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German Congress of Orthopaedics and Traumatology (DKOU 2022)

25. - 28.10.2022, Berlin

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Functional and sports-specific outcome following traumatic first-time shoulder dislocation and arthroscopic surgical repair in rock climbers

Meeting Abstract

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  • presenting/speaker Michael Simon - Sozialstiftung Bamberg, Klinik für Orthopädie und Unfallchirurgie, Sektion Sportorthopädie, Sporttraumatologie, Sportmedizin, Bamberg, Germany
  • Leonid Geffel - Sozialstiftung Bamberg, Klinik für Orthopädie und Unfallchirurgie, Sektion Sportorthopädie, Sporttraumatologie, Sportmedizin, Bamberg, Germany
  • Christoph Lutter - Universitätsmedizin Rostock, Orthopädische Klinik und Poliklinik, Rostock, Germany
  • Volker Schöffl - Sozialstiftung Bamberg, Klinik für Orthopädie und Unfallchirurgie, Sektion Sportorthopädie, Sporttraumatologie, Sportmedizin, Bamberg, Germany

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2022). Berlin, 25.-28.10.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. DocAB76-705

doi: 10.3205/22dkou612, urn:nbn:de:0183-22dkou6123

Published: October 25, 2022

© 2022 Simon et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives: The objective of this study was to analyze the general (Constant Murley Score) and sports-specific (change in UIAA grade) outcome following traumatic first-time shoulder dislocation and surgical treatment in climbers.

Methods: In this retrospective study, 27 climbers (20 male, 7 female, 3 climbers with bilateral injuries; mean age 34 years; SD 11, range 17-61 years) who suffered a traumatic shoulder dislocation and were treated with an arthroscopic repair of the labrumligament-complex (LLC) were included. The outcome was assessed on average 53 months (SD 29 m range 12-103) after surgery with a standardized questionnaire and clinical examination including the Constant Murley Score. The postoperative sportsspecific outcome was analyzed using the Union Internationale des Associations d'Alpinisme (UIAA) Scale of Difficulty and a sports specific outcome score.

Results and conclusion: The average postoperative Constant Murley Score was 95 points (SD 8, range 67-100). 93% (n=25) of the patients had started climbing again at follow-up. 23 climbers (85%) reached a climbing level between +/-1.33 UIAA grades of their initial capability. Furthermore, 73% (n=19) achieved an excellent (grade V) sports-specific outcome score. 7% (n=2) of the patients had a recurrent shoulder dislocation, with secondary surgery and therefore ongoing postoperative treatment at the time of the follow-up.

Arthroscopic repair of the ligament-labrum-complex following shoulder dislocation in climbers shows a good functional outcome, enabling most patients to regain a high level of rock-climbing ability. The recurrence rate is lower than for injuries sustained in contact sports.