Skip to main content
Log in

„Return to sports“ nach Schulterstabilisation

Return to sports after shoulder stabilization

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Die traumatische Instabilität des Schultergelenks tritt meist bei jungen, sportlich aktiven Patienten auf, die die volle Wiedererlangung ihres Sportniveaus anstreben. Nach operativer Stabilisierung des Schultergelenks zeigen sich heute sehr gute Ergebnisse in Bezug auf den „return to sports“. Sowohl die operative Technik als auch die Rehabilitation müssen hierzu konsequent umgesetzt werden, um das optimale klinische Ergebnis zu erreichen. Neben anderen bekannten Faktoren hat jedoch auch die sportliche Aktivität Einfluss auf die Reluxationsrate. Durch die Erfüllung spezieller Kriterien kann trotz Mangel evidenzbasierter Empfehlungen der optimale Zeitpunkt zur Wiederaufnahme der sportlichen Betätigung abgeschätzt werden.

Abstract

Traumatic instability of the shoulder joint usually occurs in young physically active patients who strive for a full recovery to their previous level of sports activities. Nowadays, operative stabilization of the shoulder joint demonstrates good results in terms of return to sports. Both the surgical technique and postoperative rehabilitation must be consistently implemented in order to achieve an optimal clinical outcome. Among other known factors the sporting activity of the patient significantly affects the re-dislocation rate. Specific criteria might help surgeons to define the optimal point in time for the resumption of sporting activities, despite a lack of evidence-based recommendations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Baker CL, Uribe JW, Whitman C (1990) Arthroscopic evaluation of acute initial anterior shoulder dislocations. Am J Sports Med 18:25–28

    Article  CAS  PubMed  Google Scholar 

  2. Ellenbecker TS, Mattalino AJ (1999) Glenohumeral joint range of motion and rotator cuff strength following arthroscopic anterior stabilization with thermal capsulorraphy. J Orthop Sports Phys Ther 29:160–167

    Article  CAS  PubMed  Google Scholar 

  3. 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:991–1003

    CAS  PubMed  Google Scholar 

  4. Harris JD, Gupta AK, Mall NA et al (2013) Long-term outcomes after Bankart shoulder stabilization. Arthroscopy 29:920–933

    Article  PubMed  Google Scholar 

  5. Imhoff AB, Ansah P, Tischer T et al (2010) Arthroscopic repair of anterior-inferior glenohumeral instability using a portal at the 5:30-o’clock position: analysis of the effects of age, fixation method, and concomitant shoulder injury on surgical outcomes. Am J Sports Med 38:1795–1803

    Article  PubMed  Google Scholar 

  6. Imhoff AB, Beitzel K, Stamer K et al (2010) Rehabilitation in der orthopadischen Chirurgie: Op-Verfahren im Überblick – Physiotherapie – Sporttherapie. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  7. Mc LH, Cavallaro WU (1950) Primary anterior dislocation of the shoulder. Am J Surg 80:615–621 (passim)

    Article  Google Scholar 

  8. Mccarty EC, Ritchie P, Gill HS et al (2004) Shoulder instability: return to play. Clin Sports Med 23:335–351 (vii–viii)

    Article  PubMed  Google Scholar 

  9. Montgomery WH 3rd, Jobe FW (1994) Functional outcomes in athletes after modified anterior capsulolabral reconstruction. Am J Sports Med 22:352–358

    Article  PubMed  Google Scholar 

  10. O’Neill DB (1999) Arthroscopic Bankart repair of anterior detachments of the glenoid labrum. A prospective study. J Bone Joint Surg Am 81:1357–1366

    PubMed  Google Scholar 

  11. Olds M, Ellis R, Donaldson K et al (2015) Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. Br J Sports Med 49:913–922

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Owens BD, Deberardino TM, Nelson BJ et al (2009) Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes. Am J Sports Med 37:669–673

    Article  PubMed  Google Scholar 

  13. Owens BD, Harrast JJ, Hurwitz SR et al (2011) Surgical trends in Bankart repair: an analysis of data from the american board of orthopaedic surgery certification examination. Am J Sports Med 39:1865–1869

    Article  PubMed  Google Scholar 

  14. Plath JE, Feucht MJ, Saier T et al (2015) Sporting activity after arthroscopic bankart repair for chronic glenohumeral instability. Arthroscopy 31(10):1996

    Article  PubMed  Google Scholar 

  15. Porcellini G, Campi F, Pegreffi F et al (2009) Predisposing factors for recurrent shoulder dislocation after arthroscopic treatment. J Bone Joint Surg Am 91:2537–2542

    Article  PubMed  Google Scholar 

  16. Shibata H, Gotoh M, Mitsui Y et al (2014) Risk factors for shoulder re-dislocation after arthroscopic Bankart repair. J Orthop Surg Res 9:53

    Article  PubMed Central  PubMed  Google Scholar 

  17. Simonet WT, Cofield RH (1984) Prognosis in anterior shoulder dislocation. Am J Sports Med 12:19–24

    Article  CAS  PubMed  Google Scholar 

  18. Solomon DJ, Provencher MT (2008) Shoulder instability and surgical stabilization: return to sports and activities. Sports Med 6:2–7. (Update November/December)

    Google Scholar 

  19. 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 25:306–311

    Article  CAS  PubMed  Google Scholar 

  20. Waterman BR, Burns TC, Mccriskin B et al (2014) Outcomes after bankart repair in a military population: predictors for surgical revision and long-term disability. Arthroscopy 30:172–177

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Knut Beitzel M.A. (Sportwiss.).

Ethics declarations

Interessenkonflikt

K. Beitzel, C. Jung, A.B. Imhoff, M. Scheibel und F. Mauch geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Beitzel, K., Jung, C., Imhoff, A.B. et al. „Return to sports“ nach Schulterstabilisation. Arthroskopie 29, 32–37 (2016). https://doi.org/10.1007/s00142-016-0062-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00142-016-0062-5

Schlüsselwörter

Keywords

Navigation