Midterm Clinical Results in Rugby Players Treated With the Bristow Procedure

Kawasaki, Takayuki; Hasegawa, Yoshinori; Kaketa, Takefumi; Shiota, Yuki; Gonda, Yoshinori; Sobue, Shogo; Kobayashi, Hideo; Yamakawa, Jun; Itoigawa, Yoshiaki

doi:10.1177/0363546517740567

Cited by 24 publications

(32 citation statements)

References 30 publications

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“…The 14 studies analyzed in the systematic review included 883 patients. [2][3][4][5][6][7][8]10,11,14,[16][17][18]21 The studies were primarily level 3 (n = 4) or level 4 (n = 10) evidence; of the 14 studies, 13 had a MINORS score greater than 80%. Of the studies that reported the participants' sex, the majority were male (88%).…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies [2][3][4][5]8,11,14,17,18,21 reported return to sport at any level (Table 2 and Appendix Figure A1, available online), which ranged from 80% to 100% with the exception of 1 study (38%). 8 Eleven studies 2,3,6,7,10,11,14,[16][17][18]21 reported return to sport at the previous level of play (Table 2 and Appendix Figure A2, available online), which ranged from 56% to 95% with the exception of 1 study (16%). The average time for return to sport ranged from 3.2 to 8.1 months.…”

Section: Resultsmentioning

confidence: 99%

“…Outcome scores were reported in 12 studies, [2][3][4][5][6]8,10,11,14,17,18,21 with the Rowe score being most commonly utilized. Eight studies 3,6,10,11,14,17,18,21 reported Rowe scores, with an average score that ranged from 78% to 94% (Appendix Table A2, available online). Four studies 2,5,8,10 included WOSI scores, with an average that ranged from 223.6 to 534.3.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies 3,6,10,11,14,17,18,21 reported Rowe scores, with an average score that ranged from 78% to 94% (Appendix Table A2, available online). Four studies 2,5,8,10 included WOSI scores, with an average that ranged from 223.6 to 534.3. SSV scores were reported in 4 studies, 3,4,8,14 with an average that ranged from 75 to 90.…”

Section: Resultsmentioning

confidence: 99%

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Return to Sport After Coracoid Transfer in Athletes With Anterior Shoulder Instability: A Systematic Review

Glogovac

Schumaier

Grawe

2019

Sports Health: A Multidisciplinary Approach

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Context: Recurrent shoulder instability in young athletes can lead to a spectrum of soft tissue and bony lesions that can be bothersome and/or disabling. Coracoid transfer is a treatment option for athletes with recurrent instability. Objective: To report the rate of return to sport for athletes after coracoid transfer. Data Sources: An electronic search of the literature was performed using the PubMed (MEDLINE) and Cochrane Databases (1966-2018). Study Selection: Studies were included if they evaluated return to sport after treatment with coracoid transfer at a minimum 1-year follow-up. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Data were extracted by 2 authors and included study design, level of evidence, patient demographics (number, age, sex), procedure performed, duration of clinical follow-up, rate of return to sport, patient-reported outcome measures, reoperations, and complications. Results: Fourteen studies met the inclusion criteria. The rate of return to sport at any level ranged from 80% to 100% in all but 1 study (38%), and the rate of return to the previous level of play ranged from 56% to 95% in all but 1 study (16%). Patients returned to sport at an average of 3.2 to 8.1 months. The average patient-reported outcome scores ranged from 78% to 94% (Rowe), 223.6 to 534.3 (Western Ontario Shoulder Instability Index), and 75% to 90% (subjective shoulder value). The rate of postoperative dislocation ranged from 0% to 14%, and the reoperation rate ranged from 1.4% to 13%. Conclusion: There was a high early rate of return to sport in patients who underwent coracoid transfer for anterior shoulder instability, although patients did not reliably return to the same level of play. The procedure had very favorable outcomes for treatment of instability, with low rates of recurrent dislocation and reoperation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Return to Sport After Coracoid Transfer in Athletes With Anterior Shoulder Instability: A Systematic Review

Glogovac

Schumaier

Grawe

2019

Sports Health: A Multidisciplinary Approach

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“…Epileptic seizure has been reported to cause shoulder joint dislocation.1 When a convulsing patient in a lateral decubitus position places their body weight on a fixed arm, the excessive force applied to the shoulder can result in dislocation.2 This may lead to significant bone loss from the glenoid and humeral head, creating a situation in which repetitive shoulder dislocations may occur.3 Generally, procedures such as Bankart repair or the Bristow procedure are considered for the treatment of shoulder joint dislocation 4,5. However, surgical strategies for shoulder joint dislocation require post-operative rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

