Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores

Bohu, Yoann; Abadie, Pierre; Rooij, Floris van; Nover, Luca; sport, Société française de traumatologie du; Berhouet, Julien; Hardy, Alexandre

doi:10.1007/s00167-021-06475-1

Cited by 20 publications

(18 citation statements)

References 41 publications

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“…12,14-16 Hurley et al 14 found that patients who did not return to sports after ABR showed lower mean SIRSI scores than those who returned to sports (39.8 vs 68.9, respectively). Moreover, Bohu et al 5 found that the likelihood of return to sports after a Latarjet procedure was significantly associated with preoperative SIRSI scores. In line with these studies, we found that those who returned to sports were more psychologically ready to return to play than those who did not return after shoulder instability surgery (76.8% vs 4.5%, respectively).…”

Section: Discussionmentioning

confidence: 99%

“…Although the SIRSI score has been reported in the literature, 5,12,14-16,26 only some studies analyzed its association with return to sports. 12,14-16 Hurley et al 14 found that patients who did not return to sports after ABR showed lower mean SIRSI scores than those who returned to sports (39.8 vs 68.9, respectively).…”

Section: Discussionmentioning

confidence: 99%

“…12,14 Drawing from the ACL-RSI score, 35 Gerometta et al 12 proposed and validated the Shoulder Instability-Return to Sport after Injury (SIRSI) score to quantify the psychological readiness of athletes to return to sports after shoulder instability. Although the SIRSI has been used in several studies, 5,12,[14][15][16]26 few have analyzed the results between athletes who returned to sports and those who did not. 5,12,14 Hurley et al 14 showed that patients who did not return to sports exhibited poor psychological readiness compared with those who returned to sports after ABR.…”

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confidence: 99%

“…Although the SIRSI has been used in several studies, 5,12,[14][15][16]26 few have analyzed the results between athletes who returned to sports and those who did not. 5,12,14 Hurley et al 14 showed that patients who did not return to sports exhibited poor psychological readiness compared with those who returned to sports after ABR. Moreover, to our knowledge, no study in the literature has evaluated the association between psychological readiness and returning to preinjury sports level after shoulder instability surgery.…”

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confidence: 99%

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Relationship of the SIRSI Score to Return to Sports After Surgical Stabilization of Glenohumeral Instability

et al. 2022

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Background: Literature is scarce regarding the influence of psychological readiness on return to sports after shoulder instability surgery. Purpose: To evaluate the predictive ability of the Shoulder Instability–Return to Sport after Injury (SIRSI) score in measuring the effect of psychological readiness on return to sports and to compare it between athletes who returned to sports and athletes who did not return to sports. Study Design: Cohort study; Level of evidence, 2. Methods: A prospective analysis was performed of patients who underwent an arthroscopic Bankart repair or a Latarjet procedure between January 2019 and September 2020. Psychological readiness to return to play was evaluated using the SIRSI instrument. Preoperative and postoperative functional outcomes were measured by the Rowe, Athletic Shoulder Outcome Scoring System, and Western Ontario Shoulder Instability Index scores. The predictive validity of the SIRSI was assessed by the use of receiver operating characteristic (ROC) curve statistics. The Youden index was calculated and used to determine a SIRSI score cutoff point that best discriminated psychological readiness to return to sports. A logistic regression analysis was performed to evaluate the effect of psychological readiness on return to sports and return to preinjury sports level. Results: A total of 104 patients were included in this study. Overall, 79% returned to sports. The SIRSI had excellent predictive ability for return-to-sport outcomes (return to sports: area under ROC curve, 0.87 [95% CI, 0.80-0.93]; return to preinjury sports level: area under ROC curve, 0.96; [95% CI, 0.8-0.9]). A cutoff level of ≥55 was used to determine whether an athlete was psychologically ready to return to sports and to return to preinjury sports level (Youden index, 0.7 and 0.9, respectively). Of those who returned to sports, 76.8% were psychologically ready to return to play, with a median SIRSI score of 65 (interquartile range, 57-80). In comparison, in the group that did not return to sports, only 4.5% achieved psychological readiness with a median SIRSI score of 38.5 (interquartile range, 35-41) ( P < .001). Regression analysis for the effect of SIRSI score on return to sports was performed. For every 10-point increase in the SIRSI score, the odds of returning to sports increased by 2.9 times. Moreover, those who did not achieve their preinjury sports level showed poorer psychological readiness to return to play and SIRSI score results. Conclusion: The SIRSI was a useful tool for predicting whether patients were psychologically ready to return to sports after glenohumeral stabilization surgery. Patients who returned to sports and those who returned to their preinjury sports level were significantly more psychologically ready than those who did not return. Therefore, we believe that the SIRSI score should be considered along with other criteria that are used to decide whether the patient is ready to return to sports.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Relationship of the SIRSI Score to Return to Sports After Surgical Stabilization of Glenohumeral Instability

