High Variability in Functional Outcomes and Recurrences Between Contact Sports After Arthroscopic Bankart Repair: A Comparative Study of 351 Patients With a Minimum 3-Year Follow-Up

Abstract

Purpose To compare return to sports, functional outcomes, and complications of a consecutive series of contact athletes with anterior glenohumeral instability treated with isolated arthroscopic Bankart repair for isolated anterior instability. Methods Between January 2008 and December 2016, 351 competitive athletes who participated in contact or collision sports underwent isolated arthroscopic Bankart repair at our institution (rugby n = 105, soccer n = 90, martial arts n = 36 boxing n = 28, field hockey n = 30, handball n = 31, and basketball n = 31). Return to sports, the Rowe score, and the Athletic Shoulder Outcome Scoring System (ASOSS) score were used to assess functional outcomes. Complications also were evaluated. Results The mean follow-up period was 66.7 months (range, 36-148 months) and the mean age of the 351 patients was 21.3 years (range, 17-30 years).Overall, 309 patients (88%) were able to return to sports, and 284 (81%) returned at the same level as before the injury. The mean time to return to sports was 5.3 months. The rate of return to sports, the level achieved by the patients, and time to return to sports varied significantly between sports. The Rowe and ASOSS scores showed statistical improvement after operation ( P < .001). The ASOSS score varied significantly between sports ( P < .001). There were 40 recurrences (11.3%), 7 complications (2%) and 21 patients (6%) underwent revision surgery. There was a significant difference in the rate of recurrences and revisions between the different contact sports. Conclusions In athletes with glenohumeral instability who undergo isolated arthroscopic Bankart repair for isolated anterior instability, there is great variability in the rate of return to sport at the same level, in shoulder performance after returning to competition, and in the postoperative recurrence rates. Due to the high variability found in our study, results after arthroscopic Bankart repair in contact athletes should not be reported globally by including the different sports under the “collision or contact sports” label. Level of Evidence Retrospective Case Series; Level of evidence, 4.

Outcome of Arthroscopic Bankart’s Repair Using Trans- Glenoid Suture Technique in Recurrent Post-Traumatic Anterior Shoulder Dislocation Without Bony Defect

“…The ASOSS score varied significantly between sports (P < 0.001) [16]. there is great variability in the rate of return to sport at the same level, in shoulder performance after returning to competition, and in the postoperative recurrence rates [16]. This is similar to our findings where the Rowe scores showed statistical improvement after operation with P <0.001.…”

“…The mean time to return to sports in the study by Rossi LA was 5.3 months [16]. This is similar to return to full duty in 6 months by the patients studied in this study.…”

“…Our outcome in two years have shown better recurrence rate than the Laterjet procedure at least in the years under review as no recurrence so far. The review by Rossi LA, et al showed an overall recurrence rate of 11.3% for arthroscopic Bankart repair based on suture anchors [16]. Arthroscopic Bankart repair with the use of suture anchors is a reliable treatment method, with good clinical outcomes, excellent post-operative shoulder motion and low recurrence rates [8].…”

“…The Rowe and ASOSS scores showed statistical improvement after operation (P <0.001). The ASOSS score varied significantly between sports (P < 0.001) [16]. there is great variability in the rate of return to sport at the same level, in shoulder performance after returning to competition, and in the postoperative recurrence rates [16].…”

Clinical outcomes of Gaelic Athletic Association athletes after surgical stabilization in the setting of anterior shoulder instability

“…Although much literature in relation to anterior shoulder instability in collision athletes focuses on athletes partaking in American football, hockey, and rugby, Gaelic Athletic Association (GAA) games such as Gaelic football and hurling are collision sports claimed to be the most commonly played sports on the island of Ireland. 2 , 10 , 22 , 25 However, GAA games have increasing popularity with over 400 clubs established worldwide outside of Ireland, leading to over 50,000 registered GAA players in the United States alone. 26 In their previous study, Clesham and Shannon reported excellent functional outcomes with a moderate recurrence rate after ABR in 31 GAA athletes at medium-term follow-up.…”