Return to preinjury levels of participation after superior labral repair in overhead athletes : a systematic review

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Deutscher übersetzter Titel:Rückkehr zur Leistungsfähigkeit wie vor der Verletzung bei Ersatz des oberen Labrums in der Schulter bei Überkopfsportlern : ein systematisches Review
Autor:Sciascia, Aaron; Myers, Natalie; Kibler, W. Ben; Uhl, Timothy L.
Erschienen in:Journal of athletic training
Veröffentlicht:50 (2015), 7, S. 767-777, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Elektronische Ressource (online) Gedruckte Ressource
Sprache:Englisch
ISSN:1062-6050, 0160-8320, 1938-162X
DOI:http://dx.doi.org/10.4085/1062-6050-50.3.06
Schlagworte:
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Erfassungsnummer:PU201509006789
Quelle:BISp
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last_indexed 2016-01-28T09:35:46Z
first_indexed 2015-09-03T11:47:57Z
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hierarchy_top_id JO00000000720
hierarchy_parent_id JOI201500070000720
hierarchy_top_title Journal of athletic training
hierarchy_parent_title Journal of athletic training, 2015, 7
is_hierarchy_id PU201509006789
is_hierarchy_title Return to preinjury levels of participation after superior labral repair in overhead athletes : a systematic review
hierarchy_sequence 0767
recordtype bisparticle
publishDate 2015
publishDate_facet 2015
language eng
title Return to preinjury levels of participation after superior labral repair in overhead athletes : a systematic review
spellingShingle Return to preinjury levels of participation after superior labral repair in overhead athletes : a systematic review
Analyse
Bandruptur
Muskelruptur
Rotatorenmanschette
Schultergelenk
Schultergürtel
Schulterverletzung
Sehnenruptur
Sportmedizin
Sportspiel
Sportspielforschung
Sportwissenschaft
Untersuchung, vergleichende
Überkopfsportart
title_sort return to preinjury levels of participation after superior labral repair in overhead athletes a systematic review
title_short Return to preinjury levels of participation after superior labral repair in overhead athletes : a systematic review
title_alt Rückkehr zur Leistungsfähigkeit wie vor der Verletzung bei Ersatz des oberen Labrums in der Schulter bei Überkopfsportlern : ein systematisches Review
title_alt_lang deu
media_type Elektronische Ressource (online)
Gedruckte Ressource
city Dallas (Tex)
abstract Context: Athletes often preoperatively weigh the risks and benefits of electing to undergo an orthopaedic procedure to repair damaged tissue. A common concern for athletes is being able to return to their maximum levels of competition after shoulder surgery, whereas clinicians struggle with the ability to provide a consistent prognosis of successful return to participation after surgery. The variation in study details and rates of return in the existing literature have not supplied clinicians with enough evidence to give overhead athletes adequate information regarding successful return to participation when deciding to undergo shoulder surgery. Objective: To investigate the odds of overhead athletes returning to preinjury levels of participation after arthroscopic superior labral repair. Data Sources: The CINAHL, MEDLINE, and SPORTDiscus databases from 1972 to 2013. Study Selection: The criteria for article selection were (1) The study was written in English. (2) The study reported surgical repair of an isolated superior labral injury or a superior labral injury with soft tissue debridement. (3) The study involved overhead athletes equal to or less than 40 years of age. (4) The study assessed return to the preinjury level of participation. Data Extraction: We critically reviewed articles for quality and bias and calculated and compared odds ratios for return to full participation for dichotomous populations or surgical procedures. Data Synthesis: Of 215 identified articles, 11 were retained: 5 articles about isolated superior labral repair and 6 articles about labral repair with soft tissue debridement. The quality range was 11 to 17 (42% to 70%) of a possible 24 points. Odds ratios could be generated for 8 of 11 studies. Nonbaseball, nonoverhead, and nonthrowing athletes had a 2.3 to 5.8 times greater chance of full return to participation than overhead/throwing athletes after isolated superior labral repair. Similarly, nonoverhead athletes had 1.5 to 3.5 times greater odds for full return than overhead athletes after labral repair with soft tissue debridement. In 1 study, researchers compared surgical procedures and found that overhead athletes who underwent isolated superior labral repair were 28 times more likely to return to full participation than those who underwent concurrent labral repair and soft tissue debridement (P < .05). Conclusions: The rate of return to participation after shoulder surgery within the literature is inconsistent. Odds of returning to preinjury levels of participation after arthroscopic superior labral repair with or without soft tissue debridement are consistently lower in overhead/throwing athletes than in nonoverhead/nonthrowing athletes. The variable rates of return within each group could be due to multiple confounding variables not consistently accounted for in the articles. Verf.-Referat
abstract_lang eng
abstract_type abstract
author2 Sciascia, Aaron
Myers, Natalie
Kibler, W. Ben
Uhl, Timothy L.
author_facet Sciascia, Aaron
Myers, Natalie
Kibler, W. Ben
Uhl, Timothy L.
author2-role Autor
Autor
Autor
Autor
author2-authorityid



