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Tratamiento de Lesiones del ligamento lateral cubital y desgarres en el labrum superior por médicos de equipos de las Grandes Ligas de béisbol

Treatment of Ulnar Collateral Ligament Injuries and Superior Labral Tears by Major League Baseball Team Physicians

 

Fuente
Este artículo es originalmente publicado en:

http://www.ncbi.nlm.nih.gov/pubmed/27017566

http://www.arthroscopyjournal.org/article/S0749-8063(16)00064-5/abstract
De:

Erickson BJ1, Harris JD1, Fillingham YA1, Cvetanovich GL1, Bush-Joseph CA1, Bach BR Jr1, Romeo AA1, Verma NN2.

Arthroscopy. 2016 Mar 23. pii: S0749-8063(16)00064-5. doi: 10.1016/j.arthro.2016.01.034. [Epub ahead of print]
Todos los derechos reservados para:

Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Abstract

PURPOSE:

To determine practice patterns of Major League Baseball (MLB) team orthopaedic surgeons in addressing the controversial topics of ulnar collateral ligament (UCL) tears, type II SLAP tears, and partial-thickness rotator cuff tear.

METHODS:

Seventy-four MLB team orthopaedic surgeons were surveyed via an online survey system. A 14-question survey was used to assess surgeon experience, technique, and graft choice for UCL reconstruction (UCLR), treatment of type II SLAP tears, and other common pathologic conditions.

RESULTS:

Thirty team orthopaedic surgeons (41%) responded (mean experience as team physicians: 9.37 ± 6.33 years). Seventeen (56.7%) surgeons use the docking technique for UCLR whereas 20% use the modified Jobe technique. Nineteen (63.3%) use palmaris longus autograft in UCLR. Overall, 28 (93.3%) do not routinely perform elbow arthroscopy or perform an obligatory transposition of the ulnar nerve in patients without preoperative ulnar nerve symptoms. Twenty-eight (93.3%) would repair a type II SLAP tear, whereas only 1 (3.3%) would debride the tear. No surgeon would perform a concomitant biceps tenodesis, either open or arthroscopic.

CONCLUSIONS:

Most MLB team orthopaedic surgeons perform a UCLR using the docking technique with a palmaris longus autograft without concomitant elbow arthroscopy or obligatory transposition of the ulnar nerve. The overwhelming majority of these surgeons would also treat an operative type II SLAP tear with a SLAP repair.

CLINICAL RELEVANCE:

The number of UCLRs and SLAP repairs performed on MLB pitchers has significantly increased over the past 10 years. To properly treat these conditions in elite, college, and recreational athletes, it is important to understand how the surgeons who take care of the most elite-level athletes treat them, and how they are able to reproducibly attain excellent outcomes. This study shows how these common shoulder andelbow injuries are treated by those surgeons who care for the most elite overhead-throwing athletes in the world.

 

RELEVANCIA CLÍNICA:
El número de UCLRs y las reparaciones realizadas en SLAP de lanzadores en la MLB ha aumentado significativamente en los últimos 10 años. Para tratar adecuadamente estas condiciones en atletas  de élite, universitarios y aficionados, es importante entender cómo los cirujanos que se ocupan de los atletas de élite los tratan, y la forma en que son capaces de alcanzar resultados de excelencia reproducible. Este estudio muestra cómo estas lesiones en el hombro y el codo comunes son tratados por los cirujanos que se ocupan de los atletas de la élite  que lanzan de manera repetida en el mundo.

Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

PMID:27017566 [PubMed – as supplied by Publisher]