Evaluation of throwing ability after coracoid transfer in non-overhead athletes
Background: Coracoid transfer is the most common procedure for the treatment of traumatic anterior shoulder dislocations with large glenoid bone defects; however, it is rarely used for the treatment of throwing shoulders because of possible postoperative limited range of motion. This study aimed to...
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Elsevier
2025-01-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638324004146 |
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| author | Ryota Yokoi, DP Takayuki Kawasaki, MD, PhD Yuuki Hirai, DP Hiroki Tanabe, MD Tomohiko Tateishi, MD, PhD Nobukazu Maki, DP Daichi Morikawa, MD, PhD Muneaki Ishijima, MD, PhD |
| author_facet | Ryota Yokoi, DP Takayuki Kawasaki, MD, PhD Yuuki Hirai, DP Hiroki Tanabe, MD Tomohiko Tateishi, MD, PhD Nobukazu Maki, DP Daichi Morikawa, MD, PhD Muneaki Ishijima, MD, PhD |
| author_sort | Ryota Yokoi, DP |
| collection | DOAJ |
| description | Background: Coracoid transfer is the most common procedure for the treatment of traumatic anterior shoulder dislocations with large glenoid bone defects; however, it is rarely used for the treatment of throwing shoulders because of possible postoperative limited range of motion. This study aimed to evaluate throwing function after coracoid transfer for shoulder instability. Methods: The study included non-overhead athletes (n = 11; Bristow-Latarjet [BL] group) who suffered shoulder dislocation and underwent coracoid transfer on the dominant side of the shoulder and healthy volunteers (n = 20; C group) from the same population (overall age distribution: 18–22 years). All participants were evaluated for shoulder function including ball-throwing abilities (e.g., ball velocity and long-throw distance). In the primary analyses, we compared the maximum ball velocity and long-throw distance between the groups using the repeated 2-way analysis of variance. In secondary analyses, all other measurements were compared between the groups using the Mann–Whitney U test. Results: In the primary analysis, mean maximum ball velocity and long-throw distance in the BL and C groups were 83.5 and 87.9 km/h versus 44.8 and 54.7 m, respectively, demonstrating no significant differences between the groups. In the secondary analysis, only the range of external rotation with the shoulder at the side was significantly lower in the BL group (P = .046). Conclusion: The throwing ability after coracoid transfer in non-overhead athletes is acceptable compared to that in the matched population. Therefore, this procedure may be an option for treating traumatic anterior shoulder dislocations with large bone defects in athletes such as goalkeepers, handball, and basketball players at the recreational level. |
| format | Article |
| id | doaj-art-81f4c5c6e4fb4a1384a2f7118f67c14d |
| institution | Kabale University |
| issn | 2666-6383 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj-art-81f4c5c6e4fb4a1384a2f7118f67c14d2025-01-12T05:26:05ZengElsevierJSES International2666-63832025-01-01915661Evaluation of throwing ability after coracoid transfer in non-overhead athletesRyota Yokoi, DP0Takayuki Kawasaki, MD, PhD1Yuuki Hirai, DP2Hiroki Tanabe, MD3Tomohiko Tateishi, MD, PhD4Nobukazu Maki, DP5Daichi Morikawa, MD, PhD6Muneaki Ishijima, MD, PhD7Rugby Football Club, Meiji University, Tokyo, JapanRugby Football Club, Meiji University, Tokyo, Japan; Department of Orthopaedics and Sports Surgery, Faculty of Medicine, Juntendo University, Tokyo, Japan; Corresponding author: Takayuki Kawasaki, MD, PhD, Juntendo University, Faculty of Medicine, Department of Orthopaedics and Sports surgery, 2-1-1, Bunkyo, Tokyo 113-8421, Japan.Rugby Football Club, Meiji University, Tokyo, JapanRugby Football Club, Meiji University, Tokyo, Japan; Department of Orthopaedics and Sports Surgery, Faculty of Medicine, Juntendo University, Tokyo, JapanRugby Football Club, Meiji University, Tokyo, Japan; Department of Sports and Arthroscopy Center, Doai Memorial Hospital, Tokyo, JapanRugby Football Club, Meiji University, Tokyo, JapanDepartment of Orthopaedics and Sports Surgery, Faculty of Medicine, Juntendo University, Tokyo, JapanDepartment of Orthopaedics and Sports Surgery, Faculty of Medicine, Juntendo University, Tokyo, JapanBackground: Coracoid transfer is the most common procedure for the treatment of traumatic anterior shoulder dislocations with large glenoid bone defects; however, it is rarely used for the treatment of throwing shoulders because of possible postoperative limited range of motion. This study aimed to evaluate throwing function after coracoid transfer for shoulder instability. Methods: The study included non-overhead athletes (n = 11; Bristow-Latarjet [BL] group) who suffered shoulder dislocation and underwent coracoid transfer on the dominant side of the shoulder and healthy volunteers (n = 20; C group) from the same population (overall age distribution: 18–22 years). All participants were evaluated for shoulder function including ball-throwing abilities (e.g., ball velocity and long-throw distance). In the primary analyses, we compared the maximum ball velocity and long-throw distance between the groups using the repeated 2-way analysis of variance. In secondary analyses, all other measurements were compared between the groups using the Mann–Whitney U test. Results: In the primary analysis, mean maximum ball velocity and long-throw distance in the BL and C groups were 83.5 and 87.9 km/h versus 44.8 and 54.7 m, respectively, demonstrating no significant differences between the groups. In the secondary analysis, only the range of external rotation with the shoulder at the side was significantly lower in the BL group (P = .046). Conclusion: The throwing ability after coracoid transfer in non-overhead athletes is acceptable compared to that in the matched population. Therefore, this procedure may be an option for treating traumatic anterior shoulder dislocations with large bone defects in athletes such as goalkeepers, handball, and basketball players at the recreational level.http://www.sciencedirect.com/science/article/pii/S2666638324004146Throwing shoulderOverhead athleteShoulder dislocationBristow–LatarjetGlenoid bone defectExperimental laboratory study |
| spellingShingle | Ryota Yokoi, DP Takayuki Kawasaki, MD, PhD Yuuki Hirai, DP Hiroki Tanabe, MD Tomohiko Tateishi, MD, PhD Nobukazu Maki, DP Daichi Morikawa, MD, PhD Muneaki Ishijima, MD, PhD Evaluation of throwing ability after coracoid transfer in non-overhead athletes JSES International Throwing shoulder Overhead athlete Shoulder dislocation Bristow–Latarjet Glenoid bone defect Experimental laboratory study |
| title | Evaluation of throwing ability after coracoid transfer in non-overhead athletes |
| title_full | Evaluation of throwing ability after coracoid transfer in non-overhead athletes |
| title_fullStr | Evaluation of throwing ability after coracoid transfer in non-overhead athletes |
| title_full_unstemmed | Evaluation of throwing ability after coracoid transfer in non-overhead athletes |
| title_short | Evaluation of throwing ability after coracoid transfer in non-overhead athletes |
| title_sort | evaluation of throwing ability after coracoid transfer in non overhead athletes |
| topic | Throwing shoulder Overhead athlete Shoulder dislocation Bristow–Latarjet Glenoid bone defect Experimental laboratory study |
| url | http://www.sciencedirect.com/science/article/pii/S2666638324004146 |
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