Pathology and surgical outcomes of unstable painful shoulders

Hoshika, Shota; Matsuki, Keisuke; Tokai, Morihito; Morioka, Toshio; Ueda, Yusuke; Hamada, Hiroshige; Takahashi, Norimasa; Sugaya, Hiroyuki

doi:10.1016/j.jseint.2022.01.004

Cited by 2 publications

(7 citation statements)

References 23 publications

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“…As our patients did not always undergo stabilization surgery, we modified the criteria by Hoshika et al. 5 The inclusion criteria of the present study were as follows: (1) shoulder pain during sports activity, (2) traumatic onset, (3) no complaint of shoulder instability, and (4) soft tissue or bony lesions confirmed on imaging examinations (CT and/or magnetic resonance imaging [MRI]). Participants were younger athletes (<40 yrs) who came to our hospital, because they feel only pain but continue to play without recognizing instability.…”

Section: Methodsmentioning

confidence: 99%

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Glenoid rim morphology in young athletes with unstable painful shoulders: primarily painful vs. frankly unstable

Nakagawa¹,

Hiramatsu²,

Yamada³

et al. 2023

JSES International

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Section: Methodsmentioning

confidence: 99%

“…Recently, Hoshika et al redefined the definitions of UPS and included collision/contact athletes with traumatic onset. 5 They concluded that there were two different types of pathologies: Bankart lesions in lax shoulders and bony Bankart lesions in collision/contact athletes. However, they did not report precise glenoid rim morphology.…”

mentioning

confidence: 99%

Glenoid rim morphology in young athletes with unstable painful shoulders: primarily painful vs. frankly unstable

Nakagawa¹,

Hiramatsu²,

Yamada³

et al. 2023

JSES International

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“…In athletes, shoulder instability surgery (SIS) has become a common treatment option for those who sustain traumatic shoulder instability. 1,8,10,14 Current investigations regarding surgical treatment for shoulder instability are often focused on anterior shoulder instability (ASI) in the military population or athletes participating in mainstream sports. 1,8,10,14 Subsequently, there are generally fewer studies evaluating the effect of SIS in wrestlers.…”

Section: In-depthmentioning

confidence: 99%

“…1,8,10,14 Current investigations regarding surgical treatment for shoulder instability are often focused on anterior shoulder instability (ASI) in the military population or athletes participating in mainstream sports. 1,8,10,14 Subsequently, there are generally fewer studies evaluating the effect of SIS in wrestlers. 2,33 Furthermore, given the high rate of injuries and need for operative intervention, additional studies are needed to effectively counsel wrestlers who sustain shoulder instability.…”

Section: In-depthmentioning

confidence: 99%

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Outcomes of Shoulder Instability Surgery in Competitive Wrestlers: Outcomes, Reoperations, and Return to Play at 5 Years’ Mean Follow-up

Marigi,

Lamba,

Boos

et al. 2024

Am J Sports Med

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Background: Wrestling is a physically demanding sport with young athletes prone to traumatic shoulder instability and a paucity of data evaluating the results of shoulder instability surgery (SIS). Purpose: To assess reoperation rates, patient-reported outcomes, and return to wrestling (RTW) after SIS in a cohort of competitive wrestlers. Study Design: Case series; Level of evidence, 3. Methods: All competitive wrestlers with a history of shoulder instability and subsequent surgery at a single institution between 1996 and 2020 were identified. All directions of shoulder instability (anterior shoulder instability [ASI], posterior shoulder instability [PSI], and traumatic multidirectional shoulder instability [TMDI]) were analyzed. Exclusions included revision SIS and <2 years of follow-up. Athletes were contacted for determination of complications, RTW, and Western Ontario Shoulder Instability Index scores. Results: Ultimately, 104 wrestlers were included with a mean age at initial instability of 16.9 years (range, 12.0-22.7 years), mean age at surgery of 18.9 years (range, 14.0-29.0 years), and a mean follow-up of 5.2 years (range, 2.0-22.0 years). A total of 58 (55.8%) wrestlers were evaluated after a single shoulder instability event, while 46 (44.2%) sustained multiple events before evaluation. ASI was the most common direction (n = 79; 76.0%), followed by PSI (n = 14; 13.5%) and TMDI (n = 11; 10.6%). Surgical treatment was most commonly an arthroscopic soft tissue stabilization (n = 88; 84.6%), with open soft tissue repair (n = 13; 12.5%) and open bony augmentation (n = 3; 2.9%) performed less frequently. RTW occurred in 57.3% of wrestlers at a mean of 9.8 months. Recurrent instability was the most common complication, occurring in 18 (17.3%) wrestlers. Revision SIS was performed in 15 (14.4%) wrestlers. Across the entire cohort, survivorship rates free from recurrent instability and revision surgery were 90.4% and 92.5% at 2 years, 71.9% and 70.7% at 5 years, and 71.9% and 66.5% at 10 years, respectively. Preoperative recurrent instability was an independent risk factor for postoperative recurrent instability (hazard ratio, 3.8; 95% CI, 1.33-11.03; P = .012). Conclusion: Competitive wrestlers with multiple dislocations before initial clinical evaluation were 3.8 times more likely to experience postoperative recurrent instability. Patients should be counseled that despite SIS, only 57.3% returned to wrestling after surgery.

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Pathology and surgical outcomes of unstable painful shoulders

Cited by 2 publications

References 23 publications

Glenoid rim morphology in young athletes with unstable painful shoulders: primarily painful vs. frankly unstable

Glenoid rim morphology in young athletes with unstable painful shoulders: primarily painful vs. frankly unstable

Outcomes of Shoulder Instability Surgery in Competitive Wrestlers: Outcomes, Reoperations, and Return to Play at 5 Years’ Mean Follow-up

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