Internal impingement of the shoulder in overhead athletes: Retrospective multicentre study in 135 arthroscopically-treated patients

Peduzzi, Lisa; Grimberg, Jean; Chelli, Mikaël; Lefèbvre, Yves; Lévigne, Christophe; Kany, Jean; Clavert, Philippe; Bertiaux, Simon; Garret, Jérôme; Hardy, Alexandre; Holzer, Nicolas; Sánchez, Manuel A. Bueno

doi:10.1016/j.otsr.2019.09.006

Cited by 12 publications

(17 citation statements)

References 42 publications

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“…The articles included in this systematic review evaluated athletes in professional hockey (2 articles 23 , 28 ), professional football (9 articles § ), professional baseball (4 articles 9 , 12 – 14 ), professional basketball (2 articles 4 , 15 ), professional soccer (1 article 30 ), across >1 professional sport (3 articles 7 , 16 , 19 ), collegiate football (1 article 32 ), baseball athletes across several levels of competition (1 article 6 ), high school athletes across several sports (1 article 3 ), and overhead-throwing athletes of many ages (1 article 22 ). Some articles focused on injuries across multiple age groups and sports (4 articles 11 , 21 , 26 , 27 ).…”

Section: Resultsmentioning

confidence: 99%

“…The surgeries reported in the studies included arthroscopic labral repair in FAI (hip arthroscopy) (11 articles ∥ ), anterior cruciate ligament reconstruction (3 articles 3 , 8 , 19 ), Achilles tendon repair (2 articles 30 , 35 ), hindfoot arthroscopy (1 article 27 ), arthroscopic treatment of internal impingement of the shoulder (1 article 22 ), ligament reconstruction of the Lisfranc joint (1 article 21 ), clavicle open reduction and internal fixation (1 article 17 ), forearm open reduction and internal fixation (1 article 29 ), thumb ulnar collateral ligament repair (3 articles 14 , 31 , 32 ), Tommy John surgery (ulnar collateral ligament reconstruction) (1 article 13 ), repair of acute superficial deltoid complex avulsion during ankle fracture fixation (1 article 10 ), hook of hamate excision (1 article 6 ), partial lateral meniscectomy (1 article 2 ), and operative Jones fracture treatment (1 article 18 ). In addition, 25 of the 29 included studies ¶ (86.2%) reported data on time to RTS, 7 studies 11 , 21 - 23 , 26 , 27 , 32 (24.1%) reported on patient-reported outcomes, and 15 studies 4 , 7 - 9 , 12 - 17 , 19 , 28 - 31 (5...…”

Section: Resultsmentioning

confidence: 99%

“…Of the 29 articles that met inclusion criteria, 14 articles 8 , 11 - 17 , 23 , 26 , 28 - 31 (48.3%) used the terminology “return to sport,” 11 articles ＃ (37.9%) used “return to play,” 1 article 3 (3.4%) used “return to competitive play,” 1 article 21 (3.4%) used “return to athletic activity,” 1 article 27 (3.4%) used “return to sporting activities,” and 1 article 22 (3.4%) used “favorable return to sport outcome (RTS +).” The most common definitions of RTS and RTP are summarized in Table 1 . The less commonly used terminologies are individually described below, and all are listed in Appendix Table A1 .…”

Section: Resultsmentioning

confidence: 99%

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Defining Return to Sport: A Systematic Review

Doege

Ayres

Mackay

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Return to sport (RTS) commonly serves as a measure for assessment of clinical outcomes in orthopaedic sports medicine surgery. Unfortunately, while RTS is commonly utilized in research for this purpose, currently there is no widely accepted or standardized definition for when an athlete has officially returned to his or her sport. Purpose: To conduct a systematic review to evaluate and report the differences in specific definitions of RTS utilized in the orthopaedic surgery literature. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using PubMed, EMBASE, and Cochrane Trials databases per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Search terms consisted of variations of “RTS” combined with variations of “orthopedic surgery” and “define” to capture as many relevant articles as possible. The definition of RTS was recorded and analyzed. Results: A total of 718 articles were identified in the initial search, 29 of which met eligibility criteria, providing a clear definition of RTS. Of the 29 studies included, 20 (69.0%) defined RTS as an athlete competing in a game or other competitive play. Three (10.3%) defined this as the athlete competing in a game or other competitive play but with an explicitly stated competition-level modifier of the athlete returning to his or her preinjury level of competition. Two articles (6.9%) included returning to training or practice, and the remaining 4 articles (13.8%) used terminology other than the standard RTS. Conclusion: There is variability in the definition of RTS used in orthopaedic sports medicine literature. Most studies refer to the athlete competing in a game or other competitive play. Other variants include returning to practice/training and explicitly defined competition levels and objectives. Future studies should aim to standardize the definition of RTS to facilitate more precise assessment of outcome after sports medicine surgery. Using terminology that describes components of the recovery and rehabilitation process, such as “return to participation” and “return to performance,” in addition to RTS will allow us to more clearly understand the athlete’s recovery and associated level of competition or performance.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Defining Return to Sport: A Systematic Review

