1. Type V superior labral anterior–posterior tears results in lower rates of return to play
- Author
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Martin S. Davey, Richard E. Hogan, Thomas K. Moore, Conor J. Kilkenny, Eoghan T. Hurley, David N. Rowe, Hannan Mullett, and Leo Pauzenberger
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Labrum ,medicine.diagnostic_test ,Sports medicine ,business.industry ,medicine.medical_treatment ,Arthroscopy ,030229 sport sciences ,Anterior shoulder ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Orthopedic surgery ,medicine ,Tears ,Orthopedics and Sports Medicine ,Bankart repair ,Anterior posterior ,business - Abstract
The purpose of this study was to evaluate the rate of return to play (RTP) in patients who underwent Type V superior labrum anterior–posterior (SLAP) repair compared to patients who underwent isolated Bankart repair in the setting of traumatic anterior shoulder instability. A retrospective review of patients who underwent arthroscopic Bankart repair and SLAP repair by a single surgeon between 2012 and 2017 was performed. Additionally, these were pair-matched in a 1:2 ratio for age, sex, sport and level of pre-operative play, with those undergoing isolated arthroscopic Bankart repair alone as a control group. RTP, level of RTP and the timing of RTP were assessed. The study included a total of 96 patients, with 32 in the study group and 64 in the control group, and a mean follow-up of 59 months. Overall, there was no significant difference in the overall rate of return to play (26/32 (81.3%) vs 56/64 (87.5%), n.s), but there was a significantly higher rate of RTP at the same/higher level in the control group (14/32 (43.6%) vs 43/64 (67.2%), p = 0.0463). There was no significant difference in timing of RTP between the groups (n.s). There was no significant difference in recurrent instability (6/32 (18.8%) vs 5/64 (7.8%), n.s) but there was a significant difference in revision rates (5/32 (15.6%) vs. 2/64 (3.1%), p = 0.0392) between the Type V SLAP repair group and the control group. Following arthroscopic repair, patients with Type V SLAP tears had a similar overall rate of RTP when compared directly to a control group of patients who underwent arthroscopic Bankart repair alone. However, those who underwent Type V SLAP repair reported significantly lower rates of RTP at the same or higher level compared to the control group. III.
- Published
- 2021