Shoulder instability, performance, and return to play in National Hockey League players

© 2020 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 4(2020), 4 vom: 11. Dez., Seite 786-791
1. Verfasser: Swindell, Hasani W (VerfasserIn)
Weitere Verfasser: McCormick, Kyle L, Tedesco, Liana J, Herndon, Carl L, Ahmad, Christopher S, Levine, William N, Popkin, Charles A
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article National Hockey League Shoulder instability ice hockey player performance recurrent instability return to play upper extremity injuries
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520 |a BACKGROUND: The shoulder is a commonly injured area in hockey, yet information is lacking on the prevalence and effect of shoulder instability. Our study investigates the incidence of shoulder dislocation events in the National Hockey League (NHL) and the effects on return-to-play (RTP) and player performance. We hypothesize that NHL players would have high RTP rates without significant changes in performance after injury 
520 |a METHODS: NHL players who suffered in-season shoulder instability events between 2003-2004 and 2017-2018 seasons were identified. Demographic characteristics, incidence of injury, recurrences, RTP, and statistical performance data were collected. Postinjury performance was compared with experience-matched, era-matched, position-matched, and age-matched controls. A mixed generalized linear regression model was used to compare postinjury performance as a function of operative and nonoperative treatment 
520 |a RESULTS: A total of 57 players experienced 67 shoulder instability events with 98.5% of players returning to play after an average of 26.3 ± 20.8 regular season games missed. Surgery was performed in 47.8% of players with no recurrent injuries postoperatively. Nonoperatively managed players experienced a decrease in points per game (P = .034) compared with surgically treated patients. Recurrence occurred in 14.3% of conservatively managed players, with 33.3% experiencing a season-ending injury. Players with recurrent injuries missed significantly more career games compared with those treated initially with surgery (P = .00324) 
520 |a CONCLUSION: Professional hockey players experience high rates of RTP with acceptable performance outcomes after shoulder instability events; however, recurrent injuries led to significantly more career games missed when treated nonoperatively at the time of injury 
650 4 |a Journal Article 
650 4 |a National Hockey League 
650 4 |a Shoulder instability 
650 4 |a ice hockey 
650 4 |a player performance 
650 4 |a recurrent instability 
650 4 |a return to play 
650 4 |a upper extremity injuries 
700 1 |a McCormick, Kyle L  |e verfasserin  |4 aut 
700 1 |a Tedesco, Liana J  |e verfasserin  |4 aut 
700 1 |a Herndon, Carl L  |e verfasserin  |4 aut 
700 1 |a Ahmad, Christopher S  |e verfasserin  |4 aut 
700 1 |a Levine, William N  |e verfasserin  |4 aut 
700 1 |a Popkin, Charles A  |e verfasserin  |4 aut 
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773 1 8 |g volume:4  |g year:2020  |g number:4  |g day:11  |g month:12  |g pages:786-791 
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