Functional outcome and return to sports after the arthroscopic latarjet procedure in young and physically active patient
- PDF / 601,119 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 116 Downloads / 192 Views
ARTHROSCOPY AND SPORTS MEDICINE
Functional outcome and return to sports after the arthroscopic latarjet procedure in young and physically active patients J. Buckup1,2,3 · C. Sternberg1 · D. Smolen1 · J. Leuzinger1 Received: 5 January 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The ideal treatment strategy for traumatic anterior shoulder instability with glenoid bone loss in young, physically active patients is still controversial. This study examines sporting activity, the ability to practice sports and the ability to return to sports after the arthroscopic Latarjet procedure. Methods A total of 47 physically active patients with an average age of 24.5 ± 5.9 years were included in the study and evaluated at a minimum of two years after surgical treatment using shoulder and sport-specific scores. The shoulder sport activity score, Brophy marx activity score, Athletic shoulder outcome scoring system and the SPORTS score were used to assess the ability to practice sports, the sporting activity and the ability to return to sports. To assess functional outcome and shoulder stability, the evaluation was conducted using the Western Ontario shoulder instability index, the Constant score, the American shoulder and elbow surgeon score, and the Subjective shoulder value. Results 89.4% of the patients examined were able to perform the sport they had previously practiced after an average of 4.6 ± 2.0 months. Overhead athletes and martial arts athletes demonstrated a significantly lower return to sports rate than non-collision/non-overhead athletes (p = 0.01). With regard to sport-, instability-, or function-specific scores, no significant difference was found between patients after primary Latarjet procedure and patients after Latarjet procedure following a failed open or arthroscopic Bankart repair. All scores showed good to very good functional results on average. Two patients suffered a traumatic recurrent instability (4.1%) during the follow-up period and were therefore excluded from this study. Conclusion Arthroscopic Latarjet procedure presents a good surgical option, especially for young, physically active patients; it has very good clinical outcome, a high return to sports rate and a low probability of recurrent dislocation. Keywords Latarjet · Shoulder instability · Outcome · Return to sports · Shoulder scores
Introduction Traumatic anterior shoulder dislocation is a frequently occurring injury [30, 40]. Especially in young, active patients, chronic post-traumatic shoulder instability is * J. Buckup [email protected] 1
Center for Minimally Invasive Surgery, Etzelclinic, Pfäffikon, Switzerland
2
Department of Sport Traumatology, Knee, and Shoulder Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany
3
Department of Trauma and Orthopaedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389 Frankfurt am Main, Germany
relatively common with a high rate of recurrence [33]. To
Data Loading...
