Posterior Shoulder Soft Tissue Stabilization Return to Play Criteria Vary Among Investigations: A Systematic Review.

IF 2.5 4区医学 Q2 SPORT SCIENCES

Sports Medicine and Arthroscopy Review Pub Date : 2025-05-28 DOI:10.1097/JSA.0000000000000431

Colby C Wollenman, Mason W Young, Gabriel C Lane, Eric N Bowman, Rick W Wright, Charles L Cox, Jonathan F Dickens, Lance E LeClere

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引用次数: 0

Abstract

Despite increasing rates of posterior shoulder instability surgery, return-to-play (RTP) rates vary widely. There is little available literature regarding specific criteria used to allow unrestricted RTP. We aimed to identify and describe the criteria used in the existing literature for the unrestricted RTP of individuals after posterior shoulder instability surgery. A systematic review was performed from inception through September 2024 including 1366 shoulders. The criteria used and their associated frequencies were identified as follows: Time (56%), Strength (48%), Range of Motion (41%), Sport-specific protocol (11%), Proprioception (4%), Other (15%). Many studies used a combination of the above listed criteria. We demonstrated there is little consensus regarding post-operative RTP criteria for posterior shoulder instability. Time, strength, and range of motion were the most used criteria, yet even within these categories there was variation in the length of time and degree of strength/range of motion used to guide RTP.

Level of evidence: IV.

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后肩软组织稳定恢复比赛标准因调查而异：系统回顾。

尽管后路肩关节不稳定手术的发生率不断增加，但术后恢复（RTP）的发生率差异很大。关于允许无限制RTP的具体标准的可用文献很少。我们的目的是确定和描述现有文献中用于后肩部不稳定手术后个体无限制RTP的标准。从开始到2024年9月，对1366个肩部进行了系统评估。所使用的标准及其相关频率确定如下：时间（56%），力量（48%），活动范围（41%），运动特定方案（11%），本体感觉（4%），其他（15%）。许多研究使用了上述标准的组合。我们证明，对于后肩不稳的术后RTP标准几乎没有共识。时间，力量和活动范围是最常用的标准，但即使在这些类别中，用于指导RTP的时间长度和强度/活动范围的程度也存在变化。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sports Medicine and Arthroscopy Review 医学-运动科学

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Sports Medicine and Arthroscopy Review helps physicians digest the large volume of clinical literature in sports medicine and arthroscopy, identify the most important new developments, and apply new information effectively in clinical practice. Each issue is guest-edited by an acknowledged expert and focuses on a single topic or controversy. The Guest Editor invites the leading specialists on the topic to write review articles that highlight the most important advances. This unique format makes the journal more in-depth, authoritative, and practical than most publications in this field. The journal also includes dozens of full-color and black-and-white arthroscopic images and illustrations.