author_author_facet Sciascia, Aaron
Myers, Natalie
Kibler, W. Ben
Uhl, Timothy L.
author2-synonym



author2_hierarchy_facet 0/Autor/
1/Autor/Sciascia, Aaron/
0/Autor/
1/Autor/Myers, Natalie/
0/Autor/
1/Autor/Kibler, W. Ben/
0/Autor/
1/Autor/Uhl, Timothy L./
doi http://dx.doi.org/10.4085/1062-6050-50.3.06
spelling http://dx.doi.org/10.4085/1062-6050-50.3.06
1062-6050
0160-8320
1938-162X
1202960-9
Analyse
Bandruptur
Muskelruptur
Rotatorenmanschette
Schultergelenk
Schultergürtel
Schulterverletzung
Sehnenruptur
Sportmedizin
Sportspiel
Sportspielforschung
Sportwissenschaft
Untersuchung, vergleichende
Überkopfsportart
analysis
comparative study
ligament rupture
muscle rupture
rotator cuff
shoulder girdle
shoulder injury
shoulder joint
sport game
sport game research
sport science
sports medicine
tendon rupture
Analyse, methodische
Theorie der Körpererziehung
Theorie der Leibesübungen
Theorie der Leibeserziehung
Vergleich
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
Riss
Ruptur
Sehnenriss
Spielergebnis
Spielerpersönlichkeit
Spielerrolle
Spielleistung
Spielniveau
Spieltaktik
Spielvorbereitung
Sportspieltraining
Trainingsspiel
Spieltechnik
Sportspielanalyse
exercise science
sport and exercise science
comparative investigation
rupture of a ligament
ligament tear
torn ligament
rupture of a muscle
muscle tear
torn muscle
rupture of a tendon
tendon tear
torn tendon
injury of the shoulder
Return to preinjury levels of participation after superior labral repair in overhead athletes : a systematic review
PU201509006789
201509006789
url http://natajournals.org/doi/pdf/10.4085/1062-6050-50.3.06
https://dx.doi.org/http://dx.doi.org/10.4085/1062-6050-50.3.06
url-type fulltext
fulltext
url-free 1
0
free_access 1
issn 1062-6050
0160-8320
1938-162X
zdb 1202960-9
location_hierarchy_facet 0/USA/
1/USA/Texas/
topic Analyse
Bandruptur
Muskelruptur
Rotatorenmanschette
Schultergelenk
Schultergürtel
Schulterverletzung
Sehnenruptur
Sportmedizin
Sportspiel
Sportspielforschung
Sportwissenschaft
Untersuchung, vergleichende
Überkopfsportart
topic_facet Analyse
Bandruptur
Muskelruptur
Rotatorenmanschette
Schultergelenk
Schultergürtel
Schulterverletzung
Sehnenruptur
Sportmedizin
Sportspiel
Sportspielforschung
Sportwissenschaft
Untersuchung, vergleichende
Überkopfsportart
topic_en analysis
comparative study
ligament rupture
muscle rupture
rotator cuff
shoulder girdle
shoulder injury
shoulder joint
sport game
sport game research
sport science
sports medicine
tendon rupture
topic_en_facet analysis
comparative study
ligament rupture
muscle rupture
rotator cuff
shoulder girdle
shoulder injury
shoulder joint
sport game
sport game research
sport science
sports medicine
tendon rupture
synonym Analyse, methodische
Theorie der Körpererziehung
Theorie der Leibesübungen
Theorie der Leibeserziehung
Vergleich
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
Riss
Ruptur
Sehnenriss
Spielergebnis
Spielerpersönlichkeit
Spielerrolle
Spielleistung
Spielniveau
Spieltaktik
Spielvorbereitung
Sportspieltraining
Trainingsspiel
Spieltechnik
Sportspielanalyse
synonym_en exercise science
sport and exercise science
comparative investigation
rupture of a ligament
ligament tear
torn ligament
rupture of a muscle
muscle tear
torn muscle
rupture of a tendon
tendon tear
torn tendon
injury of the shoulder
journal_facet Journal of athletic training
container_title Journal of athletic training
container_volume 50
container_issue 7
container_start_page S. 767-777
has_references 1
institution BISp
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journal_year 2015
journal_issue 7
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