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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
Jakobsen
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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