Journal of experimental orthopaedics · 2026 · 系統性回顧＋統合分析（依標題推測）
Coracoid bone-block versus soft-tissue stabilization for anterior shoulder instability in professional athletes: A systematic review and meta-analysis of return to play and recurrence rates.
肩 · 肩關節前向不穩定
中文閱讀摘要
統合分析比較職業運動員肩關節不穩手術，發現骨塊與軟組織固定重返運動率與復發率無顯著差異，但證據品質低。
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原始摘要
Purpose
Anterior shoulder instability is a common injury among professional athletes. Both soft-tissue and bone-block procedures are widely used for surgical stabilization, but it remains unclear whether one approach offers superior outcomes in terms of return to play (RTP) and recurrence. The purpose of this systematic review and meta-analysis was to compare RTP rates, time to RTP and recurrence of instability between professional athletes treated with coracoid bone-block procedures and those undergoing soft-tissue stabilization.
Methods
A systematic search of PubMed, Embase and the Cochrane Library was conducted from database inception through August 2025 according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies including professional athletes treated surgically for anterior shoulder instability were analysed. Pooled effect estimates were calculated using random-effects models. Subgroup analyses compared bone-block versus soft-tissue stabilization for RTP, time to RTP and recurrence.
Results
Thirteen studies were included in the systematic review and meta-analysis and of these, eight analysed soft-tissue surgery and five coracoid bone block. The overall pooled RTP rate was 95.6% (95% confidence interval [CI], 88.2-99.8) in the coracoid bone-block group and 95.9% (95% CI, 91.6-98.9) in the soft-tissue group ( p = 0.781). No significant differences were found in the level of RTP between the two treatment groups ( p = 0.266). A shorter time to RTP was observed in the coracoid bone-block group (166.24 days [95% CI, 116.05-238.13]) compared with soft-tissue stabilization (271.09 [95% CI, 195.03-376.80]; however, this finding should be interpreted with caution due to overlapping CIs, borderline statistical significance and substantial heterogeneity. The overall recurrence rate was 4.8% (95% CI, 1.5-9.3) with no difference between coracoid bone-block procedure (2.6% [95% CI, 0.0-8.7]) and soft-tissue (6.9% [95% CI, 2.0-13.8]) ( p = 0.302).
Conclusion
Both coracoid bone-block and soft-tissue procedures allow professional athletes to achieve high RTP rates with low recurrence. No definitive differences between techniques can be established, particularly considering the low quality of evidence and the substantial heterogeneity across studies.
Level of evidence
Level III, systematic review and meta-analysis.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1002/jeo2.70819
- PMID／PMCID
- 42339022 / PMC13285579
- 作者
- D'Ambrosi R, Corona K, Crescenzo A, Fogliata V, Greco V, Pautasso A, Sessa A, Bellato E, SICSeG (Italian Society of Shoulder, Elbow Surgery) Research Committee
- 首次發表日期
- 2026-04-01Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 13 ／ 2 ／ e70819
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
D'Ambrosi R, Corona K, Crescenzo A, Fogliata V, Greco V, Pautasso A, Sessa A, Bellato E, SICSeG (Italian Society of Shoulder, Elbow Surgery) Research Committee. Coracoid bone-block versus soft-tissue stabilization for anterior shoulder instability in professional athletes: A systematic review and meta-analysis of return to play and recurrence rates. Journal of experimental orthopaedics. 2026;13(2):e70819. PMID: 42339022. PMCID: PMC13285579. doi:10.1002/jeo2.70819
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