{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:02:05Z","timestamp":1793106125410,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2021,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The results of surgical treatment of shoulder injuries in high-level male gymnasts have not yet been documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the functional and subjective results after surgical treatment of shoulder injuries in high-level gymnasts and the possibilities to return to sport at the same level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Over a 20-year period (1994-2014), 23 high-level male gymnasts (26 shoulders) underwent surgery by a single experienced shoulder surgeon. At the time of surgery, 7 gymnasts competed at the international level, 12 at the national elite level, and 4 at the regional level. According to symptoms and anatomic lesions, the shoulders were classified into 2 groups: painful shoulders (n = 11) and unstable shoulders (n = 15). Fifteen capsulolabral repairs, 10 cuff debridements, 1 cuff repair, 4 SLAP (superior labral anterior and posterior) repairs, and 8 suprapectoral biceps tenodesis were performed. Twelve shoulders (46%) had &gt;1 procedure performed. Outcomes assessment was performed by an independent observer at a mean of 5 years (range, 2-15 years) postoperatively. In addition, patients completed the Subjective Shoulder Value (range, 0%-100%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After shoulder surgery, 21 (91%) of the 23 gymnasts returned to competitive gymnastics, and 20 gymnasts (87%) regained their preinjury level of sport. All international-level gymnasts returned to their preinjury level of sport. Three athletes (13%) underwent revision surgery, and 1 athlete (4%) ended his career without returning to competition. The postoperative period before resumption of competitive gymnastics was 9 \u00b1 3.5 months (mean \u00b1 SD). Of the 15 gymnasts treated for shoulder instability with arthroscopic stabilization, 12 were able to return to their previous level of sport. All 8 gymnasts who had arthroscopic biceps tenodesis were able to return to their previous level of sport, as opposed to only 2 of 4 gymnasts treated with SLAP repair. The gymnastics-specific Subjective Shoulder Value score was 80% \u00b1 11%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most gymnasts who required surgical treatment for a shoulder injury were able to return to competition at their previous level, although there was a considerable postoperative recovery period. Current arthroscopic reconstruction techniques were effective for treating structural lesions and allowing return to high-level gymnastics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671211043468","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T07:11:05Z","timestamp":1633417865000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The Injured Shoulder in High-Level Male Gymnasts, Part 2: Can Athletes Return to Competition After Surgery?"],"prefix":"10.1177","volume":"9","author":[{"given":"Patrick","family":"Gendre","sequence":"first","affiliation":[{"name":"Polyclinique Saint Jean, Cagnes-sur-Mer, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Boileau","sequence":"additional","affiliation":[{"name":"Institut de Chirurgie R\u00e9paratrice, Nice, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,4]]},"reference":[{"key":"bibr1-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(85)80041-4"},{"issue":"3","key":"bibr2-23259671211043468","first-page":"240","volume":"44","author":"Bernasconi S","year":"2004","journal-title":"J Sports Med Phys Fitness"},{"key":"bibr3-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e3181bac69f"},{"key":"bibr4-23259671211043468","first-page":"74","volume-title":"Current Concepts in Shoulder Arthroscopy and Arthrosplasty","volume":"1","author":"Boileau P","year":"2004"},{"issue":"6","key":"bibr5-23259671211043468","first-page":"1229","volume":"87","author":"Boileau P","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"bibr6-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.36488"},{"issue":"8","key":"bibr7-23259671211043468","first-page":"5S19","volume":"93","author":"Boileau P","year":"2007","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr8-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508330127"},{"key":"bibr9-23259671211043468","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200608000-00010"},{"key":"bibr10-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.05.020"},{"key":"bibr11-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-9457(00)00033-6"},{"key":"bibr12-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2011.10599717"},{"key":"bibr13-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1159\/000084282"},{"key":"bibr14-23259671211043468","doi-asserted-by":"publisher","DOI":"10.1007\/BF01565996"},{"issue":"214","key":"bibr15-23259671211043468","first-page":"160","author":"Constant CR","year":"1987","journal-title":"Clin Orthop Relat Res"},{"key":"bibr16-23259671211043468","volume-title":"Epaule et gymnastique, techniques et risques. 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