<p>Corpus callosotomy might have reduced epileptic seizure-induced repetitive shoulder joint dislocation in two patients with medically intractable epilepsy who were not focus resection candidates</p>

Sakakura

Fujimoto

Ichikawa

et al. 2019

TCRM

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Purpose Treatment options appear lacking for patients with epileptic seizure-induced shoulder dislocations who are not candidates for shoulder and focus resection surgeries. To reduce shoulder joint dislocations caused by epileptic seizures and simultaneously reduce the frequency and intensity of seizures, we performed corpus callosotomy for two patients with medically intractable epilepsy that induced repetitive shoulder joint dislocations. Materials and methods A 21-year-old man (Patient 1) with bilateral temporal lobe epilepsy [Focal onset impaired awareness seizure (FIAS), 1/month; focal to bilateral tonic-clonic seizure (BTCS), 1/2–3 months], autism and intellectual disorder and a 34-year-old man (Patient 2) with left multi-lobar epilepsy (BTCS, 3–4/month; status epilepticus, 1/2–3 months), autism and intellectual disorder had suffered from repetitive seizure-induced shoulder dislocations (1/2–3 months for Patient 1; 3–4/month for Patient 2). Due to frequent seizures and uncooperativeness, they were not candidates for shoulder joint dislocation surgery. They were also not candidates for focus resection surgery due to multiple foci and uncooperativeness for invasive monitoring. We performed corpus callosotomy for both patients. Results Postoperatively, frequencies of both shoulder dislocations (2 in 5 years of follow-up for Patient 1; 1 in 5 months of follow-up for Patient 2) and epileptic seizures were drastically reduced. Conclusions For patients who are not candidates for focus resection and shoulder joint surgeries but who suffer from frequent shoulder joint dislocations, corpus callosotomy could be a treatment of last resort.

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Arthroscopic Bankart repair with additional footprint fixation using the double-row technique at the 4 o'clock position anatomically restored the capsulolabral complex and showed good clinical results

Itoigawa

Uehara

Koga

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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PurposeTo investigate the clinical outcome and magnetic resonance imaging (MRI) findings after arthroscopic Bankart repair with additional double anchor footprint fixation (DAFF) at the 4 o’clock position, where the native footprint is widest anatomically, for recurrent anterior shoulder instability. MethodsForty‐two patients (mean age 27.0 years) with recurrent anterior shoulder instability and without severe glenoid bone defects underwent arthroscopic Bankart repair with additional DAFF at the 4 o’clock position. Using three standard portals, single‐row repair was performed at the 2, 3, and 5 o’clock positions, and DAFF with the suture bridging technique was conducted at the 4 o’clock position. MRI was performed preoperatively and at 6 months postoperatively. Patients with follow‐up periods of ≥1 year were included in the present study and clinically evaluated at the final follow‐up. The morphology at the 2 and 4 o’clock positions on radial MRI slices was compared between the preoperative and 6‐month postoperative scans, and the footprint of the repaired capsulolabral complex at 6 months postoperatively was compared between the 2 and 4 o’clock positions. ResultsThe average follow‐up period was 19.5 ± 6.2 months. The rates of dislocation recurrence and positive apprehension test results were 2.4 and 4.8%, respectively. External rotation was restricted by 3.5°. The University of California at Los Angeles and Rowe scores at the final follow‐up were 34.5 ± 1.0 points and 97.2 ± 5.7 points, respectively, representing significant improvements over the preoperative scores (p < 0.01). Although the capsulolabral complex at 6 months postoperatively was firmly repaired at both the 2 and 4 o’clock positions compared to its preoperative state, the footprint of the restored capsulolabral complex was wider at the 4 o’clock position than at the 2 o’clock position (p < 0.01). ConclusionsAdditional DAFF at the 4 o’clock position improved the glenohumeral stability and function of the shoulder joint. This study suggests that this technique is a reliable and useful treatment for shoulder instability. Level of evidenceIV.

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Midterm Clinical Results in Rugby Players Treated With the Bristow Procedure

Cited by 24 publications

References 30 publications

Return to Sport After Coracoid Transfer in Athletes With Anterior Shoulder Instability: A Systematic Review

Return to Sport After Coracoid Transfer in Athletes With Anterior Shoulder Instability: A Systematic Review

<p>Corpus callosotomy might have reduced epileptic seizure-induced repetitive shoulder joint dislocation in two patients with medically intractable epilepsy who were not focus resection candidates</p>

Arthroscopic Bankart repair with additional footprint fixation using the double-row technique at the 4 o'clock position anatomically restored the capsulolabral complex and showed good clinical results

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