职业棒球运动员胸廓出口综合征手术后的表现和重返赛场:匹配队列分析

Aakash Chauhan, Peter N. Chalmers, Brandon J. Erickson, Robert Thompson, Gregory J. Pearl, Anthony A. Romeo, Heinz R. Hoenecke, Kevin Ma, Zachary Tenner, Jan Fronek
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摘要

背景:胸廓出口综合征(TOS)仍是一种罕见的诊断,但已被认为是职业棒球运动员上肢功能障碍的原因之一。目的/假设:该研究旨在确定职业棒球运动员在接受TOS手术治疗后的表现和重返赛场(RTP)结果。研究设计:队列研究;证据级别:3.方法:通过美国职业棒球大联盟健康与损伤追踪系统数据库,确定了2010年至2017年间接受TOS手术治疗的所有职业棒球运动员。记录了每位球员的人口统计学和表现数据(手术前后)。然后比较了接受 TOS 手术的球员和匹配对照组的表现变量。配对标准包括:患臂无手术史、手术时的年龄、投掷侧、运动水平(大联盟或小联盟棒球)以及职业棒球运动年限。结果:共有 52 名球员接受了 TOS 手术,其中 46 人(88%)是投手。69% 的 TOS 属于神经源性,29% 属于静脉性。一名球员患有动脉 TOS。接受 TOS 手术后,79% 的球员在 9.5 个月内恢复到相同或更高水平(RTSP),术后打球时间≥3 年。TOS类型不同,RTSP率也不同。大联盟和小联盟球员的 RTP 率没有统计学差异。投手的 RTSP 率为 76%,与对照组投手的自然减员率相似 ( P = .874)。TOS手术后,投手的几项表现指标都有所下降,但这些下降与对照组投手的下降并无不同,这表明TOS手术后表现下降的速度并不比健康职业投手随着年龄增长而下降的速度快。结论:职业棒球运动员接受 TOS 手术后的 RTSP 率为 79%。与匹配的对照组相比,接受 TOS 手术的投手在术后的投球表现指标上没有明显差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Performance and Return to Play After Surgery for Thoracic Outlet Syndrome in Professional Baseball Players: A Matched Cohort Analysis
Background:Thoracic outlet syndrome (TOS) remains a rare diagnosis but is being recognized as a cause of upper extremity dysfunction in professional baseball players.Purpose/Hypothesis:The purpose was to determine performance and return-to-play (RTP) outcomes in professional baseball players after surgical treatment of TOS. The hypothesis was that there would be a high RTP rate in professional baseball players after TOS surgery with no statistical differences in performance between pitchers who had TOS surgery and matched controls.Study Design:Cohort study; Level of evidence, 3.Methods:All professional baseball players who underwent surgical treatment of TOS between 2010 and 2017 were identified using the Major League Baseball Health and Injury Tracking System database. Demographic and performance data (before and after surgery) for each player were recorded. Performance variables were then compared between players who underwent TOS surgery and matched controls. The matching criteria were no history of previous surgeries on affected arm, age at time of surgery, throwing side, level of play (Major or Minor League Baseball), and years of experience playing professional baseball.Results:Overall, 52 players underwent surgery for TOS, of whom 46 (88%) were pitchers. The type of TOS was neurogenic in 69% and venous in 29%. One player had arterial TOS. After TOS surgery, 79% of players returned to play at the same or higher level (RTSP) by 9.5 months and played ≥3 years after surgery. No differences were found in RTSP rate based on the type of TOS. No statistical difference was found in RTP rates between major and minor league players. Pitchers had a 76% RTSP, which was similar to the natural attrition for control pitchers ( P = .874). After TOS surgery, pitchers saw a decline in several performance metrics, but these declines were not different from those of control pitchers, indicating that the decline in performance after TOS surgery was no faster than is seen in healthy professional pitchers as they age.Conclusion:The rate of RTSP after surgery for TOS in professional baseball players was 79%. There was no difference in RTP based on the type of TOS. Pitchers who underwent surgery for TOS had no significant differences in pitching performance metrics after surgery compared with matched controls.
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