Return to Preinjury-Level Sports After Arthroscopic Latarjet for Recurrent Anterior Shoulder Instability in Professional Athletes

被引:5
作者
Brzoska, Roman [1 ,3 ]
Laprus, Hubert [1 ,2 ,3 ]
Malik, Shahbaz S. [1 ,4 ]
Solecki, Wojciech [1 ,3 ]
Juszczak, Barlomiej [1 ,3 ]
Blasiak, Adrian [1 ,3 ]
机构
[1] Invest performed St Lukes Hosp, Bielsko Biala, Poland
[2] St Lukes Hosp, Bystrzanska 94B, PL-43309 Bielsko Biala, Poland
[3] St Lukes Hosp, Bielsko Biala, Poland
[4] Worcestershire Acute Hosp NHS Trust, Worcester, England
关键词
shoulder instability; professional athletes; athletes; arthroscopic Latarjet; return to sport after shoulder surgery; BANKART REPAIR; CORACOID TRANSFER; FOLLOW-UP; STABILIZATION; MULTICENTER; DISLOCATION; COLLISION;
D O I
10.1177/23259671231166371
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background:The Latarjet procedure is recommended to treat recurrent anterior shoulder instability with glenoid bone loss. Longer return-to-sport (RTS) times have been reported after the open Latarjet when compared with the arthroscopic Latarjet. Purpose:To assess the clinical outcomes and RTS in athletes who underwent an arthroscopic Latarjet. Study Design:Case series; Level of evidence, 4. Methods:This study included 46 professional athletes with recurrent anterior shoulder instability who underwent an arthroscopic Latarjet between 2010 and 2016. Patients were divided by type of sport: noncollision and nonoverhead (n = 22), collision and martial arts (n = 13), and overhead (n = 11). Sport activity was evaluated with the Kerlan-Jobe Orthopaedic Clinic (KJOC) score, Subjective Patient Outcome for Return to Sports score, and RTS time. Clinical results were evaluated by Constant-Murley score, Walch-Duplay score, and range of external and internal rotation. Complication rates, recurrence of shoulder instability, and number of revision procedures were recorded. Correlation tests were used to assess the relationship between measured parameters. Results:The mean +/- SD patient age was 27.1 +/- 7.3 years, and the mean follow-up was 50.7 +/- 18 months. Overall, 44 patients (95.7%) returned to their previously practiced sports, and 40 (87%) returned to their preinjury levels. The RTS time was 5 +/- 1.4 months, with no significant difference among sport types. KJOC and Subjective Patient Outcome for Return to Sports scores were 95.2 +/- 5.6 and 9.5 +/- 1, respectively. Significant pre- to postoperative improvement was seen on the Constant-Murley score (from 54.3 +/- 9.4 to 87.9 +/- 8.2; P = .001) and Walch-Duplay score (from 53.7 +/- 7.3 to 88.1 +/- 10.7; P = .001). Mean postoperative external and internal rotation was 72.8 degrees +/- 18.6 degrees and 81.3 degrees +/- 11.3 degrees. Procedure-related complications occurred in 10 patients (21.7%); recurrence of shoulder instability was observed in 4 (8.7%); and 4 (8.7%) underwent revision surgery. A worse Walch-Duplay score was significantly associated with longer RTS time (r = -0.39; P = .019) and lower KJOC score (r = 0.29; P = .03). Conclusion:There was a 95.7% RTS rate after the arthroscopic Latarjet procedure, although the procedure was not free from complications.
引用
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页数:8
相关论文
共 39 条
[31]   Simple Method of Glenoid Bone Loss Calculation Using Ipsilateral Magnetic Resonance Imaging [J].
Owens, Brett D. ;
Burns, Travis C. ;
Campbell, Scot E. ;
Svoboda, Steven J. ;
Cameron, Kenneth L. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2013, 41 (03) :622-624
[32]   Long-term Follow-up of Acute Arthroscopic Bankart Repair for Initial Anterior Shoulder Dislocations in Young Athletes [J].
Owens, Brett D. ;
DeBerardino, Thomas M. ;
Nelson, Bradley J. ;
Thurman, John ;
Cameron, Kenneth L. ;
Taylor, Dean C. ;
Uhorchak, John M. ;
Arciero, Robert A. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2009, 37 (04) :669-673
[33]   Minimum 10-Year Follow-up of Arthroscopic Intra-articular Bankart Repair Using Bioabsorbable Tacks [J].
Privitera, David M. ;
Bisson, Leslie J. ;
Marzo, John M. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2012, 40 (01) :100-107
[34]   DISLOCATION ARTHROPATHY OF THE SHOULDER [J].
SAMILSON, RL ;
PRIETO, V .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1983, 65 (04) :456-460
[35]  
Ślęzak Marta, 2016, Issues of Rehabilitation Orthopaedics Neurophysiology and Sport Promotion – IRONS, P7, DOI 10.19271/irons-00025-2016-17
[36]  
Ślęzak Marta, 2016, Issues of Rehabilitation Orthopaedics Neurophysiology and Sport Promotion – IRONS, P28, DOI [10.19271/irons-00024-2016-17, DOI 10.19271/IRONS-00024-2016-17]
[37]   Delayed, transient musculocutaneous nerve palsy after the Latarjet procedure [J].
Southam, Jodi D. ;
Greis, Patrick E. .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2012, 21 (05) :E8-E11
[38]   The unstable shoulder in the adolescent athlete [J].
Walton, J ;
Paxinos, A ;
Tzannes, A ;
Callanan, M ;
Hayes, K ;
Murrell, GAC .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2002, 30 (05) :758-767
[39]   Arthroscopic Latarjet Procedure With Anterior Capsular Reconstruction: Clinical Outcome and Radiologic Evaluation With a Minimum 2-Year Follow-Up [J].
Zhu, Yi-Ming ;
Jiang, Chunyan ;
Song, Guanyang ;
Lu, Yi ;
Li, Fenglong .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2017, 33 (12) :2128-2135