Fox Aaron, Bonacci Jason, Gill Stephen D, Page Richard S
Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Waurn Ponds, Victoria, Australia.
Barwon Centre for Orthopaedic Research and Education (B-CORE), Barwon Health, Geelong, Victoria, Australia.
BMJ Open Sport Exerc Med. 2021 Feb 23;7(1):e000956. doi: 10.1136/bmjsem-2020-000956. eCollection 2021.
Shoulder instability injuries are common in sports involving collisions and overhead movements. Arthroscopic Bankart repair and the open Latarjet are two commonly used surgical stabilisation procedures. There is a lack of knowledge surrounding movement strategies, joint loading and muscle strength after each of these procedures. This study will compare: (1) shoulder joint neuromechanics during activities of daily living and an overhead sporting task; (2) shoulder range of motion; (3) shoulder strength; and (4) self-reported shoulder function and health status, between individuals who have undergone an arthroscopic Bankart repair versus open Latarjet.
This is a prospective cohort, single-centre, non-randomised parallel arm study of surgical interventions for athletic shoulder instability injuries. Thirty participants will be recruited. Of these, 20 will have experienced one or more traumatic shoulder instability injuries requiring surgical stabilisation-and will undergo an arthroscopic Bankart repair or open Latarjet procedure. The remaining 10 participants will have no history of shoulder instability injury and act as controls. Participants will undergo baseline testing and be followed up at 3, 6 and 12 months. A two-way (group×time) analysis of variance with repeated measures on one factor (ie, time) will compare each outcome measure between groups across time points.
This study was approved by the Barwon Health and Deakin University Human Research Ethics Committees. Outcomes will be disseminated through publications in peer-reviewed journals and presentations at relevant scientific conferences.
Australian and New Zealand Clinical Trials Registry (ACTRN12620000016932).
肩部不稳定损伤在涉及碰撞和头顶运动的体育运动中很常见。关节镜下Bankart修复术和开放Latarjet手术是两种常用的手术稳定方法。对于这些手术之后的运动策略、关节负荷和肌肉力量，人们了解不足。本研究将比较接受关节镜下Bankart修复术与开放Latarjet手术的个体之间：（1）日常生活活动和头顶运动任务期间的肩关节神经力学；（2）肩关节活动范围；（3）肩部力量；以及（4）自我报告的肩部功能和健康状况。
这是一项针对运动性肩部不稳定损伤手术干预的前瞻性队列、单中心、非随机平行组研究。将招募30名参与者。其中，20名将经历过一次或多次需要手术稳定的创伤性肩部不稳定损伤，并将接受关节镜下Bankart修复术或开放Latarjet手术。其余10名参与者将没有肩部不稳定损伤史，并作为对照。参与者将接受基线测试，并在3个月、6个月和12个月时进行随访。采用双向（组×时间）方差分析，并对一个因素（即时间）进行重复测量，以比较各时间点组间的每项结局指标。
本研究已获得Barwon Health和迪肯大学人类研究伦理委员会的批准。研究结果将通过在同行评审期刊上发表以及在相关科学会议上进行报告来传播。
澳大利亚和新西兰临床试验注册中心（ACTRN12620000016932）。