Doege

Ayres

Mackay

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…However, most of them assess activities of daily living (ADL) whereas high-functioning overhead athletes often only notice symptoms or discomfort during sport-specific loading (Gallagher et al, 2017). The Kerlan-Jobe Orthopedic Clinic (KJOC) Shoulder and Elbow Score (Alberta et al, 2010) is one of the most widely used, valid, and reliable clinical outcome measures that is specific to the shoulder and elbow joint in overhead athletes (Merolla, Paladini, and Porcellini, 2018;Peduzzi et al, 2019;Saper et al, 2018). The KJOC is a patient-administered questionnaire consisting of 10 items to measure the functional status of the upper extremity in this high-functioning population.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of the Kerlan-Jobe orthopedic clinic shoulder and elbow score for German-speaking overhead athletes

Schulz

Eibl

Radovanović

et al. 2020

Physiotherapy Theory and Practice

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Background: The Kerlan-Jobe Orthopedic Clinic Shoulder and Elbow Score (KJOC) originally developed in English, assesses the functional status of the shoulder and elbow in overhead athletes. To date, no German version of the questionnaire exists. Objective: The aim of the study was to translate and to culturally adapt the KJOC into German (KJOC-G) and to test its psychometric properties. Methods: The first part of the study consisted of a translation and cross-cultural adaptation process which was performed in six stages according to international recommendations: Initial translations, synthesis, back translations, expert committee review, pretesting of the prefinal version, and final adaptations. Secondly, reliability, validity, and feasibility of the KJOC-G were assessed in German overhead athletes. Results: The translation and adaptation process led to minor alterations due to cultural differences while maintaining the general structure and content of the original score. A total of 152 overhead athletes (age 25.0 ± 6.6 years; 87 men/65 women) were included in the main analyses. The internal consistency (Cronbach's alpha = 0.93) and test-retest reliability (ICC 2.1 = 0.94) of the overall questionnaire were excellent. Moderate correlations with the German version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire (r = −0.51, p < .05) as well as the DASH-sports module (r = −0.54, p < .05) suggest moderate construct validity. Known-group method analysis showed the ability of the KJOC-G to discriminate between actively playing symptomatic (score: 71.2 ± 16.0) and asymptomatic (score: 93.1 ± 8.7) athletes. Conclusion: The KJOC-G score is valid, reliable, and suitable for assessing the functional shoulder and elbow status in German-speaking overhead athletes.

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“…Dieses beinhaltet 4 Phasen: Akutphase (1-3 Wochen), frühe Rekonvaleszenzphase (3-6 Wochen), späte Rekonvaleszenzphase (7-12 Wochen) und eine funktionelle Phase (> 12 Wochen) [59]. Eine Sportfähigkeit wird je nach Verletzung in bis zu 90 % angegeben, wobei jedoch Überkopfsportler zwischen 63 und 73 % den Leistungsstand wie vor der Operation erreichen [60][61][62].…”

Section: Therapieunclassified

Die „Handballer-Schulter“ im Fokus von Diagnostik und Therapie

Hepp

Henkelmann

2020

Sportverletz Sportschaden

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ZusammenfassungHandball zählt zu den beliebtesten Mannschaftssportarten in Deutschland. Bei Diagnostik und Therapie von Schulterverletzungen und Schulterbeschwerden muss zwischen der sportartspezifischen jahrelangen Adaptation und einer vermeintlichen Dekompensation zwingend unterschieden werden. Im Gegensatz zu reinen Wurfsportarten, wie z. B. Baseball oder Speerwerfen, werden im Handball wegen des gleichzeitigen Gegnerkontaktes die beabsichtigten Bewegungsabläufe durch erlaubte und unerlaubte Behinderungen oft plötzlich und ruckartig beeinflusst. Hierdurch können zusätzliche Verletzungen entstehen. Der Übergang einer physiologisch adaptierten Handballer-Schulter zu einer therapiebedürftigen pathologischen Werfer-Schulter ist meist fließend. Die Werfer-Schulter ist durch eine Leistungseinschränkung charakterisiert, die durch Schmerzen in der Schulter bei wiederholter sportartspezifischer Belastung hervorgerufen wird. Neben einer gründlichen klinischen Untersuchung ist, aufgrund der Tatsache, dass Veränderungen der Handballer-Schulter sich in der Muskultur, den Sehnen und im Knochen im Sinne von Überlastungsreaktionen (bone bruise) darstellen, das MRT die bevorzugte Untersuchungsmethode. Neben einer Sportkarenz und einer suffizienten Schmerztherapie sollte eine gezielte Physiotherapie erfolgen. Die Interpretation der MRT-Ergebnisse sollte immer mit den Symptomen und den klinischen Untersuchungsergebnissen abgeglichen werden. Indikationen zur Operation sind eine ausbleibende Besserung nach gezielter Schmerz- und Physiotherapie, strukturelle Schäden entsprechend der Symptome ohne Heilungschance bzw. mit höherer Gewissheit der Verbesserung der Beschwerden und Funktion durch eine Operation. Nach einer operativen Therapie spielt die anschließende Rehabilitation eine große Rolle. Eine Sportfähigkeit ist je nach Verletzung in bis zu 90 % wieder möglich.

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Internal impingement of the shoulder in overhead athletes: Retrospective multicentre study in 135 arthroscopically-treated patients

Cited by 12 publications

References 42 publications

Defining Return to Sport: A Systematic Review

Defining Return to Sport: A Systematic Review

Cross-cultural adaptation and validation of the Kerlan-Jobe orthopedic clinic shoulder and elbow score for German-speaking overhead athletes

Die „Handballer-Schulter“ im Fokus von Diagnostik und Therapie

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