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Purpose The purpose of this study was to evaluate the rate of return to play (RTP) in patients who underwent Type V superior labrum anterior-posterior (SLAP) repair compared to patients who underwent isolated Bankart repair in the setting of traumatic anterior shoulder instability. Methods A retrospective review of patients who underwent arthroscopic Bankart repair and SLAP repair by a single surgeon between 2012 and 2017 was performed. Additionally, these were pair-matched in a 1:2 ratio for age, sex, sport and level of pre-operative play, with those undergoing isolated arthroscopic Bankart repair alone as a control group. RTP, level of RTP and the timing of RTP were assessed. ResultsThe study included a total of 96 patients, with 32 in the study group and 64 in the control group, and a mean followup of 59 months. Overall, there was no signiicant diference in the overall rate of return to play (26/32 (81.3%) vs 56/64 (87.5%), n.s), but there was a signiicantly higher rate of RTP at the same/higher level in the control group (14/32 (43.6%) vs 43/64 (67.2%), p = 0.0463). There was no signiicant diference in timing of RTP between the groups (n.s). There was no signiicant diference in recurrent instability (6/32 (18.8%) vs 5/64 (7.8%), n.s) but there was a signiicant diference in revision rates (5/32 (15.6%) vs. 2/64 (3.1%), p = 0.0392) between the Type V SLAP repair group and the control group. Conclusion Following arthroscopic repair, patients with Type V SLAP tears had a similar overall rate of RTP when compared directly to a control group of patients who underwent arthroscopic Bankart repair alone. However, those who underwent Type V SLAP repair reported signiicantly lower rates of RTP at the same or higher level compared to the control group. Level of evidence III.

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