High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players
Purpose: To analyze the rate of return to play, changes in athletic level, and recurrence rate and to report subjective outcomes in a series of rugby players with anterior shoulder instability who underwent an arthroscopic Latarjet procedure. Methods: A multicenter retrospective study done in 2 cent...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X24000300 |
| _version_ | 1797224112266936320 |
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| author | Mark Mouchantaf, M.D. Claire Bastard, M.D. Simon Corsia, M.D. Pierre Métais, M.D. Geoffroy Nourissat, M.D., Ph.D. |
| author_facet | Mark Mouchantaf, M.D. Claire Bastard, M.D. Simon Corsia, M.D. Pierre Métais, M.D. Geoffroy Nourissat, M.D., Ph.D. |
| author_sort | Mark Mouchantaf, M.D. |
| collection | DOAJ |
| description | Purpose: To analyze the rate of return to play, changes in athletic level, and recurrence rate and to report subjective outcomes in a series of rugby players with anterior shoulder instability who underwent an arthroscopic Latarjet procedure. Methods: A multicenter retrospective study done in 2 centers on rugby players who were operated on between January 2011 and December 2020 was performed. Rugby players who underwent arthroscopic Latarjet procedure for anterior shoulder stabilization with a minimum follow-up period of 2 years were included. Rugby players were grouped according to their competitive level in their country (recreational, regional, national, and international). Data collected included return to sport after surgery, time to return to rugby, athletic level before and after surgery, patient satisfaction, and subjective scores. Recurrence and apprehension rates were also evaluated. Results: A total of 73 subjects were included. Mean age at time of surgery was 23 ± 5 years. Mean duration of follow-up was 5 ± 2.6 years. Eighty-four percent of rugby players returned to rugby within a mean period of 6.6 months. Initial athletic level was a significant factor (P = .012) for not returning to sport, with 67% of patients who initially played at a recreational level not returning to rugby and 33% of patients who initially played at a regional league level not returning. All national and international players returned to play. Of the 12 non-returning rugby players, only 30% did not return because of their shoulder. Mean Subjective Shoulder Value was 90 ± 9%. Recurrence rate was 7%. Conclusions: Arthroscopic Latarjet procedure proved its efficacy in managing recurrent anterior shoulder instability in rugby players. Return to play was achieved in almost all cases, with low recurrence rates. Despite high global return to the same level of sport, the higher the level of competition, the harder it is for rugby players to resume sport at the same level. Level of Evidence: Level IV, therapeutic case series. |
| first_indexed | 2024-04-24T13:47:56Z |
| format | Article |
| id | doaj.art-27ab3ba311bd490aab535891de5a7ec4 |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-04-24T13:47:56Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-27ab3ba311bd490aab535891de5a7ec42024-04-04T05:07:17ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2024-04-0162100912High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby PlayersMark Mouchantaf, M.D.0Claire Bastard, M.D.1Simon Corsia, M.D.2Pierre Métais, M.D.3Geoffroy Nourissat, M.D., Ph.D.4Clinique de l’épaule–Paris, Clinique Maussins-Nollet, Ramsay Sante, Paris, FranceService de Chirurgie Orthopedique–Hôpital Saint-Antoine, Assistance Publique–Hôpitaux de Paris, Paris, FranceService de Chirurgie Orthopédique–Hôpital Cochin, Assistance Publique–Hôpitaux de Paris, Paris, FranceClinique la Chataigneraie–Elsan, Beaumont, FranceClinique de l’épaule–Paris, Clinique Maussins-Nollet, Ramsay Sante, Paris, France; Address correspondence to Geoffroy Nourissat, M.D., Ph.D., Clinique de l’épaule–Paris, Clinique Maussins-Nollet, Ramsay Sante, 67 Rue de Romainville, 75019 Paris, France.Purpose: To analyze the rate of return to play, changes in athletic level, and recurrence rate and to report subjective outcomes in a series of rugby players with anterior shoulder instability who underwent an arthroscopic Latarjet procedure. Methods: A multicenter retrospective study done in 2 centers on rugby players who were operated on between January 2011 and December 2020 was performed. Rugby players who underwent arthroscopic Latarjet procedure for anterior shoulder stabilization with a minimum follow-up period of 2 years were included. Rugby players were grouped according to their competitive level in their country (recreational, regional, national, and international). Data collected included return to sport after surgery, time to return to rugby, athletic level before and after surgery, patient satisfaction, and subjective scores. Recurrence and apprehension rates were also evaluated. Results: A total of 73 subjects were included. Mean age at time of surgery was 23 ± 5 years. Mean duration of follow-up was 5 ± 2.6 years. Eighty-four percent of rugby players returned to rugby within a mean period of 6.6 months. Initial athletic level was a significant factor (P = .012) for not returning to sport, with 67% of patients who initially played at a recreational level not returning to rugby and 33% of patients who initially played at a regional league level not returning. All national and international players returned to play. Of the 12 non-returning rugby players, only 30% did not return because of their shoulder. Mean Subjective Shoulder Value was 90 ± 9%. Recurrence rate was 7%. Conclusions: Arthroscopic Latarjet procedure proved its efficacy in managing recurrent anterior shoulder instability in rugby players. Return to play was achieved in almost all cases, with low recurrence rates. Despite high global return to the same level of sport, the higher the level of competition, the harder it is for rugby players to resume sport at the same level. Level of Evidence: Level IV, therapeutic case series.http://www.sciencedirect.com/science/article/pii/S2666061X24000300 |
| spellingShingle | Mark Mouchantaf, M.D. Claire Bastard, M.D. Simon Corsia, M.D. Pierre Métais, M.D. Geoffroy Nourissat, M.D., Ph.D. High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players Arthroscopy, Sports Medicine, and Rehabilitation |
| title | High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players |
| title_full | High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players |
| title_fullStr | High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players |
| title_full_unstemmed | High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players |
| title_short | High Rates of Return to Play and Low Recurrence Rate After Arthroscopic Latarjet Procedure for Anterior Shoulder Instability in Rugby Players |
| title_sort | high rates of return to play and low recurrence rate after arthroscopic latarjet procedure for anterior shoulder instability in rugby players |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X24000300 |
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