High school athletes with shoulder instability benefit from nonoperative treatment

March 10, 2018 by Lisa Weisenberger, American Orthopaedic Society for Sports Medicine

Nonoperative treatment of high school athletes with shoulder instability is an effective approach, according to research presented today at the American Orthopaedic Society for Sports Medicine's Specialty Day in New Orleans. Researchers also noted that using the Non-Operative Instability Severity Score (NSIS) tool can help identify higher-risk patients who may require other forms of treatment.

"Our study showed that of 57 patients who were initially treated nonoperatively for anterior shoulder , 79% achieved a full return to sport and completed the following season without missing any practice or playing time," noted lead author John M. Tokish, MD, from the Mayo Clinic Arizona in Phoenix, Arizona, who performed the work with Ellen Shanley, PhD, and their team at the Steadman Hawkins Clinic of the Carolinas. "We also identified certain risk factors, like bone loss, that may make this approach ineffective for certain individuals."

The research included patients who experienced first time anterior instability and were managed non-operatively, were involved in high school sports with at least one season of eligibility remaining, and had information available on their return to sport following treatment. Analysis of NSIS scores of the patients treated showed those with a score less than 7 returned at a 97% rate, while those who scored greater than 7 had a 59% success rate. Those who were not successful either did not return to their previous sport, or sustained an injury leading to time lost. Of the high-risk patients, those with bipolar bone loss had a failure rate of 67%.

"Deciding how to treat young athletes with can be challenging and controversial, but this research shows doing so without surgery is often successful," commented Tokish. "Physicians can use clinical tools like the NSIS to classify higher risk - such as those with bipolar bone loss - who are unlikely to benefit from the non-operative approach and guide their decision making."

Researchers recommend future studies look at larger patient groups over a longer period to build on this data.

Explore further: Treatment of shoulder instability helps return collegiate athletes to playing field

More information: www.sportsmed.org/aossmimis/Me … SD2018/Abstract2.pdf

Related Stories

Treatment of shoulder instability helps return collegiate athletes to playing field

July 10, 2015
Athletes who suffer a shoulder instability injury may return to play more successfully after being treated arthroscopically compared to nonoperative treatment, say researchers presenting their work today at the American Orthopaedic ...

Treating first time shoulder dislocations with surgery can benefit young athletes

July 7, 2016
Shoulder instability is most common in the young, athletic population, bringing a focus to how these injuries are best treated. Research presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual ...

Intercollegiate contact athletes with shoulder instability return to in-season sports

July 10, 2014
College athletes experiencing in-season shoulder instability regularly return to play within one week of injury, but developed recurrent instability in 63% of cases, according to research presented today at the American Orthopaedic ...

Return to play for soccer athletes and risk for future injury

March 6, 2018
A new study presented at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) looked at soccer athletes who sustained an anterior cruciate ligament (ACL) reconstruction to better understand the average ...

Return-to-play rates high for football players after shoulder instability surgery

July 8, 2016
Getting back into the game is important for any athlete after a significant injury but shoulder injuries can be tricky, especially for football players. Researchers presenting their work today at the American Orthopaedic ...

Recurring shoulder instability injuries likely among young athletes playing contact sports

August 1, 2012
Summer is a peak season for many sports, and with that comes sport-related injuries. Among those injuries is shoulder joint dislocation. According to a literature review in the August 2012 issue of the Journal of the American ...

Recommended for you

Surgeons have substantial impact on genetic testing in breast cancer patients who need it

July 3, 2018
For many women diagnosed with breast cancer, genetic testing can offer important information that might guide treatment choices. But studies have shown that only about half of women who could benefit receive genetic testing.

First major study comparing robotic to open surgery published in The Lancet

June 21, 2018
The first comprehensive study comparing the outcomes of robotic surgery to those of traditional open surgery in any organ has found that the surgeries are equally effective in treating bladder cancer. The seven-year study, ...

Antibodies may predict transplant rejection risk

June 19, 2018
The presence of certain antibodies in patients may suggest a higher risk of transplant rejection across multiple organ types, including the kidney, liver, heart and lungs, according to a new study published in PLOS Medicine.

First human test of robotic eye surgery a success

June 18, 2018
Researchers from the University of Oxford have completed the first successful trial of robot-assisted retinal surgery.

Surgical blood transfusions tied to clot risk

June 13, 2018
(HealthDay)—Blood transfusions around the time of surgery may raise your risk for dangerous blood clots, researchers say.

Tonsil and adenoid removal associated with respiratory, allergic and infectious disease

June 7, 2018
Tonsil and adenoid removal associated with long-term risks of respiratory, allergic and infectious diseases Removing tonsils and adenoids in childhood increases the long-term risk of respiratory, allergic and infectious diseases, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.