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1.
J Bodyw Mov Ther ; 30: 100-104, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35500956

RESUMO

INTRODUCTION: Cold spray is a form of cryotherapy used in acute injuries at sports medicine. In the current study, we aimed to investigate the acute effect of cold spray application as a treatment strategy for acute sports injuries on the mechanical properties of the rectus femoris muscle in athletes. METHODS: The study included 23 volunteer active male athletes between the ages of 18-23 with a subepidermal fold thickness of the rectus femoris muscle between 5 mm and 15 mm. Skin temperature (thermal camera) and mechanical property evaluations of the muscle (Myoton Pro) were measured before, immediately after, and in 2 min, 5 min, 10 min and 15 min intervals following cold spray application. RESULTS: The skin temperature value of the athletes were significantly lower even in the 15-min interval following application (p < 0.001). Muscle tone increased significantly after the application and in the second minute compared to the pre-application (p < 0.001). Muscle stiffness increased significantly only after the second and fifth minutes compared to the pre-application (p < 0.001). Muscle decrement showed an increase in all time-points compared to the pre-application (p < 0.05). CONCLUSION: In athletes, the rectus femoris muscle has been observed to become harder and less elastic following cooling with cold spray. These changes did not improve completely following the 5 min. The muscle regained its mechanical properties at the earliest approximately 10 min after the cold spray application.


Assuntos
Traumatismos em Atletas , Músculo Quadríceps , Adolescente , Adulto , Atletas , Traumatismos em Atletas/terapia , Temperatura Baixa , Crioterapia , Humanos , Masculino , Músculo Quadríceps/fisiologia , Adulto Jovem
2.
Curr Sports Med Rep ; 21(5): 149-154, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35522438

RESUMO

ABSTRACT: Medical planning for a marathon requires an understanding of the volumes and types of injuries experienced by runners during a race. This chart review of medical records from the 2018 Bank of America Chicago Marathon (N = 1016) measured volume and types of injuries at the race aid stations to determine the impact that race distance has on medical resource utilization. The type and volume of each injured runner diagnosis was compared between quartiles of the race using a chisquare analysis. The most common presenting complaints were musculoskeletal (MSK), followed by medical/other, and then wound care. The proportion of MSK complaints increased over the course of the race, whereas the percentage of medical and wound care complaints was highest at the finish line tents. Understanding the expected volume and type of injuries along the course of a race optimizes medical planning and leads to better utilization of resources and staff.


Assuntos
Traumatismos em Atletas , Corrida , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Chicago , Humanos , Corrida de Maratona , Corrida/lesões
3.
Comput Math Methods Med ; 2022: 9005792, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35419078

RESUMO

Purpose: Elbow joint injuries are extremely common in most athletes. Athletes' chronic elbow injuries can involve multiple complex anatomical structures related to orthopedics. Therefore, it is of great significance to explore the characteristics of magnetic resonance (MR) images of chronic sports injuries of the elbow joint and the influence of acupuncture treatment on MR images and clinical symptoms. Methods: A total of 60 elbow joints of 39 athletes from 15-25 years old were selected for coronal, sagittal, and axial MR scans to observe the image characteristics; 60 elbow joints were randomly divided into acupuncture group and control group and observed changes in MR images and clinical symptoms after acupuncture treatment. Results: After acupuncture treatment, the clinical symptoms were significantly improved. MR images showed that the elbow joint effusion was reduced, and the bone marrow edema was reduced. The effective rate of acupuncture treatment is as high as 100%, while the effective rate of the control group is only 40%. Acupuncture treatment has significantly improved the range of motion of the elbow joint. Conclusion: Acupuncture treatment can significantly relieve athletes' elbow joint pain and locking symptoms, improve joint range of motion, and is beneficial to recovery of special training and high-level competitive competitions. It is a sensitive, effective, and noninvasive method.


