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Return to sport rate of team handball players after arthroscopic labral repair
ESSKA Academy. PAVLIK A. Nov 8, 2019; 284421; epESMA-05 Topic: Shoulder
Dr. Attila PAVLIK
Dr. Attila PAVLIK
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Return to sport rate of team handball players after arthroscopic labral repair

ePoster - epESMA-05

Topic: Sports Trauma

Attila P.1, Biró J.2, Tállay A.1
1National Institute for Sports Medicine, Department of Sport Surgery, Budapest, Hungary, 2Semmelweis Medical University, Budapest, Hungary

Introduction: Shoulder instability is a common problem among young athletes, especially among elite handball players, who are one of the riskiest population with contact and overhead activity. There are numerous studies to report of the redislocation rate and functional results of arthroscopic treatment of shoulder instability for the athletes, but without providing any data about the rate of return to sport at a high-risk group of elite handball players.
Purpose: To evaluate the postoperative result of arthroscopic treatment of shoulder instability and to report the return to sport rate and time of elite handball players.
Methods: 55 shoulders of 52 competitive handball players who were operated by arthroscopic capsulolabral reconstruction were involved in this retrospective study between 2010 and 2018 and had minimum a of 12 months follow-up period. The mean age was 21.4±6.3 years. 5 national team players, 46 competitive handball players and 2 recreational players participated in this study. During the follow-up study, patients completed a questionnaire that consisted of Rowe and American Shoulder and Elbow Surgeons (ASES) scores, and the return to play level, time period and their subjective opinion about their operation were registered.
Results: 52 athletes - 25 male and 27 female - were involved in this study, the average follow-up period was 47.7 (12-96) months. The redislocation rate was 11 % (6 patients), and 4 patients underwent reoperation (7.3 %). 41 athletes (79%) from the 52 could return to handball after the arthroscopic labral reconstruction, while 33 athletes (63 %) on the preoperative level. 6 athletes have changed their sports activity and 5 gave up their sports carrier. The average return to competition time was 6.7 months (3-24). The average Rowe score was 87.8±20.1 points whereas the average ASES score was 95.8±7.2 points. 73.1 % of the handball players were totally satisfied with the surgery and only 3 (5.7%) of them were dissatisfied.
Conclusions: Handball players with shoulder instability can treated by arthroscopic labral reconstruction successfully and could return to sports activity in moderate to high rate. The time to return to their previous level takes about 6 months.
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