Return to sports after the latarjet procedure: high return level of non-collision athletes

Kee, Young Moon; Kim, Jung Youn; Kim, Kang‐Il; Lim, Chan Teak; Rhee, Yong Girl

doi:10.1007/s00167-017-4775-4

Cited by 28 publications

(62 citation statements)

References 21 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%

“…The average time for return to sport ranged from 3.2 to 8.1 months. Change in sporting activity was reported in 5 studies, 2,11,17,18,21 with a range of 4.6% to 32.1%.…”

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%

“…Recurrent instability, as measured by number of postoperative dislocations, was reported in 12 studies [3][4][5][6][7][8]11,14,[16][17][18]21 that included 683 patients. Within those studies, there was a total of 20 dislocations, and the recurrent dislocation rate ranged from 0% to 13.8%.…”

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%

“…The average time for return to sport ranged from 3.2 to 8.1 months. Change in sporting activity was reported in 5 studies, 2,11,17,18,21 with a range of 4.6% to 32.1%.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 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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Latarjet procedure enables 73% to return to play within 8 months depending on preoperative SIRSI and Rowe scores

Bohu

Abadie

Rooij

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose Systematic reviews report return to play (RTP) within 5.8 months (range, 3–8) following the Latarjet procedure, but the factors that influence RTP remain unknown. The present study aimed to report the rate and time of return to play (RTP) during the first 8 months following the Latarjet procedure, and to determine the influence of sport type or patient characteristics. Methods The authors retrospectively collected the records of patients that underwent Latarjet procedures for anterior shoulder instability between 2015 and 2017. Patients were excluded if they had any concomitant rotator cuff tendon lesions, or previous ipsilateral shoulder surgery. The authors retrieved patient demographics, time from injury to surgery, type of sport practiced (overhead/non-overhead, contact/non-contact), as well as pre- and postoperative Western Ontario Shoulder Instability index (WOSI), Shoulder Instability-Return to Sport After Injury index (SIRSI), and Rowe score. Results A total of 217 patients (217 shoulders) were eligible for inclusion, comprising 184 males and 33 females, aged 26.8 ± 7.3 years at index surgery. The main sport practiced prior to surgery involved overhead (n = 173, 80%) and/or contact (n = 152, 70%) activities. By 8 month follow-up, 158 patients (73%) resumed their main sport, at a mean of 5.1 ± 1.5 months. Multivariable analysis revealed that RTP was more likely in patients with higher preoperative Rowe score (OR, 1.02; p = 0.024) and SIRSI score (OR, 1.02; p = 0.008). Conclusions By 8 months following the Latarjet procedure, 73% of patients had resumed their main sport. The likelihood of RTP was significantly associated with preoperative Rowe and SIRSI scores, but not with sport type. Level of evidence IV.

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Latarjet procedure for failed Bankart repair provides better stability and return to sports, but worse postoperative pain and external rotation limitations with more complications, compared to revision Bankart repair: a systematic review and meta-analysis

Lho

Lee

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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PurposeThis study aimed to compare the clinical results of revision Bankart repair versus the Latarjet procedure for failed Bankart repair. MethodsA literature search was performed in databases, such as Pubmed, Embase, and Scopus Library. The studies were appraised using the Methodological Index for Non‐randomized Studies tool. Studies for failed Bankart repair with revision Bankart repair or Latarjet procedure were included. The pain VAS, ROWE score, rate of return to sports and preinjury level of sports, recurrent instability, range of motion, and complications were compared. Additionally, the pain VAS, ROWE score, forward flexion, and external rotation at side were subjected to a meta‐analysis. ResultsTwenty‐four articles were included in the systematic review. The functional outcomes in terms of the ROWE score, recurrent instability, return to sports, and the preinjury level of sports was better in the Latarjet procedure group than those in the revision Bankart repair group (ROWE score, 91 vs. 86.7; recurrent instability rate, 3.5% vs. 14.4%; return to sports rate, 100% vs. 87.9%; return to preinjury level of sports rate, 89.9% vs. 74.9%; all P < 0.001). However, the results of postoperative pain and the postoperative limitation of external rotation at side were worse in the Latarjet procedure group than those in the revision Bankart repair group (pain VAS, 1.4 vs. 0.8; postoperative external rotation at side, 38° vs. 60°; all P < 0.001). In addition, the majority of the complications occurred in the Latarjet procedure group. In the meta‐analysis, the postoperative ROWE score was significantly higher in the Latarjet procedure group than that in the revision Bankart group (revision Bankart repair: 95% CI 88.9–80.9, I2 = 65.70; Latarjet procedure: 95% CI 95.8–88.1, I2 = 93.37; P = 0.014). However, the pain VAS, forward flexion, and external rotation at side did not reach the significant level in the meta‐analysis. ConclusionCompared with revision Bankart repair, the Latarjet procedure for failed Bankart repair showed better ROWE scores, stability, and return to sports or preinjury level of sports; however, the postoperative pain and the limitation of external rotation at side were worse with more complications. IRB NoKUMC 2022–01‐024. Level of evidenceLevel IV.

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Return to sports after the latarjet procedure: high return level of non-collision athletes

Abstract: IV.

Cited by 28 publications

References 21 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

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

Latarjet procedure for failed Bankart repair provides better stability and return to sports, but worse postoperative pain and external rotation limitations with more complications, compared to revision Bankart repair: a systematic review and meta-analysis

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