Return to Play After Open Bankart Repair

Stone, Geoffrey P.; Pearsall, Albert W.

doi:10.1177/2325967114522960

Cited by 12 publications

(4 citation statements)

References 30 publications

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“…After surgery, 77.1% (27) of subjects continued to actively engage in sports at the same or lower level; 21 subjects continued participating in recreational sports activities; and 6 professional athletes continued their respective sports at the same or higher level.…”

Section: Resultsmentioning

confidence: 99%

“…This is in line with the study performed by Pavlik et al [26] who also used the Constant-Murley score: excellent and good results were achieved in 88% and a fair result in 12% of patients. Stone & Pearsall [27] found that excellent and good results were achieved in 92.1%. It may be concluded that the functional results of patients in this study are comparable to the results gathered by the aforementioned authors.…”

Section: Discussionmentioning

confidence: 96%

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Functional outcomes after surgical treatment of anterior soft-tissue shoulder instability using a minimally invasive anterior approach

et al. 2022

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Introduction. The purpose of this paper is to present and analyze the results of treatment of anterior soft-tissue shoulder instability using an open surgical technique with a minimally invasive anterior approach, as well as to emphasize the benefits of using an open surgical procedure in high-risk patients. Material and Methods. All patients underwent surgery at the Clinic of Orthopedic Surgery and Traumatology in Novi Sad in the period between January 2013 and September 2017. Out of 138 patients undergoing surgery for anterior shoulder instability, 40 patients came for follow-up examination. The average age of subjects was 27 ? 6. Medical history was taken from each patient and the range of motion and muscle strength of the operated shoulder was examined. The subjects filled out a questionnaire regarding the functional status of the operated shoulder, their experience in resuming sports activities, and their subjective feeling of pain. The Constant-Murley score was used to assess the postoperative results. Results. Postoperatively, the mean Constant-Murley score was 90.3 ? 11.5, while 87.5% patients had excellent and good results. Compared to the contralateral uninjured shoulder, there was a statistically significant difference (p < 0.05) in the Constant-Murley score, in external rotation of the abducted shoulder (13.2? ? 10.4?), as well as in shoulder adduction (10.25? ? 9.7?). Out of 35 patients who were athletes, 27 continued to actively engage in sports following the surgical treatment. Four patients had a re-dislocation (10%). Conclusion. Open surgical treatment of the anterior shoulder joint instability using a minimally invasive anterior approach is a reliable, time-tested procedure that provides favorable clinical results in young high-risk contact and overhead athletes with timely diagnosis and surgical care.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 96%

Functional outcomes after surgical treatment of anterior soft-tissue shoulder instability using a minimally invasive anterior approach

et al. 2022

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“…Regarding the recurrence rate of instability after ABR, research indicates a higher occurrence among younger patients [7]. In one study, patients aged 22 years or younger experienced…”

Section: Risk Factors and Recurrence Rate Of Redislocationmentioning

confidence: 98%

Return to sports following arthroscopic Bankart repair: a narrative review

Utami,

Pratiwi,

Mitchel

et al. 2024

Ewha Med J

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A Bankart lesion is a tear of the labrum, the ring of cartilage that encircles the shoulder joint socket, that can occur when the shoulder is dislocated. This injury frequently affects young athletes and is associated with shoulder instability. This review was performed to provide an overview of anterior shoulder instability, with an emphasis on rehabilitation and the return to sports following arthroscopic Bankart repair. We searched the Google Scholar and PubMed academic databases through February 18th, 2024, utilizing keywords including "arthroscopic Bankart repair" and "return to sports". Our findings indicate that athletes who undergo arthroscopic Bankart repair exhibit higher rates of returning to sports compared to those who receive other anterior shoulder stabilization procedures. Several factors are considered when determining readiness to return to athletics, including time elapsed since surgery, type of sport, strength, range of motion, pain, and proprioception. Surgeons typically advise athletes to wait approximately 6 months after surgery before resuming sports activities. They also recommend that athletes regain at least 80% of the strength of the uninjured shoulder or achieve strength levels comparable to those prior to the injury. Additionally, patients are expected to attain a full range of motion without pain, which should be symmetrical to the uninjured side, and demonstrate improved proprioception in the shoulder. The sport in which an athlete participates can also influence the timeline for return. Those involved in overhead sports, like baseball or tennis, often experience lower success rates in returning to their sport compared to athletes from other disciplines.

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“…28 Additionally, the timetable and surgeon-specific functional criteria required prior to unrestricted return to athletic competition in this age group has been sparsely reported in the literature. 3334 This is important in order to provide general guidelines to aid in determining the appropriate timelines to allow an athlete to unrestricted activity.…”

Section: Introductionmentioning

confidence: 99%

High rate of return to sport in adolescent athletes following anterior shoulder stabilisation: a systematic review

et al. 2019

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ImportanceTraumatic anterior shoulder instability remains common for the adolescent athletes.Aim or objectiveTo perform a systematic review on the outcomes and return to sport (RTS) following Bankart repair in adolescent athletes.Evidence reviewA systematic review using the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines was conducted of studies reporting outcomes following open and/or arthroscopic Bankart repair using modern suture anchors following traumatic anterior shoulder dislocations in adolescent patients (ages 10–19 years). Quality assessment was evaluated with ROBINS-I and MINORS instruments. The outcomes analysed included RTS, timetable to unrestricted activity, recurrent instability and revision surgery.FindingsThis systematic review identified 11 studies comprising 461 adolescent athletes with a mean age of 15.7 years (range, 11–19 years) and an average follow-up of 48.8 months (range, 22–85.2 months). A total of 392 patients (400 shoulders) underwent arthroscopic Bankart repair, while the remaining 69 patients (69 shoulders) underwent an open procedure. The average MINORS score was 9.6 for non-comparative studies and 17 for comparative studies. ROBINS-I revealed six studies to have a moderate risk of bias, while the remaining five studies presented serious risk of bias. There was an overall 81.5% rate of RTS to preinjury levels of athletic competition at an average of 5.3 months following Bankart repair for traumatic anterior shoulder instability. The overall total mean incidence of recurrent instability was 18.5%, while the mean incidence of revision surgery was 12.1%. Contact athletes had a 31.1% and 13% rate of recurrence and revision surgery, respectively. In comparison, collision athletes were shown to have a 10.4% and 1.4% incidence of recurrent instability and revision surgery, respectively.Conclusions and relevanceAdolescent athletes who undergo Bankart repair for traumatic anterior shoulder instability have an 81.5% rate of RTS to preinjury levels of play at an average of 5 months following surgery. The overall total mean incidence of recurrent instability in the adolescent population is 18.5%, while the mean incidence of revision surgery is 12.1%. The results of anterior shoulder stabilisation in contact athletes is much less predictable, with higher reported rates of recurrent instability and revision surgery.Level of evidenceLevel IV.

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Return to Play After Open Bankart Repair

Cited by 12 publications

References 30 publications

Functional outcomes after surgical treatment of anterior soft-tissue shoulder instability using a minimally invasive anterior approach

Functional outcomes after surgical treatment of anterior soft-tissue shoulder instability using a minimally invasive anterior approach

Return to sports following arthroscopic Bankart repair: a narrative review

High rate of return to sport in adolescent athletes following anterior shoulder stabilisation: a systematic review

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