Pre-college surgery, type of sport are indicators for orthopedic surgery in NCAA athletes
ORLANDO, Fla. — Research presented here indicated NCAA athletes who underwent lower extremity surgery prior to college were at a higher risk of undergoing orthopedic and knee surgery in same extremity during college, especially those involved in overhead sports, demonstrating rehabilitation may be inadequate or athletes did not fully return to function after surgery.
Researchers retrospectively identified 1,142 NCAA Division I athletes involved in 12 different sports, among whom 262 underwent orthopedic surgeries, as determined by the Sports Injury Monitoring System. Using pre-participation evaluations (PPEs), factors such as gender, sport and pre-college upper or lower extremity orthopedic surgeries were determined.
The researchers utilized a multiple Cox regression model to identify patient-related independent variables. The researchers also calculated exposure time from the date of PPE to either surgery date or end of career as a collegiate athlete.
Results from the multiple Cox regression model showed lower extremity surgery before college and type of sport were independent predictors for shoulder and knee surgery.
The strongest indicators for orthopedic surgery were participation in gymnastics, basketball and volleyball, whereas volleyball, gymnastics and baseball/softball were strongest indicators for shoulder surgery. The strongest indicators of knee surgery were basketball, football and volleyball, according to the researchers.
The researchers also found athletes with a history of orthopedic surgery prior to college had a higher chance of needing another surgery in same extremity during college.
Gender did not significantly predict surgery, and no indicators for hip surgery were identified, according to the researchers. – by Monica Jaramillo
Wang D, et al. Paper #71. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 7-12, 2015; Orlando, Fla.
Disclosures: Wang reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.