Validity and reliability of the SPORTS score for shoulder instability

Blonna, Davide; Bellato, Enrico; Caranzano, Francesco; Bonasia, Davide Edoardo; Marmotti, Antonio; Rossi, Roberto; Castoldi, Filippo

doi:10.11138/jts/2014.2.2.059

Cited by 20 publications

(25 citation statements)

References 26 publications

(40 reference statements)

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“…For these reasons, we focused our study on the rate of return to play as well as the redislocation rate. Although some scores have been validated (eg, Subjective Shoulder Value–Sport), 6 the variation in outcome measures makes it difficult to compare among multiple studies.…”

Section: Discussionmentioning

confidence: 99%

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Ialenti

Mulvihill

Feinstein

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Anterior shoulder instability can be a disabling condition for the young athlete; however, the best surgical treatment remains controversial. Traditionally, anterior shoulder instability was treated with open stabilization. More recently, arthroscopic repair of the Bankart injury with suture anchor fixation has become an accepted technique.Hypothesis:No systematic reviews have compared the rate of return to play following arthroscopic Bankart repair with suture anchor fixation with the Bristow-Latarjet procedure and open stabilization. We hypothesized that the rate of return to play will be similar regardless of surgical technique.Study Design:Systematic review; Level of evidence, 4.Methods:We performed a systematic review and meta-analysis focused on return to play following shoulder stabilization. Inclusion criteria included studies in English that reported on rate of return to play and clinical outcomes following primary arthroscopic Bankart repair with suture anchors, the Latarjet procedure, or open stabilization. Statistical analyses included Student t tests and analyses of variance.Results:Sixteen papers reporting on 1036 patients were included. A total of 545 patients underwent arthroscopic Bankart repair with suture anchors, 353 with the Latarjet procedure, and 138 with open repair. No significant difference was found in patient demographic data among the studies. Patients returned to sport at the same level of play (preinjury level) more consistently following arthroscopic Bankart repair (71%) or the Latarjet procedure (73%) than open stabilization (66%) (P < .05). Return to play at any level and postoperative Rowe scores were not significantly different among studies. Recurrent dislocation was significantly less following the Latarjet procedure (3.5%) than after arthroscopic Bankart repair (6.6%) or open stabilization (6.7%) (P < .05).Conclusion:This systematic review demonstrates a greater rate of return to play at the preinjury level following arthroscopic Bankart repair and the Latarjet procedure than open stabilization. Despite this difference, >65% of all treated athletes returned to sport at their preinjury levels, with other outcome measures being similar among the treatment groups. Therefore, arthroscopic Bankart repair, the Latarjet procedure, and open stabilization remain good surgical options in the treatment of the athlete with anterior shoulder instability.

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Section: Discussionmentioning

confidence: 99%

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Ialenti

Mulvihill

Feinstein

et al. 2017

Orthopaedic Journal of Sports Medicine

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“…The SPORTS is a commonly used score to address a patient’s ability to resume his or her previous sport level after stabilization of the shoulder. 8 Through the SPORTS score, the patient assesses effort, performance, and pain in the shoulder with regard to the return to the original sport practiced. It is a simple score, with 0, 3, 6, 9, and 10 points assigned.…”

