Return to Football and Long-Term Clinical Outcomes After Thumb Ulnar Collateral Ligament Suture Anchor Repair in Collegiate Athletes

Werner, Brian C.; Hadeed, Michael M.; Lyons, Matthew; Gluck, Joshua S.; Diduch, David R.; Chhabra, Anikar

doi:10.1016/j.jhsa.2014.06.132

Cited by 46 publications

(72 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…26 Chhabra et al reported quick return to play and excellent long-term results in their study of 18 college football players following UCL repair with a suture anchor. 27 The average time to surgery was 12 days for skilled players and 43 days for nonskilled players. 27 Skilled players returned to play 7 weeks postoperatively whereas nonskilled players returned at 4 weeks; all athletes returned to the same level of play and there was no difference in clinical outcomes between the skilled and nonskilled player groups over a two year follow-up period.…”

Section: Soft Tissue Injuriesmentioning

confidence: 99%

“…27 The average time to surgery was 12 days for skilled players and 43 days for nonskilled players. 27 Skilled players returned to play 7 weeks postoperatively whereas nonskilled players returned at 4 weeks; all athletes returned to the same level of play and there was no difference in clinical outcomes between the skilled and nonskilled player groups over a two year follow-up period. 27 64% of consultant hand surgeons surveyed by Carlson et al recommended waiting 12 weeks prior to return to unprotected play for NFL players.…”

Section: Soft Tissue Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Finger Injuries in Football and Rugby

Elzinga

Chung

2017

Hand Clinics

View full text Add to dashboard Cite

SYNOPSIS Football and rugby athletes are at increased risk of finger injuries given the full contact nature of these sports. Depending on the injury and the position played, some players may return to play early with protective taping, splinting, and casting. Other injuries, particularly in players requiring the full use of their hand for their position, require a longer rehabilitation period and prolonged time away from the field. The treating hand surgeon must carefully weigh the benefits of early return to play for the athlete’s current season and future playing career against the risks of re-injury and long-term morbidity, including post-traumatic arthritis and decreased range of motion and strength. Each player must be comprehensively assessed and managed with an individualized treatment plan.

show abstract

Section: Soft Tissue Injuriesmentioning

confidence: 99%

Section: Soft Tissue Injuriesmentioning

confidence: 99%

Finger Injuries in Football and Rugby

Elzinga

Chung

2017

Hand Clinics

View full text Add to dashboard Cite

show abstract

“… 7 , 11 In-season injuries have traditionally resulted in missed time for elite athletes. 17 , 18 Missed playing and practicing time may have adverse financial and professional repercussions.…”

mentioning

confidence: 99%

“… 2 , 4 , 5 , 20 Few case series exist describing return to play after thumb UCL repair. 6 , 15 , 17 , 18 This article provides data on return to play after UCL repair with suture tape augmentation in competitive high school, collegiate, and professional athletes. The goal of suture tape augmentation of a ligament repair is to add significant strength to the repair at time zero.…”

mentioning

confidence: 99%

Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair With Suture Tape Augmentation

Gibbs

Shin

2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Thumb ulnar collateral ligament (UCL) tears are common in competitive athletes. These tears often occur as a result of a radially directed force on an extended thumb. To date, no literature exists on the use of suture tape augmentation for repair of the thumb UCL in a competitive athlete cohort. Hypothesis: Using suture tape augmentation for the thumb UCL will allow for a safe and expedient return to play in competitive athletes. Study Design: Case series; Level of evidence, 4. Methods: A retrospective chart review was completed to identify all patients who underwent operative primary thumb UCL repair between 2014 and 2018. All procedures were performed at a single institution by the senior author. Inclusion criteria were acute complete tears of the thumb metacarpophalangeal joint UCL, treated with primary repair via suture tape augmentation in competitive high school, collegiate, or professional athletes. Exclusion criteria included recreational athletes, patients who underwent reconstruction (rather than repair), and patients with insufficient follow-up to establish return to play. Charts of patients identified through the retrospective review were further evaluated to determine patient- and injury-related variables. Return to play was defined as return to game competition and stratified as to whether this was at the same level of competition or any level of competition. Results: A total of 18 thumbs in 17 competitive high school, collegiate, and professional athletes were included in this study. One of the professional basketball players sustained injury to both thumbs approximately 10 months apart. The study group comprised 4 collegiate baseball players, 6 professional baseball players, 3 professional basketball players, 1 professional hockey player, 1 amateur-level hockey player, 1 high school basketball player, and 1 high school volleyball player. Mean follow-up was 27.9 months, and no complications were noted. Athletes who sustained an in-season injury (n = 13; 72.2%) returned to play at any level at a mean ± SD of 30.9 ± 10.1 days and at the same level at 36.3 ± 11.2 days. Athletes who sustained an out-of-season injury (n = 5; 27.8%) returned to play at any level at 101.4 ± 86.6 days and at the same level at 114.6 ± 87.0 days. Conclusion: The findings presented here offer evidence for return to play in competitive high school, collegiate, and professional athletes with a thumb UCL tear treated with repair and suture tape augmentation. All athletes returned to the same level of play. Those attempting to return in-season returned to the same level of play at a mean of just under 5 weeks. Augmenting the repair with anchored suture may prevent prolonged immobilization, expedite thumb motion, and improve postoperative recovery.

show abstract

“…50 These studies indicate that full return to sport participation after sustaining an injury in highly likely once the athletes has had time to recover, but some may be unable to maintain their previous level of sport. Findings may be different in a recreationally active population or in children and adolescents.…”

Section: Previous Injury and Return To Physical Activitymentioning

confidence: 95%

The Influence of Previous Injury History on Health and Fitness Outcomes in Junior High School Students

Berg

2017

Br J Sports Med

View full text Add to dashboard Cite

Objective: To assess the influence of previous sport and recreational injury on body composition, cardiorespiratory fitness, musculoskeletal strength, and dynamic balance in junior high school students (ages 11-16).Methods: Cross-sectional study design. Participants included 1,039 students from six junior high schools in Calgary, Alberta, Canada. Demographics, injury history, and sport participation over the previous 12 months were collected using a questionnaire. Outcome measures included body mass index (BMI), waist circumference, predicted VO 2 max, vertical jump, eyes closed dynamic balance, and star excursion balance test reach distances.Results: Previously injured participants had significantly higher BMI and left foot balance times compared to uninjured participants. Exploratory analysis results suggest that those who sustained two injuries had a significantly increased BMI and waist circumference compared to those who sustained no injuries. Conclusions:Participants with a history of injury demonstrated more unhealthy body composition, but better left foot dynamic balance compared to uninjured participants.iii Acknowledgements

show abstract

Return to Football and Long-Term Clinical Outcomes After Thumb Ulnar Collateral Ligament Suture Anchor Repair in Collegiate Athletes

Cited by 46 publications

References 30 publications

Finger Injuries in Football and Rugby

Finger Injuries in Football and Rugby

Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair With Suture Tape Augmentation

The Influence of Previous Injury History on Health and Fitness Outcomes in Junior High School Students

Contact Info

Product

Resources

About