Shoulder instability: return to play - Tables
Table 1. Results of prospective studies evaluating nonoperative treatment versus operative treatment of patients with a first-time anterior shoulder dislocation
Abbreviations: Nonop, nonoperative; OP, operative; vs. versus.
Author
Type of study
# Patients
Treatment
Results
Arciero
Prospective nonrandomized
36
immobilize vs. arthoscopic transglenoid suturing
Nonop: 80% recurrent instability
Op: 14% recurrent instability
Larrain
Prospective nonrandomized
46
immobilize vs. arthroscopic stabilization
Nonop: 94% recurrence
Op: 4% recurrence
Kirkley
Prospective randomized
40
immobilize vs. arthroscopic stabilization
Nonop: 47% recurrence
Op: 15.9% recurrence
Bottoni
Prospective randomized
24
immobilize vs. arthroscopic stabilization w/bioabsorb tack
Nonop: 75% recurrence
Op: 11% recurrence
Prospective
76
immobilize vs. open repair
Nonop: 27% recurrence
Op: 3× recurrence
Table 2. Return to sports (overhead athletes) after shoulder surgery
Study
Year
No. of Pts.
Patient description
Diagnosis
Surgery
Return to sport
Sports/interval throwing program
Return to competition
Montgomery et al
1994
32
Overhead athletes
Recurrent anterior subluxation /dislocation
Anterior capsulo-labral reconstruction
94%
3–6 mos
3–20 mos, Av 12 mos
Morgan et al
1998
44
Baseball pitchers
SLAP Type II
Arthroscopic Repair
84%
4 mos
7 mos
Ellenbecker et al
1999
20
Athletes
Instability
Arthroscopic repair with thermal capsulorrhaphy
No comment
3–4 mos
7–12 mos
Gartsman et al
2000
53
Overhead athletes
Instability
Arthroscopic repair
89%
No comment
No comment
Levitz et al
2001
51
Baseball players
Internal impingement
Traditional arthroscopic
80%
No comment
7.2 mos
With thermal capsulorrhaphy
93%
No comment
8.4 mos
Dugas et al
2002
170
Overhead athletes
Laxity
Thermal shrinkage
81%
No comment
8.5 mos
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