Factors That Influence the Return to Sport After Arthroscopic Bankart Repair for Glenohumeral Instability

Abstract

Numerous studies have reported high rates of return to sports following arthroscopic Bankart repair (ABR) However, there is enormous controversy regarding the optimal management of these patients in the postoperative period. Controversy issues include rehabilitation, criteria for returning to sports, and the specific management of each athlete according to the sport they practice. Even though there are several rehabilitation protocols published in the literature, wide variability exists concerning the key elements of rehabilitation after an ABR. Regarding criteria for return to sports, there is a wide variation across the different published studies. The type of sports has been shown to affect an athlete’s decision to return to sports. Nevertheless, most research is evaluated by classifications that cluster different sports into categories that may have other influences in return to sports when analyzed separately. Finally, in addition to physical readiness, the athlete’s psychological state is crucial for returning to sports. However, the contribution of psychological readiness to an athlete’s return to sports after shoulder instability surgery remains uncertain and unexplored.

Return to sports following arthroscopic Bankart repair: a narrative review

“…A review focusing on the RTS in teenagers following surgical stabilization reported an overall return rate of 95%, with 77% of patients reaching pre-injury levels of performance [6]. Various criteria were used to assess the athletes' readiness to RTS, such as time elapsed since surgery, type of sport, strength, ROM, pain, and proprioception [35][36][37]. The type of sport played was linked to outcomes such as RTS failure or complete RTS.…”

Instability Severity Index Score predicts recurrent shoulder instability after arthroscopic Bankart repair

“…Opting for conservative treatment after a shoulder dislocation often results in recurrence (60%-96%) of traumatic anterior shoulder instability in a young and active population [3,17,20,25,28,38]. Arthroscopic Bankart repair, considered the gold standard of treating anterior shoulder instability, is a quick procedure with low complication risks and a return to sports rate of 62.5%-97.5% [14,18,31,33]. Nonetheless, recurrent instability after this type of surgery remains an issue, with rates ranging from 8.1% to 41.7% [1,14,15,21,27,29,33,36,39,40].…”

Psychological Factors That Affect Return to Sport After Surgical Intervention for Shoulder Instability: A Systematic Review

“…between 70% and 95%. [31][32][33][34][35][36][37][38][39][40][41][42][43] However, the estimates of the rate of return to preinjury levels of activity and competition are currently limited, potentially due to a lack of activity-level assessment standardization. 22,30,37 A recent meta-analysis identifying studies reporting RTS after surgery for shoulder instability found that, on average, 73% of people returned to any sport and 65% returned to their preinjury level of sport.…”

“…22,30,37 A recent meta-analysis identifying studies reporting RTS after surgery for shoulder instability found that, on average, 73% of people returned to any sport and 65% returned to their preinjury level of sport. 41 Factors currently known to influence RTS include age, sex, surgical technique, traumatic injury pattern, contact and collision sports, and overhead sports participation. 18,21,35,49,56 RTS after shoulder surgery is of paramount importance to both athletes and their treating physicians.…”

“… 34 , 54 Currently available data regarding rates of return to sport (RTS) vary with estimates ranging by surgical technique, injury mechanism, and patient-specific factors; however, estimates for RTS rates after shoulder surgery often range between 70% and 95%. 31 - 43 However, the estimates of the rate of return to preinjury levels of activity and competition are currently limited, potentially due to a lack of activity-level assessment standardization. 22 , 30 , 37 A recent meta-analysis identifying studies reporting RTS after surgery for shoulder instability found that, on average, 73% of people returned to any sport and 65% returned to their preinjury level of sport.…”