title: Return to sports after arthroscopic capsulolabral repair using knotless suture anchors for anterior shoulder instability in soccer players: minimum 5-year follow-up study.
abstract: OBJECTIVE
  To report the return to sports and recurrence rates in competitive soccer players after arthroscopic capsulolabral repair using knotless suture anchors at a minimum of 5 years of follow-up.
  
  
  METHODS
  All competitive soccer players with anterior glenohumeral instability treated by arthroscopic capsulolabral repair using knotless suture anchors between 2002 and 2009 were retrospectively identified through the medical records. Inclusion criteria were: no previous surgical treatment of the involved shoulder, absence of glenoid or tuberosity fractures, absence of large Hill-Sachs or glenoid bone defect, minimum follow-up of 5 years, instability during soccer practice or games, and failure of non-surgical treatment. The charts of included players were reviewed, and a phone call was performed in a cross-sectional manner to obtain information on: current soccer, return to soccer, recurrence of instability, shoulder function (Rowe score), and disability [Quick-Disability of the Arm, Shoulder, and Hand (DASH) score and Quick-DASH Sports/Performing Arts Module].
  
  
  RESULTS
  Fifty-seven young male soccer players were finally included with a median (range) follow-up of 8 (5-10) years. Forty-nine (86 %) of the soccer players were able to return to soccer and 36 of them (73 %) at the same pre-injury level. There were 6 (10.5 %) re-dislocations in the 57 players, all of them of traumatic origin produced during soccer and other unrelated activities. The main reasons to not return to soccer were: knee injuries (two players), changes in personal life (two players), and job-related (three players). None of the players quit playing soccer because of their shoulder instability injury. The median (range) Rowe score, Quick-DASH score, and Quick-DASH sports score were 80 (25-100), 2.3 (0-12.5), and 0 (0-18.8), respectively.
  
  
  CONCLUSIONS
  Competitive soccer players undergoing arthroscopic capsulolabral repair with knotless suture anchors for shoulder instability without significant bone loss demonstrate excellent return to play at mid-to-long-term follow-up, with a 10.5 % chances of re-dislocating.
  
  
  METHODS
  IV.
authors.affiliation: Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
authors.forename: Eduard
authors.initials: E
authors.lastname: Alentorn-Geli
authors.affiliation: Mutualidad de Futbolistas, Federación Española de Fútbol - Delegación Cataluña, Barcelona, Spain. dr.pedroalvarezdiaz@gmail.com.|Fundación García-Cugat, Barcelona, Spain. dr.pedroalvarezdiaz@gmail.com.|Artroscopia gc, S.L., Department of Orthopaedic Surgery and Traumatology, Hospital Quirón Barcelona, Plaza Alfonso Comín 5-7, 08035, Barcelona, Spain. dr.pedroalvarezdiaz@gmail.com.|Universitat Internacional de Catalunya, Barcelona, Spain. dr.pedroalvarezdiaz@gmail.com.
authors.forename: Pedro
authors.initials: P
authors.lastname: Álvarez-Díaz
authors.affiliation: Mutualidad de Futbolistas, Federación Española de Fútbol - Delegación Cataluña, Barcelona, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Doblas
authors.affiliation: Mutualidad de Futbolistas, Federación Española de Fútbol - Delegación Cataluña, Barcelona, Spain.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Steinbacher
authors.affiliation: Fundación García-Cugat, Barcelona, Spain.|Artroscopia gc, S.L., Department of Orthopaedic Surgery and Traumatology, Hospital Quirón Barcelona, Plaza Alfonso Comín 5-7, 08035, Barcelona, Spain.|Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: Seijas
authors.affiliation: Fundación García-Cugat, Barcelona, Spain.|Artroscopia gc, S.L., Department of Orthopaedic Surgery and Traumatology, Hospital Quirón Barcelona, Plaza Alfonso Comín 5-7, 08035, Barcelona, Spain.|Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: Oscar
authors.initials: O
authors.lastname: Ares
authors.affiliation: Mutualidad de Futbolistas, Federación Española de Fútbol - Delegación Cataluña, Barcelona, Spain.|Artroscopia gc, S.L., Department of Orthopaedic Surgery and Traumatology, Hospital Quirón Barcelona, Plaza Alfonso Comín 5-7, 08035, Barcelona, Spain.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Boffa
authors.affiliation: Fundación García-Cugat, Barcelona, Spain.|Artroscopia gc, S.L., Department of Orthopaedic Surgery and Traumatology, Hospital Quirón Barcelona, Plaza Alfonso Comín 5-7, 08035, Barcelona, Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Cuscó
authors.affiliation: Mutualidad de Futbolistas, Federación Española de Fútbol - Delegación Cataluña, Barcelona, Spain.|Fundación García-Cugat, Barcelona, Spain.|Artroscopia gc, S.L., Department of Orthopaedic Surgery and Traumatology, Hospital Quirón Barcelona, Plaza Alfonso Comín 5-7, 08035, Barcelona, Spain.
authors.forename: Ramón
authors.initials: R
authors.lastname: Cugat
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D001265:Athletic Injuries / Q000601:surgery*; D003430:Cross-Sectional Studies; D051445:Fibrocartilage / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D017746:Joint Capsule / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D012008:Recurrence; D012189:Retrospective Studies; D000068958:Return to Sport; D012540:Scapula / Q000601:surgery; D012783:Shoulder Dislocation / Q000601:surgery; D012785:Shoulder Joint / Q000601:surgery*; D012916:Soccer / Q000293:injuries*; D053441:Suture Anchors; D055815:Young Adult
keywords: Knotless suture anchor; Return to sports; Shoulder instability; Soccer