{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:16:07Z","timestamp":1783350967370,"version":"3.54.6"},"reference-count":26,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Traumatic anterior shoulder instability is a clinically relevant problem in professional football (soccer) players, for whom restoration of shoulder function, postoperative stability and timely return to sport are critical. Despite a growing body of evidence supporting arthroscopic Bankart repair in athletic populations, data on sport-specific outcomes in professional male football players remain limited. Methods: Twenty-two professional male football (soccer) players who underwent arthroscopic Bankart repair following first-time anterior traumatic shoulder instability between 2011 and 2021 were retrospectively analyzed. No control group was included. The Rowe score and American Shoulder and Elbow Surgeons (ASES) score were assessed preoperatively and at 12 months postoperatively. Return-to-sport time was defined as the time from surgery to return to competitive match play and was recorded in weeks. Recurrent instability was assessed throughout the follow-up period. IBM SPSS Statistics, v27 was used for statistical analyses. Results: The median age was 25 years old (15\u201334). The right shoulder was involved in 15 patients (68%) and the left in 7 (32%). The median time to return to sport was 18 weeks (range, 14\u201325). During a median follow-up of 6.5 years (range, 4\u201314), recurrent instability occurred in one patient (4.5%) at 14 months after surgery. After surgery, both functional scores improved significantly. The median preoperative Rowe score increased from 55 (range, 35\u201360) to 100 (range, 85\u2013100) (p &lt; 0.001), and the median ASES score improved from 55 (range, 40\u201368) to 100 (range, 85\u2013100) (p &lt; 0.001) at 12 months. Postoperative ASES and Rowe scores were positively correlated (r = 0.666, p = 0.001). Neither score was significantly associated with return-to-sport timing. Conclusions: In this retrospective series of professional male football players with first-time anterior shoulder instability, arthroscopic Bankart repair was associated with significant improvements in 12-month Rowe and ASES scores, a median return-to-sport time of 18 weeks, and a low observed recurrence rate during long-term follow-up. These findings should be interpreted within the context of the study\u2019s retrospective design and limited sample size.<\/jats:p>","DOI":"10.3390\/jcm15135259","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:43:14Z","timestamp":1783345394000},"page":"5259","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Return to Sport After Arthroscopic Bankart Repair in Professional Male Football Players"],"prefix":"10.3390","volume":"15","author":[{"given":"Yener","family":"\u0130nce","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Acibadem Maslak Hospital, Istanbul 34457, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4940-4711","authenticated-orcid":false,"given":"Muhammed Yusuf","family":"Afacan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Istanbul 34180, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5110-3339","authenticated-orcid":false,"given":"Goker Utku","family":"Deger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Acibadem Taksim Hospital, Istanbul 34373, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7882-5971","authenticated-orcid":false,"given":"Tolgahan","family":"Korkmaz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Ba\u015faksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.csm.2024.03.020","article-title":"Arthroscopic Management of the Contact Athlete with Anterior Instability","volume":"43","author":"Brinkman","year":"2024","journal-title":"Clin. Sports Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e652","DOI":"10.1016\/j.jse.2024.06.024","article-title":"Arthroscopic Bankart repair vs. Latarjet procedure for recurrent shoulder instability: A meta-analysis of clinical outcomes and complication rates in general and athletic populations","volume":"33","author":"Daliri","year":"2024","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s12178-025-09957-8","article-title":"Evaluation and Management Anterior Shoulder Instability Among Football Players","volume":"18","author":"Lanham","year":"2025","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.21037\/aoj-24-65","article-title":"Management of anterior shoulder instability in the contact athlete: A narrative review","volume":"10","author":"Meyer","year":"2025","journal-title":"Ann. Jt."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s12178-026-10011-4","article-title":"Managing Shoulder Instability in the Contact and Collision Athlete","volume":"19","author":"Lau","year":"2026","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e945942","DOI":"10.12659\/MSM.945942","article-title":"Systematic Review of Arthroscopic Bankart Repair Outcomes for Anterior Shoulder Instability","volume":"30","author":"Asiri","year":"2024","journal-title":"Med. Sci. Monit."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e387","DOI":"10.1016\/j.jse.2023.03.011","article-title":"Trends and projections in surgical stabilization of glenohumeral instability in the United States from 2009 to 2030: Rise of the Latarjet procedure and fall of open Bankart repair","volume":"32","author":"Ahmed","year":"2023","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.26603\/001c.143184","article-title":"Return to Competitive Sport After Anterior Shoulder Stabilization: A Scoping Review of Current Outcomes and Clearance Decision-Making Criteria","volume":"20","author":"Fails","year":"2025","journal-title":"Int. J. Sports Phys. Ther."