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Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study

Introduction Athletic pubalgia (AP) injuries requiring surgical repair in elite-level soccer players are significant injuries with the potential of impacting a player's playing time and performance. Currently, no data exists explicitly analyzing Major League Soccer (MLS) players' return to...

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Autores principales: Guarneri, Briley, Morrison, Logan, Martorana, Adam, Gujral, Ishan, Harris, Lafe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205051/
https://www.ncbi.nlm.nih.gov/pubmed/37228531
http://dx.doi.org/10.7759/cureus.38023
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author Guarneri, Briley
Morrison, Logan
Martorana, Adam
Gujral, Ishan
Harris, Lafe
author_facet Guarneri, Briley
Morrison, Logan
Martorana, Adam
Gujral, Ishan
Harris, Lafe
author_sort Guarneri, Briley
collection PubMed
description Introduction Athletic pubalgia (AP) injuries requiring surgical repair in elite-level soccer players are significant injuries with the potential of impacting a player's playing time and performance. Currently, no data exists explicitly analyzing Major League Soccer (MLS) players' return to play (RTP) rates and performance following these surgeries. Methods A retrospective review of publicly available data of all MLS players who underwent surgery to repair an isolated AP injury from the league inception year of 1993 through 2021 was performed. Demographic data at the time of injury was collected. Athletes who successfully returned to play for at least two seasons in the MLS were matched to healthy controls in a 1:2 ratio by demographics and position. The index year was defined as the season, including pre- and post-season, that the surgery occurred. RTP date and performance metrics one and two years pre- and post-index year were collected. Statistical analysis was performed. Results Eighty-eight players underwent surgical repair for AP from 1993 through 2021. Eighty-five athletes were able to successfully RTP (96.5%). Twenty-five players met the inclusion criteria and were included in the final analysis. The average RTP time was 1.08±4.92 months. During the combined seasons following surgery, athletes in the AP group displayed a significant reduction in minutes played compared to the two combined seasons prior to surgery (4153±912.77 vs. 3405.36±1342.35 minutes; p=0.03). There was no significant reduction in performance metrics when compared to both prior season statistics and the matched cohort (p>0.05).  Conclusion There is a high RTP rate among MLS players who undergo isolated surgical repair of AP. Although there was a significant reduction in combined minutes played in the two ensuing seasons following surgery, athletes who RTP demonstrated equivalent performance metrics comparable to their pre-injury seasons as well as to a matched cohort.
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spelling pubmed-102050512023-05-24 Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study Guarneri, Briley Morrison, Logan Martorana, Adam Gujral, Ishan Harris, Lafe Cureus General Surgery Introduction Athletic pubalgia (AP) injuries requiring surgical repair in elite-level soccer players are significant injuries with the potential of impacting a player's playing time and performance. Currently, no data exists explicitly analyzing Major League Soccer (MLS) players' return to play (RTP) rates and performance following these surgeries. Methods A retrospective review of publicly available data of all MLS players who underwent surgery to repair an isolated AP injury from the league inception year of 1993 through 2021 was performed. Demographic data at the time of injury was collected. Athletes who successfully returned to play for at least two seasons in the MLS were matched to healthy controls in a 1:2 ratio by demographics and position. The index year was defined as the season, including pre- and post-season, that the surgery occurred. RTP date and performance metrics one and two years pre- and post-index year were collected. Statistical analysis was performed. Results Eighty-eight players underwent surgical repair for AP from 1993 through 2021. Eighty-five athletes were able to successfully RTP (96.5%). Twenty-five players met the inclusion criteria and were included in the final analysis. The average RTP time was 1.08±4.92 months. During the combined seasons following surgery, athletes in the AP group displayed a significant reduction in minutes played compared to the two combined seasons prior to surgery (4153±912.77 vs. 3405.36±1342.35 minutes; p=0.03). There was no significant reduction in performance metrics when compared to both prior season statistics and the matched cohort (p>0.05).  Conclusion There is a high RTP rate among MLS players who undergo isolated surgical repair of AP. Although there was a significant reduction in combined minutes played in the two ensuing seasons following surgery, athletes who RTP demonstrated equivalent performance metrics comparable to their pre-injury seasons as well as to a matched cohort. Cureus 2023-04-23 /pmc/articles/PMC10205051/ /pubmed/37228531 http://dx.doi.org/10.7759/cureus.38023 Text en Copyright © 2023, Guarneri et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Guarneri, Briley
Morrison, Logan
Martorana, Adam
Gujral, Ishan
Harris, Lafe
Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study
title Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study
title_full Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study
title_fullStr Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study
title_full_unstemmed Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study
title_short Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study
title_sort return to play rate and performance following surgical repair of athletic pubalgia in major league soccer players: a retrospective case-control study
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205051/
https://www.ncbi.nlm.nih.gov/pubmed/37228531
http://dx.doi.org/10.7759/cureus.38023
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