High Return to Sport After Arthroscopic Latarjet for Failed Arthroscopic Bankart

2021 ◽  
Vol 30 (7) ◽  
pp. e465
Author(s):  
Manuel Ignacio Olmos ◽  
Gilles Clowez ◽  
Patrick Gendre ◽  
David Saliken ◽  
Mikaël Chelli ◽  
...  
Keyword(s):  
Return To Sport ◽  
High Return ◽  
Arthroscopic Latarjet

Return to Sport After Surgical Treatment for Anterior Shoulder Instability: A Systematic Review

2018 ◽  
Vol 47 (6) ◽  
pp. 1507-1515 ◽  
Author(s):  
Hussein Abdul-Rassoul ◽  
Joseph W. Galvin ◽  
Emily J. Curry ◽  
Jason Simon ◽  
Xinning Li
Keyword(s):  
Systematic Review ◽  
Shoulder Instability ◽  
Return To Sport ◽  
Activity Level ◽  
Rate Of Return ◽  
Anterior Shoulder Instability ◽  
Activity Levels ◽  
Shoulder Stabilization ◽  
Successful Recovery ◽  
Arthroscopic Latarjet

Background: For athletes, a return to preinjury activity levels with minimal time away is a metric indicative of successful recovery. The knowledge of this metric would be helpful for the sports medicine specialist to advise patients on appropriate expectations after surgery. Purpose: To evaluate the rate and amount of time needed for athletes to return to sport (RTS) after different surgical treatments for anterior shoulder instability. Study Design: Systematic review and meta-analysis. Methods: The MEDLINE, EMBASE, and Cochrane databases were searched for articles relevant to athletes’ RTS after surgical anterior shoulder stabilization with variants of the Latarjet and Bankart procedures. Article selection was based on relevant inclusion and exclusion criteria. After the articles were reviewed, the data pertinent to rates of and time to RTS were extracted, compiled, and analyzed. Results: Sixteen articles met the inclusion criteria. Based on these articles, the rate of RTS was 97.5% after arthroscopic Bankart, 86.1% after open Bankart, 83.6% after open Latarjet, 94.0% after arthroscopic Latarjet, and 95.5% after arthroscopic Bankart with remplissage. Among the athletes who did RTS, arthroscopic Bankart had the highest rate of return to preinjury levels (91.5%), while arthroscopic Latarjet had the lowest rate (69.0%). The time to RTS was 5.9 months after arthroscopic Bankart, 8.2 months after open Bankart, 5.07 months after open Latarjet, 5.86 months after arthroscopic Latarjet, and 7 months after arthroscopic Bankart with remplissage. Conclusion: Of the pooled data, patients who underwent arthroscopic Bankart showed the highest rate of RTS, while patients who underwent open Latarjet showed the shortest time to RTS. Return to preinjury level was highest in the arthroscopic Bankart group and lowest in the arthroscopic Latarjet group. Physicians can utilize these data to set expectations for their patient-athletes regarding RTS after anterior shoulder stabilization procedures. Clinical Relevance: When treating an athlete, many factors must be taken into account to weigh treatment options. Two important factors to consider with the patient-athlete are the rate of return to the previous activity level and the timeline for this to occur. This study provides a guide for physicians and a time frame for athletes with respect to the mean percentage and time for return to sport after different surgical procedures for anterior shoulder instability.

scholarly journals Arthroscopic Suture Fixation of Tibial Eminence Fracture

2021 ◽  
Vol 1 (1) ◽  
pp. 263502542199278
Author(s):  
Gehron P. Treme ◽  
Dustin L. Richter
Keyword(s):  
Pediatric Population ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Minimal Risk ◽  
Suture Fixation ◽  
Reliable Technique ◽  
Tibial Eminence Fracture ◽  
Tibial Eminence ◽  
High Return ◽  
Bone Tunnels

