Tobias M Kraus1, Thomas Freude2, Sebastian Fiedler3, Steffen Schröter3, Ulrich Stöckle3, Atesch Ateschrang3. 1. BG Trauma Center, Eberhard Karls University Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany. kraus.tobias@gmail.com. 2. BG Trauma Center, Eberhard Karls University Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany. tfreude@bgu-tuebingen.de. 3. BG Trauma Center, Eberhard Karls University Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany.
Abstract
BACKGROUND AND INTRODUCTION: The incapacity with respect to work following anterior-inferior shoulder dislocation and subsequent Bankart repair has not been previously examined. The objective of this study was to examine a patient's incapacity according to the classification by the REFA Association. The recovery time was measured and the outcome of patients with heavy workload was compared to those with lower workloads. MATERIALS AND METHODS: A total of 74 patients who underwent isolated arthroscopic Bankart repair fulfilled the inclusion criteria. The Constant-Murley Score, UCLA Shoulder Score and ROWE Score for Shoulder Instability were recorded for clinical assessment. The mean follow-up time was 43.1 months (SD ± 17.4; 24-110 months) with a mean age of 34.7 years (SD ± 12.6). Workload was classified as per the REFA Association classification system. Postoperative duration of a patient's incapacity with respect to work and other subjective ratings were provided by the patients themselves. RESULTS: The mean incapacity of work was 2.73 months (95 % CI 1.19-5.36). The incapacity of work was 2.06 months (95 % CI 1.55-2.68) in the group with low physical strains at work (REFA 0-1) and 3.40 months (95 % CI 2.70-4.24) in the group with heavy workload (REFA 2-4/p = 0.005). Overall, the mean Constant-Murley Score was 87.7 (SD ± 13.5). The average UCLA Shoulder Score summed up to 31.9 (SD ± 3.87) and the mean ROWE Score was 87.6 (SD ± 21.7). 13 (17.5 %) patients had problems to compete in their jobs. Three patients had to change the job postoperatively. CONCLUSION: In this study, a relationship between the time of incapacity of work and the workload was observed; patients with low physical strains returned significantly earlier to work after arthroscopic Bankart repair (p = 0.005). In general, the clinical results as measured in the Constant/UCLA/Rowe score were comparable to other studies.
BACKGROUND AND INTRODUCTION: The incapacity with respect to work following anterior-inferior shoulder dislocation and subsequent Bankart repair has not been previously examined. The objective of this study was to examine a patient's incapacity according to the classification by the REFA Association. The recovery time was measured and the outcome of patients with heavy workload was compared to those with lower workloads. MATERIALS AND METHODS: A total of 74 patients who underwent isolated arthroscopic Bankart repair fulfilled the inclusion criteria. The Constant-Murley Score, UCLA Shoulder Score and ROWE Score for Shoulder Instability were recorded for clinical assessment. The mean follow-up time was 43.1 months (SD ± 17.4; 24-110 months) with a mean age of 34.7 years (SD ± 12.6). Workload was classified as per the REFA Association classification system. Postoperative duration of a patient's incapacity with respect to work and other subjective ratings were provided by the patients themselves. RESULTS: The mean incapacity of work was 2.73 months (95 % CI 1.19-5.36). The incapacity of work was 2.06 months (95 % CI 1.55-2.68) in the group with low physical strains at work (REFA 0-1) and 3.40 months (95 % CI 2.70-4.24) in the group with heavy workload (REFA 2-4/p = 0.005). Overall, the mean Constant-Murley Score was 87.7 (SD ± 13.5). The average UCLA Shoulder Score summed up to 31.9 (SD ± 3.87) and the mean ROWE Score was 87.6 (SD ± 21.7). 13 (17.5 %) patients had problems to compete in their jobs. Three patients had to change the job postoperatively. CONCLUSION: In this study, a relationship between the time of incapacity of work and the workload was observed; patients with low physical strains returned significantly earlier to work after arthroscopic Bankart repair (p = 0.005). In general, the clinical results as measured in the Constant/UCLA/Rowe score were comparable to other studies.
Entities:
Keywords:
Bankart repair; Incapacity of work; Return to work; Shoulder dislocation; Shoulder instability
Authors: Just A van der Linde; Judith E Bosmans; Dirk P Ter Meulen; Derk A van Kampen; Derek Fp van Deurzen; Robert Haverlag; Daniel Bf Saris; Michel Pj van den Bekerom Journal: Shoulder Elbow Date: 2018-05-14
Authors: Bhavik H Patel; Yining Lu; Avinesh Agarwalla; Richard N Puzzitiello; Benedict U Nwachukwu; Gregory L Cvetanovich; Jorge Chahla; Brian Forsythe Journal: HSS J Date: 2020-09-10
Authors: Mitchell I Kennedy; Colin Murphy; Grant J Dornan; Gilbert Moatshe; Jorge Chahla; Robert F LaPrade; Matthew T Provencher Journal: Orthop J Sports Med Date: 2019-05-30