Return to sport following arthroscopic Bankart repair: a systematic review

Memon, Muzammil; Kay, Jeffrey; Cadet, Edwin R.; Shahsavar, Shayan; Simunovic, Nicole; Ayeni, Olufemi R.

doi:10.1016/j.jse.2018.02.044

Cited by 89 publications

(87 citation statements)

References 33 publications

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“… 11 , 16 In a recent systematic review evaluating return-to-sport rate following arthroscopic Bankart repair, Memon et al. 16 reported a rate of return to a competitive level of sport of 82%, whereas the rate of return to the preinjury level of competitive sports was 88%. However, in the subgroup of contact athletes, the results reported by some authors have been less favorable.…”

Section: Discussionmentioning

confidence: 99%

High Variability in Functional Outcomes and Recurrences Between Contact Sports After Arthroscopic Bankart Repair: A Comparative Study of 351 Patients With a Minimum 3-Year Follow-Up

Rossi

Tanoira

Gorodischer

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To compare return to sports, functional outcomes, and complications of a consecutive series of contact athletes with anterior glenohumeral instability treated with isolated arthroscopic Bankart repair for isolated anterior instability. Methods Between January 2008 and December 2016, 351 competitive athletes who participated in contact or collision sports underwent isolated arthroscopic Bankart repair at our institution (rugby n = 105, soccer n = 90, martial arts n = 36 boxing n = 28, field hockey n = 30, handball n = 31, and basketball n = 31). Return to sports, the Rowe score, and the Athletic Shoulder Outcome Scoring System (ASOSS) score were used to assess functional outcomes. Complications also were evaluated. Results The mean follow-up period was 66.7 months (range, 36-148 months) and the mean age of the 351 patients was 21.3 years (range, 17-30 years).Overall, 309 patients (88%) were able to return to sports, and 284 (81%) returned at the same level as before the injury. The mean time to return to sports was 5.3 months. The rate of return to sports, the level achieved by the patients, and time to return to sports varied significantly between sports. The Rowe and ASOSS scores showed statistical improvement after operation ( P < .001). The ASOSS score varied significantly between sports ( P < .001). There were 40 recurrences (11.3%), 7 complications (2%) and 21 patients (6%) underwent revision surgery. There was a significant difference in the rate of recurrences and revisions between the different contact sports. Conclusions In athletes with glenohumeral instability who undergo isolated arthroscopic Bankart repair for isolated anterior instability, there is great variability in the rate of return to sport at the same level, in shoulder performance after returning to competition, and in the postoperative recurrence rates. Due to the high variability found in our study, results after arthroscopic Bankart repair in contact athletes should not be reported globally by including the different sports under the “collision or contact sports” label. Level of Evidence Retrospective Case Series; Level of evidence, 4.

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Section: Discussionmentioning

confidence: 99%

High Variability in Functional Outcomes and Recurrences Between Contact Sports After Arthroscopic Bankart Repair: A Comparative Study of 351 Patients With a Minimum 3-Year Follow-Up

Rossi

Tanoira

Gorodischer

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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“…Especially in high-demand populations, such as the collision or overhead athletes, where up to 30% of patients are expected to not return to their sport at the same level, regardless of the surgical treatment for anterior shoulder instability despite their overall long-term success. 6 , 25 , 26 , 27 , 28 Although the causes for the relatively high rate of patients not being able to return to the same level of sports in the current study are likely to be multifactorial, it might be a reflection of the more extensive capsuloligamentous and LHBT injury than a labrum lesion alone. 29 …”

Section: Discussionmentioning

confidence: 81%

“…Memon et al. 6 found in a systematic review that 81% of athletes undergoing arthroscopic Bankart repair could RTP, with 82% of competitive athletes returning. Similarly, studies have found high rates of RTP following biceps tenodesis with rates between 70% and 100% reported.…”

Section: Discussionmentioning

confidence: 99%

“… 7 , 8 , 9 , 10 The overall timing of RTP was approximately 5 months, which is not different to what has been reported for athletes undergoing Bankart repair alone. 6 This suggests that patients may not need prolonged rehabilitation because of the additional biceps tenodesis.…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 , 5 Outcomes following arthroscopic Bankart repair are generally considered excellent with high rates of return to play in athletes. 6 However, associated pathologies, especially lesions of the long head of the biceps brachii tendon (LHBT) in athletes, might complicate return to play. 7 , 8 , 9 , 10 …”

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confidence: 99%

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Return to Play after Arthroscopic Bankart Repair Combined with Open Subpectoral Biceps Tenodesis

Toale

Hurley

Davey

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To evaluate the clinical outcomes and rate of return to play (RTP) in patients who underwent arthroscopic Bankart repair and open subpectoral biceps tenodesis. Methods A retrospective review of patients who underwent combined arthroscopic Bankart repair and open subpectoral biceps tenodesis by a single surgeon between 2012 and 2016 was performed. RTP, the level of return, and the timing of return were assessed. Visual analog scale for pain, Rowe score, Shoulder Instability-Return to Sport after Injury score, and Subjective Shoulder Value were evaluated. Results The study included 14 patients, with a mean follow-up of 34.2 ± 12.1 months. Of the 14 patients, 13 (92.9%) returned to sport at a mean of 4.8 ± 1.2 months and 9 (64.3%) returned to the same or higher level of sport. At final follow-up, the mean Rowe was 80.0 ± 16.3, the mean Subjective Shoulder Value was 81.0 ± 15.1, the mean Shoulder Instability-Return to Sport after Injury was 57.3 ± 25.6, and the mean visual analog scale score was 2.6 ± 1.5. One patient had a recurrent dislocation, whereas no patients underwent a further operation on the ipsilateral shoulder. Conclusion Patients undergoing arthroscopic Bankart repair combined with open subpectoral biceps tenodesis had a high rate of RTP with a low rate of recurrent instability. Level of Evidence IV, Therapeutic Case Series.

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