Editorial Commentary: Urgency Toward Arthroscopic Bankart Repair Is Essential for Anterior Shoulder Dislocation: You Don’t Have to Fix After the First Dislocation, but Definitely Before the Second!

Waterman, Brian R.

doi:10.1016/j.arthro.2022.11.014

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…In professional athletes experiencing first-time shoulder dislocation, choosing between a conservative and surgical treatment is complex due to limited data on RTC and RLE and further complicated by economic and competitive considerations [6,9,17,18,23]. The observed treatment heterogeneity is also evident in other types of professional sports; for instance, Lu et al found that in the NBA, 47% of shoulder instability events were treated surgically, while Okoroha et al reported 31% surgical treatment out of 83 shoulder dislocations in the NFL [19,21].…”

Section: Discussionmentioning

confidence: 99%

Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012/2013 until 2022/2023

Schneider,

Zafeiris,

Gosheger

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeInjuries exert a detrimental impact on the team performance in professional football. Shoulder dislocations are known for their severity and often cause substantial lay‐off times. However, there is a notable gap in the general understanding regarding the frequency and convalescence of these events in professional football. Thus, the aims of this study were (1) to determine the incidence, (2) to evaluate return to competition (RTC) and redislocation events (RDEs) and (3) to identify relevant player‐, match‐ and injury‐related parameters.MethodsAll shoulder dislocations within the highest three German football leagues (1.–3. Bundesliga) during the seasons 2012/2013 until 2022/2023 were identified. Player‐, injury‐ and match‐related data were obtained by performing a media analysis. Data were analysed using descriptive statistics. p Value was set at 0.05.ResultsA total of 90 first‐time shoulder dislocations in 89 players with a median age of 25 years (interquartile range [IQR]: 23–28) were available for analysis. The incidence was 9.1 per 1000 Bundesliga matches played and increased over time. Forty‐four (49%) shoulder dislocations were treated conservatively and 46 (51%) operatively. Median RTC was 24 days (IQR: 12–43) following conservative and 103 days (IQR: 85–135) following surgical treatment (p < 0.001). Twenty‐two (24%) players suffered a redislocation, of whom 13 (59%) underwent initial conservative and nine (41%) initial surgical treatment (not significant [n.s.]). RDE following conservative treatment was after a median of 4 months (IQR: 2–22) and 7 months (IQR: 3–23) following surgical treatment (n.s.).ConclusionThe incidence of shoulder dislocation within professional football is increasing and currently amounts to 9.1 per 1000 matches played. A conservative treatment leads to a quicker RTC, while frequency and time to RDE were similar regardless of treatment. The increasing incidence of shoulder dislocations in professional football necessitates an analysis of relevant injury mechanisms and the implementation of specific preventive measures.Level of EvidenceLevel III.

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Section: Discussionmentioning

confidence: 99%

Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012/2013 until 2022/2023

Schneider,

Zafeiris,

Gosheger

et al. 2024

Knee surg. sports traumatol. arthrosc.

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“…Less severe cases of these injuries may be amenable to conservative management. However, surgical intervention is often necessary if a primary anterior shoulder dislocation results in significant glenoid bone loss and is essential after a second dislocation, due to a nearly threefold increase in glenoid bone loss upon second injury ( 5 ). Additionally, the biomechanical stability of the shoulder joint is significantly reduced when there is more than 20% bone loss of the glenoid adding to the need for surgical intervention ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic suture bridge fixation for acute bony Bankart with anterior glenohumeral instability: a case report and narrative review

St. Jeor,

Mason,

Glover

et al. 2024

Ann Joint

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Background and Objective Anterior shoulder dislocations can result in acute glenoid rim fractures that compromise the bony stability of the glenohumeral joint. Adequate fixation of these fractures is required to restore stability, decrease shoulder pain, and facilitate return to activity. The double-row suture bridge is a relatively novel fixation technique, first described in 2009, that accomplishes internal fixation with sufficient stability using an all-arthroscopic technique to restore the glenoid footprint. A 40-year-old female with recurrent anterior shoulder instability in the setting of seizure disorder was found to have a bony Bankart lesion of 25% to 30% with a concomitant superior labral tear. The patient was treated with a double-row bony Bankart bridge and labral repair. At six months follow-up, she has progressed to a full recovery with no recurrence. Methods A search was conducted in May 2023 in PubMed, EMBASE, and CINAHL with the search terms bony Bankart, bone Bankart, osseous Bankart, acute, bridge, suture bridge, double row. Key Content and Findings Double-row suture bridge repairs result in improvement in shoulder function as determined by ASES (93.5), QuickDASH (4.5), SANE (95.9), and SF-12 (55.6). The overall recurrence rate of anterior instability after a bony Bankart bridge repair is 8%. When examining the return to prior level of function, 81.4% of patients were able to do so with only 7.9% of patients reporting significant modifications to their activity level. In mid-term results, double row suture bridge demonstrates similar outcomes to other all-arthroscopic fixation methods of bony Bankart injuries. Importantly, bony Bankart bridge remains a viable option for critical glenoid lesions over the 20% cutoff used in other all arthroscopic techniques. Biomechanically, the double-row suture bridge offers distinct benefits over its single-row counterpart including increased compression, reduced displacement, and reduced step-off. Conclusions Although there is limited data, the studies discussed and the demonstrative case show the potential benefit of all-arthroscopic double-row suture bridge fixation including increased compression, decreased displacement, and a lower complication rate in patients with large bony Bankart lesions traditionally requiring bony augmentation. However, more robust studies are necessary to determine the long-term success of the double-row suture bridge.

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Evaluation High-Quality of Information from ChatGPT (Artificial Intelligence—Large Language Model) Artificial Intelligence on Shoulder Stabilization Surgery

Hurley,

Crook,

Lorentz

et al. 2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Editorial Commentary: Urgency Toward Arthroscopic Bankart Repair Is Essential for Anterior Shoulder Dislocation: You Don’t Have to Fix After the First Dislocation, but Definitely Before the Second!

Cited by 4 publications

References 18 publications

Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012/2013 until 2022/2023

Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012/2013 until 2022/2023

Arthroscopic suture bridge fixation for acute bony Bankart with anterior glenohumeral instability: a case report and narrative review

Evaluation High-Quality of Information from ChatGPT (Artificial Intelligence—Large Language Model) Artificial Intelligence on Shoulder Stabilization Surgery

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