Preoperative level of sport may not impact return to play after shoulder surgery

ByMax R. Wursta

Fact checked byGina Brockenbrough, MA

Key takeaways:

Preoperative level of sport did not impact return to play after arthroscopic anatomic glenoid reconstruction.
Researchers compared return to sport between recreational and competitive athletes.

SCOTTSDALE, Ariz. — According to presented results, recreational vs. competitive sport preoperatively may not significantly impact rate of or time to return to sport after arthroscopic anatomic glenoid reconstruction.

“We have always thought that the ideal surgical technique to be able to get people back to sport is something that is arthroscopic – less invasive – that is anatomic, that you can probably preserve the [subscapularis],” Ivan H. Wong, MD, FRCS(C), MACM, FAANA, said in his presentation at the American Shoulder and Elbow Surgeons Annual Meeting.

OT1023Wong_ASES_Graphic_01 — Data were derived from Wong IH, et al. Paper 3. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Oct. 4-7, 2023; Scottsdale, Ariz.

Wong and colleagues performed a retrospective analysis of prospectively collected data on 46 recreational athletes and 36 competitive athletes who underwent arthroscopic anatomic glenoid reconstruction with distal tibia allograft between 2013 and 2021 and had 2 years of follow-up.

Ivan H. Wong

Overall, Wong and colleagues found no significant difference in rate of return to sport between recreational (80% of patients) and competitive (60% of patients) athletes at 2 years. They also found no significant difference in time to return to sport between recreational (13 months) and competitive (16 months) athletes.

The most common reasons for not returning to sport included lack of confidence or fear of reinjury (31% of patients), prioritizing work or life compared with sport (27% of patients), pain and discomfort (23% of patients) and aging out of a league (19% of patients).

Wong concluded that arthroscopic anatomic glenoid reconstruction yielded return to sport rates, time to return to sports and survivorship that are superior or equivalent to Bankart repair at 2-year follow-up.

Published by:

Sources/Disclosures

Collapse

Source:

Wong IH, et al. Paper 3. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Oct. 4-7, 2023; Scottsdale, Ariz.

Disclosures: Wong reports being a paid presenter or speaker for Bioventus, DePuy Synthes, Linvatec and Smith & Nephew; and receiving research support from Aesculap, Arthrex, Linvatec and Smith & Nephew.

American Shoulder and Elbow Surgeons Annual Meeting

Read more

Preoperative level of sport may not impact return to play after shoulder surgery

Key takeaways:

Related Content