Elite professional goalkeepers report high rate of sport resumption after shoulder surgery
Autor: | Riccardo Ranieri, E. Ceccarelli, Piero Volpi, Alessandro Castagna, Marco Conti, Raffaele Garofalo |
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Rok vydání: | 2021 |
Předmět: |
Adult
Joint Instability Male Shoulder medicine.medical_specialty Shoulder surgery Sports medicine Shoulders medicine.medical_treatment Context (language use) Biceps Arthroscopy Rotator Cuff Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Rotator cuff Retrospective Studies 030222 orthopedics Rehabilitation Shoulder Joint business.industry 030229 sport sciences Return to Sport medicine.anatomical_structure Orthopedic surgery Physical therapy Surgery Shoulder Injuries business |
Zdroj: | Knee Surgery, Sports Traumatology, Arthroscopy. 29:3943-3950 |
ISSN: | 1433-7347 0942-2056 |
Popis: | The aim of this study is to evaluate the return to sport after surgical treatment of shoulder injuries in professional goalkeepers in relationship with the mechanism of injury and the pattern of related shoulder lesions. Twenty-six shoulders in nineteen elite male professional soccer goalkeepers were retrospectively analyzed considering multiple diseases (instability, rotator cuff, biceps or other tendon injuries). Data was collected for injury modality and context, pathological findings, surgical procedures, time, level of return to sport, and complications. The mechanism of injury was “mild trauma without contact” in 46% of the cases and 54% of injuries happened during training. 11 patients (42%) reported multiple pattern lesions and 9 patients (35%) classic anterior instability lesions. The mean time for return to differentiated training and unrestricted sport activity was 14 and 20.2 weeks, respectively. 15 athletes (62.5%) reported 100% return to sport, 4 (16.7%) to 90%, 1 (4.2%) to 85%, 3 (12.5%) to 80% and 1 athlete to 50%, stopping professional activity. 21% of the cases reported the persistence of some shoulder symptoms. 3 cases experienced a new injury. Patients with classic anterior instability had significantly lower age (30.7 vs 19.8 years, P = 0.001), experienced injury in different context and reported symptoms more frequently compared to multiple lesion patients (4/8 vs 0/10, P = 0.011). Professional elite goalkeepers which required shoulder surgery for different causes demonstrated high-rate level of return to play despite the persistence of mild symptoms. The high frequency of multiple lesions, patients’ characteristics, injury context and mechanism, increase the concern for injuries in overstressed shoulder for this category of sport. IV. |
Databáze: | OpenAIRE |
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