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Optimized Return to Sport Criteria Following the Bristow-Latarjet Procedure for Shoulder Stabilization: A Systematic
Ewerton Borges de Souza Lima1, Rafaelly Stavale1, Paulo Henrique Schmidt Lara1
1Sports Medicine and Physical Activity Course, Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Revista Brasileira De Ortopedia
|July 29, 2026
Summary
This systematic review synthesizes return-to-sport (RTS) criteria after the Bristow-Latarjet procedure for athletes. It aims to optimize RTS timing and rates while minimizing recurrence for better athlete outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Evidence-Based Practice
Background:
- Anterior glenohumeral instability in athletes often requires surgical intervention like the Bristow-Latarjet procedure.
- Standardized return-to-sport (RTS) criteria following this procedure are lacking, leading to variability in athlete management.
- Optimizing RTS protocols is crucial for successful rehabilitation and preventing re-injury.
Purpose of the Study:
- To identify and synthesize existing return-to-sport (RTS) criteria after the Bristow-Latarjet procedure in athletes.
- To evaluate the impact of these criteria on RTS time, RTS rate, and recurrence of instability.
- To inform evidence-based RTS criteria combinations for earlier return and reduced recurrence.
Main Methods:
- Systematic review protocol adhering to PRISMA-P guidelines, registered on PROSPERO.
- Inclusion of comparative studies and case series with a minimum 12-month follow-up.
- Comprehensive database searches (PubMed, Web of Science, Embase, etc.) and risk of bias assessment using established tools (RoB 2, NOS, JBI).
Main Results:
- The review will synthesize RTS definitions and clearance strategies specific to the Bristow-Latarjet procedure.
- Analysis will link specific RTS criteria to outcomes such as time to RTS, RTS rate, and recurrence.
- Meta-analysis and meta-regression will be employed where appropriate to identify trends and influencing factors.
Conclusions:
- This systematic review will provide a criterion-centered synthesis of RTS strategies post-Bristow-Latarjet.
- Findings are expected to enhance consistency in RTS decision-making for athletes.
- The study will guide future research for validating optimized RTS criteria combinations.