AANA19 Shoulder Access Pass-Risk Factors and Outcomes of Revision Arthroscopic Posterior Shoulder Capsulolabral Repair in Contact Athletes-Dr. Justin W. Arner, M.D.

Risk Factors and Outcomes of Revision Arthroscopic Posterior Shoulder Capsulolabral Repair in Contact Athletes-Dr. Justin W. Arner, M.D.

Back to course

Video Transcription

Video Summary

This study examined 149 contact athletes undergoing arthroscopic posterior capsular labral repair for unidirectional posterior shoulder instability, with an average 13-year follow-up. The revision surgery rate was 5.4%. Key findings showed that patients needing revision had significantly worse pre-operative stability and lower ASES scores. A smaller glenoid bone width was the sole significant MRI risk factor for recurrence, while age, gender, sport level, and glenoid version were not. Return-to-play rates were significantly lower in the revision group (50% overall, 17% at same level) versus non-revision athletes (94% overall, 72% same level).

Keywords

posterior shoulder instability

arthroscopic capsular labral repair

contact athletes

revision surgery rate

return-to-play outcomes