Purpose
The purpose of this study was to collect detailed data on postoperative sporting activity
after arthroscopic Bankart repair for chronic shoulder instability.
Methods
Of 113 patients who underwent arthroscopic Bankart repair between February 2008 and
August 2010, 81 met the inclusion criteria and were surveyed by a specially designed
postal sport-specific questionnaire. Of these 81 patients, 66 (82%) were available
for evaluation.
Results
All previously active patients performed some activity at follow-up. Of 9 patients
(56%) who had been inactive, 5 took up new activities postoperatively. Forty-four
patients (66%) stated that surgery had (strongly) improved their sporting proficiency.
Seventeen patients (26%) reported no impact, and 5 patients (8%) reported a further
deterioration compared with preoperatively. The improvement in sporting proficiency
was negatively correlated with the preoperative risk level (ρ = 0.42, P < .001), preoperative performance level (ρ = 0.31, P = .012), and preoperative Tegner scale (ρ = 0.36, P = .003), as well as hours of sporting activity per week (ρ = 0.25, P = .042), whereas age showed a positive correlation (ρ = 0.28, P = .023). There was no change in duration, frequency, number of disciplines, Tegner
activity scale, risk category, or performance level.
Conclusions
Arthroscopic Bankart repair provides a high rate of return to activity among patients
treated for chronic shoulder instability. A number of previously inactive patients
returned to activity postoperatively. However, one-third of patients reported no benefit
from surgery in terms of sporting activity. The improvement in sporting proficiency
was highly dependent on the demands on the shoulder in sports, as well as the age
of the patient. Overall, there was no significant increase in duration, frequency,
number of disciplines, Tegner activity scale, or performance level between preoperative
and follow-up evaluation and no increased return to high-risk activities.
Level of Evidence
Level IV, therapeutic case series.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Incidence of glenohumeral instability in collegiate athletics.Am J Sports Med. 2009; 37: 1750-1754
- Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations.Am J Sports Med. 1994; 22: 589-594
- Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes.Arthroscopy. 1989; 5: 213-217
- Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: A randomized study with 10-year follow-up.Arthroscopy. 2007; 23: 118-123
- Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients.J Bone Joint Surg Am. 2006; 88: 2326-2336
- Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. A randomized, double-blind trial.J Bone Joint Surg Am. 2008; 90: 708-721
- The surgical outcome of immediate arthroscopic Bankart repair for first time anterior shoulder dislocation in young active patients.Knee Surg Sports Traumatol Arthrosc. 2007; 16: 188-193
- Arthroscopic management of traumatic anterior shoulder instability in collision athletes: Analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique.Arthroscopy. 2006; 22: 1283-1289
- A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability.Arthroscopy. 2007; 23: 985-990
- 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. 2010; 38: 1795-1803
- Arthroscopic anterior shoulder stabilization of collision and contact athletes.Am J Sports Med. 2005; 33: 52-60
- Shoulder dislocation in athletes. Current therapy concepts.Orthopaede. 2014; 43 ([in German]): 236-243
- Glenohumeral osteoarthritis after arthroscopic Bankart repair for anterior instability.Am J Sports Med. 2011; 39: 1653-1659
- Anterior shoulder stabilization in collision athletes: Arthroscopic versus open Bankart repair.Am J Sports Med. 2006; 34: 979-985
- Arthroscopic stabilization in anterior shoulder instability: Collision athletes versus noncollision athletes.Arthroscopy. 2006; 22: 947-953
- Arthroscopic Bankart suture-anchor repair: Radiological and clinical outcome at minimum 10 years of follow-up.Am J Sports Med. 2010; 38: 2012-2016
- Arthroscopic treatment of anterior shoulder instability using knotless suture anchors.Arthroscopy. 2005; 21: 1283-1289
- Bankart repair in traumatic anterior shoulder instability: Open versus arthroscopic technique.Arthroscopy. 2002; 18: 755-763
- Return to sports after arthroscopic anterior stabilization in patients aged younger than 25 years.Arthroscopy. 2013; 29: 1922-1931
- Comparison of an arthroscopic and an open procedure for posttraumatic instability of the shoulder: A prospective, randomized multicenter study.J Shoulder Elbow Surg. 2001; 10: 105-108
- Comparison of arthroscopic and open anterior shoulder stabilization. A two to six-year follow-up study.J Bone Joint Surg Am. 2000; 82: 1108-1114
- Arthroscopic Bankart repair using suture anchors in athletes: Patient selection and postoperative sports activity.Am J Sports Med. 2004; 32: 1899-1905
- Arthroscopic versus open shoulder stabilization for recurrent anterior instability: A prospective randomized clinical trial.Am J Sports Med. 2006; 34: 1730-1737
- Dislocation arthropathy of the shoulder.J Bone Joint Surg Am. 1983; 65: 456-460
- Arthroscopic stabilization of the shoulder with suture anchors with special reference to the deep anterior-inferior portal (5.30 o’clock).Orthop Traumatol. 2007; 19: 133-154
- Return to sports activity after tibial plateau fractures: 89 cases with minimum 24-month follow-up.Am J Sports Med. 2012; 40: 2845-2852
- Sporting activity after high tibial osteotomy for the treatment of medial compartment knee osteoarthritis.Am J Sports Med. 2009; 37: 312-318
- Sports activity after anatomical total shoulder arthroplasty.Am J Sports Med. 2010; 38: 2097-2105
- Recommendations for participation in competitive sports.Pediatrics. 1988; 81: 737-739
- Rating systems in the evaluation of knee ligament injuries.Clin Orthop Relat Res. 1985; : 43-49
- Disabilities of the Arm, Shoulder and Hand (DASH). The DASH and QuickDASH Outcome Measure User's Manual. Ed 3. Institute for Work & Health, Toronto, ON2011
- Sports ability after Bankart procedure in professional athletes.Knee Surg Sports Traumatol Arthrosc. 1996; 4: 116-120
- Shoulder sport-specific impairments after arthroscopic Bankart repair: A prospective longitudinal assessment.Am J Sports Med. 2011; 39: 2404-2414
- Arthroscopic transglenoid multiple suture repair: 2 to 8 year results in 150 shoulders.Arthroscopy. 1997; 13: 609-619
- Defining the terms acute and chronic in orthopaedic sports injuries: A systematic review.Am J Sports Med. 2014; 42: 235-241
Article info
Publication history
Published online: June 18, 2015
Accepted:
April 10,
2015
Received:
August 10,
2014
Footnotes
The authors report the following potential conflict of interest or source of funding: A.B.I. receives support from Arthrex and Arthrosurface.
Identification
Copyright
© 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
