Outcomes After Arthroscopic Posterior Labral Repair With All-Suture Anchors in Football Players.

BACKGROUND

Posterior glenoid labral injuries are more common in football players than in the general population. Arthroscopic repair with all-suture anchors has proven to be an effective technique to address other abnormalities, allowing for low-profile constructs that minimize damage to surrounding tissue. Few studies have examined the outcomes of posterior labral repair with all-suture anchors in football players.

HYPOTHESIS: It was hypothesized that after labral repair with all-suture anchors, functional outcomes would improve, revision rates would be low, return-to-sport rates would be high, and clinical outcomes would be comparable with those seen after arthroscopic repair performed with traditional solid anchors among football players.

STUDY

DESIGN

Case series; Level of evidence, 4.

METHODS

The authors identified patients in the institution's ongoing data repository who were football players when they underwent arthroscopic posterior glenoid labral repair using all-suture anchors. The authors collected baseline (preoperative) and follow-up demographic, clinical, surgical, and functional outcome data, with a minimum follow-up time of 2 years. Patient-reported outcome measures included the American Shoulder and Elbow Surgeons (ASES) score and the Western Ontario Shoulder Instability Index (WOSI).

RESULTS

The authors identified 52 male football athletes (mean age at surgery, 18.5 years) with both baseline and follow-up data (mean follow-up time, 3.8 years), with all competing at either the high school (n = 41 [79%]) or collegiate (n = 11 [21%]) level. Mean outcome scores improved significantly from baseline to follow-up for both the ASES score (baseline: 63.2; follow-up: 97.1) and the WOSI (baseline: 48.1; follow-up: 94.0). Overall, 37 of 52 (71%) returned to football at their preinjury level after surgery. However, only 38 of 52 athletes attempted to return to sport. Among athletes who attempted to return to sport, 97% (37/38) were able to return. There were no significant differences in follow-up ASES or WOSI scores between high school and collegiate athletes, between blocking and nonblocking positions, or between isolated posterior labral repair and combined labral repair.

CONCLUSION

The results demonstrated excellent outcomes, including large and significant improvements in ASES and WOSI scores, in football players. While 29% did not return to football, 97% of those who attempted to return to play did so at their preinjury level. This study shows encouraging results for the use of all-suture anchors for posterior labral repair in this population of athletes.