Shoulder instability following traumatic glenohumeral dislocation is a common injury sustained by athletes particularly in contact and collision sports. Overhead contact sports such as gaelic football and hurling pose a unique hazard to the glenohumeral joint, increasing the risk of dislocation.
To assess return to sport, level of play, recurrence and functional outcomes in gaelic football and hurling athletes in comparison with players of other sports.
A retrospective cohort study was carried out from 2007 to 2016. Follow-up was conducted via telephone interview using the Western Ontario Shoulder Instability Index (WOSI) score used to assess functional outcomes as well as return to sport, level of return and recurrence.
Ninety patients were included with follow-up which was obtained on 61 patients (68%) with a mean follow-up of 5.04 years. 91.8% played sport at the time of injury, 55.4% of those (31 patients) played a gaelic sport with 44.6% (25 patients) playing other sports. 76.8% returned to their sport, 80.4% of these able to return at their pre-injury level. Recurrence occurred in 10 patients (16.4%). WOSI scores were not significantly different between groups (p = 0.77). No significance in recurrence between groups was noted (p = 0.78).
Favourable outcomes can be expected for overhead contact sport athletes undergoing anterior arthroscopic stabilisation for recurrent instability. Players from these groups returned to sport sooner than those from other sports and no difference in recurrence was noted. The level at which they can expect to return to is favourable with most athletes reaching their pre-injury level.
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Goss TP (1988) Anterior glenohumeral instability. Orthopedics 11(1):87–95
Brophy RH, Barnes R, Rodeo SA, Warren RF (2007) Prevalence of musculoskeletal disorders at the NFL Combine--trends from 1987 to 2000. Med Sci Sports Exerc 39(1):22–27
Roberts SN, Taylor DE, Brown JN, Hayes MG, Saies A (1999) Open and arthroscopic techniques for the treatment of traumatic anterior shoulder instability in Australian rules football players. J Shoulder Elb Surg 8(5):403–409
Cho NS, Hwang JC, Rhee YG (2006) Arthroscopic stabilization in anterior shoulder instability: collision athletes versus noncollision athletes. Arthroscopy 22(9):947–953
Borsa PA, Laudner KG, Sauers EL (2008) Mobility and stability adaptations in the shoulder of the overhead athlete: a theoretical and evidence-based perspective. Sports Med 38(1):17–36
Kvitne RS, Jobe FW (1993) The diagnosis and treatment of anterior instability in the throwing athlete. Clin Orthop Relat Res 291:107–123
Petrera M, Dwyer T, Tsuji MR, Theodoropoulos JS (2013) Outcomes of arthroscopic Bankart repair in collision versus noncollision athletes. Orthopedics 36(5):e621–e626
Saper MG, Milchteim C, Zondervan RL, Andrews JR, Ostrander RV 3rd (2017) Outcomes after arthroscopic Bankart repair in adolescent athletes participating in collision and contact sports. Orthop J Sports Med 5(3):2325967117697950
Uhorchak JM, Arciero RA, Huggard D, Taylor DC (2000) Recurrent shoulder instability after open reconstruction in athletes involved in collision and contact sports. Am J Sports Med 28(6):794–799
Pagnani MJ, Dome DC (2002) Surgical treatment of traumatic anterior shoulder instability in American football players. J Bone Joint Surg Am 84-A(5):711–715
Bonacci J, Manson B, Bowe SJ, Gill S, Seward H, Hoy G et al (2017) Operative shoulder instability injury management in Australian Football League players: a case series. J Sci Med Sport 21(8):760–764
Mazzocca AD, Brown FM Jr, Carreira DS, Hayden J, Romeo AA (2005) Arthroscopic anterior shoulder stabilization of collision and contact athletes. Am J Sports Med 33(1):52–60
Daruwalla ZJ, Halpenny M, Mullett H (2009) Day case shoulder surgery: satisfactory pain control without regional anaesthesia. A prospective analysis of a perioperative protocol. Ir J Med Sci 178(1):57–60
Blonna D, Bellato E, Caranzano F, Assom M, Rossi R, Castoldi F (2016) Arthroscopic Bankart repair versus open Bristow-Latarjet for shoulder instability: a matched-pair multicenter study focused on return to sport. Am J Sports Med 44:3198–3205
Pantalone A, Vanni D, Guelfi M, Di Mauro M, Abate M, Salini V (2016) Arthroscopic treatment of shoulder instability in professional athletes. Muscles Ligaments Tendons J 6(4):440–444
Gerometta A, Rosso C, Klouche S, Hardy P (2016) Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes. Knee Surg Sports Traumatol Arthrosc 24(6):1877–1883
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Clesham, K., Shannon, F.J. Arthroscopic anterior shoulder stabilisation in overhead sport athletes: 5-year follow-up. Ir J Med Sci 188, 1233–1237 (2019). https://doi.org/10.1007/s11845-019-01986-w
- Anterior stabilisation
- Shoulder dislocation