Jean Sébastien Beranger1, Shahnaz Klouche2,3, Thomas Bauer2, Thomas Demoures2,4, Philippe Hardy2,5. 1. Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France. jsberanger@gmail.com. 2. Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France. 3. Ambroise Paré Hospital, 9, avenue Charles De Gaulle, 92104, Boulogne-Billancourt, France. 4. Hôpital d'instruction des Armées Percy, 92140, Clamart, France. 5. Université de Versailles Saint-Quentin-en-Yvelines, 78035, Versailles, France.
Abstract
PURPOSE: The aim of this study was to assess return-to-sport outcomes following the Latarjet-Bristow procedure. METHODS: This retrospective study included all athletes <50 years old, who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2009-2012. Main criteria assessments were the number of athletes returning to any sport and the number returning to the same sport at their preinjury level. The main follow-up was 46.8 ± 9.7 months. RESULTS: Forty-seven patients were analyzed, 46 men/1 women, mean age 27.9 ± 7.9 years. Eighteen patients practiced competitive sports and 29 recreational sports. None of them were professional athletes. One hundred percent returned to sports after a mean 6.3 ± 4.3 months. Thirty/47 (63.8 %) patients returned to the same sport at the same level at least and 10/47 (21.3 %) patients changed sport because of their shoulder. Compared to patients who returned to the same sport at the same level, patients who changed sports or returned to a lower level had practiced overhead or forced overhead sports [OR = 4.7 (1.3-16.9), p = 0.02] before surgery, experienced avoidance behavior at the final follow-up (p = 0.002), apprehension (p = 0.00001) and had a worse Western Ontario Shoulder Instability Index score and sub-items (p = 0.003) except for daily activities (p = 0.21). At the final follow-up, 45/47 (95.7 %) patients were still practicing a sport. CONCLUSION: All the patients returned to sports, most to their preinjury sport at the same level. Patients who practiced an overhead sport were more likely to play at a lower level or to change sport postoperatively. LEVEL OF EVIDENCE: IV, retrospective study-Case series with no comparison group.
PURPOSE: The aim of this study was to assess return-to-sport outcomes following the Latarjet-Bristow procedure. METHODS: This retrospective study included all athletes <50 years old, who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2009-2012. Main criteria assessments were the number of athletes returning to any sport and the number returning to the same sport at their preinjury level. The main follow-up was 46.8 ± 9.7 months. RESULTS: Forty-seven patients were analyzed, 46 men/1 women, mean age 27.9 ± 7.9 years. Eighteen patients practiced competitive sports and 29 recreational sports. None of them were professional athletes. One hundred percent returned to sports after a mean 6.3 ± 4.3 months. Thirty/47 (63.8 %) patients returned to the same sport at the same level at least and 10/47 (21.3 %) patients changed sport because of their shoulder. Compared to patients who returned to the same sport at the same level, patients who changed sports or returned to a lower level had practiced overhead or forced overhead sports [OR = 4.7 (1.3-16.9), p = 0.02] before surgery, experienced avoidance behavior at the final follow-up (p = 0.002), apprehension (p = 0.00001) and had a worse Western Ontario Shoulder Instability Index score and sub-items (p = 0.003) except for daily activities (p = 0.21). At the final follow-up, 45/47 (95.7 %) patients were still practicing a sport. CONCLUSION: All the patients returned to sports, most to their preinjury sport at the same level. Patients who practiced an overhead sport were more likely to play at a lower level or to change sport postoperatively. LEVEL OF EVIDENCE: IV, retrospective study-Case series with no comparison group.
Entities:
Keywords:
Anterior instability; Bristow–Latarjet procedure; Return-to-sport; Shoulder; Sport level; WOSI
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