Return to Play and Prior Performance in Major League Baseball Pitchers After Repair of Superior Labral Anterior-Posterior Tears

@article{Smith2016ReturnTP,
  title={Return to Play and Prior Performance in Major League Baseball Pitchers After Repair of Superior Labral Anterior-Posterior Tears},
  author={Ryan Smith and Daniel J. Lombardo and Graysen R. Petersen-Fitts and Charles Frank and Troy N Tenbrunsel and Gannon L Curtis and James Whaley and Vani J. Sabesan},
  journal={Orthopaedic Journal of Sports Medicine},
  year={2016},
  volume={4}
}
Background: The published return-to-play (RTP) rates for Major League Baseball (MLB) pitchers who have undergone surgical repair of superior labrum anterior-posterior (SLAP) tears vary widely and are generally accepted to be lower in the subset of competitive throwers. The efficacy of surgical treatment for MLB players is largely unknown. Purpose: To examine the RTP rate and performance of MLB pitchers who have undergone SLAP tear repair between 2003 and 2010. Study Design: Descriptive… 

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References

SHOWING 1-10 OF 16 REFERENCES
Rate of Return to Pitching and Performance After Tommy John Surgery in Major League Baseball Pitchers
TLDR
There is a high rate of RTP in professional baseball after UCL reconstruction, and patients who underwent UCL reconstructions had better results in multiple performance measures when compared with demographic-matched controls.
Return to Play After Treatment of Superior Labral Tears in Professional Baseball Players
TLDR
Nonsurgical treatment correcting scapular dyskinesia and GIRD had a reasonable success rate in professional baseball players with painful shoulders and documented SLAP lesions, and the RTP and RPP rates were higher for position players than for pitchers.
Return to Play After Type II Superior Labral Anterior-Posterior Lesion Repairs in Athletes: A Systematic Review
TLDR
Repair of Type II SLAP tears leads to a return to previous level of play in most patients and Anchor fixation appears to be the most favorable fixation in both subjective scores and return toPrevious level ofPlay.
Results of Arthroscopic Repair of Type II Superior Labral Anterior Posterior Lesions in Overhead Athletes
TLDR
Arthroscopic SLAP repairs show excellent results and a high rate of overall satisfaction; however, the outcomes are less reliable in throwers, suggesting consistent return to elite throwing sports may still remain somewhat problematic.
Performance Outcomes After Repair of Complete Achilles Tendon Ruptures in National Basketball Association Players
TLDR
The NBA players who returned to play after repair of complete Achilles tendon ruptures showed a significant decrease in playing time and performance.
Outcome of Type II Superior Labral Anterior Posterior Repairs in Elite Overhead Athletes
TLDR
The Kerlan-Jobe Orthopaedic Clinic score, designed specifically for the evaluation of the overhead athlete, was a more accurate assessment tool than was the American Shoulder and Elbow Surgeons in this population of elite overhead athletes with SLAP tears.
Outcomes after arthroscopic repair of type-II SLAP lesions.
TLDR
It is indicated that favorable outcomes can be anticipated in the majority of patients after arthroscopic SLAP lesion repair, and patients with a distinct traumatic etiology have a greater likelihood of a successful return to sports.
Arthroscopic repair of isolated type II superior labrum anterior–posterior lesion
TLDR
It is concluded that arthroscopic repair is an effective operation of type II SLAP lesion with good clinical and functional outcomes; however, athletes with high demand of overhead throwing activities are likely to take longer duration of rehabilitation to attain full recovery.
Nonoperative Treatment of Superior Labrum Anterior Posterior Tears
TLDR
Using validated, patient-derived outcome instruments, the present study shows that successful nonoperative treatment of superior labral tears results in improved pain relief and functional outcomes compared with pretreatment assessments.
...
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