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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 6/2016

01-06-2016 | Shoulder

Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes

Authors: Antoine Gerometta, Claudio Rosso, Shahnaz Klouche, Philippe Hardy

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2016

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Abstract

Purpose

The aim of this study was to evaluate return to sports after arthroscopic Bankart stabilization.

Methods

This is a retrospective study including all athletes aged <50 years who underwent arthroscopic stabilization in 2010 and 2011 (m, 36; f, 10; mean age 28.9 ± 8.1 years; follow-up 24.4 ± 7.7 months). Sixteen patients were practicing competitive sports and 30 recreational sports. Level and delay of return to sports, sports classification according to Allain, Western Ontario Shoulder Instability Index (WOSI) score, patient satisfaction, apprehension level and avoidance behaviour were noted.

Results

95.7 % returned to the same level after an average of 9.8 ± 5.4 months. Sports level was unchanged or better in 82.6 %, lower in 8.7, and 4.5 % changed sport because of their shoulder. Patients with more than 10 dislocations returned to sports and to their preoperative level later than patients with <10. Male athletes returned to preoperative sports levels faster than female athletes (p < 0.001). The WOSI score and also its item “sports” were worse in those who had not returned (p = 0.0002 and 0.006, respectively). Satisfaction correlated with the WOSI score (p = 0.0004) while 93.3 % were satisfied/very satisfied. The decrease in the apprehension level was significant (p < 0.00001). 36.9 % still experienced avoidance behaviour.

Conclusions

Most athletes resumed their main sport often at the same level, but the threshold of 10 dislocations should be considered a risk factor for longer return to sports at any level. The WOSI score is a valuable outcome score after Bankart stabilization. Postoperative avoidance should be distinguished from apprehension.

Level of evidence

IV.
Literature
1.
Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80(6):841–852PubMed
2.
Bacilla P, Field LD, Savoie FH 3rd (1997) Arthroscopic Bankart repair in a high demand patient population. Arthroscopy 13(1):51–60CrossRefPubMed
3.
Balg F, Boileau P (2007) The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br 89(11):1470–1477CrossRefPubMed
4.
Boileau P, Fourati E, Bicknell R (2012) Neer modification of open Bankart procedure: what are the rates of recurrent instability, functional outcome, and arthritis? Clin Orthop Relat Res 470(9):2554–2560CrossRefPubMedPubMedCentral
5.
Boileau P, O’Shea K, Vargas P, Pinedo M, Old J, Zumstein M (2012) Anatomical and functional results after arthroscopic Hill–Sachs remplissage. J Bone Joint Surg Am 94(7):618–626CrossRefPubMed
6.
Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88(8):1755–1763CrossRefPubMed
7.
Castagna A, Markopoulos N, Conti M, Delle Rose G, Papadakou E, Garofalo R (2010) Arthroscopic bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med 38(10):2012–2016CrossRefPubMed
8.
9.
Gaudelli C, Balg F, Godbout V, Pelet S, Djahangiri A, Griffin S, Rouleau DM (2014) Validity, reliability and responsiveness of the French language translation of the Western Ontario Shoulder Instability Index (WOSI). Orthop Traumatol Surg Res 100(1):99–103CrossRefPubMed
10.
Harris JD, Gupta AK, Mall NA, Abrams GD, McCormick FM, Cole BJ, Bach BR Jr, Romeo AA, Verma NN (2013) Long-term outcomes after bankart shoulder stabilization. Arthroscopy 29(5):920–933CrossRefPubMed
11.
Hovelius L, Vikerfors O, Olofsson A, Svensson O, Rahme H (2011) Bristow-Latarjet and Bankart: a comparative study of shoulder stabilization in 185 shoulders during a seventeen-year follow-up. J Shoulder Elbow Surg 20(7):1095–1101CrossRefPubMed
12.
Ide J, Maeda S, Takagi K (2004) Arthroscopic Bankart repair using suture anchors in athletes: patient selection and postoperative sports activity. Am J Sports Med 32(8):1899–1905CrossRefPubMed
13.
Kemp KA, Sheps DM, Beaupre LA, Styles-Tripp F, Luciak-Corea C, Balyk R (2012) An evaluation of the responsiveness and discriminant validity of shoulder questionnaires among patients receiving surgical correction of shoulder instability. Sci World J 2012:410125CrossRef
14.
Khiami F, Sariali E, Rosenheim M, Hardy P (2012) Anterior shoulder instability arthroscopic treatment outcomes measures: the WOSI correlates with the Walch-Duplay score. Orthop Traumatol Surg Res 98(1):48–53CrossRefPubMed
15.
Kirkley A, Griffin S, McLintock H, Ng L (1998) The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The Western Ontario Shoulder Instability Index (WOSI). Am J Sports Med 26(6):764–772PubMed
16.
Mishra DK, Fanton GS (2001) Two-year outcome of arthroscopic Bankart repair and electrothermal-assisted capsulorrhaphy for recurrent traumatic anterior shoulder instability. Arthroscopy 17(8):844–849CrossRefPubMed
17.
Neyton L, Young A, Dawidziak B, Visona E, Hager JP, Fournier Y, Walch G (2012) Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet-Patte procedure with minimum 5-year follow-up. J Shoulder Elbow Surg 21(12):1721–1727CrossRefPubMed
18.
O’Neill DB (1999) Arthroscopic Bankart repair of anterior detachments of the glenoid labrum. A prospective study. J Bone Joint Surg Am 81(10):1357–1366PubMed
19.
Privitera DM, Bisson LJ, Marzo JM (2012) Minimum 10-year follow-up of arthroscopic intra-articular Bankart repair using bioabsorbable tacks. Am J Sports Med 40(1):100–107CrossRefPubMed
20.
Resch H, Povacz P, Wambacher M, Sperner G, Golser K (1997) Arthroscopic extra-articular Bankart repair for the treatment of recurrent anterior shoulder dislocation. Arthroscopy 13(2):188–200CrossRefPubMed
21.
Salomonsson B, Abbaszadegan H, Revay S, Lillkrona U (2009) The Bankart repair versus the putti-platt procedure: a randomized study with WOSI score at 10-year follow-up in 62 patients. Acta Orthop 80(3):351–356CrossRefPubMedPubMedCentral
22.
Stein T, Linke RD, Buckup J, Efe T, von Eisenhart-Rothe R, Hoffmann R, Jager A, Welsch F (2011) Shoulder sport-specific impairments after arthroscopic Bankart repair: a prospective longitudinal assessment. Am J Sports Med 39(11):2404–2414CrossRefPubMed
23.
Thomazeau H, Courage O, Barth J, Pelegri C, Charousset C, Lespagnol F, Nourissat G, Audebert S, Guillo S, Toussaint B, Lafosse L, Bradel J, Veillard D, Boileau P (2010) Can we improve the indication for Bankart arthroscopic repair? A preliminary clinical study using the ISIS score. Orthop Traumatol Surg Res 96(8 Suppl):S77–S83CrossRefPubMed
24.
Walton J, Paxinos A, Tzannes A, Callanan M, Hayes K, Murrell GA (2002) The unstable shoulder in the adolescent athlete. Am J Sports Med 30(5):758–767PubMed
Metadata
Title
Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes
Authors
Antoine Gerometta
Claudio Rosso
Shahnaz Klouche
Philippe Hardy
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2984-7

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