title: A Clinical Review of Return-to-Play Considerations After Anterior Shoulder Dislocation.
abstract: BACKGROUND
  Shoulder dislocations are common in contact sports, yet guidelines regarding the best treatment strategy and time to return to play have not been clearly defined.
  
  
  METHODS
  Electronic databases, including PubMed, MEDLINE, and Embase, were reviewed for the years 1980 through 2015.
  
  
  METHODS
  Clinical review.
  
  
  METHODS
  Level 4.
  
  
  RESULTS
  Much has been published about return to play after anterior shoulder dislocation, but almost all is derived from expert opinion and clinical experience rather than from well-designed studies. Recommendations vary and differ depending on age, sex, type of sport, position of the athlete, time in the sport's season, and associated pathology. Despite a lack of consensus and specific recommendations, there is agreement that before being allowed to return to sport, athletes should be pain free and demonstrate symmetric shoulder and bilateral scapular strength, with functional range of motion that allows sport-specific participation. Return to play usually occurs 2 to 3 weeks from the time of injury. Athletes with in-season shoulder instability returning to sport have demonstrated recurrence rates ranging from 37% to 90%. Increased bone loss, recurrent instability, and injury occurring near the end of season are all indications that may push surgeons and athletes toward earlier surgical intervention.
  
  
  CONCLUSIONS
  Most athletes are able to return to play within 2 to 3 weeks but there is a high risk of recurrent instability.
authors.affiliation: MedSport, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.
authors.forename: Scott
authors.initials: S
authors.lastname: Watson
authors.affiliation: MedSport, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Allen
authors.affiliation: MedSport, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan johngran@med.umich.edu.
authors.forename: John A
authors.initials: JA
authors.lastname: Grant
mesh_terms: D000465:Algorithms; D001265:Athletic Injuries / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D016059:Range of Motion, Articular; D012008:Recurrence; D000068958:Return to Sport; D012307:Risk Factors; D012783:Shoulder Dislocation / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*
keywords: return to play; shoulder instability; sports