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2480","DOI":"10.1177\/03635465221089980","article-title":"Can We Identify Why Athletes Fail to Return to Sports After Arthroscopic Bankart Repair? A Systematic Review and Meta-analysis","volume":"51","author":"Kim","year":"2023","journal-title":"Am. J. Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e70589","DOI":"10.1002\/jeo2.70589","article-title":"Shoulder dislocations in professional male football (soccer) do not negatively affect long-term quantitative and qualitative performance parameters: A retrospective analysis of 30 in-match injuries of the German Bundesliga","volume":"12","author":"Degener","year":"2025","journal-title":"J. Exp. Orthop."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1002\/ksa.12199","article-title":"Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012\/2013 until 2022\/2023","volume":"32","author":"Schneider","year":"2024","journal-title":"Knee Surg. Sport Traumatol. Arthrosc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1177\/1758573220928926","article-title":"Return to sports, functional outcomes, and recurrences after arthroscopic Bankart repair in soccer players","volume":"14","author":"Pasqualini","year":"2022","journal-title":"Shoulder Elb."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/23259671211011614","article-title":"Outcomes After Arthroscopic Anterior Shoulder Stabilization in Professional Handball Players","volume":"9","author":"Pavlik","year":"2021","journal-title":"Orthop. J. Sport Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"3066","DOI":"10.1177\/03635465211029022","article-title":"Return to Professional Australian Rules Football After Surgery for Traumatic Anterior Shoulder Instability","volume":"49","author":"Perret","year":"2021","journal-title":"Am. J. Sports Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e288","DOI":"10.1097\/JSM.0000000000000962","article-title":"Successful Outcomes and Return to Sport After Arthroscopic Bankart Repair in National Collegiate Athletic Association and National Football League Football Players","volume":"32","author":"Saper","year":"2022","journal-title":"Clin. J. Sport Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.arthro.2023.08.017","article-title":"Editorial Commentary: Recurrence Rates Following Arthroscopic Bankart Repair Differ Among Contact and Collision Sports and Are Higher in Collision Sports","volume":"40","author":"Hohmann","year":"2024","journal-title":"Arthroscopy"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2092","DOI":"10.1007\/s00167-021-06803-5","article-title":"Evaluation of factors associated with successful 5-year outcomes following arthroscopic Bankart repair in athletes","volume":"30","author":"Hurley","year":"2022","journal-title":"Knee Surg. Sport Traumatol. Arthrosc."},{"key":"ref_18","first-page":"1","article-title":"Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability in Professional Martial Arts Athletes: 5-Year Follow-up Results","volume":"14","author":"Korkmaz","year":"2026","journal-title":"Orthop. J. Sport Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1177\/0363546520987823","article-title":"Immobilization in External Rotation and Abduction Versus Arthroscopic Stabilization After First-Time Anterior Shoulder Dislocation: A Multicenter Randomized Controlled Trial","volume":"49","author":"Minkus","year":"2021","journal-title":"Am. J. Sports Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1177\/0363546521996381","article-title":"Arthroscopic Bankart Repair Versus Immobilization for First Episode of Anterior Shoulder Dislocation Before the Age of 25: A Randomized Controlled Trial","volume":"49","author":"Hardy","year":"2021","journal-title":"Am. J. Sports Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1016\/j.jse.2021.03.141","article-title":"Criteria-based return-to-sport testing is associated with lower recurrence rates following arthroscopic Bankart repair","volume":"30","author":"Popchak","year":"2021","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"S99","DOI":"10.1016\/j.jse.2023.02.011","article-title":"Remplissage reduces recurrent instability in high-risk patients with on-track Hill-Sachs lesions","volume":"32","author":"Lin","year":"2023","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1177\/19417381211004107","article-title":"The S-STARTS Test: Validation of a Composite Test for the Assessment of Readiness to Return to Sport After Shoulder Stabilization Surgery","volume":"14","author":"Blache","year":"2022","journal-title":"Sport Health A Multidiscip. Approach"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1177\/19417381211062852","article-title":"Functional Rehabilitation and Return to Play After Arthroscopic Surgical Stabilization for Anterior Shoulder Instability","volume":"14","author":"Kelley","year":"2022","journal-title":"Sport Health A Multidiscip. Approach"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1177\/17585732241249959","article-title":"Return to sports following arthroscopic Bankart repair in collision athletes: A systematic review","volume":"17","author":"Pasqualini","year":"2025","journal-title":"Shoulder Elb."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"5343","DOI":"10.1016\/j.arthro.2025.07.032","article-title":"Ranges of Return to Sport Outcomes Following Anterior Shoulder Instability Surgery Are Influenced by Procedure, Athletic Level, and Follow-Up Duration: A Systematic Review","volume":"41","author":"Valk","year":"2025","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/13\/5259\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:39:31Z","timestamp":1783348771000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/13\/5259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":26,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["jcm15135259"],"URL":"https:\/\/doi.org\/10.3390\/jcm15135259","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]}}}