Assuntos
Terapia por Acupuntura , Traumatismos em Atletas , Articulação do Cotovelo , Esportes , Adolescente , Adulto , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/terapia , Articulação do Cotovelo/diagnóstico por imagem , Articulação do Cotovelo/lesões , Humanos , Imageamento por Ressonância Magnética/métodos , Adulto Jovem
4.
J Orthop Sports Phys Ther ; 52(3): 129, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35227083

RESUMO

Recently, experts developed a guideline for physical therapists to use when treating hamstring injuries. We explain what the guidelines mean for your hamstring injury and answer questions you might have about how long it takes to recover and when you can play your sport again. J Orthop Sports Phys Ther 2022;52(3):129. doi:10.2519/jospt.2022.0502.


Assuntos
Traumatismos em Atletas , Traumatismos da Perna , Fisioterapeutas , Lesões dos Tecidos Moles , Esportes , Traumatismos em Atletas/terapia , Humanos , Volta ao Esporte
6.
Can Fam Physician ; 68(3): e100-e106, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35292474

RESUMO

OBJECTIVE: To analyze the implementation of a concussion management protocol in which a team physiotherapist is involved in the identification of concussions and return-to-play (RTP) decisions. DESIGN: A prospective injury surveillance cohort study in a school-based Canadian football program (4 teams; grades 8 to 12) over 4 years. For years 1 to 2, the team physician made all RTP decisions; over years 3 to 4, the team physiotherapist was allowed to make some RTP decisions using pre-established criteria defined in the protocol. SETTING: A high school in Québec, Que. PARTICIPANTS: Male student athletes between 11 and 17 years old. MAIN OUTCOME MEASURES: Same-season recurrence (SSR) of concussion symptoms following RTP. RESULTS: A total of 119 concussions were identified (55 during the first 2 years and 64 during the last 2 years) during 27,741 athlete-exposures in 672 athlete-years for an incidence rate of 4.3 per 1000 athlete-exposures. During years 1 to 3, no SSR was observed following RTP clearance. During year 4 there was 1 case of SSR that occurred 11 days after clearance. The overall SSR rate of concussion symptoms following RTP clearance was 0.8%. CONCLUSION: A very low rate of SSR was achieved whether the team physician made all RTP decisions or the team physiotherapist was allowed to make some of the RTP decisions through the terms of the protocol.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Adolescente , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Concussão Encefálica/diagnóstico , Concussão Encefálica/epidemiologia , Concussão Encefálica/terapia , Canadá , Criança , Estudos de Coortes , Humanos , Masculino , Estudos Prospectivos
7.
J Orthop Sports Phys Ther ; 52(3): CPG1-CPG44, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35164536

RESUMO

Hamstring strain injury (HSI) may result in considerable impairment, activity limitation, and participation restriction, including time lost from competitive sports. This CPG includes sports-related overloading and overstretching injuries to myofascial or musculotendinous structures in any combination of the 3 hamstring muscles (the semitendinosus, semimembranosus, and biceps femoris). J Orthop Sports Phys Ther 2022;52(3):CPG1-CPG44. doi:10.2519/jospt.2022.0301.


Assuntos
Traumatismos em Atletas , Músculos Isquiossurais , Traumatismos da Perna , Lesões dos Tecidos Moles , Atletas , Traumatismos em Atletas/terapia , Músculos Isquiossurais/lesões , Humanos
8.
Injury ; 53(4): 1394-1400, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35144805

RESUMO

INTRODUCTION: Bouldering is a climbing sport that has been attracting a greater number of recreational and professional athletes over recent decades, which has led to an increase in sport-related injuries. The aim of this study was to determine the characteristics and the types of acute injuries caused by bouldering. Further athlete-specific factors and covariates for the trauma types were investigated. MATERIALS AND METHODS: In this retrospective analysis, all patients presented to the level 1 trauma center at the hospital of the Technical University of Munich after an acute trauma related to bouldering were identified via the hospital documentation system. The period of observation was ten years, from 2010 until 2020. Epidemiological and injury-specific information as well as the initial treatment were registered. In a second step, the affected patients were invited to participate in an online survey in order to collect information about their skills, experience, and details about the trauma. RESULTS: A total of 430 patients with 447 acute injuries were identified. There were 244 injuries among female and 203 injuries among male patients. The most common anatomical region affected was ankle (36.7%), knee (16.8%), elbow (12.3%), spine (7.2%) and shoulder (6.3%). The majority of 273 (61.1%) injuries were located at the lower extremities. The most frequent types of injury were sprains (53.0%), fractures (22.8%) or joint dislocations (11.9%). Surgical treatment was necessary for 89 (19.9%) patients. A return to bouldering was more likely in male patients 50 (75.8%) than in females 47 (59.5%) (p = 0.038). Subjectively, inexperienced boulderers were also less likely to return to the sport than advanced boulderers with greater experience (p = 0.001) CONCLUSION: The incidence of bouldering injuries is rising. Typical bouldering injuries could be identified and quantified at least for those patients who were presented to a hospital emergency department. Injuries in this setting do differ from the injury types known from rock climbing injuries as they are located on the lower extremity more often. Injuries of the fingers and hand, which are common climbing injuries, have been barely encountered in the emergency center.


