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Incapacity of work after arthroscopic Bankart repair

  • Arthroscopy and Sports Medicine
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Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background and introduction

The incapacity with respect to work following anterior-inferior shoulder dislocation and subsequent Bankart repair has not been previously examined. The objective of this study was to examine a patient’s incapacity according to the classification by the REFA Association. The recovery time was measured and the outcome of patients with heavy workload was compared to those with lower workloads.

Materials and methods

A total of 74 patients who underwent isolated arthroscopic Bankart repair fulfilled the inclusion criteria. The Constant–Murley Score, UCLA Shoulder Score and ROWE Score for Shoulder Instability were recorded for clinical assessment. The mean follow-up time was 43.1 months (SD ± 17.4; 24–110 months) with a mean age of 34.7 years (SD ± 12.6). Workload was classified as per the REFA Association classification system. Postoperative duration of a patient’s incapacity with respect to work and other subjective ratings were provided by the patients themselves.

Results

The mean incapacity of work was 2.73 months (95 % CI 1.19–5.36). The incapacity of work was 2.06 months (95 % CI 1.55–2.68) in the group with low physical strains at work (REFA 0–1) and 3.40 months (95 % CI 2.70–4.24) in the group with heavy workload (REFA 2–4/p = 0.005). Overall, the mean Constant–Murley Score was 87.7 (SD ± 13.5). The average UCLA Shoulder Score summed up to 31.9 (SD ± 3.87) and the mean ROWE Score was 87.6 (SD ± 21.7). 13 (17.5 %) patients had problems to compete in their jobs. Three patients had to change the job postoperatively.

Conclusion

In this study, a relationship between the time of incapacity of work and the workload was observed; patients with low physical strains returned significantly earlier to work after arthroscopic Bankart repair (p = 0.005). In general, the clinical results as measured in the Constant/UCLA/Rowe score were comparable to other studies.

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References

  1. Zacchilli MA, Owens BD (2010) Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 92(3):542–549

    Article  PubMed  Google Scholar 

  2. Boone JL, Arciero RA (2010) Management of failed instability surgery: how to get it right the next time. Orthop Clin N Am 41(3):367–379

    Article  Google Scholar 

  3. Antonio GE, Griffith JF, Yu AB, Yung PS, Chan KM, Ahuja AT (2007) First-time shoulder dislocation: high prevalence of labral injury and age-related differences revealed by MR arthrography. J Magn Reson Imaging 26(4):983–991

    Article  PubMed  Google Scholar 

  4. Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16(7):677–694

    Article  CAS  PubMed  Google Scholar 

  5. Longo UG, Loppini M, Rizzello G, Romeo G, Huijsmans PE, Denaro V (2013) Glenoid and humeral head bone loss in traumatic anterior glenohumeral instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 22(2):392–414

    Article  PubMed  Google Scholar 

  6. Taylor DC, Arciero RA (1997) Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med 25(3):306–311

    Article  CAS  PubMed  Google Scholar 

  7. Bankart AS (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg 26:23–29

    Article  Google Scholar 

  8. Cole BJ, L’Insalata J, Irrgang J, Warner JJ (2000) Comparison of arthroscopic and open anterior shoulder stabilization. A two to six-year follow-up study. J Bone Joint Surg Am 82-A(8):1108–1114

    CAS  PubMed  Google Scholar 

  9. Kartus J, Ejerhed L, Funck E, Kohler K, Sernert N, Karlsson J (1998) Arthroscopic and open shoulder stabilization using absorbable implants. A clinical and radiographic comparison of two methods. Knee Surg Sports Traumatol Arthrosc 6(3):181–188

    Article  CAS  PubMed  Google Scholar 

  10. Lenters TR, Franta AK, Wolf FM, Leopold SS, Matsen FA 3rd (2007) Arthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature. J Bone Joint Surg Am 89(2):244–254

    Article  PubMed  Google Scholar 

  11. Zaffagnini S, Marcheggiani Muccioli GM, Giordano G, Bonanzinga T, Grassi A, Nitri M, Bruni D, Ravazzolo G, Marcacci M (2012) Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction. Knee Surg Sports Traumatol Arthrosc 20(5):816–821

