Most Athletes Who Fail to Return to Sport After Latarjet Procedure Cite Psychological Factors: A Systematic Review.
| Autor: | Ryan JM; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Mayfield CK; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Cruz CA; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Kotlier JL; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Abu-Zahra M; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Feingold CL; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A.. Electronic address: cailan.feingold@gmail.com., Bolia IK; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Liu JN; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A., Petrigliano FA; Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A. |
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| Jazyk: | angličtina |
| Zdroj: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 Nov 15. Date of Electronic Publication: 2024 Nov 15. |
| DOI: | 10.1016/j.arthro.2024.11.003 |
| Abstrakt: | Purpose: To identify the return-to-sport (RTS) rate in athletes undergoing a Latarjet procedure while outlining the specific reasons for failure to RTS. Methods: An electronic literature search was conducted (PubMed/MEDLINE, Scopus, Web of Science). Studies in peer-reviewed journals with Latarjet procedures performed on athletes that reported rates and reasons for failure to RTS were included. Excluded studies were those that reported solely on nonathletes, non-Latarjet surgery, and missing rates of and reasons for failure to RTS. Study heterogeneity was assessed using the I 2 statistic, and quality assessment was performed using the Methodological Index for Non-Randomized Studies criteria. Results: After review of 3,617 articles, a total of 18 studies with 1,066 patients met the inclusion criteria. The level of evidence for included studies ranged from II to IV. Rates of not returning to sports (NRTS) ranged from 3.4% to 35.3%. More studies cited shoulder-unrelated reasons than shoulder-related reasons for why athletes failed to RTS. Ten (55.5%) studies, making up 656 (61.5%) patients, reported that shoulder-unrelated reasons were accountable for more than 50% of NRTS. Only 3 (16.7%) studies reported 100% NRTS because of shoulder-related reasons, which include fear of reinjury and psychological factors. Study heterogeneity was found to be moderate (I 2 = 73.4%; 95% confidence interval 57.5-83.3; P < .001) and study quality was found to be satisfactory (mean Methodological Index for Non-Randomized Studies score 12.1 for noncomparative and 20.5 for comparative studies). Conclusions: According to this systematic review, the rate of NRTS after Latarjet ranged from 3.4% to 35.3% across 18 studies, with the majority of studies citing nonshoulder-related reasons such as fear or reinjury or psychological factors as the major deterrent for returning to sports. Level of Evidence: Level IV, systematic review of case series. Competing Interests: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: F.A.P. reports consulting or advisory for Exactech, Stryker Orthopaedics, and OSSIO. J.N.L. reports speaking and lecture fees from Stryker Orthopaedics and travel reimbursement from Innocoll Biotherapeutics NA. All other authors (J.M.R., C.K.M., C.A.C., J.L.K., M.A., C.L.F., I.K.B.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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