Outcomes of the arthroscopic Bankart procedure in Irish collision sport athletes

Why do patients with anterior shoulder instability not return to sport after surgery? A systematic review of 63 studies comprising 3545 patients

“…Of these 381 studies, 333 did not meet the inclusion criteria in the end, leaving 63 studies for inclusion, comprising 3545 patients. 3 , 4 , 5 , 8 , 10 , 11 , 12 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 22 , 24 , 25 , 26 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 39 , 40 , 42 , 45 , 46 , 47 , 48 , 50 , 51 , 52 , 53 , 54 , 56 , 57 , 58 , 59 , 60 , 62 , 63 , 64 , 65 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 81 , 84 , 86 , 88 , 89 , 90 A flow chart diagram listing the reasons for exclusion is displayed in Figure 1 . Forty-nine retrospective studies and ten pros...…”

“…Sixty-three studies listed reasons for no RTS after surgical treatment of shoulder instability, including a total of 3545 athletes. 3 , 4 , 5 , 8 , 10 , 11 , 12 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 22 , 24 , 25 , 26 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 39 , 40 , 42 , 45 , 46 , 47 , 48 , 50 , 51 , 52 , 53 , 54 , 56 , 57 , 58 , 59 , 60 , 62 , 63 , 64 , 65 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 81 , 84 , 86 , 88 , 89 , 90 Study characteristics are displayed in Supplementary Appendix S2 . Articles were published between 1991 and 2022, with sam...…”

“…First, most (53/63) included studies had a retrospective design, which may introduce bias into the design of a study, such as recall bias. 3 , 4 , 10 , 12 , 14 , 16 , 17 , 18 , 19 , 22 , 24 , 25 , 29 , 30 , 31 , 32 , 33 , 34 , 37 , 38 , 39 , 40 , 45 , 46 , 47 , 48 , 50 , 51 , 52 , 53 , 54 , 56 , 57 , 58 , 59 , 60 , 62 , 63 , 64 , 65 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 81 , 84 , 86 , 88 , 89 , 90 Moreover, retrospective studies are susceptible to methodological flaws such as selection bias and possible loss of data. 82 Second, many studies reported whether reasons for not returning to sports after surgery were shoulder related or not shoulder related, but reasons were not always specified.…”

Can We Identify Why Athletes Fail to Return to Sports After Arthroscopic Bankart Repair? A Systematic Review and Meta-analysis

“…The calculated mean age was 23.9 years (range, 16.9-41.2). Of 17 studies, 5 (29.4%) reported on athletes involved in mixed sports, 3,20,24,44,53 while 6 (35.3%) indicated whether patients participated in a collision, contact, or overhead sports on an individual basis without specifying sports. 8,21,28,36,41,43 Three studies (17.6%) involved a single sport: American football, 33 baseball, 38 or soccer.…”

“…38,39,51 Beyond physical limitations attributed to shoulder instability, athletes may exhibit apprehension of future injury that may affect play, constituting a significant mental obstacle for the recovering athlete to overcome. 24,48,49 Additionally, early diagnosis and management are paramount, as untreated instability can increase risk of further shoulder injury. 7,12,50…”