Assuntos
Traumatismos em Atletas , Montanhismo , Esportes , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/terapia , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Montanhismo/lesões , Estudos Retrospectivos
9.
Comput Math Methods Med ; 2022: 5665972, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35178115

RESUMO

In recent years, the performance of sports dance in China has become better and better. Naturally, the technical requirements for this dance are getting higher and higher, and the number and intensity of training have also increased, which has led to increasing injuries in sports dance. This article is based on visual sensor images to analyze and study the common injuries and prevention of sports dance practitioners. It is aimed at providing a certain reference basis for athletes' injuries, so that dance practitioners and coaches can better master sports dance training and teaching. Injury-related rules and prevention reduce the injury rate. This article puts forward the related technology of a visual sensor image and applies its technology to the prevention and research of common injuries in sports dance. At the same time, it analyzes the causes of sports dance practitioners' injuries and seeks economical and affordable massage techniques for prevention, and the method of treatment provides protection for dance practitioners. The experimental results in this article show that the Tuina group cured 15 subjects, 41 subjects were markedly effective, 13 subjects were improved, and 6 subjects were unhealed. The total effective rate was 92%.


Assuntos
Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/terapia , Dança/lesões , Processamento de Imagem Assistida por Computador/métodos , Massagem/métodos , Adolescente , Algoritmos , Traumatismos em Atletas/diagnóstico por imagem , China , Biologia Computacional , Feminino , Humanos , Processamento de Imagem Assistida por Computador/instrumentação , Processamento de Imagem Assistida por Computador/estatística & dados numéricos , Masculino , Termografia , Análise de Ondaletas , Adulto Jovem
10.
J Am Acad Orthop Surg ; 30(6): e584-e594, 2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-35171860

RESUMO

Shoulder injuries are common in contact athletes and vary in severity because of the required complex interplay of shoulder stability and range of motion for proper function. Pathology varies based on sport but most commonly includes shoulder instability, acromioclavicular injuries, traumatic rotator cuff tears, and brachial plexus injuries. Acute management ranges from reduction of shoulder dislocations to physical examination to determine the severity of injury. Appropriate radiographs should be obtained to evaluate for alignment and fracture, with magnetic resonance imaging commonly being necessary for accurate diagnosis and management. Treatments range from surgical stabilization in shoulder instability to repeat examinations and physical therapy. Return-to-play decision making can be complex with avoidance of reinjury and player safety being of utmost concern. Appropriate evaluation and treatment are vital because repeat injury can lead to long-term effects due to the relatively high effectsometimes seen in contact sports.


Assuntos
Traumatismos em Atletas , Instabilidade Articular , Lesões do Manguito Rotador , Luxação do Ombro , Lesões do Ombro , Articulação do Ombro , Atletas , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/terapia , Humanos , Instabilidade Articular/diagnóstico , Instabilidade Articular/etiologia , Instabilidade Articular/terapia , Lesões do Manguito Rotador/diagnóstico , Lesões do Manguito Rotador/etiologia , Lesões do Manguito Rotador/terapia , Ombro , Luxação do Ombro/diagnóstico , Luxação do Ombro/etiologia , Luxação do Ombro/terapia , Lesões do Ombro/diagnóstico , Lesões do Ombro/terapia , Articulação do Ombro/diagnóstico por imagem , Articulação do Ombro/cirurgia
11.
Medicine (Baltimore) ; 101(5): e28737, 2022 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-35119023

