title: Shoulder sport-specific impairments after arthroscopic Bankart repair: a prospective longitudinal assessment.
abstract: BACKGROUND
  Reports of return to shoulder-dependent sport after surgical stabilization previously underestimated impairments, which were not reflected in the score systems used.
  
  
  OBJECTIVE
  Return to shoulder-dependent sport depends on the type of sport performed.
  
  
  METHODS
  Case series; Level of evidence, 4.
  
  
  METHODS
  Forty-seven athletes (26.9 years of age at surgery) who underwent isolated arthroscopic Bankart repair were longitudinally monitored by shoulder-dependent sport-specific activity (Shoulder Sport Activity Score [SSAS]) and ability (Athletic Shoulder Outcome Scoring System [ASOSS]) scores and visual analog scales for reachieved proficiency level, sport-specific shoulder pain, and functional deficits. Data were assessed at 4 points of treatment: preoperatively, and postoperatively after 6, 16, and 32 months (P0-P3). Athletes were analyzed separately according to shoulder sport: noncollision/nonoverhead (G1), collision (G2), overhead (G3), and martial arts (G4).
  
  
  RESULTS
  The G1 and G2 athletes had re-achieved the preinjury sport activity and sport proficiency status and excellent ASOSS scores after 32 months (SSAS(G1) = 7.2, SSAS(G2) = 8.1, ASOSS(G1) = 94.4, ASOSS(G2) = 95.2), whereas G3 and G4 athletes remained at an inferior activity level (SSAS(G3) = 8.0, SSAS(G4) = 8.3) and proficiency level. The ASOSS documented a prolonged period of shoulder rehabilitation for G3 and G4 athletes to reach a good shoulder-dependent sport ability outcome after 32 months (ASOSS(G3) = 89.0, ASOSS(G4) = 93.1). All groups recorded persisting limitations in visual analog scales for sport-specific shoulder function and pain. The established scores (Rowe = 95.9, Walch-Duplay = 93.3, Constant = 94.0) did not reflect these sport-specific impairments. Athletes with 5 or more preoperative dislocations had significantly longer surgery-to-sport resumption intervals with a prolonged proficiency recovery.
  
  
  CONCLUSIONS
  The athletes' shoulder stabilization resulted in a prolonged rehabilitation depending on the functional demand of the performed shoulder-dependent sport, as shown by the specific shoulder sport score systems.
authors: Department of Sporttraumatology, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, Frankfurt am Main, Germany. thomas.stein@gmx.ch
authors: Thomas
authors: T
authors: Stein
authors: Ralf Dieter
authors: RD
authors: Linke
authors: Johannes
authors: J
authors: Buckup
authors: Turgay
authors: T
authors: Efe
authors: Rudiger
authors: R
authors: von Eisenhart-Rothe
authors: Reinhard
authors: R
authors: Hoffmann
authors: Alwin
authors: A
authors: Jäger
authors: Frederic
authors: F
authors: Welsch
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery; D008137:Longitudinal Studies; D008297:Male; D010146:Pain / Q000503:physiopathology; D010149:Postoperative Pain / Q000601:surgery; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012720:Severity of Illness Index; D012782:Shoulder / Q000502:physiology / Q000601:surgery*; D012783:Shoulder Dislocation / Q000503:physiopathology / Q000601:surgery; D000070599:Shoulder Injuries; D053441:Suture Anchors; D016896:Treatment Outcome; D055815:Young Adult