{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:40:48Z","timestamp":1790520048054,"version":"4.1.0"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,3,21]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Few studies have evaluated the success of the Latarjet procedure for recurrent anterior glenohumeral instability in the contact or collision athlete. The purpose of this study was to evaluate the return-to-sport and functional results of the Latarjet procedure in this select group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>One hundred and nine consecutive contact or collision athletes (112 shoulders) treated with an open Latarjet procedure for recurrent anterior glenohumeral instability were retrospectively identified. Seventy-three shoulders in 73 patients (67%) were evaluated at a mean follow-up of 52 months (range, 24 to 120 months). The average age at surgery was 25.8 years (range, 15 to 54 years). The primary outcomes were the scores on the Western Ontario Shoulder Instability Index (WOSI), the American Shoulder and Elbow Surgeons (ASES) questionnaire, a visual analog scale (VAS) for pain, and return to sport. Predictors of return to sport were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Six (8%) of the 73 patients experienced \u22651 postoperative dislocations. Ten additional patients (14%) experienced a perception of instability without a dislocation. The median postoperative WOSI and ASES scores were 382 (range, 0 to 2,016) and 93.3 (range, 21.7 to 100), respectively. The median postoperative VAS pain score was 0 (range, 0 to 10). Forty-nine percent (36) of the 73 patients returned to their preoperative sports level, 14% (10) decreased their activity level in the same sport, 12% (9) changed sports, and 25% (18) decreased their level of activity and changed sports or stopped participating in sports altogether. Patients with \u22652 stabilization procedures prior to the Latarjet procedure demonstrated a lower likelihood of returning to their original sport (p = 0.019; relative risk = 2.84; 95% confidence interval = 1.34 to 6.06). The percentage of glenoid bone loss showed no association with the return-to-sport rate (p = 0.507).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The outcome of the Latarjet procedure in high-risk contact or collision athletes is variable. Patients who have fewer prior stabilization surgical procedures are more likely to successfully return to their original sport.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.00566","type":"journal-article","created":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T11:06:13Z","timestamp":1521630373000},"page":"459-465","source":"Crossref","is-referenced-by-count":74,"title":["Clinical Outcomes Following the Latarjet Procedure in Contact and Collision Athletes"],"prefix":"10.2106","volume":"100","author":[{"given":"David M.","family":"Privitera","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Rochester Regional Health System, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan J.","family":"Sinz","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay R.","family":"Miller","sequence":"additional","affiliation":[{"name":"The Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elana J.","family":"Siegel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Mount Sinai Hospital, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muriel J.","family":"Solberg","sequence":"additional","affiliation":[{"name":"Boston Shoulder Institute, Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen D.","family":"Daniels","sequence":"additional","affiliation":[{"name":"The Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6694-2680","authenticated-orcid":false,"given":"Laurence D.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Boston Shoulder Institute, Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"9","key":"bib1-20230810","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1177\/0363546509334591","article-title":"Incidence of glenohumeral instability in collegiate athletics","volume":"37","author":"Owens","year":"2009","journal-title":"Am J Sports Med."},{"issue":"8","key":"bib2-20230810","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1177\/0363546505274718","article-title":"Prevalence and variance of shoulder injuries in elite collegiate football players","volume":"33","author":"Kaplan","year":"2005","journal-title":"Am J Sports Med."},{"issue":"5","key":"bib3-20230810","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1016\/j.arthro.2012.11.010","article-title":"Long-term outcomes after Bankart shoulder stabilization","volume":"29","author":"Harris","year":"2013","journal-title":"Arthroscopy."},{"issue":"12","key":"bib4-20230810","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/j.arthro.2006.07.052","article-title":"Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique","volume":"22","author":"Larrain","year":"2006","journal-title":"Arthroscopy."},{"issue":"1","key":"bib5-20230810","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1177\/0363546504268037","article-title":"Arthroscopic anterior shoulder stabilization of collision and contact athletes","volume":"33","author":"Mazzocca","year":"2005","journal-title":"Am J Sports Med."},{"issue":"7","key":"bib6-20230810","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1016\/j.arthro.2016.01.025","article-title":"Outcomes of Bankart repairs using modern arthroscopic technique in an athletic population","volume":"32","author":"Milchteim","year":"2016","journal-title":"Arthroscopy."},{"issue":"11","key":"bib7-20230810","doi-asserted-by":"crossref","first-page":"1470","DOI":"10.1302\/0301-620X.89B11.18962","article-title":"The Instability Severity Index Score. 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