Section: Methodsmentioning

confidence: 99%

Back to Sports After Arthroscopic Revision Bankart Repair

Buckup

Welsch

Gramlich

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Recurrent instability following primary arthroscopic stabilization of the shoulder is a common complication. Young, athletic patients are at the greatest risk of recurring instability. To date, the literature contains insufficient description regarding whether return to sports is possible after revision arthroscopic Bankart repair.Hypothesis:Patients presenting with recurrent instability after primary arthroscopic stabilization should expect limitations in terms of their ability to partake in sporting activities after revision surgery.Study Design:Case series; Level of evidence, 4.Methods:Twenty athletes who underwent arthroscopic revision stabilization of the shoulder after failed primary arthroscopic Bankart repair were included in the study after completing inclusion and exclusion criteria surveys. Athletic Shoulder Outcome Scoring System (ASOSS), Shoulder Sport Activity Score (SSAS), and the Subjective Patient Outcome for Return to Sports (SPORTS) scores were determined to assess the participants’ ability to partake in sporting activities. Furthermore, sport type and sport level were classified and recorded. To assess function and stability, Rowe, American Shoulder and Elbow Surgeons, Constant-Murley, and Walch-Duplay scores were measured and recorded.Results:Follow-up consultations were carried out after a mean of 28.7 months. The mean age at follow-up examination was 27.75 years. At the time of follow-up, 70% of the patients were able to return to their original sporting activities at the same level. However, 90% of patients described a limitation in their shoulder when participating in their sports. At 28.7 months after surgery, the mean ASOSS score was 76.8; the SSAS score decreased from 7.85 before first-time dislocation to 5.35 at follow-up (P < .005). The SPORTS score was 5.2 out of 10 at the follow-up consultation. Function- and instability-specific scores showed good to excellent results. The mean external rotational deficit for high external rotation was 9.25°, and for low external rotation it was 12°.Conclusion:Patients can return to their original type and level of sport after arthroscopic revision Bankart repair, but they must expect persistent deficits and limitations to the shoulder when put under the strains of sporting activity. Patients with shoulder injuries who partake in sports that put greater demand on the shoulder show the smallest probabilities of returning to sporting activity.

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“…Thus, the modified Harris hip score might simply not be able to detect all clinically relevant properties of the patient [ 12 ]. In shoulder surgery, the subjective shoulder value was found with the best distribution of outcomes among several shoulder-specific scores with no signs of a ceiling effect [ 63 ]. As the subjective hip value does not test specific items, the patient expresses all issues that are important to them in the result.…”

Section: Discussionmentioning

confidence: 99%

Correlation of the Subjective Hip Value with Validated Patient-Reported Outcome Measurements for the Hip

Krueger¹,

Leopold

Schroeder

et al. 2020

JCM

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Background: The subjective hip value (SHV) was developed as a patient-reported outcome measurement (PROM) that is easily and quickly performed and interpreted. The SHV is defined as a patient’s subjective hip measurement tool expressed as a percentage of an entirely normal hip joint, which would score 100%. The hypothesis is that results of the subjective hip value correlate with the results of the modified Harris hip score and the International Hip Outcome Tool in patients with hip-related diseases. Methods: 302 patients completed the modified Harris hip score (mHHS), the International Hip Outcome Tool (iHot-33) as well as the SHV. The SHV consist of only one question: “What is the overall percent value of your hip if a completely normal hip represents 100%?”. The patients were divided into five different groups depending on the diagnosis. Pearson correlation was used to evaluate the correlation between the different PROMs and linear regression analysis was used to calculate R2. Results: 302 complete datasets were available for evaluation. There was a high correlation between the SHV and the iHOT-33 (r = 0.847; r2 = 0.692, p < 0.001) and the mHHS (r = 0.832; r2 = 0.717, p < 0.001). The SHV showed a medium (r = 0.653) to high (r = 0.758) correlation with the mHHS and the iHOT-33 in all diagnosis groups. Conclusion: The SHV offers a useful adjunct to established hip outcome measurements, as it is easily and quickly performed and interpreted. The SHV reflects the view of the patient and is independent of the diagnosis. Further research with prospective studies is needed to test the psychometric properties of the score.

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Validity and reliability of the SPORTS score for shoulder instability

Cited by 20 publications

References 26 publications

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Return to Play Following Shoulder Stabilization: A Systematic Review and Meta-analysis

Back to Sports After Arthroscopic Revision Bankart Repair

Correlation of the Subjective Hip Value with Validated Patient-Reported Outcome Measurements for the Hip

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