Background: Tibial eminence fractures account for up to 5% of knee injuries with an effusion in the pediatric population. Displaced fractures require reduction and operative fixation via arthroscopic or open techniques. Indications: Arthroscopic suture fixation and screw fixation are 2 of the most commonly described techniques for tibial eminence fracture treatment. We describe our preferred technique of arthroscopic suture fixation given the versatility of this technique and decreased risks of hardware irritation or impingement, need for reoperation, and minimal risk of physeal damage. Technique Description: The arthroscopic suture fixation technique uses a standard anteromedial and anterolateral portal. After the fracture bed and hematoma are debrided and any interposing structures (ie, meniscus) are removed from the fracture site, 2 nonabsorbable sutures are passed through the substance of the anterior cruciate ligament (ACL). Using an ACL guide, 2 separate transtibial tunnels are drilled with a bone bridge in between—one at the anterolateral aspect of the fracture base and one at the anteromedial aspect. One limb from each suture is pulled out from each of the bone tunnels. The fragment is then reduced, and the sutures are tensioned and fixated using knotless suture anchors. Results: Overall prognosis following tibial eminence fracture fixation is favorable with more than 80% of patients returning to prior level of activity. Arthrofibrosis may occur in up to 25% of patients. Although some residual laxity may remain, there is a high return to sport and no difference in rate of subsequent ACL injury or surgery compared with a match cohort of pediatric ACL reconstructions. Discussion: Arthroscopic suture fixation of displaced tibial eminence fractures is a reliable technique with high return to sport and low risk of reoperation. Arthrofibrosis is common; thus, early, controlled knee range of motion following surgery is critical.

scholarly journals ARTHROSCOPIC LATARJET STABILISATION PROCEDURE – CLINICAL AND RADIOLOGICAL SHORT TERM OUTCOMES IN THE FIRST 101 CASES

2020 ◽  
Vol 32 (32) ◽  
pp. 17-34
Author(s):  
Bartłomiej Kordasiewicz ◽  
Bartłomiej Kordasiewicz ◽  
Maciej Kiciński ◽  
Konrad Małachowski ◽  
Andrzej Boszczyk ◽  
...  
Keyword(s):  
External Rotation ◽  
Intraoperative Complications ◽  
Return To Sport ◽  
Fusion Rate ◽  
Anterior Shoulder Instability ◽  
Short Term ◽  
Arthroscopic Latarjet ◽  
The Mean ◽  
Arthroscopic Latarjet Stabilisation

Introduction and aim Latarjet remains one of the most efficient stabilisation procedures in anterior shoulder instability. The goal of this study was to evaluate the clinical outcomes and radiological parameters after arthroscopic Latarjet. Material and methods Between 2011–2016 an arthroscopic Latarjet stabilisation was performed in 104 patients, who were controlled with clinical examination, X-ray and CT-scans at a minimum follow up of 13 months. Results 101 shoulders (97.1%) were available for clinical evaluation. The mean follow-up was 23.8 months (13 to 50). 96 shoulders (95%) had CT scan evaluation. Patients satisfaction was evaluated as 92%, SSV 88%, Walch-Duplay and Rowe scores respecitvely 77 and 80 points. The mean external rotation loss was 17° with no further motion deficits. Recurrence was reported in 4 (4%) patients. 2 out of 4 cases of recurrence had intraoperative complications (correlation in M-L Chi2 test p = 0.0107). Revision surgery was performed in 10 patients (9.8%). CT evaluation showed 95.8% of graft fusion rate, 1 case (1%) of total graft osteolysis, 2 cases (2.1%) of graft pseudoarthrosis and 2 cases (2.1%) of graft fracture. Conclusions The arthroscopic Latarjet demonstrates satisfactory results in short term follow-up. Some factors influencing the outcome are: intraoperative graft related complications (correlated strongly with recurrence), subjective return to sport anxiety and loss of external rotation (correlated with worsened clinical outcome).

