TY - JOUR
T1 - Return to Professional Australian Rules Football After Surgery for Traumatic Anterior Shoulder Instability
AU - Perret, Michael
AU - Warby, Sarah
AU - Brais, Godefroy
AU - Hinse, Stephanie
AU - Hoy, Sophie
AU - Hoy, Gregory
N1 - Funding Information:
One or more of the authors has declared the following potential conflict of interest or source of funding: M.P. received followship funding from Johnson & Johnson and Arthrex and has received education support from Lima and Medartis. G.B. received fellowship funding from Johnson & Johnson and Arthrex. S.H. received fellowship funding from Johnson & Johnson. G.H. has received education support from Arthrex, Johnson & Johnson, and Wright Medical; and speaking fees from Smith & Nephew and Johnson & Johnson. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.
Publisher Copyright:
© 2021 The Author(s).
PY - 2021/9
Y1 - 2021/9
N2 - Background: The treatment of traumatic anterior shoulder instability in professional Australian Football League (AFL) players is challenging, with an emphasis on early return to play and avoidance of instability recurrence. Purpose: To investigate return-to-sport (RTS) outcomes and complications after 2 different procedures for traumatic anterior shoulder instability in professional AFL players. Study Design: Cohort study; Level of evidence, 3. Methods: We retrospectively reviewed our surgical database for professional AFL players who underwent capsulolabral stabilization or open Latarjet procedure by a single surgeon between 2006 and 2017. Outcomes included RTS, on-field performance, and complications. Between-group analyses for RTS and complications were estimated using Kaplan-Meier survival analyses. Within-group analyses for on-field performance data were performed using paired t tests with significance set at.05. Results: A total of 58 capsulolabral stabilization procedures in 54 players and 32 Latarjet procedures in 29 players were included in the analysis; 93.1% of capsulolabral patients and 96.9% of Latarjet patients returned to professional AFL. The median RTS time was 6.8 months for the capsulolabral group and 7.3 months for the Latarjet group. There was no significant difference in RTS rates between the 2 groups (P =.270). Of those undergoing surgery early in the season, 75% of the capsulolabral and 71% of Latarjet group were able to RTS within the same season, at a mean time of 16.9 weeks and 18.8 weeks, respectively. There was a significant difference in instability recurrence, with 19% for the capsulolabral group and no recurrence in the Latarjet group (P =.017). There was no significant reduction in player on-field performance in either group (P <.05). Conclusion: In this study, the median RTS in AFL players was approximately 7 months after capsulolabral and Latarjet surgery with no compromise to on-field performance. Instability-related complications occurred only in the capsulolabral group, and the incidence increased with time.
AB - Background: The treatment of traumatic anterior shoulder instability in professional Australian Football League (AFL) players is challenging, with an emphasis on early return to play and avoidance of instability recurrence. Purpose: To investigate return-to-sport (RTS) outcomes and complications after 2 different procedures for traumatic anterior shoulder instability in professional AFL players. Study Design: Cohort study; Level of evidence, 3. Methods: We retrospectively reviewed our surgical database for professional AFL players who underwent capsulolabral stabilization or open Latarjet procedure by a single surgeon between 2006 and 2017. Outcomes included RTS, on-field performance, and complications. Between-group analyses for RTS and complications were estimated using Kaplan-Meier survival analyses. Within-group analyses for on-field performance data were performed using paired t tests with significance set at.05. Results: A total of 58 capsulolabral stabilization procedures in 54 players and 32 Latarjet procedures in 29 players were included in the analysis; 93.1% of capsulolabral patients and 96.9% of Latarjet patients returned to professional AFL. The median RTS time was 6.8 months for the capsulolabral group and 7.3 months for the Latarjet group. There was no significant difference in RTS rates between the 2 groups (P =.270). Of those undergoing surgery early in the season, 75% of the capsulolabral and 71% of Latarjet group were able to RTS within the same season, at a mean time of 16.9 weeks and 18.8 weeks, respectively. There was a significant difference in instability recurrence, with 19% for the capsulolabral group and no recurrence in the Latarjet group (P =.017). There was no significant reduction in player on-field performance in either group (P <.05). Conclusion: In this study, the median RTS in AFL players was approximately 7 months after capsulolabral and Latarjet surgery with no compromise to on-field performance. Instability-related complications occurred only in the capsulolabral group, and the incidence increased with time.
KW - Australian Rules Football
KW - capsulolabral stabilization
KW - Latarjet
KW - recurrent shoulder instability
KW - return-to-sport
KW - shoulder
KW - surgery
UR - http://www.scopus.com/inward/record.url?scp=85112686411&partnerID=8YFLogxK
U2 - 10.1177/03635465211029022
DO - 10.1177/03635465211029022
M3 - Article
C2 - 34398642
AN - SCOPUS:85112686411
SN - 0363-5465
VL - 49
SP - 3066
EP - 3075
JO - The American Journal of Sports Medicine
JF - The American Journal of Sports Medicine
IS - 11
ER -