Outcomes of Revision Arthroscopic Anterior Shoulder Stabilization in a Military Population: A Prospective Cohort Study

The purpose of the study was to determine the outcomes of revision arthroscopic anterior shoulder stabilization in a young, military population. The hypothesis was that this subgroup functions well in a high-demand environment without increased rates of failure. Patients were enrolled in an institutional database and followed prospectively. The primary outcomes were scores on the semiannual Physical Readiness Test (PRT), as compared to prior to reinjury. Secondary outcomes included the Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), Simple Shoulder Test (SST), and Western Ontario Shoulder Instability Index (WOSI). Sixteen patients met inclusion. Mean age at revision was 20.9 years, and mean follow-up was 32.8 months (range, 12–60 months). Mean bone loss was 9%. Mean PRT score was similar to preinjury (86 vs. 87, p > .05), and mean push-ups showed a small decline (70.4 vs. 78.5, p > .05). Significant improvements were seen in SANE, SF-36 physical component, ASES, andWOSI scores. The results in this cohort suggest that revision arthroscopic stabilization is an acceptable treatment in high-demand military personnel. (Journal of Surgical Orthopaedic Advances 28(3):189–195, 2019) Key words: arthroscopic, Bankart, revision stabilization, shoulder