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

immobilize vs. arthoscopic transglenoid suturing

Nonop: 80% recurrent instability

Op: 14% recurrent instability

Larrain

Prospective nonrandomized

immobilize vs. arthroscopic stabilization

Nonop: 94% recurrence

Op: 4% recurrence

Kirkley

Prospective randomized

immobilize vs. arthroscopic stabilization

Nonop: 47% recurrence

Op: 15.9% recurrence

Bottoni

Prospective randomized

immobilize vs. arthroscopic stabilization w/bioabsorb tack

Nonop: 75% recurrence

Op: 11% recurrence

Jakobsen

Prospective

immobilize vs. open repair

Nonop: 27% recurrence

Op: 3× recurrence

Study	Year	No. of Pts.	Patient description	Diagnosis	Surgery	Return to sport	Sports/interval throwing program	Return to competition
Table 2. Return to sports (overhead athletes) after shoulder surgery
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
Levitz et al					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

Shoulder instability: return to play - Tables

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