The Influence of Evidence-Based Surgical Indications and Techniques on Failure Rates After Arthroscopic Shoulder Stabilization in the Contact or Collision Athlete With Anterior Shoulder Instability
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The surgical management of recurrent anterior shoulder instability in the contact or collision athlete is often debated, but historically, open stabilization has been advocated given the commonly held belief that contact or collision athletes are at a higher risk for failure after arthroscopic stabilization. Despite this, evidence to suggest that arthroscopic stabilization in contact or collision athletes has higher failure rates is limited.
The purpose of this systematic review was to (1) determine the pooled failure rate after arthroscopic stabilization for anterior shoulder instability in contact or collision athletes and (2) determine the failure rate after arthroscopic stabilization for anterior shoulder instability in contact or collision athletes among studies that use modern, evidence-based surgical indications and techniques. Our hypothesis was that the published data pertaining to failure rates of contact or collision athletes undergoing arthroscopic stabilization for anterior shoulder instability are of poor quality, reflect outdated surgical indications and techniques, and rarely consider patient-, injury-, and procedure-specific factors that have been identified to significantly influence failure after arthroscopic shoulder stabilization.
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