Résumé
A Bankart lesion is a tear of the labrum, the ring of cartilage that encircles the shoulder joint socket, that can occur when the shoulder is dislocated. This injury frequently affects young athletes and is associated with shoulder instability. This review was performed to provide an overview of anterior shoulder instability, with an emphasis on rehabilitation and the return to sports following arthroscopic Bankart repair. We searched the Google Scholar and PubMed academic databases through February 18th, 2024, utilizing keywords including “arthroscopic Bankart repair” and “return to sports”. Our findings indicate that athletes who undergo arthroscopic Bankart repair exhibit higher rates of returning to sports compared to those who receive other anterior shoulder stabilization procedures. Several factors are considered when determining readiness to return to athletics, including time elapsed since surgery, type of sport, strength, range of motion, pain, and proprioception. Surgeons typically advise athletes to wait approximately 6 months after surgery before resuming sports activities. They also recommend that athletes regain at least 80% of the strength of the uninjured shoulder or achieve strength levels comparable to those prior to the injury. Additionally, patients are expected to attain a full range of motion without pain, which should be symmetrical to the uninjured side, and demonstrate improved proprioception in the shoulder. The sport in which an athlete participates can also influence the timeline for return. Those involved in overhead sports, like baseball or tennis, often experience lower success rates in returning to their sport compared to athletes from other disciplines.
Résumé
Traumatic rupture of the extensor hallucis longus (EHL) is an uncommon finding in an outpatient setting. Surgical repair is typically necessary, particularly in chronic conditions that have persisted for six weeks or more. While several studies have reported EHL repair using autograft tendons, rehabilitation regimes vary, and standardized protocols have not yet been established. This case report presents with an inability to extend her left great toe. She underwent tendon reconstruction with an autograft semitendinosus tendon. At an 8-week follow-up, the patient reported greatly improved outcomes on the American Orthopaedic Foot and Ankle Society, Foot and Ankle Ability Measure, Foot and Ankle Disability Index questionnaire. Full recovery was achieved 12 weeks after surgery. The use of autograft semitendinosus tendon repair for chronic EHL tendon rupture, in conjunction with rehabilitation program, can be expected to yield favorable results.