title: Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes.
abstract: OBJECTIVE
  The aim of this study was to evaluate return to sports after arthroscopic Bankart stabilization.
  
  
  METHODS
  This is a retrospective study including all athletes aged <50 years who underwent arthroscopic stabilization in 2010 and 2011 (m, 36; f, 10; mean age 28.9 ± 8.1 years; follow-up 24.4 ± 7.7 months). Sixteen patients were practicing competitive sports and 30 recreational sports. Level and delay of return to sports, sports classification according to Allain, Western Ontario Shoulder Instability Index (WOSI) score, patient satisfaction, apprehension level and avoidance behaviour were noted.
  
  
  RESULTS
  95.7 % returned to the same level after an average of 9.8 ± 5.4 months. Sports level was unchanged or better in 82.6 %, lower in 8.7, and 4.5 % changed sport because of their shoulder. Patients with more than 10 dislocations returned to sports and to their preoperative level later than patients with <10. Male athletes returned to preoperative sports levels faster than female athletes (p < 0.001). The WOSI score and also its item "sports" were worse in those who had not returned (p = 0.0002 and 0.006, respectively). Satisfaction correlated with the WOSI score (p = 0.0004) while 93.3 % were satisfied/very satisfied. The decrease in the apprehension level was significant (p < 0.00001). 36.9 % still experienced avoidance behaviour.
  
  
  CONCLUSIONS
  Most athletes resumed their main sport often at the same level, but the threshold of 10 dislocations should be considered a risk factor for longer return to sports at any level. The WOSI score is a valuable outcome score after Bankart stabilization. Postoperative avoidance should be distinguished from apprehension.
  
  
  METHODS
  IV.
authors.affiliation: Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Gerometta
authors.affiliation: Department of Orthopaedic Surgery, University Hospital Basel, University of Basel, Basel, Switzerland. sportsmed.rosso@gmail.com.
authors.forename: Claudio
authors.initials: C
authors.lastname: Rosso
authors.affiliation: Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.
authors.forename: Shahnaz
authors.initials: S
authors.lastname: Klouche
authors.affiliation: Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.|Université de Versailles Saint-Quentin, 78035, Versailles, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Hardy
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D056352:Athletes; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009864:Ontario; D012189:Retrospective Studies; D000068958:Return to Sport; D012307:Risk Factors; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Arthroscopic; Bankart; ISIS; Instability; Return to sports; Shoulder; Sports level; WOSI
references.citation: J Bone Joint Surg Br. 2007 Nov;89(11):1470-7
references.pmid: 17998184
references.citation: Clin Orthop Relat Res. 2012 Sep;470(9):2554-60
references.pmid: 22395874
references.citation: J Bone Joint Surg Am. 1998 Jun;80(6):841-52
references.pmid: 9655102
references.citation: Am J Sports Med. 2012 Jan;40(1):100-7
references.pmid: 22064607
references.citation: Arthroscopy. 1997 Apr;13(2):188-200
references.pmid: 9127077
references.citation: Orthop Traumatol Surg Res. 2012 Feb;98(1):48-53
references.pmid: 22204794
references.citation: Acta Orthop. 2009 Jun;80(3):351-6
references.pmid: 19421910
references.citation: J Bone Joint Surg Am. 2006 Aug;88(8):1755-63
references.pmid: 16882898
references.citation: J Bone Joint Surg Am. 1999 Oct;81(10):1357-66
references.pmid: 10535586
references.citation: Am J Sports Med. 2010 Oct;38(10):2012-6
references.pmid: 20595552
references.citation: Am J Sports Med. 2002 Sep-Oct;30(5):758-67
references.pmid: 12239016
references.citation: J Orthop Surg Res. 2011 Jun 14;6:28
references.pmid: 21672187
references.citation: Orthop Traumatol Surg Res. 2010 Dec;96(8 Suppl):S77-83
references.pmid: 21035419
references.citation: ScientificWorldJournal. 2012;2012:410125
references.pmid: 23002386
references.citation: Arthroscopy. 1997 Feb;13(1):51-60
references.pmid: 9043604
references.citation: Arthroscopy. 2001 Oct;17(8):844-9
references.pmid: 11600982
references.citation: Am J Sports Med. 2011 Nov;39(11):2404-14
references.pmid: 21880949
references.citation: Am J Sports Med. 2004 Dec;32(8):1899-905
references.pmid: 15572319
references.citation: J Shoulder Elbow Surg. 2011 Oct;20(7):1095-101
references.pmid: 21602067
references.citation: J Bone Joint Surg Am. 2012 Apr 4;94(7):618-26
references.pmid: 22488618
references.citation: Am J Sports Med. 1998 Nov-Dec;26(6):764-72
references.pmid: 9850776
references.citation: Arthroscopy. 2013 May;29(5):920-33
references.pmid: 23395467
references.citation: Orthop Traumatol Surg Res. 2014 Feb;100(1):99-103
references.pmid: 24332720
references.citation: J Shoulder Elbow Surg. 2012 Dec;21(12):1721-7
references.pmid: 22565042