Return to Play and Player Performance After Meniscal Tear Among Elite-Level European Soccer Players: A Matched Cohort Analysis of Injuries From 2006 to 2016.

Autor:	Lavoie-Gagne OZ; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA., Korrapati A; Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA., Retzky J; Department of Orthopedic Surgery, Hospital for Special Surgery, New York City, New York, USA., Bernstein DN; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA., Diaz CC; Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA., Berlinberg EJ; Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA., Forlenza EM; Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA., Fury MS; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA., Mehta N; Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA., O'Donnell EA; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA., Forsythe B; Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA.
Jazyk:	angličtina
Zdroj:	Orthopaedic journal of sports medicine [Orthop J Sports Med] 2022 Jan 12; Vol. 10 (1), pp. 23259671211059541. Date of Electronic Publication: 2022 Jan 12 (Print Publication: 2022).
DOI:	10.1177/23259671211059541
Abstrakt:	Background: Meniscal injuries are extremely common in soccer athletes, and little is known about postrecovery performance. Purpose: To (1) identify characteristics associated with return to play (RTP) to the same league level and (2) evaluate long-term effects that injury and management approach may have on player performance. Study Design: Cohort study; Level of evidence, 3. Methods: Using publicly available records, we identified athletes who sustained meniscal tears across the 5 major European soccer leagues (English Premier League, Bundesliga, La Liga, Ligue 1, and Serie A) between 2006 and 2016. Injured athletes were matched to controls 1:2 by demographics and performance. Investigations included rate of RTP to the same league level, reinjury, player characteristics associated with RTP within 2 seasons, long-term availability, field time, and performance metrics standardized to 90 minutes of play during the next 4 seasons. Results: A total of 250 players sustaining meniscal tears were included, of which 106 (42%) received surgical management. Median absence was 57.5 days (interquartile range [IQR], 35-92) or 7 games (IQR, 4-12). Rate of RTP was 70%, and the reinjury rate 5% if a player could RTP. Age greater than 30 years was a negative predictor for RTP (odds ratio [OR], 0.62; P = .002), whereas higher preinjury goals per game (OR, 2.80; P = .04) and surgical management (OR, 1.38; P = .002) were positive predictors for RTP. Surgical management was associated with higher long-term availability ( P < .01). As compared with the control, there were no significant differences in field time or performance metrics after RTP, either overall or by player position. As compared with nonoperative management, defenders undergoing surgery demonstrated decreased field time. Attackers and midfielders demonstrated similar field time and performance regardless of management. Conclusion: RTP of elite soccer athletes sustaining meniscal tear is contingent on age, preinjury performance, and management approach. Those who RTP to the same league level can be expected to demonstrate equivalent field time, performance, and long-term availability as noninjured athletes. Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: B.F. has received grant/research support from Arthrex, Smith & Nephew, and Stryker; education payments from Medwest; consulting fees from Stryker; and personal fees from Elsevier; and has stock/stock options in Jace Medical. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. (© The Author(s) 2022.)
Databáze:	MEDLINE
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