Supraspinatus repair and biceps tenodesis in competitive CrossFit athletes allow for a 100% of return to sport
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SHOULDER
Supraspinatus repair and biceps tenodesis in competitive CrossFit athletes allow for a 100% of return to sport Stefano Carbone1 · Valerio Castagna2 · Daniele Passaretti3 · Vittorio Candela2 · Simone Cerciello4,5 · Emilio Delli Sante6 · Stefano Gumina2 Received: 26 April 2020 / Accepted: 20 October 2020 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020
Abstract Purpose The shoulder is the most commonly injured body part in CrossFit training. The aim of this study is to report the clinical and MRI results of an arthroscopic repair of supraspinatus tear associated with SLAP lesion in competitive CrossFit athletes. Methods Competitive CrossFit athletes affected by a full-thickness supraspinatus tear associated with SLAP lesion secondary to training injury were prospectively enrolled in the study. Clinical diagnosis was confirmed with MRI (> 1.5 T). Functional evaluation was done using the Constant Score (CS) and ASES score (ASES). All lesions were treated with single-row repair and biceps tenodesis. Minimum follow-up (clinical, MRI) was 24 months. Results Nineteen patients were available at the final follow-up. The average age was 43-year-old (range 28–52, SD 8), 12 were males and 7 females. Pre-operative CS and ASES were 67 (range 61–77, SD 7) and 71 (range 62–79, SD 5), respectively. At the 24-month follow-up, 19/19 athletes resumed intensive training and 17/19 returned to competitions. CS and ASES rose to 90 (p = 0.039) and 93 (p = 0.04), respectively. At the final follow-up, MRI indicated complete healing of the tendon in 15 (79%) cases and 4 (21%) cases with type II Sugaya repair integrity. Two of the patients of the latter group did not return to their usual training level and showed type II (Kibler) scapular dyskinesis. Conclusions Arthroscopic repair of the supraspinatus tendon associated with biceps tenodesis led to a 100% of return-toCrossFit training and 90% rate of individuals resuming competitions at 24 months of follow-up. MRI showed 15 (79%) cases of complete healing and 4 (21%) cases with type II Sugaya repair integrity; biceps tenodesis clinically failed only in 1 case and the athlete complained of a decrease in the competitions scores and opted to discontinue CrossFit competitions. Level of evidence IV. Keywords CrossFit · Single-row repair · Return to sports · Biceps tenodesis · Athletes’ motivation
Introduction
* Stefano Carbone [email protected] 1
Clinica San Feliciano, Via Giulio Pittarelli 114, 00166 Rome, Italy
2
Sapienza University of Rome, Polo Pontino, Latina, Italy
3
Ospedale CTO, Rome, Italy
4
Villa Betania, Rome, Italy
5
Marrelli Hospital, Crotone, Italy
6
Policlinico Casilino, Rome, Italy
Popularity of high-interval training of CrossFit is growing worldwide [18]. CrossFit is a strength and conditioning program with functional movements and high-intensity intermittent exercises studied to improve the level of fitness. CrossFit has two highly attractive aspects: first, its exercises are multifaced and can include weig
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