Treatment of Grade III Acromioclavicular Separations in Professional Baseball Pitchers: A Survey of Major League Baseball Team Physicians

Liu, Joseph N.; Garcia, Grant H.; Weeks, Kenneth D.; Joseph, Jacob R.; Limpisvasti, Orr; McFarland, Edward G.; Dines, Joshua S.

doi:10.12788/ajo.2018.0051

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…A systematic review examining type III injuries found equivalent clinical outcomes of patients managed operatively and nonoperatively, with a quicker return to work and sport for the nonoperative group [ 48 ]. Surveys have found that most surgeons manage type III injuries nonoperatively in the Netherlands [ 49 ], United Kingdom [ 50 ], and the United States [ 51 , 52 ].…”

Section: Management Of Acromioclavicular Joint Injuriesmentioning

confidence: 99%

Current Concepts in Management of Acromioclavicular Joint Injury

Lindborg,

Smith,

Reihl

et al. 2024

JCM

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Background: The management of acromioclavicular joint injuries requires a thorough understanding of the anatomy and biomechanics of the joint, as well as knowledge of the pertinent physical exam findings and classification to determine an appropriate treatment approach, whether operative or nonoperative. In this article, we present a narrative review of the current state of understanding surrounding these issues. Although there are a large number of options for operative intervention, we additionally present our experience with anatomic coracoclavicular ligament reconstruction (ACCR) with imbrication of the deltoid fascia. Methods: A retrospective review of prospectively collected data on a total of 45 patients who had undergone ACCR between 2003 and 2016 were collected. Results: We found that improvements were seen in American Shoulder and Elbow Surgeons Score (ASES) (53 ± 19 to 81 ± 23), Simple Shoulder Test (SST) (6 ± 3 to 12 ± 13), Constant–Murley (CM) (60 ± 18 to 92 ± 8), and Rowe (67 ± 14 to 89 ± 11) and the mean post-operative SANE score was 86 ± 17. Conclusions: ACCR has the advantage of addressing both horizontal and vertical stability with good outcomes.

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Section: Management Of Acromioclavicular Joint Injuriesmentioning

confidence: 99%

Current Concepts in Management of Acromioclavicular Joint Injury

Lindborg,

Smith,

Reihl

et al. 2024

JCM

View full text Add to dashboard Cite

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“… ** References 5 – 7 , 10 , 14 , 15 – 19 , 21 , 24 , 25 , 27 , 29 , 32 , 33 , 35 , 37 – 39 , 41 – 43 , 45 , 49 . …”

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Return to Play After Shoulder Surgery in Professional Baseball Players: A Systematic Review and Meta-analysis

Giberson-Chen

Shaw

Rudisill

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: The current literature lacks an updated review examining return to play (RTP) and return to prior performance (RTPP) after shoulder surgery in professional baseball players. Purpose: To summarize the RTP rate, RTPP rate, and baseball-specific performance metrics among professional baseball players who underwent shoulder surgery. Study Design: Systematic review; Level of evidence, 4. Methods: A literature search was performed utilizing the PubMed, MEDLINE, and CINAHL databases and according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Inclusion criteria were English-language studies reporting on postoperative RTP and/or RTPP in professional baseball players who underwent shoulder surgery between 1976 and 2016. RTP rates, RTPP rates, and baseball-specific performance metrics were extracted from qualifying studies. A total of 2034 articles were identified after the initial search. Meta-analysis was performed where applicable, yielding weighted averages of RTP and RTPP rates and comparisons between pitchers and nonpitchers for each type of surgery. Baseball-specific performance metrics were reported as a narrative summary. Results: Overall, 26 studies featuring 1228 professional baseball players were included. Patient-level outcome data were available for 529 players. Surgical interventions included rotator cuff debridement (n = 197), rotator cuff repair (RCR; n = 43), superior labrum from anterior to posterior repair (n = 124), labral repair (n = 103), latissimus dorsi/teres major (LD/TM) repair (n = 21), biceps tenodesis (n = 17), coracoclavicular ligament reconstruction (n = 15), anterior capsular repair (n = 5), and scapulothoracic bursectomy (n = 4). Rotator cuff debridement was the most common surgical procedure, while scapulothoracic bursectomy was the least common (37.2% and 0.8% of interventions, respectively). Meta-analysis revealed that the RTP rate was highest for LD/TM repair (84.5%) and lowest for RCR (53.5%), while the RTPP rate was highest for LD/TM repair (100.0%) and lowest for RCR (27.9%). RTP and RTPP rates were generally higher for position players than for pitchers. Nonvolume performance metrics were unaffected by shoulder surgery, while volume statistics decreased or remained similar. Conclusion: RTP and RTPP rates among professional baseball players were modest after most types of shoulder surgery. Among surgical procedures commonly performed on professional baseball players, RTP and RTPP rates were highest for LD/TM repair and lowest for RCR.

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Treatment of Grade III Acromioclavicular Separations in Professional Baseball Pitchers: A Survey of Major League Baseball Team Physicians

Cited by 2 publications

References 21 publications

Current Concepts in Management of Acromioclavicular Joint Injury

Current Concepts in Management of Acromioclavicular Joint Injury

Return to Play After Shoulder Surgery in Professional Baseball Players: A Systematic Review and Meta-analysis

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