|Arthroscopic debridement of osteoarthritic elbow in professional athletes|
|Yan Hui; Cui Guo-qing; Wang Jian-quan; Yin Yu; Ao Ying-fang|
|关键词||Professional Athletes Osteoarthritic Elbow Arthroscopic Debridement|
|刊名||CHINESE MEDICAL JOURNAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Medicine, General & Internal|
|研究领域[WOS]||General & Internal Medicine|
|关键词[WOS]||ARTHRITIC ELBOW ; ULNOHUMERAL ARTHROPLASTY ; DEGENERATIVE ARTHRITIS|
Background Arthroscopic debridement is an appropriate procedure for osteoarthritic elbow in general populations. However, the results of arthroscopic debridement in the professional athletes, a younger and highly active patient cohort is unclear. The purposes of this study were to assess the clinical outcomes of arthroscopic debridement of osteoarthritic elbow in professional athletes and to evaluate the effect of prognostic factors on the clinical outcomes.
Methods From January 1999 to January 2006, 35 professional athletes with osteoarthritc elbow (36 elbows) were treated with arthroscopic debridement, consisted of osteophytes removal, loose bodies removal and fenestration of the olecranon fossa as necessary. Average patient age was (23 5) years (range 7-34 years). Average follow-up was (43 +/- 23) months (range 16-98 months). Athletic activities consisted mainly of wrestling, judo and weightlifting. Patients were evaluated preoperatively and postoperatively with the modified Hospital for Special Surgery (HSS) elbow scoring system.
Results According to the modified HSS elbow scoring system, the result was excellent for 16 elbows, good for 14 and poor for 6. No case had got worse after surgery. All athletes reported an improvement in pain. After athletic training, 15 elbows were not painful, 16 mildly painful, 3 moderately painful and 2 severely painful. The arc of flexion-extension improved from 111 degrees preoperatively to 127 degrees postoperatively. All of the athletes were able to return to their previous level of training. Five athletes won national-level championships. At follow-up, 17 athletes (18 elbows) were greatly satisfied with the results, 12 satisfied and 6 unsatisfied. Postoperatively, one athlete reported ulnar nerve symptoms and two others had residual loose bodies. The fenestration of the olecranon fossa was associated with a significantly increased chance of a poor outcome. The nature of the osteoarthritis, duration of symptoms, osteophytes removal and loose bodies removal did not predict the outcomes.
Conclusions Arthroscopic debridement of osteoarthritic elbow in professional athletes can yield significant short-term pain relief, as well as restoration of elbow range of motion and resuming their athletic training. The long-term durability of this procedure with regard to preservation of range of motion and radiographic progression of arthritis remains unknown. Chin Med J 2011;124(24):4223-4228
|作者单位||Peking Univ, Hosp 3, Dept Sports Med, Beijing 100191, Peoples R China|
|Yan Hui,Cui Guo-qing,Wang Jian-quan,et al. Arthroscopic debridement of osteoarthritic elbow in professional athletes[J]. CHINESE MEDICAL JOURNAL,2011,124(24):4223-4228.|
|APA||Yan Hui,Cui Guo-qing,Wang Jian-quan,Yin Yu,&Ao Ying-fang.(2011).Arthroscopic debridement of osteoarthritic elbow in professional athletes.CHINESE MEDICAL JOURNAL,124(24),4223-4228.|
|MLA||Yan Hui,et al."Arthroscopic debridement of osteoarthritic elbow in professional athletes".CHINESE MEDICAL JOURNAL 124.24(2011):4223-4228.|