Evidence map›Paper›PMID 39101737›Full record

ArticleThe American journal of sports medicine2024

Arthroscopic Bankart Repair for Anterior Glenohumeral Instability in 488 Adolescents Between 2000 and 2020: Risk Factors for Subsequent Recurrent Instability Requiring Revision Stabilization.

Jeffrey Kay, Benton E Heyworth, Donald S Bae, Mininder S Kocher, Matthew D Milewski, Dennis E Kramer

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Article in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jeffrey KayDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston Massachusetts, USA.
Benton E HeyworthDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston Massachusetts, USA.ORCID 0000-0002-2572-1344
Donald S BaeDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston Massachusetts, USA.
Mininder S KocherDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston Massachusetts, USA.ORCID 0000-0002-7938-7820
Matthew D MilewskiDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston Massachusetts, USA.
Dennis E KramerDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston Massachusetts, USA.ORCID 0000-0002-8560-633X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter arthroscopic Bankart repair (ABR) for anterior glenohumeral instability (GHI), adolescent athletes have higher rates of subsequent recurrent GHI than any other subpopulation. Elucidating which adolescents are at highest risk of postoperative recurrent GHI may optimize surgical decision-making. PURPOSE: To identify prognostic factors associated with subsequent recurrent GHI requiring revision stabilization surgery (RSS) after ABR. STUDY

designCase-control study; Level of evidence, 3.

methodsThe study included patients 12 to 21 years old who had undergone ABR for anterior GHI at a pediatric tertiary care hospital by 1 of 5 sports medicine fellowship-trained surgeons between 2000 and 2020. A multivariate Cox proportional hazards model, with percentage of patients with recurrent GHI undergoing subsequent RSS, was used with a time-to-event outcome analysis. The Cox model effects were expressed as the hazard ratio (HR). All tests were 2-sided, with an alpha of .05.

resultsRecords of 488 adolescent patients with ABR (78% male; mean age, 16.9 ± 1.98 years) were analyzed. Of these, 86 patients (17.6%) underwent subsequent RSS for recurrent GHI, yielding a cumulative risk of 8.8% at 2 years, 16.5% at 5 years, and 20% at 15 years. RSS occurred at a mean of 2.6 ± 2.1 years after ABR. Risk factors for RSS included >1 preoperative dislocation (2 dislocations: HR = 7.4,

conclusionThe number of dislocations before index ABR was the strongest risk factor for recurrent GHI requiring RSS in adolescents with anterior GHI, with 2 dislocations conferring >7-fold increased risk compared with a single preoperative dislocation. Other significant risk factors included the presence of a Hill-Sachs lesion, younger age, and participation in contact sports.

Indexed as

ArthroscopyJoint InstabilityRecurrenceReoperationAdolescentCase-Control StudiesChildFemaleHumansMaleProportional Hazards ModelsRetrospective StudiesRisk FactorsShoulder DislocationShoulder JointYoung Adultadolescent athletesarthroscopic Bankart repairglenohumeral instabilityrecurrent instabilityshoulder dislocation

Identifiers

PMID39101737
PMCPMC11308280

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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.