No Difference in Return to Sport and Other Outcomes Between Operative and Nonoperative Treatment of Medial Epicondyle Fractures in Pediatric Upper-Extremity Athletes.
No Difference in Return to Sport and Other Outcomes Between Operative and Nonoperative Treatment of Medial Epicondyle Fractures in Pediatric Upper-Extremity Athletes.
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DOI：
10.1097/jsm.0000000000000666
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Mayer SW
中科院分区：
文献类型：
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作者：
Axibal DP;Carry P;Skelton A;Mayer SW
上肢运动员内上髁骨折手术和非手术治疗的结果比较。回顾性病历审查和电话调查。一级，三级儿科医院。倾向评分（手术治疗的可能性）通过逻辑回归模型进行估计，该模型包括性别、年龄、移位、肢体优势和损伤严重程度（存在额外骨折、神经损伤或肘关节脱位）。这些用于匹配手术组和非手术组的受试者。记录两组恢复运动、恢复运动所需的时间、疼痛、活动范围、物理治疗的需要和并发症。28例非手术受试者与14例手术受试者相匹配。在恢复相同运动的受试者比例（每组92.9%）、受伤前比赛水平的表现或恢复比赛的中位时间方面没有显著差异（p = 0.7106）。在社会/工作相关活动的功能限制（p > 0.9999）、过去30天的疼痛（p = 0.0640）、物理治疗需求（p = 0.5680）、活动范围限制（p = 0.0988）、睡眠困难（p = 0.4773）或并发症（p = 0.4081）方面没有显著差异。我们的研究发现，青少年上肢运动员中度移位的内上髁骨折手术和非手术治疗的结局或并发症无统计学差异。我们的数据显示，两个治疗组治疗上肢运动员内上髁骨折的结局相似。
Compare outcomes of operative and non-operatively managed medial epicondyle fractures in upper-extremity athletes. Retrospective chart review and phone survey. Level 1, tertiary-referral pediatric hospital. Propensity scores (probability of operative treatment) were estimated from a logistic regression model that included gender, age, displacement, limb dominance, and injury severity (presence of an additional fracture, nerve injury, or elbow dislocation). These were used to match subjects in the operative group to the non-operative group. Return to sport, duration of time required to return to sport, pain, range of motion, need for physical therapy, and complications were recorded for both groups. 28 non-operative subjects were matched to 14 operative subjects. There was no significant difference in the proportion of subjects that returned to the same sport (92.9% in each group), performance at pre-injury level of competition, or median time to return to play (p = 0.7106). There was no significant difference in functional limitations in social/ work related activities (p > 0.9999), pain in the last 30 days (p = 0.0640), need for physical therapy (p = 0.5680), range of motion limitations (p = 0.0988), difficulty sleeping (p = 0.4773), or complications (p = 0.4081). Our study found no statistical difference in outcomes or complications between operative and non-operatively treated moderately displaced medial epicondyle fractures in adolescent upper-extremity athletes. Our data shows similar outcomes may be achieved with both treatment groups for medial epicondyle fractures in upper-extremity athletes.