Paper 01: Distance-to-Dislocation Predicts Recurrent Dislocation and Return-to-Sport Following Latarjet

Objectives: More recently, the glenoid track has been described as a continuum rather than binary “on-track/off-track” concept. “Distance to dislocation” (DTD), which defines how far an on-track lesion is from being off-track, proven be strong predictor for recurrent dislocation following arthroscopic Bankart repair. Risk of instability Latarjet it relates DTD, however, unknown. The purpose this study was determine if DTD and return-to-sport/work (RTS). We hypothesized higher values would correlate with lower failure rates RTS. Methods: retrospectively identified 106 consecutive patients who underwent between 2012 2022. Glenoid bone loss, Hills-Sachs Interval (HSI), (GT), ( = GT – HSI) were determined preoperative MRIs. On-track shoulders corresponded positive values, while off-track revealed negative values. Relatedly, more or value, shoulder. Univariate multivariate cox regression analyses utilized evaluate association dislocation, patient demographics, DTD. Using parametric survival analysis, we evaluated RTS, Results: Seventeen (16%) experienced dislocations. Our cohort 70% male average follow-up 1.5 years. Patient age (p=0.035), revision status (p=0.033), (p=0.005) significant predictors reoperation on univariate analysis. After adjusting confounders, only (p=0.043) remained instability, Figure 1. Regarding (p=0.14), sex (p=0.029), (p<0.0005) predictive RTS covariates, observed interaction (p=0.036). specifically, older have prolonged at compared younger patients, 2. Conclusions: Regardless vs status, useful variable in work-up undergoing reconstruction. Lower are especially patients.