在关节镜软组织稳定后,精英柔道运动员通过选择性增强恢复竞争
Hiroshige Hamada1,2, Hiroyuki Sugaya1, Norimasa Takahashi2
1Tokyo Sports and Orthopaedic Clinic, Toshima, Tokyo, Japan.
Orthopaedic journal of sports medicine
|November 17, 2025
概括
这项研究表明,关节镜软组织肩部稳定有效地治疗柔道运动员的反复不稳定. 大多数运动员在手术后恢复了体育运动,结果良好,复发率低.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 肩部不稳定是柔道运动员经常遇到的问题.
- 虽然开放式手术提供了可接受的结果,但关节镜稳定在柔道中显示出不同的结果.
- 这项研究侧重于柔道运动员的特定关节镜技术与增强.
研究的目的:
- 为竞技柔道运动员评估关节镜软组织稳定算法.
- 评估手术后的复发率,运动范围和运动回归率.
- 为了强调投 (tsurite) 和接收 (hikite) 双方的结果.
主要方法:
- 78名竞技柔道运动员84个肩膀的案例系列,经常出现前肩部不稳定.
- 进行了关节镜软组织班卡特修复与旋转器间隔关闭.
- 结果包括运动 (SSV-sports) 的复发率,运动范围,Row得分和主观肩部值,至少2年后续.
主要成果:
- 整体复发率为4.8% (4/84肩),所有复发都发生在tzurite组中.
- 绑架-外部旋转发生了平均损失,但并没有妨碍恢复运动.
- 在没有复发的患者中,93%的患者恢复到他们受伤前的竞争水平,并改善了Rowe和SSV-sports的得分.
结论:
- 描述的关节镜肩部稳定治疗算法在竞争性柔道运动员中产生了有利的临床结果.
- 低的复发率和高的回归体育运动率被观察到,无论是tsurite和hikite的肩膀.
- 这种技术提供了与柔道相关的肩部不稳定性的有效管理.
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