RESUMO

BACKGROUND: Integrated neuromuscular training (INT) is a comprehensive and holistic training method. It combines general functional movement training with specialized strength, balance, speed, sensitivity, coordination, enhanced training or rapid telescopic compound training. From the existing research results, the mechanism of INT mainly lies in improving the proprioception of the human body and cognitive level to achieve the impact on the motor sensory system, so as to effectively prevent joint injury and promote the recovery after joint injury. METHOD: This article is assisted by the third and fourth authors to search the relevant literature. The search strategy is divided into 2 parts: English literature and Chinese literature. English literature search: the keywords "integrated neurological training", "joint investigation", and "restoration" are jointly searched with "meta analysis" and "system evaluation", respectively. The search databases include PsycINFO, Science Direct, PubMed, Eric, and Willey. Chinese literature search: the keywords "integrated neuromuscular training", "joint injury", and "recovery" are jointly searched with "meta analysis" and "system evaluation", respectively. The search databases include the general library of online publishing of academic journals of China Knowledge Network (CNKI) and the full-text database of excellent doctoral theses of China Knowledge Network (CNKI). At the same time, the supplementary search is carried out through literature backtracking, Google Scholar. RESULTS: This study will provide new evidence for the effect of INT on the recovery of joint injury. CONCLUSION: To provide a method to help the prevention and restoration of joint injury by INT. INPLASY REGISTRATION NUMBER: INPLASY2021120136.


Assuntos
Traumatismos em Atletas/terapia , Articulações/lesões , Propriocepção , China , Humanos , Metanálise como Assunto , Projetos de Pesquisa , Revisões Sistemáticas como Assunto
12.
Clin J Sport Med ; 32(2): e172-e174, 2022 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33913676

RESUMO

ABSTRACT: Osteitis pubis is a common source of groin pain in athletes participating in sports requiring kicking, twisting, and pivoting movements. Athletes will present with progressive pain or discomfort in the pubic area or groin. There is usually point tenderness over the pubic symphysis and pain localizing to the adductor or rectus abdominis tendons. Conservative management often includes activity modification, oral medications, progressive rehabilitation, therapeutic ultrasound, steroid injections, and prolotherapy. Osteitis pubis can be refractory to conservative management and can keep an athlete sidelined for as long as 2 years. Platelet-rich plasma (PRP) injections have been used for pubic symphysis pain, but reports have focused on pathology affecting the rectus abdominis or hip adductor muscle tendons. In this article, we present a case of isolated osteitis pubis, without overlapping rectus abdominis or adductor tendon involvement, successfully treated with an ultrasound-guided PRP injection of the fibrocartilage.


Assuntos
Traumatismos em Atletas , Osteíte , Plasma Rico em Plaquetas , Traumatismos em Atletas/complicações , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/terapia , Virilha , Humanos , Osteíte/diagnóstico por imagem , Osteíte/etiologia , Osteíte/terapia , Dor , Osso Púbico
13.
J Sport Rehabil ; 31(1): 69-76, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34564069

RESUMO

CONTEXT: Recovery protocols for treatment of sports concussion have received widespread adoption across the country. While stages of recovery and treatment are relatively clearly defined, there remains variability in implementation of specific recommendations, particularly regarding activities that constitute rest during stages calling for limitations on activity participation. Specific recommendations being employed by practitioners have not been previously assessed. In an aim to document current concussion management practices in the field, athletic trainers were surveyed regarding how activities that may constitute rest are utilized and defined. DESIGN: The study was based on a cross-sectional vignette-based survey. METHODS: The sample used was a geographically representative convenience sample of United States-based high school athletic trainers. E-mails were sent to 2146 potential survey respondents yielding a final sample of 226 athletic trainers. Data were gathered for questions concerning recommendations for follow-up care and rest based on provided vignettes, factors considered when developing recommendations, and differences in recommendations associated with varying symptom presentations. The percentage of practitioners that would utilize each potential recommendation was used to characterize results. RESULTS: Participants demonstrated consensus on the importance of physical and cognitive rest as well as school accommodations (all greater than 97% endorsement). Greater variability was present for recommendations regarding pain medication for headache, repeating baseline cognitive testing, and engaging in subsymptom threshold activities. Recommendations for attending but not participating in games and practice yielded conflicting information. CONCLUSIONS: Responses indicated general consensus regarding factors considered when making recommendations. There was also consensus regarding general recommendations for activity limitation following recovery with almost all participants strongly recommending cognitive and physical rest, in accordance with consensus guidelines. However, substantial differences were found for specific activities that should be limited or encouraged following youth concussion. Further research concerning the relationship between community and social interaction and clinical outcomes after concussion is warranted.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Medicina Esportiva , Esportes , Adolescente , Traumatismos em Atletas/terapia , Concussão Encefálica/terapia , Estudos Transversais , Humanos , Inquéritos e Questionários
15.
Med Sci Sports Exerc ; 54(2): 206-210, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-34559722

