High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations
Abstract Background 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 The study included patients between the ages of 16 and 65 who were recreationa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03914-2 |
| _version_ | 1797795560825028608 |
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| author | Philip-Christian Nolte Melina Vorm Walde Bryant P. Elrick Paul-Alfred Grützner Felix Porschke Marc Schnetzke |
| author_facet | Philip-Christian Nolte Melina Vorm Walde Bryant P. Elrick Paul-Alfred Grützner Felix Porschke Marc Schnetzke |
| author_sort | Philip-Christian Nolte |
| collection | DOAJ |
| description | Abstract Background 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 The study included patients between the ages of 16 and 65 who were recreational athletes and had experienced a simple elbow dislocation, with at least 2 years having passed since the injury. Patient-reported outcomes including Mayo Elbow Performance Score (MEPS), Subjective Elbow Value (SEV), Oxford Elbow Score (OES) and Visual Analog Scale (VAS) were collected. Return to sport metrics were assessed. Results A total of 44 patients (21 females, mean age 43.8 years [95% CI, 39.1–48.5]) who were recreational athletes before their injury completed follow-up at mean 7.6 years (95% CI, 6.7–8.5). There were 29 patients (65.9%) who were treated operatively. Mean MEPS was 93.3 (95% CI, 90.2–96.4), mean SEV was 94.9 (95% CI, 91.9–97.9) and mean OES was 43.3 (95% CI, 41.3–45.4). A total of 36 (81.8%) patients returned to their pre-injury sport. Mean time to return to sport was 21.7 (95% CI, 16.8–26.5) weeks. There was a significant difference in OES (P = .019) and SEV (P = .030) that favored the nonoperative group; however, no significant differences for MEPS, VAS, satisfaction, arc of motion and return to sport were present between groups. A total of five (11.4%) complications were observed and one (2.3%) required revision. Conclusions 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. |
| first_indexed | 2024-03-13T03:19:49Z |
| format | Article |
| id | doaj.art-187ff4004a344e879180b933c6a66286 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-13T03:19:49Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-187ff4004a344e879180b933c6a662862023-06-25T11:22:57ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-06-011811810.1186/s13018-023-03914-2High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocationsPhilip-Christian Nolte0Melina Vorm Walde1Bryant P. Elrick2Paul-Alfred Grützner3Felix Porschke4Marc Schnetzke5Department for Trauma and Orthopedic Surgery, BG Klinik LudwigshafenDepartment for Trauma and Orthopedic Surgery, BG Klinik LudwigshafenDepartment of Orthopedics, University of Colorado School of MedicineDepartment for Trauma and Orthopedic Surgery, BG Klinik LudwigshafenDepartment for Trauma and Orthopedic Surgery, BG Klinik LudwigshafenGerman Joint Centre, ATOS Clinic HeidelbergAbstract Background 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 The study included patients between the ages of 16 and 65 who were recreational athletes and had experienced a simple elbow dislocation, with at least 2 years having passed since the injury. Patient-reported outcomes including Mayo Elbow Performance Score (MEPS), Subjective Elbow Value (SEV), Oxford Elbow Score (OES) and Visual Analog Scale (VAS) were collected. Return to sport metrics were assessed. Results A total of 44 patients (21 females, mean age 43.8 years [95% CI, 39.1–48.5]) who were recreational athletes before their injury completed follow-up at mean 7.6 years (95% CI, 6.7–8.5). There were 29 patients (65.9%) who were treated operatively. Mean MEPS was 93.3 (95% CI, 90.2–96.4), mean SEV was 94.9 (95% CI, 91.9–97.9) and mean OES was 43.3 (95% CI, 41.3–45.4). A total of 36 (81.8%) patients returned to their pre-injury sport. Mean time to return to sport was 21.7 (95% CI, 16.8–26.5) weeks. There was a significant difference in OES (P = .019) and SEV (P = .030) that favored the nonoperative group; however, no significant differences for MEPS, VAS, satisfaction, arc of motion and return to sport were present between groups. A total of five (11.4%) complications were observed and one (2.3%) required revision. Conclusions 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.https://doi.org/10.1186/s13018-023-03914-2Elbow injuryElbow instabilityReturn-to-sportElbow stabilizationUCLLUCL |
| spellingShingle | Philip-Christian Nolte Melina Vorm Walde Bryant P. Elrick Paul-Alfred Grützner Felix Porschke Marc Schnetzke High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations Journal of Orthopaedic Surgery and Research Elbow injury Elbow instability Return-to-sport Elbow stabilization UCL LUCL |
| title | High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations |
| title_full | High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations |
| title_fullStr | High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations |
| title_full_unstemmed | High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations |
| title_short | High return to sport rate and good patient-reported outcomes in recreational athletes following simple elbow dislocations |
| title_sort | high return to sport rate and good patient reported outcomes in recreational athletes following simple elbow dislocations |
| topic | Elbow injury Elbow instability Return-to-sport Elbow stabilization UCL LUCL |
| url | https://doi.org/10.1186/s13018-023-03914-2 |
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