Outcome of Bankart repair in contact versus non-contact athletes

Yamamoto, Nobuyuki; Kijima, Hiroshi; Nagamoto, Hideaki; Kurokawa, Daisuke; Takahashi, Hiroyuki; Sano, Hirotaka; Itoi, Eiji

doi:10.1016/j.otsr.2015.03.008

Cited by 63 publications

(46 citation statements)

References 18 publications

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“…One of the most worrying problems is the recurrence of the dislocation, which is inversely proportional to the increase in age, with directly proportional associated lesions and risk of complications. Shoulder instability is a recurrent condition in various sports, but with different incidences, especially with pathological and clinical-pathological characteristics, age and sport type specific 11,12 . In literature, practice of an "overhead" or a "forced overhead" sport was the only risk factor identified of not returning to the same sport at a level that was similar or better following surgery 1 .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of shoulder instability in professional athletes

Pantalone

Vanni

Guelfi

et al. 2016

MLTJ

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SummaryBackground: Post-traumatic shoulder instability is a common disease, especially in sportsmen. If inadequately or late treated, it may be responsible for an articular biomechanics alteration, with serious problems. This is much more obvious for professionals athletes, because corporate and market needs force them to a premature return to sport. The purpose of this retrospective study is to evaluate if arthroscopic approach may be better than the open one and allowing a shoulder function rapid recovery, with fast return to sport.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of shoulder instability in professional athletes

Pantalone

Vanni

Guelfi

et al. 2016

MLTJ

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“…Using these criteria, the authors reported an overall recurrence instability rate of 8.3% in collision athletes treated with arthroscopic Bankart repair. In a recent study, Yamamoto et al 38 reported a higher recurrence rate in contact athletes compared with noncontact athletes after Bankart repair. Furthermore, the recurrence rates were higher after arthroscopic repair compared with open Bankart repair.…”

Section: Discussionmentioning

confidence: 97%

Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques

Virk

Manzo

Cote

et al. 2016

Orthopaedic Journal of Sports Medicine

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Background:The results of open and arthroscopic instability repairs have been shown to be equivalent in recent literature.Purpose:To compare the time to recurrence (TTR) of instability and disease-specific outcome measures in patients undergoing open and arthroscopic Bankart repair.Study Design:Cohort study; Level of evidence, 3.Methods:Patients with recurrent traumatic anterior shoulder instability and a Bankart lesion on diagnostic arthroscopy underwent either open Bankart repair (OB) or arthroscopic Bankart and suture capsulorrhaphy (ABSC) using suture anchors. There was a minimum follow-up of 24 months. The primary outcome measures included Western Ontario Shoulder Instability Index (WOSI) score and time to recurrence of instability (dislocation or subluxation). Rowe score, Simple Shoulder Test, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and Short Form–12 (SF-12) score were also compared.Results:A total of 82 shoulders in 80 patients (ABSC, n = 58; OB, n = 24) were evaluated at a mean of 39 months postoperatively. There were 4 clinical failures in the OB group (4 dislocations) and 7 clinical failures in the ABSC group (2 dislocations and 5 subluxations; P = .72 vs OB). The mean time to recurrence of postoperative instability was significantly shorter in the ABSC group (12.6 ± 2.7 months) compared with the OB group (34.2 ± 12 months; P = .04). The WOSI score in the OB group (265 ± 48.1) was better but not statistically significantly compared with the ABSC group (449.8 ± 63.8; P = .06).Conclusion:The time to recurrence of instability after open Bankart repair is significantly longer compared with arthroscopic Bankart repair.Clinical Relevance:Delayed time to recurrence after open Bankart repair suggests that the open technique may be more suited to withstand the high stress and demands of a heavy-duty profession (contact athletes and heavy manual labor).

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“…Yamamoto et al 59 found a recurrence rate of 4% in non-contact athletes with an ABR. In contrast, in contact athletes, there was a recurrence rate of 14%.…”

Section: Discussionmentioning

confidence: 99%