Traumatic shoulder dislocation in the adolescent athlete: advances in surgical treatment

Good, Christopher R.; MacGillivray, John D.

doi:10.1097/01.mop.0000147905.92602.bb

Cited by 64 publications

(32 citation statements)

References 15 publications

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“…Young contact sport athletes represent cases with high rates of recurrence for instability surgery. [26][27][28][29] Our sample includes many of these with evidence of multiple dislocations and subluxations, many with multiple surgeries already when participating in highrisk sports.…”

Section: Discussionmentioning

confidence: 99%

Outcomes for intra-substance free coracoid graft in patients with antero-inferior instability and glenoid bone loss in a population of high-risk athletes at a minimum follow-up of 2 years

et al. 2014

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Background: The aim of this retrospective case series study was to assess the outcomes of patients with recurrent anterior shoulder instability with antero-inferior glenoid bone loss treated with a specific open stabilization technique using intra-substance coracoid bone-grafting and Bankart repair. Methods: Over a 4-year period, 34 shoulders in all male patients of mean age 21 years were stabilized with this technique. Pre-and postoperative function, motion and stability were assessed as part of Rowe stability scoring, and American Shoulder and Elbow Surgeons (ASES) and Oxford Instability were recorded, with at least 2 years of follow-up in all patients. Union of the graft was determined by post-operative computed tomography (CT) of the affected shoulder. Results: For all cases, two redislocations (5.9%) and two subluxations occurred when continuing high-risk sport after 2 years. Post-operative scores [median, mean (SD): Rowe 77.5, 77.2 (19.5); ASES 94.2, 92 (7.7); Oxford 43, 41.2 (6)]. CT scans on 28 shoulders at a mean of 4.5 months after surgery showed non-union in three cases (10%).Conclusions: These results demonstrate a high rate of success in cases of glenoid bone loss in the young contact athlete with recurrent instability treated with open stabilization and bone grafting.

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Section: Discussionmentioning

confidence: 99%

Outcomes for intra-substance free coracoid graft in patients with antero-inferior instability and glenoid bone loss in a population of high-risk athletes at a minimum follow-up of 2 years

et al. 2014

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“…24 Athletes participating in collision sports (eg, football and rugby) and contact sports (eg, wrestling and basketball) are at a notably high risk for injury. 7,10,18–20,27 Recurrent dislocation is common in this population, particularly in young athletes where the reported rate of recurrence after arthroscopic Bankart repair ranges from 5.1% to 31%. 4,6,8,9,14,15,18,20,32 …”

mentioning

confidence: 99%

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

Saper

Milchteim²,

Zondervan

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Literature on arthroscopic stabilization in adolescent patients participating in collision and contact sports is limited, as most studies include adolescents within a larger sample group comprised primarily of adults.Purpose:To review the outcomes of arthroscopic Bankart repair for anterior shoulder instability in an adolescent population participating in collision and contact sports.Study Design:Case series; Level of evidence, 4.Methods:This retrospective review included 39 shoulders in 37 adolescent (≤19 years) athletes who underwent primary arthroscopic Bankart repair using suture anchors with at least 2-year follow-up. All patients had a history of trauma to their shoulder resulting in an anterior dislocation. Outcome measures included patient satisfaction, the visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, and Rowe score. Recurrence of dislocation and return to sporting activity were also assessed.Results:The mean age at the time of surgery was 16.9 years (range, 15-19 years), and the mean follow-up was 6.3 years (range, 4.3-10.0 years); 58.6% of patients participated in collision sports. Time to surgery after the initial dislocation episode was 9.2 months (range, 0.5-36.2 months). Four shoulders (10.3%) had dislocation events postoperatively. The majority (78.1%) of patients returned to sports at the same level of competition. Mean VAS was 0.49 ± 1.0, and the mean ASES and Rowe scores were 92.8 ± 12.6 and 85.0 ± 24.2, respectively. Univariate analyses demonstrated that subjective functional outcomes were negatively correlated with recurrence (ASES, P = .005; Rowe, P = .001) and failure to return to sport (ASES, P = .016; Rowe, P = .004). Independent variables shown to have no significant relationship to functional outcomes included age, follow-up, number of preoperative dislocations, time to surgery, sport classification, competition level, tear extent, number of anchors, concurrent Hill-Sachs lesion, and repair of a superior labral anterior-posterior (SLAP) lesion.Conclusion:Arthroscopic Bankart repair is an effective surgical option for traumatic shoulder instability in adolescents participating in collision and contact sports. At a minimum 4-year follow-up, arthroscopic Bankart repair effectively restored stability in 90% of cases; 80% returned to their preinjury level of sport.

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“…Recent studies have reported decreased rates of recurrent instability and improved outcomes in patients treated with surgical stabilization. 4,10,16 More recent studies have focused on the outcomes of arthroscopic anterior stabilization in adults using validated shoulder outcome scores. Milchteim et al 22 examined the results of arthroscopic Bankart repair using suture anchors in 89 highly active patients with a mean age of 21.9 years.…”

Section: Discussionmentioning

confidence: 99%

“…24 Athletes participating in collision sports (eg, football and rugby) and contact sports (eg, wrestling and basketball) are at a notably high risk for injury. 7,10,[18][19][20]27 Recurrent dislocation is common in this population, particularly in young athletes where the reported rate of recurrence after arthroscopic Bankart repair ranges from 5.1% to 31%. 4,6,8,9,14,15,18,20,32 However, a review of the literature on collision and contact athletes revealed that the majority of these included heterogeneous patient populations and have combined adult and adolescent athletes.…”

mentioning

confidence: 99%

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

Saper¹,

Milchteim²,

Zondervan³

et al. 2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Traumatic shoulder dislocation in the adolescent athlete: advances in surgical treatment

Cited by 64 publications

References 15 publications

Outcomes for intra-substance free coracoid graft in patients with antero-inferior instability and glenoid bone loss in a population of high-risk athletes at a minimum follow-up of 2 years

Outcomes for intra-substance free coracoid graft in patients with antero-inferior instability and glenoid bone loss in a population of high-risk athletes at a minimum follow-up of 2 years

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

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