Return to Sport bei Knorpelverletzungen – Bericht zum 7. Jahreskongress des OSINSTITUTs

Sportphysio ◽  
2020 ◽  
Vol 08 (05) ◽  
pp. 258-259
Author(s):  
Denis Overlöp ◽  
Natascha Bauer
Keyword(s):  
Return To Sport

Der „Return to Sport“-Prozess stellt Fachkräfte unterschiedlicher Disziplinen vor große Herausforderungen. PD Dr. med. Götz H. Welsch, leitender Mannschaftsarzt des HSV, und Bernhard Peters, ehemaliger Sportdirektor der TSG 1899 Hoffenheim und des HSV, stellten sich diesem Thema beim 7. Jahreskongress des OSINSTITUTs. Passend zum Thema der Veranstaltung „Prehab und Rehab – der Knorpel im Fokus“ lieferte Dr. med. Christina Valle, Fachärztin für Physikalische Medizin und Rehabilitation, Evidenz und Tipps rund um das Thema Ernährung und Knorpel.

Concussion in sports in children and adolescents – to play or not to play?

2017 ◽  
Vol 65 (3) ◽  
Keyword(s):  
Gender Differences ◽  
Children And Adolescents ◽  
Return To Sport ◽  
Consensus Conference ◽  
Return To School ◽  
The Novel ◽  
International Consensus ◽  
Persistent Symptoms ◽  
New Findings

A lot has been published on the topic concussion in sports during the last years, conscience was sharpened, much was structured and defined more precisely, help tools were developed and rules changed. This article summarizes the fifth edition of the recently published guidelines of the “International Consensus Conference on Concussion in Sport”. In addition, new findings regarding gender differences and recovery will be presented, as well as the modified “return-to-sport” and the novel “return-to-school” protocols. Despite increased knowledge many questions remain such as the therapy of persistent symptoms or long-term sequelae of recurrent concussions.

IAFECT™: a management tool to ensure effective technology training in the drinking water industry

2003 ◽  
Vol 3 (1-2) ◽  
pp. 449-454
Author(s):  
M.C. Steynberg ◽  
A. Vermeulen
Keyword(s):  
Return On Investment ◽  
Multidisciplinary Approach ◽  
Systematic Approach ◽  
Technology Training ◽  
Management Tool ◽  
Technical Competence ◽  
Water Industry ◽  
Training Environment ◽  
High Return ◽  
Effective Technology

For years training was evaluated with measures such as numbers of participants, number of programs, length of programs, cost of programs and content of programs. These input focused measures have to be replaced by output focused measures. The output focused measures include learning profile and whole brain approach for the learner, competency requirements for the job, management’s role before, during and after training as well as the competency of the trainer and the effectiveness of the training environment. However, to ensure that the highest possible scores for these measures can be achieved, a multidisciplinary approach is of paramount importance. The purpose of this article is to demonstrate the IAFECT™ management tool designed to ensure effective technology training. IAFECT™ is a systematic approach that involves all stakeholders. It focuses on technical competence and a high Return-On-Investment.

Return to Sport and Weightlifting Analysis Following Distal Biceps Tendon Repair

2021 ◽  
Author(s):  
Anirudh K. Gowd ◽  
Joseph N. Liu ◽  
Bhargavi Maheshwer ◽  
Grant H. Garcia ◽  
Edward C. Beck ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Tendon Repair ◽  
Return To Sport ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Biceps Tendon Repair

Altered Knee Laxity and Stiffness in Response to a Soccer Match Simulation in Players Returning to Sport Within 12 Months After Anterior Cruciate Ligament Reconstruction

2021 ◽  
pp. 036354652110130
Author(s):  
Stefano Nuccio ◽  
Luciana Labanca ◽  
Jacopo Emanuele Rocchi ◽  
Pier Paolo Mariani ◽  
Paola Sbriccoli ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Knee Laxity ◽  
Activity Level ◽  
Soccer Players ◽  
Control Group ◽  
Soccer Match ◽  
Anterior Cruciate ◽  
Anterior Knee