    Article  PubMed  Google Scholar 

  12. Rowe CR, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60(1):1–16

    CAS  PubMed  Google Scholar 

  13. Bottoni CR, Wilckens JH, DeBerardino TM, D’Alleyrand JC, Rooney RC, Harpstrite JK, Arciero RA (2002) A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations. Am J Sports Med 30(4):576–580

    PubMed  Google Scholar 

  14. Gartsman GM, Roddey TS, Hammerman SM (2000) Arthroscopic treatment of anterior–inferior glenohumeral instability. Two to five-year follow-up. J Bone Joint Surg Am 82-A(7):991–1003

    CAS  PubMed  Google Scholar 

  15. Owens BD, Harrast JJ, Hurwitz SR, Thompson TL, Wolf JM (2011) Surgical trends in Bankart repair: an analysis of data from the American Board of Orthopaedic Surgery certification examination. Am J Sports Med 39(9):1865–1869

    Article  PubMed  Google Scholar 

  16. Steinbeck J, Witt KA, Marquardt B (2009) Arthroscopic versus open anterior shoulder stabilization. A systematic validation. Der Orthopade 38(1):36–40

    Article  CAS  PubMed  Google Scholar 

  17. Mohtadi NG, Bitar IJ, Sasyniuk TM, Hollinshead RM, Harper WP (2005) Arthroscopic versus open repair for traumatic anterior shoulder instability: a meta-analysis. Arthroscopy 21(6):652–658

    Article  PubMed  Google Scholar 

  18. Petrera M, Patella V, Patella S, Theodoropoulos J (2010) A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg Sports Traumatol Arthrosc 18(12):1742–1747

    Article  CAS  PubMed  Google Scholar 

  19. Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T (2007) The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 23(11):1242 e1241–1245

  20. Martetschlager F, Kraus TM, Hardy P, Millett PJ (2012) Arthroscopic management of anterior shoulder instability with glenoid bone defects. Knee Surg Sports Traumatol Arthrosc 21(12):2867–2876

    Article  PubMed  Google Scholar 

  21. Scheibel M, Kraus N, Diederichs G, Haas NP (2008) Arthroscopic reconstruction of chronic anteroinferior glenoid defect using an autologous tricortical iliac crest bone grafting technique. Arch Orthop Trauma Surg 128(11):1295–1300

    Article  PubMed  Google Scholar 

  22. Cho NS, Yi JW, Lee BG, Rhee YG (2009) Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability. Am J Sports Med 37(11):2158–2164

    Article  PubMed  Google Scholar 

  23. Millett PJ, Clavert P, Warner JJ (2005) Open operative treatment for anterior shoulder instability: when and why? J Bone Joint Surg Am 87(2):419–432

    Article  PubMed  Google Scholar 

  24. Young AA, Maia R, Berhouet J, Walch G (2011) Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Shoulder Elbow Surg 20(2 Suppl):S61–S69

    Article  PubMed  Google Scholar 

  25. Kraus TM, Martetschlager F, Graveleau N, Klouche S, Freude T, Stockle U, Hardy P (2013) CT-based quantitative assessment of the surface size and en-face position of the coracoid block post-Latarjet procedure. Arch Orthop Trauma Surg 133(11):1543–1548

    Article  PubMed  Google Scholar 

  26. Kraus TM, Graveleau N, Bohu Y, Pansard E, Klouche S, Hardy P (2013) Coracoid graft positioning in the Latarjet procedure. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-013-2651-4

    Google Scholar 

  27. Baker CL 3rd, Mascarenhas R, Kline AJ, Chhabra A, Pombo MW, Bradley JP (2009) Arthroscopic treatment of multidirectional shoulder instability in athletes: a retrospective analysis of 2- to 5-year clinical outcomes. Am J Sports Med 37(9):1712–1720

    Article  PubMed  Google Scholar 

  28. Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren RF (2011) Effect of shoulder stabilization on career length in national football league athletes. Am J Sports Med 39(4):704–709