RESUMO

INTRODUCTION: Core muscle injuries (CMI) are common in every sport. To minimize lost playing time, providers apply various nonsurgical treatments, including platelet-rich plasma, corticosteroids, ultrasound (US)-guided percutaneous tenotomy, and prolotherapy. Limited data exist with regard to their effectiveness. We chose to review a cohort of consecutive professional and collegiate athletes who sustained CMI at various points within their seasons and underwent a combination of US-guided percutaneous needle "tenotomy" and corticosteroid injections to complete the remainder of their seasons. METHODS: Twenty-five consecutive collegiate or professional athletes with CMI involving the rectus abdominis-adductor aponeurotic plate were included in this retrospective study. Athletes with concomitant symptomatic hip femoroacetabular impingement were included in the study. The primary outcome measure was whether athletes completed their seasons. Secondary measures were weeks played after the procedures (delay until surgery), need for repeat procedures, and outcomes after eventual surgery. Postoperative performance was assessed via interviews at 6 wk and 6 months postoperatively. RESULTS: Twenty-one of 25 (84%) athletes completed their seasons. On average, athletes returned to play 3 d (range, 1-9 d) after the procedures. Surgical repair was delayed a mean of 18 wk (range, 2-44 wk). Seven athletes had concomitant symptomatic femoroacetabular impingement and six underwent combined hip arthroscopy and core muscle repairs. Among 17 patients who eventually had core muscle surgery alone (no hip surgery), 82% (14 of 17) reported performing at their preinjury level at 6 wk. At 6 months, 96% of postop athletes (22 of 23) reported performing at their preinjury level. CONCLUSIONS: Temporizing CMI with US-guided percutaneous tenotomy and corticosteroid injections is effective in allowing continued sport participation among high-level athletes and does not negatively affect postoperative outcomes.


Assuntos
Traumatismos Abdominais/terapia , Corticosteroides/administração & dosagem , Anti-Inflamatórios/administração & dosagem , Traumatismos em Atletas/terapia , Reto do Abdome/lesões , Tenotomia/métodos , Ultrassonografia de Intervenção/métodos , Traumatismos Abdominais/diagnóstico por imagem , Corticosteroides/uso terapêutico , Adulto , Anti-Inflamatórios/uso terapêutico , Traumatismos em Atletas/diagnóstico por imagem , Desempenho Atlético , Terapia Combinada , Feminino , Seguimentos , Humanos , Injeções Intramusculares , Masculino , Estudos Retrospectivos , Volta ao Esporte , Tempo para o Tratamento , Resultado do Tratamento , Adulto Jovem
16.
Am J Med ; 135(3): 297-301, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34508699

RESUMO

"Weekend warriors" are recreational athletes who compress their physical activity into 1-2 weekly exercise sessions. These individuals are generally older than the conventionally discussed athlete, and can live otherwise sedentary lifestyles that contribute to limited opportunities for regular exercise. The combination of high-energy physical activity with relative deconditioning, as well as older age and a potential history of competitive athletic play, can predispose these weekend warriors to a plethora of sports injuries. The shoulder and elbow are dynamically involved in a multitude of common recreational sports, such as baseball, softball, tennis, golf, and volleyball, and forms of casual exercise, such as swimming or climbing. A lack of proper conditioning and supplemental training in weekend warriors, particularly in comparison to elite athletes in these respective sports, can contribute to the development of both acute and chronic conditions of the shoulder and elbow. Inconsistency in physical activity can minimize the prominence of symptoms, leading patients to delayed presentations with injuries that severely impact their ability to engage in their exercise of choice, and therefore remain active at all. This narrative review aims to present the etiology, presentation, and management of common shoulder and elbow injuries that may afflict this patient population. Prevention strategies will also be discussed.


