Evidence map›Paper›PMID 42186511›Full record

ArticleOrthopaedic journal of sports medicine2026

Development and Validation of the Elbow Instability-Return to Sport After Injury (EI-RSI) Scale: Assessing Psychological Readiness for Return to Sport.

Pavel Kadantsev, Ahmed Ellafi, Sebastian Siebenlist, Lukas N Muench, Armin Runer, Maximilian Hinz, Stephanie Geyer, Sebastian Lappen

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Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Pavel KadantsevDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-8027-3898
Ahmed EllafiDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0009-0001-1581-1792
Sebastian SiebenlistDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-4777-3639
Lukas N MuenchDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-7393-1891
Armin RunerDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-9901-6552
Maximilian HinzDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-2649-8420
Stephanie GeyerDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0009-0002-8269-0043
Sebastian LappenDepartment of Sports Orthopaedics, TUM University Hospital, Technical University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychological readiness is an essential determinant of safe return to sport (RTS) after injury, yet it is often underrepresented in assessments of patients with elbow instability. The Elbow Instability-Return to Sport after Injury (EI-RSI) scale is a questionnaire designed to evaluate psychological readiness in athletes after lateral ulnar collateral ligament (LUCL) reconstruction for posterolateral rotatory instability of the elbow. Purpose: To develop and validate the EI-RSI scale. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: The EI-RSI was developed from the anterior cruciate ligament return-to-sport index (ACL-RSI) and the shoulder instability return-to-sport index (SI-RSI) with input from 10 patients with LUCL reconstruction (10 elbow joints), then tested in a retrospective cohort (2015-2021). Validity was assessed by correlating with the Mayo Elbow Performance Score (MEPS) and the Patient-Rated Elbow Evaluation (PREE). Reliability was assessed using test-retest analysis. RTS was measured via a questionnaire assessing participation (yes/no), return to preinjury level, and time to return. Statistical analyses included the Mann-Whitney Results: A total of 47 patients (47 elbow joints; mean age, 40.7 ± 13 years; 22 men) were analyzed, with a median follow-up of 77 months (interquartile range [IQR], 36-110). The EI-RSI demonstrated good construct validity, showing a moderate positive correlation with MEPS ( Conclusion: Our study demonstrated that the EI-RSI is a valid and reliable instrument for evaluating psychological readiness to RTS after LUCL reconstruction for posterolateral rotatory elbow instability. Its clinical implementation may facilitate informed RTS decisions and identify patients who could benefit from psychological support before safely resuming athletic activity.

Indexed as

elbow instabilitypsychosocial factorsreinjury anxietysport confidence

Identifiers

PMID42186511
PMCPMC13198678

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.