    Article  PubMed  Google Scholar 

  29. Castagna A, Delle Rose G, Borroni M, Cillis BD, Conti M, Garofalo R, Ferguson D, Portinaro N (2012) Arthroscopic stabilization of the shoulder in adolescent athletes participating in overhead or contact sports. Arthroscopy 28(3):309–315

    Article  PubMed  Google Scholar 

  30. Jobe FW, Giangarra CE, Kvitne RS, Glousman RE (1991) Anterior capsulolabral reconstruction of the shoulder in athletes in overhand sports. Am J Sports Med 19(5):428–434

    Article  CAS  PubMed  Google Scholar 

  31. Larrain MV, Montenegro HJ, Mauas DM, Collazo CC, Pavon F (2006) Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique. Arthroscopy 22(12):1283–1289

    Article  PubMed  Google Scholar 

  32. Owens BD, DeBerardino TM, Nelson BJ, Thurman J, Cameron KL, Taylor DC, Uhorchak JM, Arciero RA (2009) Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes. Am J Sports Med 37(4):669–673

    Article  PubMed  Google Scholar 

  33. Stein T, Linke RD, Buckup J, Efe T, von Eisenhart-Rothe R, Hoffmann R, Jager A, Welsch F (2011) Shoulder sport-specific impairments after arthroscopic Bankart repair: a prospective longitudinal assessment. Am J Sports Med 39(11):2404–2414

    Article  PubMed  Google Scholar 

  34. Amstutz HC, Sew Hoy AL, Clarke IC (1981) UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 155:7–20

    PubMed  Google Scholar 

  35. Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164

    PubMed  Google Scholar 

  36. Sugaya H, Moriishi J, Dohi M, Kon Y, Tsuchiya A (2003) Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am 85-A(5):878–884

    PubMed  Google Scholar 

  37. Harris JD, Gupta AK, Mall NA, Abrams GD, McCormick FM, Cole BJ, Bach BR Jr, Romeo AA, Verma NN (2013) Long-term outcomes after Bankart shoulder stabilization. Arthroscopy 29(5):920–933

    Article  PubMed  Google Scholar 

  38. Green MR, Christensen KP (1993) Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications. Arthroscopy 9(4):371–374

    Article  CAS  PubMed  Google Scholar 

  39. Auffarth A, Schauer J, Matis N, Kofler B, Hitzl W, Resch H (2008) The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am J Sports Med 36(4):638–647

    Article  PubMed  Google Scholar 

  40. Hovelius L, Sandstrom B, Saebo M (2006) One hundred eighteen Bristow–Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study II-the evolution of dislocation arthropathy. J Shoulder Elbow Surg 15(3):279–289

    Article  PubMed  Google Scholar 

  41. Neyton L, Young A, Dawidziak B, Visona E, Hager JP, Fournier Y, Walch G (2012) Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet–Patte procedure with minimum 5-year follow-up. J Shoulder Elbow Surg 21(12):1721–1727

    Article  PubMed  Google Scholar 

  42. Bessiere C, Trojani C, Pelegri C, Carles M, Boileau P (2013) Coracoid bone block versus arthroscopic Bankart repair: a comparative paired study with 5-year follow-up. Orthop Traumatol Surg Res 99(2):123–130

    Article  CAS  PubMed  Google Scholar 

  43. Hovelius L, Vikerfors O, Olofsson A, Svensson O, Rahme H (2011) Bristow–Latarjet and Bankart: a comparative study of shoulder stabilization in 185 shoulders during a seventeen-year follow-up. J Shoulder Elbow Surg 20(7):1095–1101

    Article  PubMed  Google Scholar 

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Acknowledgments

This work was not supported directly by outside funding or grants. This study was approved by the local Ethics Committee.

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Authors and Affiliations

  1. BG Trauma Center, Eberhard Karls University Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany

    Tobias M. Kraus, Thomas Freude, Sebastian Fiedler, Steffen Schröter, Ulrich Stöckle & Atesch Ateschrang

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  1. Tobias M. Kraus
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Correspondence to Thomas Freude.

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Kraus, T.M., Freude, T., Fiedler, S. et al. Incapacity of work after arthroscopic Bankart repair. Arch Orthop Trauma Surg 135, 1429–1436 (2015). https://doi.org/10.1007/s00402-015-2288-5

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