title: Sporting Activity After Arthroscopic Bankart Repair for Chronic Glenohumeral Instability.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Level IV, therapeutic case series.
authors.affiliation: Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany; Department of Trauma Surgery, Klinikum Augsburg, Augsburg, Germany. Electronic address: johannes.plath@gmail.com.
authors.forename: Johannes E
authors.initials: JE
authors.lastname: Plath
authors.affiliation: Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany; Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Freiburg, Germany.
authors.forename: Matthias J
authors.initials: MJ
authors.lastname: Feucht
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany.
authors.forename: Tim
authors.initials: T
authors.lastname: Saier
authors.affiliation: Department of Sporttraumatology, Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: Minzlaff
authors.affiliation: Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
authors.forename: Gernot
authors.initials: G
authors.lastname: Seppel
authors.affiliation: Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
authors.forename: Sepp
authors.initials: S
authors.lastname: Braun
authors.affiliation: Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
authors.forename: Andreas B
authors.initials: AB
authors.lastname: Imhoff
mesh_terms: D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D001182:Arthroscopy / Q000379:methods*; D054874:Athletic Performance; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D000068958:Return to Sport; D012783:Shoulder Dislocation / Q000601:surgery; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult