High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players

Mark Mouchantaf M.D. , Claire Bastard M.D. , Simon Corsia M.D. , Pierre Métais M.D. , Geoffroy Nourissat M.D., Ph.D.
{"title":"High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players","authors":"Mark Mouchantaf M.D. ,&nbsp;Claire Bastard M.D. ,&nbsp;Simon Corsia M.D. ,&nbsp;Pierre Métais M.D. ,&nbsp;Geoffroy Nourissat M.D., Ph.D.","doi":"10.1016/j.asmr.2024.100912","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To analyze the rate of return to play, changes in athletic level, and recurrence rate and to report subjective outcomes in a series of rugby players with anterior shoulder instability who underwent an arthroscopic Latarjet procedure.</p></div><div><h3>Methods</h3><p>A multicenter retrospective study done in 2 centers on rugby players who were operated on between January 2011 and December 2020 was performed. Rugby players who underwent arthroscopic Latarjet procedure for anterior shoulder stabilization with a minimum follow-up period of 2 years were included. Rugby players were grouped according to their competitive level in their country (recreational, regional, national, and international). Data collected included return to sport after surgery, time to return to rugby, athletic level before and after surgery, patient satisfaction, and subjective scores. Recurrence and apprehension rates were also evaluated.</p></div><div><h3>Results</h3><p>A total of 73 subjects were included. Mean age at time of surgery was 23 ± 5 years. Mean duration of follow-up was 5 ± 2.6 years. Eighty-four percent of rugby players returned to rugby within a mean period of 6.6 months. Initial athletic level was a significant factor (<em>P</em> = .012) for not returning to sport, with 67% of patients who initially played at a recreational level not returning to rugby and 33% of patients who initially played at a regional league level not returning. All national and international players returned to play. Of the 12 non-returning rugby players, only 30% did not return because of their shoulder. Mean Subjective Shoulder Value was 90 ± 9%. Recurrence rate was 7%.</p></div><div><h3>Conclusions</h3><p>Arthroscopic Latarjet procedure proved its efficacy in managing recurrent anterior shoulder instability in rugby players. Return to play was achieved in almost all cases, with low recurrence rates. Despite high global return to the same level of sport, the higher the level of competition, the harder it is for rugby players to resume sport at the same level.</p></div><div><h3>Level of Evidence</h3><p>Level IV, therapeutic case series<strong>.</strong></p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X24000300/pdfft?md5=7da803dbcbc97e18df70d3336a249567&pid=1-s2.0-S2666061X24000300-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X24000300","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose

To analyze the rate of return to play, changes in athletic level, and recurrence rate and to report subjective outcomes in a series of rugby players with anterior shoulder instability who underwent an arthroscopic Latarjet procedure.

Methods

A multicenter retrospective study done in 2 centers on rugby players who were operated on between January 2011 and December 2020 was performed. Rugby players who underwent arthroscopic Latarjet procedure for anterior shoulder stabilization with a minimum follow-up period of 2 years were included. Rugby players were grouped according to their competitive level in their country (recreational, regional, national, and international). Data collected included return to sport after surgery, time to return to rugby, athletic level before and after surgery, patient satisfaction, and subjective scores. Recurrence and apprehension rates were also evaluated.

Results

A total of 73 subjects were included. Mean age at time of surgery was 23 ± 5 years. Mean duration of follow-up was 5 ± 2.6 years. Eighty-four percent of rugby players returned to rugby within a mean period of 6.6 months. Initial athletic level was a significant factor (P = .012) for not returning to sport, with 67% of patients who initially played at a recreational level not returning to rugby and 33% of patients who initially played at a regional league level not returning. All national and international players returned to play. Of the 12 non-returning rugby players, only 30% did not return because of their shoulder. Mean Subjective Shoulder Value was 90 ± 9%. Recurrence rate was 7%.

Conclusions

Arthroscopic Latarjet procedure proved its efficacy in managing recurrent anterior shoulder instability in rugby players. Return to play was achieved in almost all cases, with low recurrence rates. Despite high global return to the same level of sport, the higher the level of competition, the harder it is for rugby players to resume sport at the same level.

Level of Evidence

Level IV, therapeutic case series.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
橄榄球运动员采用关节镜下 Latarjet 手术治疗肩关节前方失稳后重返赛场率高、复发率低
目的 分析一系列接受关节镜下 Latarjet 手术的肩关节前部不稳定橄榄球运动员的重返赛场率、运动水平变化和复发率,并报告其主观结果。研究纳入了接受关节镜下 Latarjet 手术以稳定肩关节前部并至少随访 2 年的橄榄球运动员。橄榄球运动员根据其所在国家的竞技水平(休闲、地区、国家和国际)进行分组。收集的数据包括术后恢复运动情况、恢复橄榄球运动的时间、术前术后的运动水平、患者满意度和主观评分。此外,还对复发率和忧虑率进行了评估。手术时的平均年龄为 23 ± 5 岁。平均随访时间为 5 ± 2.6 年。84%的橄榄球运动员在平均 6.6 个月的时间内重返赛场。最初的运动水平是导致无法重返运动场的一个重要因素(P = .012),67%最初从事娱乐运动的患者无法重返橄榄球运动场,33%最初从事地区联赛运动的患者无法重返运动场。所有国家级和国际级运动员都重返赛场。在 12 名未重返赛场的橄榄球运动员中,只有 30% 的人是因为肩部问题而未重返赛场。平均肩部主观值为 90 ± 9%,复发率为 7%。结论事实证明,关节镜下Latarjet手术在治疗橄榄球运动员复发性肩关节前侧不稳定方面效果显著。几乎所有病例都能重返赛场,且复发率较低。尽管总体恢复水平较高,但比赛水平越高,橄榄球运动员就越难恢复相同水平的运动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.70
自引率
0.00%
发文量
218
审稿时长
45 weeks
期刊最新文献
Continuous Meniscal Repair Technique Allows for Shorter Operative Time and Learning Curve Compared With Traditional Vertical Mattress Technique in Controlled Arthroscopic Training in Porcine Model Concomitant Popliteomeniscal Fascicles Tears Are Found in 21% of Professional Soccer Players With Acute Anterior Cruciate Ligament Injuries Mini-Open Technique for Gluteus Medius Tendon Repairs Is Associated With Low Complication Rates and Sustained Improvement in Patient Reported Outcomes at 2-Year Follow-Up The Top-20 Studies About Anterior Shoulder Instability From an Altmetric Analysis Had Higher Levels of Evidence Than Those From a Traditional Bibliometric Analysis Medial Patellofemoral Ligament Augmented With a Reinforced Bioinductive Implant Is Biomechanically Similar to the Native Medial Patellofemoral Ligament at Time Zero in a Cadaveric Model
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1