Evidence map›Paper›PMID 40692939›Full record

ReviewArthroscopy, sports medicine, and rehabilitation2025

Dynamic Anterior Shoulder Stabilization Using a Long Head of the Biceps Transfer and Bankart Repair Improves Clinical Outcomes in Patients With Subcritical Bone Loss: A Systematic Review.

Neil Jain, Jonathan McKeeman, Margaret Higgins, Alexander Johnson, Tyler Smith, Brian Waterman

Abstract readReview
In one paragraph

Review in Arthroscopy, sports medicine, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Neil JainDepartment of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, U.S.A.
Jonathan McKeemanDepartment of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, U.S.A.
Margaret HigginsDepartment of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, U.S.A.
Alexander JohnsonDepartment of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, U.S.A.
Tyler SmithDepartment of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, Pennsylvania, U.S.A.
Brian WatermanDepartment of Orthopedic Surgery, Atrium Health Wake Forest Baptist Orthopaedics and Sports Medicine, Winston-Salem, North Carolina, U.S.A.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess the clinical outcomes of dynamic anterior stabilization using a long head of the biceps transfer (DAS-LHB) with Bankart repair for management of anterior shoulder instability with subcritical glenoid bone loss. Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a review of the PubMed, Scopus, EMBASE, and Medline databases was performed in March 2025. Studies were limited to those reporting outcomes for patients ≥16 years old with subcritical glenoid bone loss (≤20%) and undergoing primary DAS-LHB with Bankart repair. Articles were assessed for range of motion, patient-reported outcomes, recurrent instability, and reoperation rates. The Methodological Index for Non-Randomized Studies scoring criteria were used for study appraisal. Forest plots were created to visualize mean differences in variables of interest. Results: Among the 4 studies evaluated, 90 patients with mean ages of 23.4 to 31.9 years were included. Average follow-up and bone loss ranged from 24.0 to 41.8 months and 8.0% to 10.5%, respectively. Rowe scores showed improvements ranging from 54.5 to 74.0 points, with 87.9% to 100% of patients meeting minimal clinically important difference thresholds. Changes in forward flexion and external rotation ranged from 3° to 23° and -2.3° to 8.3°, respectively. Four patients (4.4%) experienced a recurrence of dislocation, of whom 2 underwent successful revision with a Latarjet procedure. Of all patients, 90.1% to 100.0% were able to return to sport at any level, while 60.0% to 78.8% returned to their preinjury level of athletic involvement. Conclusions: DAS-LHB in conjunction with Bankart repair preserves motion while showing clinically important functional improvements with low rates of recurrent instability or complication in the short-term postoperative period for patients with symptomatic shoulder instability. Level of Evidence: Level IV, systematic review of Level III and IV studies.

Identifiers

PMID40692939
PMCPMC12276567

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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.