Artikel
High Return to Sport Rate and Good Patient-Reported Outcomes in Recreational Athletes Following Simple Elbow Dislocations
Suche in Medline nach
Autoren
-
Philip-Christian Nolte
- BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany
-
Melina Vorm Walde
- BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany
-
Bryant Paul Elrick
- University of Colorado School of Medicine, Aurora, United States
-
Paul A. Grützner
- BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany
-
Marc Schnetzke
- Deutsches Gelenkzentrum Heidelberg, Heidelberg, Germany
| Veröffentlicht: | 25. Oktober 2022 |
|---|
Gliederung
Text
Objectives: There is a paucity of literature regarding outcomes and return to sport rates following simple elbow dislocation. The purpose of this study was to investigate outcomes and return to sport metrics in recreational athletes who suffered simple elbow dislocations and were treated operatively or nonoperatively.
Methods: Patients age 16-70 years who sustained a simple elbow dislocation and were at least 2-years out from injury were included. Patient-reported outcome scores (PROS) including Mayo Elbow Performance Score (MEPS), Subjective Elbow Value (SEV), Oxford Elbow Score (OES) and Visual Analog Scale (VAS) were collected. Elbow arc of motion, satisfaction (1=most satisfied, 6=least satisfied), return to sport rate and return to sport time were assessed. Complications and revision surgeries were recorded. Subgroup analysis for patients treated operatively vs. nonoperatively was performed.
Results and conclusion: A total of 58 patients (27 females, 46.6%) with a mean age of 45.2 years (range, 16-68) completed follow-up at mean 7.6 years (range, 2.0-12.9). There were 39 patients (67.2%) who were treated operatively. Mean MEPS was 92.3 (95%CI, 89.2-95.4), mean SEV was 94.8 (95%CI, 92.4-97.3), mean OES was 43.1 (95%CI, 41.3-45.0), median VAS was 0 (range, 0-4), median satisfaction was 1 (range, 1-4), mean elbow arc of motion was 130.9° (95%CI, 126.9°-134.8°) for extension/flexion and 154.7° (95%CI, 149.7°-159.6°) for pronation/supination.
Table 1 [Tab. 1]
A total of 6 (10.3%) complications were observed and two (3.4%) required revision. Of 58 patients, 44 (75.9%) were recreational athletes. All athletes (100%) returned to sport and 36 (81.8%) returned to their pre-injury sport. The most common reason (75%) for failure to return to sport was limited range of motion. Mean time to return to sport was 21.7 (95%CI, 16.8-26.5) weeks. There were no significant differences in MEPS, SEV, VAS, satisfaction, arc of motion and return to sport metrics between the operative and nonoperative group besides a significant difference in OES that favored the nonoperative group (45.8 [95%CI, 44.1-47.5] vs. 41.9 [95%CI, 39.3-44.4]; P=.010).
Good outcomes and a high return to sport rate can be expected in recreational athletes following operative and nonoperative treatment of simple elbow dislocations. However, as many as one-in-five patients may not return to pre-injury sport.
