ArticleInternational orthopaedics2019
Early surgical treatment of first-time anterior glenohumeral dislocation in a young, active population is superior to conservative management at long-term follow-up.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Arthroscopic Bankart repair versus conservative treatment for first-time traumatic anterior shoulder dislocation: a systematic review and meta-analysis.European journal of medical research · 2023Pooled it
- Immobilization in External Rotation and Abduction Versus Arthroscopic Stabilization After First-Time Anterior Shoulder Dislocation: A Multicenter Randomized Controlled Trial.The American journal of sports medicine · 2021Trial
- Response to the Letter to the Editor on "Bankart surgery is the most effective treatment for first-time anterior shoulder dislocation without significant bone loss - Systematic review and network meta-analysis".Journal of orthopaedic translation · 2026Article
- Cost-effectiveness of Adding Remplissage to Bankart Repair for On-track Hill-Sachs Lesions: A Markov Decision Analysis.The American journal of sports medicine · 2026Article
- Bankart surgery is the most effective treatment for first-time anterior shoulder dislocation without significant bone loss - Systematic review and network meta-analysis.Journal of orthopaedic translation · 2026Review
- Bankart repair and remplissage for surgical treatment of first episode of acute anterior shoulder dislocation: long-term results.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- 1-year postoperative follow-up is adequate for arthroscopic Bankart repair: a comparison between 1-year and 2-year postoperative patient-reported outcome scores.JSES international · 2025Article
- Management of First-Time Anterior Shoulder Dislocation-A Systematic Review and Meta-analysis: Arthroscopy Association of Canada Position Statement.Orthopaedic journal of sports medicine · 2025Review
- Arthroscopic Bankart repair versus nonoperative management for first-time anterior shoulder instability: A cost-effectiveness analysis.Shoulder & elbow · 2024Article
- Rehabilitation Protocol Variability Following Arthroscopic Bankart Repair and Remplissage for Management of Anterior Shoulder Instability: A Systematic Review.International journal of sports physical therapy · 2024Article
- Global variations in treatment and outcomes reported for anterior shoulder instability: a systematic review of the literature.JSES reviews, reports, and techniques · 2023Review
- Pediatric and Adolescent Shoulder Instability.Current reviews in musculoskeletal medicine · 2023Review
- [Clinical application of Fastpass Scorpion suture passer for arthroscopic Bankart repair].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Anteroinferior Glenoid Rim Fractures Are a Relatively Common Finding in Shoulder Instability Patients Aged 50 Years or Older but May Not Portend a Worse Prognosis.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Postoperative Management Following Arthroscopic Bankart Repair in Adolescents and Young Adults: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2020Review
- The financial burden associated with multiple shoulder dislocations and the potential cost savings of surgical stabilization.JSES international · 2020Article
- Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the long-term effectiveness of non-operative treatment with immediate arthroscopic surgical stabilization in young, active patients after first-time anterior glenohumeral dislocation. MATERIALS AND
methodsConsecutive patients aged 15-25 years who suffered primary traumatic anterior glenohumeral dislocation were enrolled in this prospective, non-randomized investigation. In total, 160 patients were enrolled-64 opted for surgical stabilization (group A), while 96 opted for conservative treatment (group B). At final follow-up of over 6.5 years, 60 patients in group A (96.7% males, age 22.8 ± 3.2) and 70 patients in group B (90.0% males, age 20.8 ± 2.9) were evaluated with physical examination, patient-reported outcome measures (PROMs), and radiological studies. Recurrence and return to sport (RTS) data were collected, and variables were compared between groups.
resultsRecurrence rate in group A was 13.3% at mean latency of 3.3 ± 1.9 years, compared to 71.4% at mean latency of 2.1 ± 1.5 years in group B (P < 0.001 for both recurrence rate and latency). In group A, 70.0% of patients RTS at the pre-injury level, versus 41.4% of patients in group B (P < 0.001). Patients in group A scored significantly higher on all PROMs (all P < 0.001) and had significantly less osteoarthritis (P = 0.004), when compared to group B.
conclusionAcute surgical stabilization of first-time anterior shoulder dislocation in young, active patients is more effective than conservative treatment at long-term follow up, based on lower recurrence rate, better RTS, and higher patient-perceived improvement.
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