Return to play following operative management of anterior shoulder instability in overhead athletes—A systematic review

Author:

Hurley Eoghan T1ORCID,Lunn Kiera2ORCID,Bethell Mikhail2,Levin Jay1,Pasqualini Ignacio3ORCID,Frangiamore Salvatore3,Anakwenze Oke1,Klifto Christopher S1

Affiliation:

1. Department of Orthopaedic Surgery, Duke University, Durham, NC, USA

2. School of Medicine, Duke University, Durham, NC, USA

3. Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, USA

Abstract

Background The purpose of this study was to systematically review the rate and timing of return to play in overhead athletes following operative management of anterior shoulder instability. Methods A systematic literature search based on PRISMA guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases. Eligible for inclusion were clinical studies reporting on return to play among overhead athletes following arthroscopic Bankart repair, open Latarjet procedure or Remplissage procedure. Results There are 23 studies included with 961 patients. Among those undergoing arthroscopic Bankart repair, the rate of return to play was 86.2%, with 70.6% returning to the same level of play and the mean time to return to play was 7.1 months. Among those undergoing an open Latarjet procedure, the rate of return to play was 80.9%, with 77.7% returning to the same level of play and the mean time to return to play was 5.1 months. Among those undergoing a Remplissage procedure, the rate of return to play was 70.6%, with 70.0% returning to the same level of play or mean time to return to play. Discussion Overall, there were high rates of return to play following operative management of anterior shoulder instability in overhead athletes.

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Surgery

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