Background: The acute effects of exercise on anterior knee laxity (AKL) and anterior knee stiffness (AKS) have been documented in healthy participants, but only limited evidence has been provided for athletes cleared to return to sports after anterior cruciate ligament (ACL) reconstruction (ACLR). Purpose/Hypothesis: The purpose was to determine if 45 minutes of a soccer match simulation lead to acute changes in AKL and AKS in soccer players returning to sport within 12 months after ACLR. We hypothesized that the reconstructed knee of the ACLR group would exhibit an altered response to sport-specific exercise. Study Design: Controlled laboratory study. Methods: A total of 13 soccer players cleared to return to sport after ACLR and 13 healthy control soccer players matched for age, physical activity level, limb dominance, and anthropometric characteristics were recruited. To assess the effects of a standardized soccer match simulation (Soccer Aerobic Field Test [SAFT45]) on AKL and AKS, an arthrometric evaluation was carried out bilaterally before and immediately after SAFT45. To conduct a comprehensive examination of the force-displacement curve, the absolute and side-to-side difference (SSD) values of both AKL and AKS were extracted at 67, 134, and 200 N. Results: The ACLR and control groups showed similar AKL and AKS at baseline ( P > .05). In response to SAFT45, laxity increased bilaterally at all force levels by 14% to 17% only in the control group ( P < .025). Similarly, AKS at 134 and 200 N decreased in response to SAFT45 only in the control group (10.5% and 20.5%, respectively; P < .025). After SAFT45, the ACLR group had 1.9 and 2.5 times higher SSDs of AKS at 67 and 134 N compared with the control group, respectively ( P < .025), as well as a 1.9 times higher SSD of AKS at 134 N compared with baseline ( P = .014). Conclusion: Soccer players at the time of return to sport after ACLR showed an altered mechanical response to a sport-specific match simulation consisting of bilaterally unchanged AKL and AKS. Clinical Relevance: Soccer players showing altered AKL and AKS in response to exercise after ACLR may not be ready to sustain their preinjury levels of sport, thus potentially increasing the risk of second ACL injuries.

scholarly journals Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group

2021 ◽  
pp. bjsports-2020-103696
Author(s):  
Richard Weiler ◽  
Cheri Blauwet ◽  
David Clarke ◽  
Kristine Dalton ◽  
Wayne Derman ◽  
...  
Keyword(s):  
Consensus Statement ◽  
Assessment Tool ◽  
Return To Sport ◽  
Position Statement ◽  
Assessment Tools ◽  
Future Research ◽  
Concussion Management ◽  
Rule Changes ◽  
Specific Rule ◽  
And Performance

Concussion is a frequent injury in many sports and is also common in para athletes. However, there is a paucity of concussion research related to para sport, and prior International Concussion in Sport (CIS) consensus papers have not substantively addressed this population. To remedy this and to improve concussion care provided to para athletes, the concussion in para sport (CIPS) multidisciplinary expert group was created. This group analysed and discussed in-depth para athlete-specific issues within the established key clinical domains of the current (2017) consensus statement on CIS. Due to the onset of the COVID-19 pandemic, the group held all meetings by video conferencing. The existing Sport Concussion Assessment Tool 5 (SCAT5) for the immediate on-field and office-based off-field assessment of concussion was evaluated as part of this process, to identify any para athlete-specific concerns. Regular preparticipation and periodic health examinations are essential to determine a baseline reference point for concussion symptoms but pose additional challenges for the interpreting clinician. Further considerations for concussion management for the para athlete are required within the remove, rest, reconsider and refer consensus statement framework. Considering return to sport (RTS), the 2017 CIS consensus statement has limitations when considering the RTS of the para athlete. Case-by-case decision making related to RTS following concussion is imperative for para athletes. Additional challenges exist for the evaluation and management of concussion in para athletes. There is a need for greater understanding of existing knowledge gaps and attitudes towards concussion among athlete medical staff, coaches and para athletes. Future research should investigate the use and performance of common assessment tools in the para athlete population to better guide their clinical application and inform potential modifications. Concussion prevention strategies and sport-specific rule changes, such as in Para Alpine Skiing and Cerebral Palsy Football, also should be carefully considered to reduce the occurrence of concussion in para athletes.

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