A High Percentage of Healthy Volunteers Fail to Pass Criteria-based Return to Sport Testing for Arthroscopic Bankart Repair.

Mathew Hargreaves, Audria Wood, Nick Manfredi, Dev Dayal, Jacobi Hudson, Kaitlin Higgins Pyrz, Mike Bagwell, Aaron Casp, Thomas Evely, Eugene Brabston, Kevin Wilk, Amit Momaya
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引用次数: 0

Abstract

Purpose: To evaluate whether healthy volunteers can pass a previously published criteria-based return to sport (CBRTS) protocol after Bankart repair.

Methods: This was a prospective evaluation of asymptomatic volunteers conducted in March 2024. This study included 26 volunteers with no history of upper-extremity injury or surgery. Volunteers were assessed according to a published CBRTS protocol: (1) isometric testing of external rotation (ER) and internal rotation (IR) in the supine and prone position assessed by hand-held dynamometry; (2) isokinetic strength testing of ER and IR assessed by isokinetic dynamometry; (3) endurance testing of side lying ER, prone ER, and prone Y test; and (4) functional testing via closed kinetic chain upper extremity (CKCUE) stability test and unilateral shot put test. A limb symmetry index (LSI) and proportion of volunteers who passed each test were calculated. A passing LSI value was defined as LSI within 10% of the contralateral side, except for the shot put test, for which a passing value was defined as 80% ≤ LSI ≤ 110%. A passing score for the CKCUE stability test was ≥21.

Results: No individual participant passed all the tests; instead, an individual on average passed 47% of the CBRTS protocol. On average, the proportion of participants who passed isometric testing was 60.6% (range 46.2-69.2). For isokinetic testing, the proportion of participants passing was 41.4% (range 30.8-57.7). For endurance testing, the proportion of participants passing was 23.1% (range 19.2-30.8). Lastly, 50% of participants passed the CKCUE stability test, whereas 96.2% passed the unilateral shot put test. A nondominant arm deficit was apparent in 4 of the 12 bilateral arm tests.

Conclusions: This study shows that a high percentage of healthy individuals are unable to pass many of the post-Bankart repair CBRTS protocol tests. Specifically, no participant passed all the tests and individuals only passed 47% of the tests on average.

Level of evidence: Level III, prospective single-cohort study.

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来源期刊
CiteScore
9.30
自引率
17.00%
发文量
555
审稿时长
58 days
期刊介绍: Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
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