Glenohumeral instability is a common injury among athletes, namely in those participating in contact and collision sports. Aside from anterior cruciate ligament tears, anterior shoulder instability results in more time away from play than any other injury in young collision athletes [1–3]. More than half (52.5%) of the shoulder dislocations presenting to emergency departments (ED) in the United States are sports-related, with American football being the most common contact sport resulting in shoulder instability (15.2% of all dislocations) [4]. Males comprise the vast majority of patients with sports-related shoulder dislocations, accounting for 86.1% of instability events [4]. In collegiate athletes, the estimated incidence of glenohumeral instability has been reported to be 0.12 per 1000 athlete exposures (AEs) [3]. A similar disparity between sexes in rates of shoulder dislocation is also seen in athletic populations, as the incidence in males and females is 0.15 and 0.06 per 1000 athletes, respectively. These rates are considerably higher for contact sport athletes, with the most common collegiate sports including men’s spring football (0.4/1000 AEs), men’s wrestling (0.21/1000 AEs), women’s ice hockey (0.18/1000 AEs), men’s fall football (0.18/1000 AEs), and men’s ice hockey (0.17/1000 AEs). Men’s football (spring and fall) has been reported to account for 76% of all shoulder dislocations in National Collegiate Athletic Association (NCAA) athletes. Although there is limited data available regarding the incidence of shoulder instability in professional athletes, a previous study reporting on 336 college football players entering the National Football League combine found that 14% of players had a history of shoulder instability and 10% had prior shoulder stabilization surgery [5]. Professional athletes competing in contact sports have also been found to have shorter careers compared to noncontact athletes following anterior shoulder stabilization, and although there is no statistically significant difference in duration of play after surgery (3.8 years versus 5.8 years, p > 0.05), this carries an undeniable clinical significance when considering the 2 years of lost compensation at the professional level [6].

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Shoulder Instability in the Collision Athlete

  • Liam A. Peebles,
  • Nigel O. Blackwood,
  • Matthew J. Kraeutler,
  • Mary K. Mulcahey

摘要

Glenohumeral instability is a common injury among athletes, namely in those participating in contact and collision sports. Aside from anterior cruciate ligament tears, anterior shoulder instability results in more time away from play than any other injury in young collision athletes [1–3]. More than half (52.5%) of the shoulder dislocations presenting to emergency departments (ED) in the United States are sports-related, with American football being the most common contact sport resulting in shoulder instability (15.2% of all dislocations) [4]. Males comprise the vast majority of patients with sports-related shoulder dislocations, accounting for 86.1% of instability events [4]. In collegiate athletes, the estimated incidence of glenohumeral instability has been reported to be 0.12 per 1000 athlete exposures (AEs) [3]. A similar disparity between sexes in rates of shoulder dislocation is also seen in athletic populations, as the incidence in males and females is 0.15 and 0.06 per 1000 athletes, respectively. These rates are considerably higher for contact sport athletes, with the most common collegiate sports including men’s spring football (0.4/1000 AEs), men’s wrestling (0.21/1000 AEs), women’s ice hockey (0.18/1000 AEs), men’s fall football (0.18/1000 AEs), and men’s ice hockey (0.17/1000 AEs). Men’s football (spring and fall) has been reported to account for 76% of all shoulder dislocations in National Collegiate Athletic Association (NCAA) athletes. Although there is limited data available regarding the incidence of shoulder instability in professional athletes, a previous study reporting on 336 college football players entering the National Football League combine found that 14% of players had a history of shoulder instability and 10% had prior shoulder stabilization surgery [5]. Professional athletes competing in contact sports have also been found to have shorter careers compared to noncontact athletes following anterior shoulder stabilization, and although there is no statistically significant difference in duration of play after surgery (3.8 years versus 5.8 years, p > 0.05), this carries an undeniable clinical significance when considering the 2 years of lost compensation at the professional level [6].