Are collision athletes at a higher risk of re-dislocation after an open Bristow-Latarjet procedure? A systematic review and meta-analysis

Abstract

Background

The primary aim of the present study was to review, summarize and compare the redislocation risk for collision athletes and noncollision athletes after an open Bristow-Latarjet procedure. Our secondary aim was to summarize return to sport, satisfaction, pain and complications.

Methods

We conducted a systematic review in PubMed and EMBASE of articles until 1 July 2016. We included all studies describing Bristow-Latarjet like procedures as a result of glenohumeral instability, mentioning redislocation rates in collision athletes with >2 years of follow-up. We pooled the data using random-effects meta-analysis for redislocation risk-differences (RD) between collision and noncollision athletes, and assessed heterogeneity with I² and Tau² tests.

Results

From 475 titles and abstracts, 11 studies were included and eight studies were meta-analyzed. The pooled RD to develop a postoperative redislocation between collision athletes and noncollision athletes was −0.00 (95% confidence interval: −0.03 to 0.03, p = 0.370). Return to sports rates were high (67–100%), and patients reported high satisfaction scores (93–100% satisfied) and low pain scores (mean visual analogue scale score of 1.6); however, postoperative complication rates varied from 0.8% to 19.2%.

Conclusions

Collision athletes are not more at risk for redislocation rates after an open Bristow-Latarjet procedure compared to noncollision athletes. Overall postoperative outcomes were good, although numerous complications occurred.

Keywords

athletics Bristow collision athletes Latarjet shoulder dislocation shoulder injury

Get full access to this article

View all access options for this article.

References

Schaider

Sherman

Shoulder injuries. In: Wolfson

Hendy

Ling

et al. (eds). Clinical practice of emergency medicine, Philadelphia, PA: Lippincott Williams & Wilkins, 20051033.

Simon

Koenigsknecht

. Emergency orthopedics: the extremities, New York, NY: McGraw-Hill, 2006.

Simonet

et al.

Incidence of anterior shoulder dislocation in Olmsted County, Minnesota. Clin Orthop Relat Res 1984; 186: 186–191.

Sineff

Reichman

Shoulder joint dislocation reduction. In: Reichman

Simon

(eds). Emergency medicine procedures, New York, NY: McGraw-Hill, 2004, pp. 593–593.

Zacchilli

Owens

. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010; 92: 542–549.

Owens

et al.

Incidence of glenohumeral instability in collegiate athletics. Am J Sports Med 2009; 37: 1750–1754.

Hovelius

et al.

Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am 1996; 78: 1677–1684.

Longo

et al.

Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy 2014; 30: 506–522.

Dickens

et al.

Return to play and recurrent instability after in-season anterior shoulder instability: a prospective multicenter study. Am J Sports Med 2014; 42: 2842–2850.

10.

Hovelius

et al.

Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger. a prospective twenty-five-year follow-up. J Bone Joint Surg Am 2008; 90: 945–952.

11.

Cleeman

Flatow

. Shoulder dislocations in the young patient. Orthop Clin North Am 2000; 31: 217–229.

12.

Longo

et al.

Glenoid and humeral head bone loss in traumatic anterior glenohumeral instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 2014; 22: 392–414.

13.

Longo

et al.

Bone loss in patients with posterior gleno-humeral instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 2016; 24: 612–617.

14.

van der Linde

et al.

Long-term results after arthroscopic shoulder stabilization using suture anchors: an 8- to 10-year follow-up. Am J Sports Med 2011; 39: 2396–2403.

15.

Gerometta

et al.

Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes. Knee Surg Sports Traumatol Arthrosc 2016; 24: 1877–1883.

16.

Alkaduhimi

et al.

Redislocation risk after an arthroscopic Bankart procedure in collision athletes: a systematic review. J Shoulder Elbow Surg 2016; 2: 1549–1558.

17.

Cowling

Akhtar

Liow

RYL

. What is a Bristow-Latarjet procedure? Bone Joint J 2016; 98B: 1208–1214.

18.

Bhatia

et al.

The outcomes and surgical techniques of the latarjet procedure. Arthroscopy 2014; 30: 227–235.

19.

Griesser

et al.

Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg 2013; 22: 286–292.

20.

Longo

et al.

Latarjet, Bristow, and Eden-Hybinette procedures for anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy 2014; 30: 1184–1211.

21.

Gupta

et al.

Complications of the Latarjet procedure. Curr Rev Musculoskelet Med 2015; 8: 59–66.

22.

Maffulli

et al.

Sport injuries: a review of outcomes. Br Med Bull 2011; 97: 47–80.

23.

Liberati

et al.

The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 2009; 62: e1–34.

24.

Altman

et al.

The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med 2001; 134: 663–694.

25.

Segen JC. Segen's Medical Dictionary, New York, NY: McGraw-Hill, 2012.

26.

American Academy of Pediatrics Committee on Sports Medicine: recommendations for participation in competitive sports. Pediatrics 1988; 81: 737–739.

27.

DerSimonian

Laird

. Meta-analysis in clinical trials. Control Clin Trials 1986; 7: 177–188.

28.

Rucker

et al.

Undue reliance on I(2) in assessing heterogeneity may mislead. BMC Med Res Methodol 2008; 8: 79–79.

29.

Higgins

et al.

Measuring inconsistency in meta-analyses. BMJ 2003; 327: 557–560.

30.

Allain

Goutallier

Glorion

. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 1998; 80: 841–852.

31.

Banas

et al.

Long-term followup of the modified Bristow procedure. Am J Sports Med 1993; 21: 666–671.

32.

Bessiere

et al.

Coracoid bone block versus arthroscopic Bankart repair: a comparative paired study with 5-year follow-up. Orthop Traumatol Surg Res 2013; 99: 123–130.

33.

Burkhart

et al.

Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy 2007; 23: 1033–1041.

34.

Cerciello

Edwards

Walch

. Chronic anterior glenohumeral instability in soccer players: results for a series of 28 shoulders treated with the Latarjet procedure. J Orthop Traumatol 2012; 13: 197–202.

35.

Mizuno

et al.

Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg 2014; 23: 1691–1699.

36.

Doursounian

et al.

Bristow-Latarjet procedure with specific instrumentation: study of 34 cases. Int Orthop 2009; 33: 1031–1036.

37.

Hovelius

et al.

One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study I – clinical results. J Shoulder Elbow Surg 2004; 13: 509–516.

38.

Neyton

et al.

Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet-Patte procedure with minimum 5-year follow-up. J Shoulder Elbow Surg 2012; 21: 1721–1727.

39.

Neyton

Dagher

Jouve

Nove-Josserand

Walch

. Chronic anterior glenohumeral instability in rugbyplayer. Series of 85 Latarjet procedures with medium follow-up of seven years. J Traumatol Sport 2007; 24: 122–127.

40.

Yamashita

et al.

Good clinical outcome of combined Bankart-Bristow procedure for recurrent shoulder instability: 126 patients followed for 2-6 years. Acta Orthop Scand 2002; 73: 553–557.

41.

Yoneda

et al.

Bankart procedure augmented by coracoid transfer for contact athletes with traumatic anterior shoulder instability. Am J Sports Med 1999; 27: 21–26.

42.

Funk

. Treatment of glenohumeral instability in rugby players. Knee Surg Sports Traumatol Arthrosc 2016; 24: 430–439.

43.

Ahmed

Ashton

Robinson

. Arthroscopic Bankart repair and capsular shift for recurrent anterior shoulder instability: functional outcomes and identification of risk factors for recurrence. J Bone Joint Surg Am 2012; 94: 1308–1315.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.18 MB