Return to Sport After Coracoid Transfer in Athletes With Anterior Shoulder Instability: A Systematic Review
Source: AJSM first published July 3, 2019
Clinical Purpose:Can young athletes return to sport following coracoid transfer (Latarjet)?
Bottom Line: This treatment technique has very favorable outcomes for treatment of instability, however, young athletes do not reliably return to the SAME level of sport.
Points to Consider: This is a systematic review (Level 4 evidence). Fourteen studies met inclusion criteria. Return to sport (RTS) at any level ranged from 80% to 100% in all but 1 study (which reported 38%)!
Takeaway: Athletes returned to sport at some level, but return at the previous level was less reliable (range 16% to 95% in the 14 studies). Rate of post-operative dislocation, though, was low (0-14%).
About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.