SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Substantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The utility of psychological readiness scales in predicting return to sport: a systematic review.BMC psychology · 2025Pooled it
- Fear of reinjury is associated with failure to return to preinjury level of activity after operative repair of ankle fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Patient-specific psychological characteristics and personality structure affect functional outcomes after surgical stabilization of acute and chronic acromioclavicular joint injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Six-Month SIRSI Scores and Return to Sport After Shoulder Stabilization in Adolescent Athletes.Orthopaedic journal of sports medicine · 2026Article
- Article
- Psychological factors influencing return to sport after shoulder stabilization: assessment tools and intervention strategies-a narrative review.Annals of joint · 2026Review
- A Comparison of Return to Sport After Bankart Repair Versus Latarjet for Shoulder Instability: A Systematic Review.Orthopaedic journal of sports medicine · 2025Review
- Return to competition after ACL reconstruction: Factors influencing rates and timing in Swedish football players.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Latarjet and Bankart Repairs: Instagram-Based Perception Analysis Shows Comparable Patient Experiences.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Psychological Readiness for Return to Sport After Shoulder Stabilization Surgery: A Review of Current Evidence and the Role of The Shoulder Instability Return to Sport After Injury (SIRSI) Scale.Open access journal of sports medicine · 2025Review
- Enhancing research methods: The role of systematic and scoping reviews in orthopaedics, sports medicine and rehabilitation.Journal of experimental orthopaedics · 2024Article
- Beyond physical recovery: investigating athletic identity as a mediator between social support and psychological readiness for return to sport.Australian journal of psychology · 2024Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis systematic review and meta-analysis aimed to (1) determine the proportion of patients who underwent anterior shoulder instability surgery and did not return to sports for psychological reasons and (2) estimate differences in psychological readiness scores between patients who did and did not return to sports.
methodsThe EBSCOhost/SPORTDiscus, PubMed/Medline, Scopus, EMBASE and Cochrane Library databases were searched for relevant studies. The data synthesis included the proportion of patients who did not return to sports for psychological reasons and the mean differences in the psychological readiness of athletes who returned and those who did not return to sports. Non-binomial data were analysed using the inverse-variance approach and expressed as the mean difference with 95% confidence intervals.
resultsThe search yielded 700 records, of which 13 (1093 patients) were included. Fourteen psychological factors were identified as potential causes for not returning to sports. The rates of return to sports at any level or to the preinjury level were 79.3% and 61.9%, respectively. A total of 55.9% of the patients cited psychological factors as the primary reason for not returning to sports. The pooled estimate showed that patients who returned to sports had a significantly higher Shoulder Instability-Return to Sport After Injury score (P < 0.00001) than those who did not, with a mean difference of 30.24 (95% CI 24.95-35.53; I
conclusionsPsychological factors have a substantial impact on the rate of return to sports after anterior shoulder instability surgery. Patients who returned to sports had significantly higher psychological readiness than those who did not return to sports. Based on these results, healthcare professionals should include psychological and functional measurements when assessing athletes' readiness to return to sports. LEVEL OF EVIDENCE: Level IV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.