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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

  • Original Article • SHOULDER - DISLOCATION
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

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.

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References

  1. Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80:841–852

    Article  CAS  PubMed  Google Scholar 

  2. Balg F, Boileau P (2007) The Instability Severity Index Score a simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br 89:1470–1477

    Article  CAS  PubMed  Google Scholar 

  3. Bankart AS (1923) Recurrent or habitual dislocation of the shoulder-joint. Br Med J 2:1132–1133

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Bessière C, Trojani C, Carles M, Mehta SS, Boileau P (2014) The open latarjet procedure is more reliable in terms of shoulder stability than arthroscopic bankart repair. Clin Orthop Relat Res 472:2345–5231

    Article  PubMed  PubMed Central  Google Scholar 

  5. Bhatia S, Frank RM, Ghodadra NS et al (2014) The outcomes and surgical techniques of the Latarjet procedure. Arthroscopy 30:227–235

    Article  PubMed  Google Scholar 

  6. Boileau P, Thélu CÉ, Mercier N et al (2014) Arthroscopic Bristow-Latarjet combined with bankart repair restores shoulder stability in patients with glenoid bone loss. Clin Orthop Relat Res 472:2413–2424

    Article  PubMed  PubMed Central  Google Scholar 

  7. 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 16:677–694

    Article  CAS  PubMed  Google Scholar 

  8. Cho NS, Hwang JC, Rhee YG (2006) Arthroscopic stabilization in anterior shoulder instability: collision athletes versus noncollision athletes. Arthroscopy 22:947–953

    Article  PubMed  Google Scholar 

  9. Flinkkilä T, Sirniö K (2015) Open Latarjet procedure for failed arthroscopic Bankart repair. Orthop Traumatol Surg Res 101:35–38

    Article  PubMed  Google Scholar 

  10. Gerometta A, Rosso C, Klouche S, Hardy P (2014) Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes. Knee Surg Sports Traumatol. doi:10.1007/s00167-014-2984-7

    Google Scholar 

  11. Griesser MJ, Harris JD, McCoy BW et al (2013) Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg 22:286–292

    Article  PubMed  Google Scholar 

  12. Joshi MA, Young AA, Balestro JC, Walch G (2015) The Latarjet-Patte procedure for recurrent anterior shoulder instability in contact athletes. Orthop Clin North Am 46:105–111

    Article  PubMed  Google Scholar 

  13. Kemp KAR, Sheps DM, Beaupre LA, Styles-Tripp F, Luciak-Corea C, Balyk R (2012) An evaluation of the responsiveness and discriminant validity of shoulder questionnaires among patients receiving surgical correction of shoulder instability. Sci World J e410125

  14. Khiami F, Sariali E, Rosenheim M, Hardy P (2012) Anterior shoulder instability arthroscopic treatment outcomes measures: The WOSI correlates with the Walch-Duplay score. Orthop Traumatol Surg Res 98:48–53

    Article  CAS  PubMed  Google Scholar 

  15. Kirkley A, Griffin S, McLintock H, Ng L (1998) The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The Western Ontario Shoulder Instability Index (WOSI). Am J Sports Med 26:764–772

    CAS  PubMed  Google Scholar 

  16. Lädermann A, Lubbeke A, Stern R, Cunningham G, Bellotti V, Gazielly DF (2013) Risk factors for dislocation arthropathy after Latarjet procedure: a long-term study. Int Orthop 37(6):1093–1098

    Article  PubMed  PubMed Central  Google Scholar 

  17. Latarjet M (1954) A propos du traitement des luxations récidivantes de l’épaule. Chir Lyon 49:994–1003

    CAS  Google Scholar 

  18. Neyton L, Young A, Dawidziak B et al (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 21:1721–1727

    Article  PubMed  Google Scholar 

  19. Pagnani MJ, Dome DC (2002) Surgical treatment of traumatic anterior shoulder instability in american football players. J Bone Joint Surg Am 84:711–715

    PubMed  Google Scholar 

  20. 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 Elbow Surg 8:403–409

    Article  CAS  PubMed  Google Scholar 

  21. Schroder LDT, Provencher LMT, Mologne CTS, Muldoon CMP, Cox CJS (2006) The modified Bristow procedure for anterior shoulder instability 26-year outcomes in Naval Academy midshipmen. Am J Sports Med 34:778–786

    Article  PubMed  Google Scholar 

  22. Thomazeau H, Courage O, Barth J et al (2010) Can we improve the indication for Bankart arthroscopic repair? A preliminary clinical study using the ISIS score. Orthop Traumatol Surg Res 96:S77–S83

    Article  CAS  PubMed  Google Scholar 

  23. Tjong VK, Devitt BM, Murnaghan ML, Ogilvie-Harris DJ, Theodoropoulos JS (2015) A qualitative investigation of return to sport after arthroscopic Bankart repair: beyond stability. Am J Sports Med 43:2005–2011

    Article  PubMed  Google Scholar 

  24. Walton J, Paxinos A, Tzannes A, Callanan M, Hayes K, Murrell GAC (2002) The unstable shoulder in the adolescent athlete. Am J Sports Med 30:758–767

    PubMed  Google Scholar 

  25. Zhang AL, Montgomery SR, Ngo SS, Hame SL, Wang JC, Gamradt SC (2014) Arthroscopic versus open shoulder stabilization: current practice patterns in the United States. Arthroscopy 30:436–443

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Hôpitaux universitaires Paris Île-de-France Ouest, AP–HP, 92100, Boulogne-Billancourt, France

    Jean Sébastien Beranger, Shahnaz Klouche, Thomas Bauer, Thomas Demoures & Philippe Hardy

  2. Hôpital d’instruction des Armées Percy, 92140, Clamart, France

    Thomas Demoures

  3. Université de Versailles Saint-Quentin-en-Yvelines, 78035, Versailles, France

    Philippe Hardy

  4. Ambroise Paré Hospital, 9, avenue Charles De Gaulle, 92104, Boulogne-Billancourt, France

    Shahnaz Klouche

Authors
  1. Jean Sébastien Beranger
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  2. Shahnaz Klouche
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  3. Thomas Bauer
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  4. Thomas Demoures
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  5. Philippe Hardy
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Corresponding author

Correspondence to Jean Sébastien Beranger.

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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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Beranger, J.S., Klouche, S., Bauer, T. et al. Anterior shoulder stabilization by Bristow–Latarjet procedure in athletes: return-to-sport and functional outcomes at minimum 2-year follow-up. Eur J Orthop Surg Traumatol 26, 277–282 (2016). https://doi.org/10.1007/s00590-016-1751-5

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  • DOI: https://doi.org/10.1007/s00590-016-1751-5

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