Virginia Via Research Day Book 2026

Medical Student Research Clinical

ATHLETES UNDERGOING BRISTOW-LATARJET STABILIZATION DEMONSTRATE HIGHER RATES OF FULL RETURN TO SPORT: A SYSTEMATIC REVIEW AND META-ANALYSIS

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Theodore J Houseman, OMS-II; Alexander J Baur DO; Eyad Mansour, MS, OMS-I Corresponding author: tjhouseman@liberty.edu

Liberty University College of Osteopathic Medicine, Lynchburg, Virginia California Health Sciences University College of Osteopathic Medicine

Clinical Relevance: By comparing return-to sport outcomes across common shoulder stabilization techniques, this study informs surgical decision-making in athletic populations and supports the Bristow–Latarjet procedure as a favorable option for high-demand athletes.

were included. Twenty-four studies met inclusion criteria, comprising 2,442 patients with an average age of 22 (13-46). Pooled return to sport proportions were calculated. Subgroup analysis was performed based on surgical procedure. Results: Full return to sport across all patients was 77% (95% CI, 0.69– 0.84). Full cessation of sport was 10% (95% CI, 0.06–0.15). The Bristow-Latarjet stabilization procedure demonstrated a significantly higher full return to sport rate compared with Bankart (0.91; 95% CI, 0.83–0.96) vs (0.71; 95% CI, 0.56–0.83, p=.003). The Bristow-Latarjet procedure also demonstrated a lower full cessation of sport rate compared with Bankart (5% vs 12%), but was not statistically significant. Conclusions: Athletes undergoing Bristow-Latarjet stabilization demonstrated significantly higher rates of full return to sport compared to those treated with Bankart repairs in anterior shoulder instability. These findings suggest that the Bristow-Latarjet procedure may offer higher rates of full return to sport in appropriately selected athletes with shoulder instability.

Background: Recurrent shoulder instability is a common problem in athletes, especially those in contact, collision, or overhead sports. Surgical options include soft-tissue stabilization procedures such as Bankart repair or reverse Bankart (posterior capsulolabral repair) and bony-augmentation procedures such as the Bristow-Latarjet procedure. Return-to-sport outcomes vary across techniques, and the relative effectiveness of these approaches in athletes has not been well established. Hypothesis/Purpose: Our study aimed to compare rates of return to sport after shoulder stabilization surgery. We hypothesized that the Bristow Latarjet procedure would have the highest return to sport. Study Design : Meta-Analysis Methods: A systematic review and meta-analysis of randomized controlled trials and cohort studies were performed according to PRISMA guidelines. Studies on surgical stabilization of shoulder instability in athletes that reported return to sport

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179 2026 Research Recognition Day