Return to sport after surgical treatment for posterior shoulder instability : a systematic review

© 2020 Published by Elsevier Inc. on behalf of American Shoulder and Elbow Surgeons.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 4(2020), 4 vom: 11. Dez., Seite 797-802
1. Verfasser: Matar, Robert N (VerfasserIn)
Weitere Verfasser: Shah, Nihar S, Gardner, Tyler J, Grawe, Brian M
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Review ASES score Posterior shoulder instability contact sports labrum repair overhead sports return to sport
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520 |a PURPOSE: To report the rate of return to sport after surgical treatment for posterior shoulder instability among athletes 
520 |a METHODS: A systematic review of the literature regarding rate of return to sport after surgical treatment for posterior shoulder instability was undertaken. The primary outcome measure was return to sport. The secondary outcome measures included rate of return to sport to preinjury level, time to return to sport, injury type, reoperations after primary surgery, and objective patient-reported outcome data. Data is summarized with ranges and tables 
520 |a RESULTS: A total of 23 studies met inclusion criteria. The rate of return to sport ranged from 57.9%-100%. The rate of return to sport to the preinjury level ranged from 47.4%-100%. Time to return to sport ranged from 4.3-7.7 months. Furthermore, 66% of subjects had an acute traumatic injury and 34% were of insidious onset. The most commonly reported outcome measures were American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) scores and visual analog scale (VAS) pain scores. At a minimum of 1-year follow-up, ASES and VAS pain scores improved. Revision rates ranged from 0%-36.8% 
520 |a CONCLUSION: The systematic review demonstrated high rates of return to sport and relatively high rates of return to preinjury level of sport among all athletes who underwent surgical treatment for posterior shoulder instability. Objective patient-reported outcome metrics improved postoperatively whereas revision rates remained low 
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650 4 |a return to sport 
700 1 |a Shah, Nihar S  |e verfasserin  |4 aut 
700 1 |a Gardner, Tyler J  |e verfasserin  |4 aut 
700 1 |a Grawe, Brian M  |e verfasserin  |4 aut 
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