肘部关节透视和未来的风险 腰椎侧关节手术 在职业棒球投手中的风险
Peter N Chalmers1, John D'Angelo2, Kevin Ma2
1University of Utah, Department of Orthopaedic Surgery, Salt Lake City, Utah, USA.
The American journal of sports medicine
|March 7, 2026
概括
职业棒球运动员的肘部关节透视并没有增加关节带 (UCL) 手术的风险. 术后的表现指标有所改善,随后的UCL手术率为12.1%,与对照组相似.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 棒球表现分析 棒球表现分析
背景情况:
- 侧带 (UCL) 损伤在职业棒球中很常见.
- 肘部关节透镜用于后端中部塞和随后的UCL手术之间的关系尚不清楚.
研究的目的:
- 为了评估专业棒球运动员的结局,表现和UCL手术后肘部缩术的风险.
- 为了测试性能不会显著变化,UCL手术风险在关节镜术后超过10%的假设.
主要方法:
- 一项病例控制研究 (证据水平,3) 分析了2010-2023年的数据.
- 通过MLB健康和伤害跟踪系统,识别了接受肘部关节镜术的职业棒球运动员.
- 对比手术前后的表现指标和未来的UCL手术率与匹配的对照.
主要成果:
- 在354名球员中,43人 (12.1%) 接受了骨关节镜后的UCL手术;39人是投手.
- 投手平均在285天后回归比赛,其中21%的投手在回归之前需要UCL手术.
- 除了击球数量较少之外,没有发现显著的表现差异;UCL手术风险 (12.1%) 与对照组 (10%) 相似.
结论:
- 肘部关节镜检查显示,职业棒球运动员的表现指标有所改善.
- 在肘部透镜术后进行后续UCL手术的风险为12.1%,与对照人群没有显著差异.
- 隔离肘部关节透视似乎有效,而不会增加UCL手术风险.
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