Performance Metrics in Professional Baseball Pitchers before and after Surgical Treatment for Neurogenic Thoracic Outlet Syndrome

Richardson

Journal of Vascular Surgery

et al. 2017

At our center, >40% of patients requiring FRRS for NTOS are competitive athletes. The results of this study show that the majority of them are able to return to their precompetitive state after FRRS, and few experience limitations in their daily living activities. Half can return to competition at or exceeding their premorbid ability level within 6 months of surgery. The majority are pleased with their decision to undergo FRRS. Further investigation is needed to identify predictive factors for successful return to competitive athletics.

Section: Discussionmentioning

confidence: 89%

Midterm and long-term follow-up in competitive athletes undergoing thoracic outlet decompression for neurogenic thoracic outlet syndrome

Richardson

Journal of Vascular Surgery

et al. 2017

Section: Methodsmentioning

confidence: 99%

“…Both BA and ERA are established, standardized performance measurements used in baseball analysis, and both have been used in a number of recent studies to assess performance after various injuries. 14,20,34,36 The season in which injury and surgical repair occurred was considered to be the index season. Statistics of interest as outlined above were recorded for the season before surgery and 1 and 2 years after surgery.…”

Section: Methodsmentioning

confidence: 99%

Professional Athletes’ Return to Play and Performance After Operative Repair of an Achilles Tendon Rupture

et al. 2017

An Achilles tendon rupture is a devastating injury that prevents RTP for 30.6% of professional players. Athletes who do return play in fewer games, have less play time, and perform at a lower level than their preinjury status. However, these functional deficits are seen only at 1 year after surgery compared with matched controls, such that players who return to play can expect to perform at a level commensurate with uninjured controls 2 years postoperatively.

“…The mean improvement of QuickDASH was 33, and the complete relief was obtained 43% of the patients. TOS sometimes occurs in throwing athletes 40,41 . Athletes show better improvement than non-athletes after rst rib resection and scalenectomy 42 .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopy-assisted First Rib Resection and Brachial Plexus Neurolysis for Thoracic Outlet Syndrome

Satake

Honma

Nito

et al. 2021

Preprint

The present study included 27 consecutive patients (30 limbs) undergoing arthroscopy-assisted transaxillary first rib resection and brachial plexus neurolysis for thoracic outlet syndrome (TOS). To improve visualization, we changed the intraoperative limb position in three stages. We assessed the intraoperative parameters, including the scalene interval width between the anterior and middle interscalene muscles (interscalene base), blood loss, operation time, preoperative and postoperative QuickDASH, patient satisfaction, and complications. The mean intraoperatively measured interscalene base width was 6.2 mm. Appropriate visualization could be obtained at zero-position in the late phase. Intraoperative blood loss and operation time were significantly less in the late phase (p < 0.001). The QuickDASH score was significantly improved (42 before surgery vs. 9 at final follow-up, p < 0.001), especially in athletes relative to non-athletes (0.2 vs 14, p < 0.001). The outcome was excellent in 43.3% of cases, good in 43.3%, fair in 13.3%, and poor in none. The present approach achieved complete relief in 43% of cases overall (91% in athletes and 16% in non-athletes). Pneumothorax was present at the early phase in 3.3%. There were no other complications and no recurrences. Arthroscopic surgery is useful for TOS, especially in athletes.