Assuntos
Traumatismos em Atletas , Beisebol , Atletas , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/terapia , Beisebol/lesões , Cotovelo/lesões , Humanos , Ombro
18.
Am J Sports Med ; 50(1): 182-188, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34786982

RESUMO

BACKGROUND: Athletes of all sports often have shoulder instability, most commonly as anterior shoulder instability (ASI). For overhead athletes (OHAs) and those participating in throwing sports, clinical and surgical decision making can be difficult owing to a lack of long-term outcome studies in this population of athletes. PURPOSE/HYPOTHESIS: To report presentation characteristics, pathology, treatment strategies, and outcomes of ASI in OHAs and throwers in a geographic cohort. We hypothesized that OHAs and throwers would have similar presenting characteristics, management strategies, and clinical outcomes but lower rates of return to play (RTP) when compared with non-OHAs (NOHAs) and nonthrowers, respectively. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: An established geographic medical record system was used to identify OHAs diagnosed with ASI in the dominant shoulder. An overall 57 OHAs with ASI were matched 1:2 with 114 NOHAs with ASI. Of the OHAs, 40 were throwers. Sports considered overhead were volleyball, swimming, racquet sports, baseball, and softball, while baseball and softball composed the thrower subgroup. Records were reviewed for patient characteristics, type of sport, imaging findings, treatment strategies, and surgical details. Patients were contacted to collect Western Ontario Shoulder Instability index (WOSI) scores and RTP data. Statistical analysis compared throwers with nonthrowers and OHAs with NOHAs. RESULTS: Four patients, 3 NOHAs and 1 thrower, were lost to follow-up at 6 months. Clinical follow-up for the remaining 167 patients (98%) was 11.9 ± 7.2 years (mean ± SD). Of the 171 patients included, an overall 41 (36%) NOHAs, 29 (51%) OHAs, and 22 (55%) throwers were able to be contacted for WOSI scores and RTP data. OHAs were more likely to initially present with subluxations (56%; P = .030). NOHAs were more likely to have dislocations (80%; P = .018). The number of instability events at presentation was similar. OHAs were more likely to undergo initial operative management. Differences in rates of recurrent instability were not significant after initial nonoperative management (NOHAs, 37.1% vs OHAs, 28.6% [P = .331] and throwers, 21.2% [P = .094]) and surgery (NOHAs, 20.5% vs OHAs, 13.0% [P = .516] and throwers, 9.1% [P = .662]). Rates of revision surgery were similar (NOHAs, 18.0% vs OHAs, 8.7% [P = .464] and throwers, 18.2% [P > .999]). RTP rates were 80.5% in NOHAs, as compared with 71.4% in OHAs (P = .381) and 63.6% in throwers (P = .143). Median WOSI scores were 40 for NOHAs, as compared with 28 in OHAs (P = .425) and 28 in throwers (P = .615). CONCLUSION: In a 1:2 matched comparison of general population athletes, throwers and OHAs were more likely to have more subtle instability, as evidenced by higher rates of subluxations rather than frank dislocations, when compared with NOHAs. Despite differences in presentation and the unique sport demands of OHAs, rates of recurrent instability and revision surgery were similar across groups. Similar outcomes in terms of RTP, level of RTP, and WOSI scores were achieved for OHAs and NOHAs, but these results must be interpreted with caution given the limited sample size.


Assuntos
Traumatismos em Atletas , Instabilidade Articular , Articulação do Ombro , Artroscopia , Atletas , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Estudos de Coortes , Humanos , Instabilidade Articular/epidemiologia , Instabilidade Articular/cirurgia , Volta ao Esporte , Ombro , Articulação do Ombro/cirurgia
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