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Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies

PURPOSE: To quantify the magnetic resonance arthrography (MRA) findings in rugby players during preoperative workup for anterior surgical stabilization for glenohumeral instability. METHODS: All patients who underwent glenohumeral instability surgery in our institution between 2008 and 2018 were con...

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Autores principales: Davey, Martin S., Hurley, Eoghan T., Hurley, Daire J., Pauzenberger, Leo, Mullett, Hannan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129450/
https://www.ncbi.nlm.nih.gov/pubmed/34027467
http://dx.doi.org/10.1016/j.asmr.2020.12.006
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author Davey, Martin S.
Hurley, Eoghan T.
Hurley, Daire J.
Pauzenberger, Leo
Mullett, Hannan
author_facet Davey, Martin S.
Hurley, Eoghan T.
Hurley, Daire J.
Pauzenberger, Leo
Mullett, Hannan
author_sort Davey, Martin S.
collection PubMed
description PURPOSE: To quantify the magnetic resonance arthrography (MRA) findings in rugby players during preoperative workup for anterior surgical stabilization for glenohumeral instability. METHODS: All patients who underwent glenohumeral instability surgery in our institution between 2008 and 2018 were considered for inclusion. Rugby players were identified using the patient’s medical notes, with subsequent identification of all professional players. All rugby player’s preoperative MRA findings were recorded and analyzed. RESULTS: Overall, 267 rugby players were included, 261 of whom were male (97.8%), with a mean age of 22.7 years (range 13-55 years). There were 58 professional rugby players (21.7%). The mean number of pathologies in nonprofessional rugby players was 5.0 pathologies versus 6.2 pathologies in the professional rugby players, with a significant difference in nonprofessional rugby players with up to 3 pathologies versus professional rugby players (26.3% vs 10.3%, P = .01). Professional rugby players had a statistically significant increased incidence of bicipital tendon lesions (25.9% vs 13.9%, P = .009), acromioclavicular joint degeneration (60.3% vs 42.1%, P = .016), glenohumeral bone loss (87.9% vs 69.9%, P = .006), and degenerative changes (67.2% vs 44.0%, P = .002) on their MRAs. CONCLUSIONS: Rugby players undergoing surgical stabilization for glenohumeral instability often have a significant number of pathologies identified on MRA at the time of surgery. Professional rugby players showed concerningly greater frequencies of early degenerative changes when compared with nonprofessional rugby players. LEVEL OF EVIDENCE: III; Retrospective Cohort Study
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spelling pubmed-81294502021-05-21 Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies Davey, Martin S. Hurley, Eoghan T. Hurley, Daire J. Pauzenberger, Leo Mullett, Hannan Arthrosc Sports Med Rehabil Original Article PURPOSE: To quantify the magnetic resonance arthrography (MRA) findings in rugby players during preoperative workup for anterior surgical stabilization for glenohumeral instability. METHODS: All patients who underwent glenohumeral instability surgery in our institution between 2008 and 2018 were considered for inclusion. Rugby players were identified using the patient’s medical notes, with subsequent identification of all professional players. All rugby player’s preoperative MRA findings were recorded and analyzed. RESULTS: Overall, 267 rugby players were included, 261 of whom were male (97.8%), with a mean age of 22.7 years (range 13-55 years). There were 58 professional rugby players (21.7%). The mean number of pathologies in nonprofessional rugby players was 5.0 pathologies versus 6.2 pathologies in the professional rugby players, with a significant difference in nonprofessional rugby players with up to 3 pathologies versus professional rugby players (26.3% vs 10.3%, P = .01). Professional rugby players had a statistically significant increased incidence of bicipital tendon lesions (25.9% vs 13.9%, P = .009), acromioclavicular joint degeneration (60.3% vs 42.1%, P = .016), glenohumeral bone loss (87.9% vs 69.9%, P = .006), and degenerative changes (67.2% vs 44.0%, P = .002) on their MRAs. CONCLUSIONS: Rugby players undergoing surgical stabilization for glenohumeral instability often have a significant number of pathologies identified on MRA at the time of surgery. Professional rugby players showed concerningly greater frequencies of early degenerative changes when compared with nonprofessional rugby players. LEVEL OF EVIDENCE: III; Retrospective Cohort Study Elsevier 2021-02-23 /pmc/articles/PMC8129450/ /pubmed/34027467 http://dx.doi.org/10.1016/j.asmr.2020.12.006 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Davey, Martin S.
Hurley, Eoghan T.
Hurley, Daire J.
Pauzenberger, Leo
Mullett, Hannan
Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies
title Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies
title_full Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies
title_fullStr Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies
title_full_unstemmed Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies
title_short Magnetic Resonance Arthrography in Rugby Players Undergoing Shoulder Stabilization for Glenohumeral Instability: Professionals Have Higher Frequencies of More Pathologies
title_sort magnetic resonance arthrography in rugby players undergoing shoulder stabilization for glenohumeral instability: professionals have higher frequencies of more pathologies
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129450/
https://www.ncbi.nlm.nih.gov/pubmed/34027467
http://dx.doi.org/10.1016/j.asmr.2020.12.006
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