Majority of Studies Show Similar Rates of Return to Play After Arthroscopic Bankart Repair or Latarjet Procedure: A Systematic Review

Hurley, Eoghan T.; Danilkowicz, Richard; Paul, Alexandra V.; Myers, Heather; Anakwenze, Oke; Klifto, Christopher A.; Lau, Brian C.; Taylor, Dean C.; Dickens, Jonathan

doi:10.1016/j.arthro.2023.04.017

Cited by 8 publications

(2 citation statements)

References 41 publications

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“…However, Krutsch and colleagues have shown that a media analysis is a reliable epidemiological measure for assessing injuries in German professional football with especially high validity for major injuries like joint dislocations [8,16]. (2) Shoulder dislocations vary in terms of concomitant injuries and treatment options, ranging from soft-tissue procedures to bony stabilisations [1,2,13,14,20]. However, this retrospective analysis was limited to distinguishing between conservative management and surgical intervention without specific delineation of the types of surgical procedures performed, hindering generalisation and conclusion drawing.…”

Section: Limitationsmentioning

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: Limitationsmentioning

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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“…Overall, there has been a lack of comparative studies to determine the superiority of either procedure in terms of return-to-play outcomes in the athletic population. In a systematic review of 9 studies with 1,242 patients who were 15 to 30 years of age, Hurley et al 6 found that the rate of return to play ranged from 61% to 94.1% in the arthroscopic Bankart repair group compared with 72% to 96.8% in the Latarjet group. Two studies found a significant difference in favor of the Latarjet procedure (p < 0.05), but, overall, there were no differences in the mean time for return to play (which ranged from 5 to 7 months).…”

Section: Shouldermentioning

confidence: 99%