SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill-Sachs and Bankart lesions: a systematic review and meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07486440 (SALTO), which is not on this map. Cited by 41 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
SALTO: Shoulder Dislocation: Assessment of Lesions, Trajectories and Outcomes. A Prospective Cohort of First-Time Anterior Shoulder Dislocations
Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- High resorption rates following glenoid augmentation procedures do not seem to lead to higher recurrence rates or worse clinical outcomes: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Scapular orientation influences glenohumeral translation after anterior and posterior labral tears: a cadaveric study.Journal of shoulder and elbow surgery · 2026Article
- Arthroscopic Bone Graft Remplissage Using Flexible Bone Allograft for Treatment of Hill-Sachs Lesions in Anterior Shoulder Instability.Arthroscopy techniques · 2026Article
- Fresh Talus Allograft Preparation for the Treatment of a Large Off-Track Hill-Sachs Lesion.Arthroscopy techniques · 2026Article
- Article
- Evidence-Based Risk Factors for Failure of Arthroscopic Labral Repair.Current reviews in musculoskeletal medicine · 2026Review
- The diagnostic value of pre- and post-reduction radiographs in anterior shoulder dislocation.Skeletal radiology · 2026Article
- Similar outcomes after arthroscopic rotator cuff repair alone in elderly patients with or without primary shoulder dislocation and Bankart lesion.Scientific reports · 2026Article
- Rare Presentation of Chronic Anterior Instability with Concomitant Triad of Anterior Labral Periosteal Sleeve Avulsion, Hill-Sachs, and Humeral Avulsion of the Glenohumeral Ligament Lesions: A Case Report.Journal of orthopaedic case reports · 2026Article
- Clinical Outcomes of Arthroscopic Bankart Repair With Remplissage Versus Bankart Repair With Remplissage and Arthroscopic Subscapularis Augmentation in Recurrent Anterior Shoulder Instability.Orthopaedic journal of sports medicine · 2026Article
- A comparison between a patient-specific bone regenerative implant and the osteochondral allograft procedure in a Hill-Sachs lesion, a cadaveric study.JSES reviews, reports, and techniques · 2026Article
- The Remplissage Procedure in Addition to Arthroscopic Stabilization for Non-Engaging Hill Sachs Lesions: A Systematic Review.Current reviews in musculoskeletal medicine · 2026Review
- Risk factors for postage stamp fracture following arthroscopic Bankart repair: a systematic review.JSES international · 2026Review
- Finite Element Analysis of Remplissage With Bankart Repair for Anterior Glenohumeral Instability: Reducing Anterior Humeral Head Displacement by Implanting Anchors in the Upper Region of Hill-Sachs Lesions.Orthopaedic journal of sports medicine · 2026Article
- Shoulder Instability in the U.S. Military: A Systematic Review of Epidemiology, Operative Management, and Outcomes.Journal of clinical medicine · 2025Review
- Two-year outcomes of the primary latarjet procedure: a nationwide analysis of 2258 patients.Archives of orthopaedic and trauma surgery · 2025Article
- SCOPE-MRI: Bankart Lesion Detection as a Case Study in Data Curation and Deep Learning for Challenging Diagnoses.NPJ artificial intelligence · 2025Article
- Greater tuberosity osteotomy approach in neglected locked anterior shoulder dislocation: a technical note.JSES reviews, reports, and techniques · 2025Article
- Role of clinical and radiological parameters for recurrence after primary anterior shoulder dislocation.JSES international · 2025Article
- Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe extent of shoulder instability and the indication for surgery may be determined by the prevalence or size of associated lesions. However, a varying prevalence is reported and the actual values are therefore unclear. In addition, it is unclear whether these lesions are present after the first dislocation and whether or not these lesions increase in size after recurrence. The aim of this systematic review was (1) to determine the prevalence of lesions associated with traumatic anterior shoulder dislocations, (2) to determine if the prevalence is higher following recurrent dislocations compared to first-time dislocations and (3) to determine if the prevalence is higher following complete dislocations compared to subluxations.
methodsPubMed, EMBASE, Cochrane and Web of Science were searched. Studies examining shoulders after traumatic anterior dislocations during arthroscopy or with MRI/MRA or CT published after 1999 were included. A total of 22 studies (1920 shoulders) were included.
resultsThe proportion of Hill-Sachs and Bankart lesions was higher in recurrent dislocations (85%; 66%) compared to first-time dislocations (71%; 59%) and this was statistically significant (P < 0.01; P = 0.05). No significant difference between recurrent and first-time dislocations was observed for SLAP lesions, rotator-cuff tears, bony Bankart lesions, HAGL lesions and ALPSA lesions. The proportion of Hill-Sachs lesions was significantly higher in complete dislocations (82%) compared to subluxations (54%; P < 0.01).
conclusionHigher proportions of Hill-Sachs and Bankart were observed in recurrent dislocations compared to first-time dislocations. No difference was observed for bony Bankart, HAGL, SLAP, rotator-cuff tear and ALPSA. Especially when a Hill-Sachs or Bankart is present after first-time dislocation, early surgical stabilization may need to be considered as other lesions may not be expected after recurrence and to limit lesion growth. However, results should be interpreted with caution due to substantial heterogeneity and large variance. LEVEL OF EVIDENCE: IV.
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