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Anterior shoulder stabilization by Bristow–Latarjet procedure in athletes: return-to-sport and functional outcomes at minimum 2-year follow-up

  • Jean Sébastien BerangerEmail author
  • Shahnaz Klouche
  • Thomas Bauer
  • Thomas Demoures
  • Philippe Hardy
Original Article • SHOULDER - DISLOCATION

Abstract

Purpose

The aim of this study was to assess return-to-sport outcomes following the Latarjet–Bristow procedure.

Methods

This retrospective study included all athletes <50 years old, who underwent a Latarjet–Bristow procedure for anterior shoulder instability in 2009–2012. Main criteria assessments were the number of athletes returning to any sport and the number returning to the same sport at their preinjury level. The main follow-up was 46.8 ± 9.7 months.

Results

Forty-seven patients were analyzed, 46 men/1 women, mean age 27.9 ± 7.9 years. Eighteen patients practiced competitive sports and 29 recreational sports. None of them were professional athletes. One hundred percent returned to sports after a mean 6.3 ± 4.3 months. Thirty/47 (63.8 %) patients returned to the same sport at the same level at least and 10/47 (21.3 %) patients changed sport because of their shoulder. Compared to patients who returned to the same sport at the same level, patients who changed sports or returned to a lower level had practiced overhead or forced overhead sports [OR = 4.7 (1.3–16.9), p = 0.02] before surgery, experienced avoidance behavior at the final follow-up (p = 0.002), apprehension (p = 0.00001) and had a worse Western Ontario Shoulder Instability Index score and sub-items (p = 0.003) except for daily activities (p = 0.21). At the final follow-up, 45/47 (95.7 %) patients were still practicing a sport.

Conclusion

All the patients returned to sports, most to their preinjury sport at the same level. Patients who practiced an overhead sport were more likely to play at a lower level or to change sport postoperatively.

Level of evidence

IV, retrospective study—Case series with no comparison group.

Keywords

Bristow–Latarjet procedure Shoulder Anterior instability Return-to-sport Sport level WOSI 

Notes

Compliance with ethical standards

Conflicts of interest

T Bauer is consultant for Arthrex. P. Hardy is consultant for Arthrex and Zimmer. The other authors (JS Beranger, S Klouche, T Demoures) declare that they have no conflicts of interest concerning this article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments. The study was approved by the institutional review board of Comité de Protection des Personnes Ile de France VI, Hôpital La Pitié Salpêtrière, 75013 Paris, France.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag France 2016

Authors and Affiliations

  • Jean Sébastien Beranger
    • 1
    Email author
  • Shahnaz Klouche
    • 1
    • 4
  • Thomas Bauer
    • 1
  • Thomas Demoures
    • 1
    • 2
  • Philippe Hardy
    • 1
    • 3
  1. 1.Hôpitaux universitaires Paris Île-de-France Ouest, AP–HPBoulogne-BillancourtFrance
  2. 2.Hôpital d’instruction des Armées PercyClamartFrance
  3. 3.Université de Versailles Saint-Quentin-en-YvelinesVersaillesFrance
  4. 4.Ambroise Paré HospitalBoulogne-BillancourtFrance

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