AOSSM/AANA Specialty Day 2020-Handout - Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athlete

Handout - Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athlete

Pdf Summary

This study aimed to identify risk factors for revision posterior shoulder stabilization surgery in throwing athletes, given that revision surgeries tend to have worse outcomes than primary procedures. Researchers conducted a chart review of 110 throwing athletes who underwent arthroscopic posterior stabilization. Clinical outcome data, including ASES and KJOC scores, were collected pre- and postoperatively, alongside demographic and radiographic information.<br /><br />Results showed an 8.2% revision rate at an average of 2.8 years post-surgery. A significantly higher proportion of females required revision surgery compared to controls (44.5% vs. 20.8%), suggesting female gender as a potential risk factor. There were no notable differences between revision and control groups regarding other demographic or radiographic factors, nor were there significant differences in clinical outcome scores post-surgery. However, the rate of return to sport was significantly lower in the revision group (42.8%) compared to controls (81.5%). Return to sport at the same level of performance did not differ significantly between groups.<br /><br />In summary, the study concludes that approximately 8.2% of throwing athletes needing posterior shoulder stabilization require revision surgery. Female athletes may have an increased risk of revision, and those undergoing revision surgery tend to have a lower likelihood of returning to their sport, highlighting the importance of identifying and managing risk factors in this population to improve long-term outcomes.

Keywords

posterior shoulder stabilization

throwing athletes

revision surgery

risk factors

arthroscopic surgery

female athletes

clinical outcomes

return to sport

ASES scores

KJOC scores