Professional Advancement and Performance of Amateur Baseball Players Selected in the Major League Baseball Draft With Previous Anterior Cruciate Ligament Reconstruction.


Journal

The American journal of sports medicine
ISSN: 1552-3365
Titre abrégé: Am J Sports Med
Pays: United States
ID NLM: 7609541

Informations de publication

Date de publication:
03 2020
Historique:
pubmed: 29 1 2020
medline: 28 10 2020
entrez: 29 1 2020
Statut: ppublish

Résumé

The effect that an anterior cruciate ligament injury requiring reconstructive surgery has on the professional advancement and performance of amateur baseball players selected in the Major League Baseball draft is not known. Return to sports after anterior cruciate ligament reconstruction (ACLR) in professional athletes has been shown to be high, but mixed results with regard to performance and return to preinjury level have been demonstrated in other sports. To (1) investigate the highest level of professional advancement among Major League Baseball draftees with a history of ACLR before entering the draft, (2) examine how much time these players spent on the disabled list (DL) and determine if it was related to the knee, and (3) compare the batting and pitching performance of these players against healthy matched controls. Cohort study; Level of evidence, 3. Predraft medical records of all players selected in the Major League Baseball draft from 2004 to 2008 were reviewed. Players with a documented anterior cruciate ligament injury treated with ACLR before the draft were included. For each study player, 3 controls were identified. Data were accumulated from the time when players were drafted through the 2015 season. Outcome variables included highest professional level of advancement, DL time, and batting and pitching performance. Forty draftees with a history of ACLR (22 pitchers, 18 position players) were identified and matched to 120 controls (66 pitchers, 54 position players). The difference in the highest level of professional advancement between the groups was not statistically significant ( There was no difference between draftees with a history of ACLR and their controls in terms of advancement from the minor to the major leagues. Additionally, pitching and batting performance were similar. Although the 2 groups spent similar time on the DL, the ACLR group spent more time on the DL because of a knee injury than the control group.

Sections du résumé

BACKGROUND
The effect that an anterior cruciate ligament injury requiring reconstructive surgery has on the professional advancement and performance of amateur baseball players selected in the Major League Baseball draft is not known. Return to sports after anterior cruciate ligament reconstruction (ACLR) in professional athletes has been shown to be high, but mixed results with regard to performance and return to preinjury level have been demonstrated in other sports.
PURPOSE
To (1) investigate the highest level of professional advancement among Major League Baseball draftees with a history of ACLR before entering the draft, (2) examine how much time these players spent on the disabled list (DL) and determine if it was related to the knee, and (3) compare the batting and pitching performance of these players against healthy matched controls.
STUDY DESIGN
Cohort study; Level of evidence, 3.
METHODS
Predraft medical records of all players selected in the Major League Baseball draft from 2004 to 2008 were reviewed. Players with a documented anterior cruciate ligament injury treated with ACLR before the draft were included. For each study player, 3 controls were identified. Data were accumulated from the time when players were drafted through the 2015 season. Outcome variables included highest professional level of advancement, DL time, and batting and pitching performance.
RESULTS
Forty draftees with a history of ACLR (22 pitchers, 18 position players) were identified and matched to 120 controls (66 pitchers, 54 position players). The difference in the highest level of professional advancement between the groups was not statistically significant (
CONCLUSION
There was no difference between draftees with a history of ACLR and their controls in terms of advancement from the minor to the major leagues. Additionally, pitching and batting performance were similar. Although the 2 groups spent similar time on the DL, the ACLR group spent more time on the DL because of a knee injury than the control group.

Identifiants

pubmed: 31990575
doi: 10.1177/0363546519898194
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

581-587

Auteurs

Anthony Porter (A)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

Shawn Yang (S)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

Aakash Chauhan (A)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

Samuel Early (S)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

Sravya Challa (S)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

John D'Angelo (J)

Major League Baseball, New York, New York, USA.

Daniel Keefe (D)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

Heinz Hoenecke (H)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

Jan Fronek (J)

Division of Sports Medicine, Department of Orthopedic Surgery, Scripps Clinic, La Jolla, California, USA.

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Classifications MeSH