caa a22 4500 605457107 CHVBK 20210128100221.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00167-013-2796-1 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2796-1 Serious shoulder injuries in professional soccer: return to participation after surgery [Elektronische Daten] [David Hart, Lennard Funk] Purpose: An evidence base for the management and prevention of shoulder injuries in soccer is lacking. The aim of this study was to demonstrate the type, mechanism and recovery time after surgery associated with serious shoulder injuries sustained in professional soccer to build an evidence base foundation. Methods: Fifty-two professional soccer players underwent shoulder surgery for injuries sustained during match play. Of these, 25 fulfilled the inclusion criteria. Data were collected for injury mechanism and type; clinical, radiological and surgical findings and procedures; and return to full participation. Subjects were all managed by the same surgeon. Results: Labral injuries represented the most common injury type affecting 21 (84%) subjects; two rotator cuff (8%) and two combined labral/rotator cuff (8%) injuries were less common. Fourteen (56%) subjects sustained a high-energy trauma injury in a combined abduction and external rotation position. Six (24%) subjects sustained a low-energy trauma mechanism in variable positions, while five (20%) had a gradual onset of symptoms. Twenty-two (88%) subjects reported a dislocation as a feature of their presentation. All of the subjects with high- and low-energy trauma mechanisms reported a dislocation occurring at the time of injury. Eight (32%) subjects had sustained a previous significant shoulder injury to the ipsilateral side. Goalkeepers did not sustain low-energy trauma injuries. Outfield players returned to full participation in a mean time of 11.6weeks, while goalkeepers did so in 11.1weeks post-surgery. Return to participation time ranged from 7 to 24weeks with a median of 11weeks. Conclusion: Professional soccer players can expect a return to participation within 12weeks post-surgery. The majority of serious shoulder injuries in soccer occur at a positional extreme of external rotation and abduction in high-energy situations, while a significant number occur in low-energy situations away from this position. Most serious shoulder injuries in professional soccer are dislocations. Previous shoulder injury is considered a risk factor. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2013 Shoulder nationallicence Injury nationallicence Surgery nationallicence Rehabilitation nationallicence Soccer nationallicence Football nationallicence Hart David Medical Department, Coventry City Football Club, Sky Blue Lodge, Leamington Road, CV83FL, Coventry, UK aut Funk Lennard Salford University, Manchester, UK aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2123-2129 0942-2056 23:7<2123 2015 23 167 https://doi.org/10.1007/s00167-013-2796-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2796-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hart David Medical Department, Coventry City Football Club, Sky Blue Lodge, Leamington Road, CV83FL, Coventry, UK aut NATIONALLICENCE 700 1- Funk Lennard Salford University, Manchester, UK aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2123-2129 0942-2056 23:7<2123 2015 23 167