et al. 2022

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“…14 73 per cent of patients continued their pre-injury sports eight months after the procedure. 15 The Latarjet method has multiple mechanisms for increasing anterior stability. The Bankart lesion is repaired, providing stability, and the transfer of the coracoid process extends the bony articular arc of the glenoid.…”

Section: Introductionmentioning

confidence: 99%

Functional Outcome of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation

Siraj

Azim

Sajjad

et al. 2023

J Gandhara Med Dent Sci

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OBJECTIVES To find the functional outcome of the open Latarjet method for recurrent anterior shoulder dislocation. METHODOLOGY The current retrospective study was conducted at the Orthopedic and Trauma Department of the Khyber Teaching Hospital in Peshawar from September 2020 to August 2021. A total of 31 patients were included in the study, of which 29 were males and 2 were females. A detailed medical history was obtained through physical examination, and all necessary laboratory tests were requested. AP and axillary views of plain X-ray radiographs were taken. We used a CT scan on all the patients to calculate the humeral and glenoid bone loss. We had all patients undergo an MRI to rule out soft tissue pathology. Six months after surgery, the outcome was graded using the Constant Murley Score on a good, good, fair, and poor scale. RESULTS In this study open Latarjet procedure was done in 31 patients with 29 males (93.4%) and two females (6.45%). The right-sided shoulder was involved in 24 (77.14 %) patients, while the left shoulder was involved in 7 patients (22.58%). A bipolar lesion in the shoulder with bone loss was seen on the glenoid side at 17.5% (range 10-25%), and the humeral side was 22.5%. Follow-up was done for six months in which 22 patients had a very good outcome (70.96%), six patients had a good outcome(19.35%), two patients had a fair outcome(6.45%), and one patient had a poor outcome(3.22%). There were no major complications seen like graft fractures, graft malposition, neurovascular compromise, and hardware breakage CONCLUSION Recurrent anterior shoulder instability can be effectively treated with open Latarjet with excellent functional outcomes and a very low complication rate and recurrence.

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Substantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta‐analysis

Velasquez Garcia,

Iida,

Kuroiwa

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose This systematic review and meta-analysis aimed to (1) determine the proportion of patients who underwent anterior shoulder instability surgery and did not return to sports for psychological reasons and (2) estimate differences in psychological readiness scores between patients who did and did not return to sports. Methods The EBSCOhost/SPORTDiscus, PubMed/Medline, Scopus, EMBASE and Cochrane Library databases were searched for relevant studies. The data synthesis included the proportion of patients who did not return to sports for psychological reasons and the mean differences in the psychological readiness of athletes who returned and those who did not return to sports. Non-binomial data were analysed using the inverse-variance approach and expressed as the mean difference with 95% confidence intervals. ResultsThe search yielded 700 records, of which 13 (1093 patients) were included. Fourteen psychological factors were identified as potential causes for not returning to sports. The rates of return to sports at any level or to the preinjury level were 79.3% and 61.9%, respectively. A total of 55.9% of the patients cited psychological factors as the primary reason for not returning to sports. The pooled estimate showed that patients who returned to sports had a significantly higher Shoulder Instability-Return to Sport After Injury score (P < 0.00001) than those who did not, with a mean difference of 30.24 (95% CI 24. 95-35.53; I 2 = 0%; n.s.). Conclusions Psychological factors have a substantial impact on the rate of return to sports after anterior shoulder instability surgery. Patients who returned to sports had significantly higher psychological readiness than those who did not return to sports. Based on these results, healthcare professionals should include psychological and functional measurements when assessing athletes' readiness to return to sports. Level of evidence Level IV.

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Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores

Cited by 20 publications

References 41 publications

Relationship of the SIRSI Score to Return to Sports After Surgical Stabilization of Glenohumeral Instability

Relationship of the SIRSI Score to Return to Sports After Surgical Stabilization of Glenohumeral Instability

Functional Outcome of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation

Substantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta‐analysis

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