Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures
| Autor: | John Meyer, Iain R. Murray, Frank A. Petrigliano, Nickolas Fretes, Ioanna K Bolia, Rebecca Griffith, Alexander E. Weber, Seth C. Gamradt |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Ulnar Collateral Ligament Reconstruction criteria biology Athletes Collateral business.industry Elbow review Upper extremity surgery elbow biology.organism_classification behavioral disciplines and activities Article Return to sport athletes medicine.anatomical_structure scoping Ligament medicine Physical therapy ulnar collateral ligament Orthopedics and Sports Medicine business return to sport |
| Zdroj: | Orthopaedic Journal of Sports Medicine |
| ISSN: | 2325-9671 |
| DOI: | 10.1177/23259671211021825 |
| Popis: | Background: There is a lack of consensus to guide patient return to sport (RTS) after elbow ulnar collateral ligament surgery (eUCLS). Purpose: To describe the reported RTS criteria after eUCLS in the athletic population. Study Design: Scoping review; Level of evidence, 4. Methods: This scoping review was performed by adhering to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Scoping Review) guidelines. We searched 5 electronic databases (MEDLINE, Scopus, SPORTDiscus, Embase, Google Scholar Advanced) and the gray literature for English-language studies that reported at least 1 RTS criterion in athletes after eUCLS. Data were extracted and summarized as frequencies or arithmetic mean and standard deviation. Results: Included were 14 studies and 1335 athletes with a mean age of 21.4 ± 1.1 years. Time from surgery (range, 6-16 months) was the most common RTS criterion used, and it was reported by all 14 of the included articles. RTS criteria reported less often were pain (3/14; 21%), successful completion of a throwing program (3/14; 21%), muscle strength of the forearm muscles (1/14; 7%), and “normal” range of motion and muscle strength of the elbow and shoulder joints on the operated upper extremity (1/14; 7%). All studies used 1 to 5 of the above RTS criteria. Conclusion: Only 14 studies reported 1 or more RTS criteria after eUCLS in athletes, and time was the most common RTS criterion used. Our results highlight the need for a coordinated effort among surgeons, physical therapists, and athletic trainers in order to establish evidence-based RTS criteria after eUCLS in athletes so athletes can safely to sport and prolong their athletic careers. |
| Databáze: | OpenAIRE |
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