伤的非投运动员提供基于证据的治疗指南.
主要方法:
- 对PubMed,EMBASE和SPORTDiscus数据库进行系统审查.
- 包括案例系列,队列研究和随机对照试验.
- 使用非随机化研究的方法指数进行质量评估,并通过GRADE确定性.
主要成果:
- 分析了6项中等质量的研究,涉及95名非投运动员.
- 大约86%的运动员在相同或更高的竞争水平上重返体育.
- 报告了良好的功能结果,并发症率低 (0-18%) 和最小的重复手术 (2%).
结论:
- 有证据表明,手术治疗对UCL受伤的非投运动员产生了良好的结果.
- 可以实现高回归体育率和有利的功能结果.
- 建议进行进一步的研究,以完善这种人群的治疗策略.
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