Risk Factors for Recurrence of Anterior-Inferior Instability of the Shoulder After Arthroscopic Bankart Repair in Patients Younger Than 30 Years

Abstract Purpose Determining the risk of recurrent instability following an arthroscopic Bankart repair can be challenging, as numerous risk factors have been identified that might predispose recurrent instability. However, an overview with quantitative analysis of all available risk factors is lacking. Therefore, the aim of this systematic review is to identify risk factors that are associated with recurrence following an arthroscopic Bankart repair. Methods Relevant studies were identified by searching PubMed, Embase/Ovid, Cochrane Database of Systematic Reviews/Wiley, Cochrane Central Register of Controlled Trials/Wiley, CINAHL/Ebsco, and Web of Science/Clarivate Analytics from inception up to November 12th 2020. Studies evaluating risk factors for recurrence following an arthroscopic Bankart repair with a minimal follow-up of 2 years were included. Results Twenty-nine studies met the inclusion criteria and comprised a total of 4582 shoulders (4578 patients). Meta-analyses were feasible for 22 risk factors and demonstrated that age ≤ 20 years (RR = 2.02; P < 0.00001), age ≤ 30 years (RR = 2.62; P = 0.005), participation in competitive sports (RR = 2.40; P = 0.02), Hill-Sachs lesion (RR = 1.77; P = 0.0005), off-track Hill-Sachs lesion (RR = 3.24; P = 0.002), glenoid bone loss (RR = 2.38; P = 0.0001), ALPSA lesion (RR = 1.90; P = 0.03), > 1 preoperative dislocations (RR = 2.02; P = 0.03), > 6 months surgical delay (RR = 2.86; P < 0.0001), ISIS > 3 (RR = 3.28; P = 0.0007) and ISIS > 6 (RR = 4.88; P < 0.00001) were risk factors for recurrence. Male gender, an affected dominant arm, hyperlaxity, participation in contact and/or overhead sports, glenoid fracture, SLAP lesion with/without repair, rotator cuff tear, > 5 preoperative dislocations and using ≤ 2 anchors could not be confirmed as risk factors. In addition, no difference was observed between the age groups ≤ 20 and 21–30 years. Conclusion Meta-analyses demonstrated that age ≤ 20 years, age ≤ 30 years, participation in competitive sports, Hill-Sachs lesion, off-track Hill-Sachs lesion, glenoid bone loss, ALPSA lesion, > 1 preoperative dislocations, > 6 months surgical delay from first-time dislocation to surgery, ISIS > 3 and ISIS > 6 were risk factors for recurrence following an arthroscopic Bankart repair. These factors can assist clinicians in giving a proper advice regarding treatment. Level of evidence Level IV.

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RISK FACTORS FOR RECURRENCE OF SHOULDER INSTABILITY AFTER ARTHROSCOPIC BANKART REPAIR

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-200608000-00010 ◽

2006 ◽

Vol 88 (8) ◽

pp. 1755-1763 ◽

Cited By ~ 183

Author(s):

PASCAL BOILEAU ◽

MATIAS VILLALBA ◽

JEAN-YVES HÉRY ◽

FRÉDÉRIC BALG ◽

PHILIP AHRENS ◽

...

Keyword(s):

Risk Factors ◽

Shoulder Instability ◽

Bankart Repair ◽

Arthroscopic Bankart Repair ◽

Risk Factors For Recurrence

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Arthroscopic Bankart repair: results and risk factors of recurrence of instability

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-010-1105-5 ◽

2010 ◽

Vol 18 (12) ◽

pp. 1752-1758 ◽

Cited By ~ 63

Author(s):

Tapio Flinkkilä ◽

Pekka Hyvönen ◽

Pasi Ohtonen ◽

Juhana Leppilahti

Keyword(s):

Risk Factors ◽

Bankart Repair ◽

Arthroscopic Bankart Repair

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Treatment of anterior shoulder instability: a bibliometric analysis

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-022-02913-z ◽

2022 ◽

Vol 17 (1) ◽

Author(s):

Mingtao Zhang ◽

Zhitao Yang ◽

Borong Zhang ◽

Tao Liu ◽

Xiangdong Yun

Keyword(s):

United States ◽

Risk Factors ◽

Shoulder Instability ◽

Sports Medicine ◽

The United States ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Arthroscopic Bankart Repair ◽

Number Of Citations ◽

Research Frontiers

Abstract Purpose The treatment of anterior shoulder instability is a focus in the field of sports medicine. While much research has been conducted, few bibliometric studies have been performed in this field. This study analyzed the main characteristics and identified emerging research trends and hotspots related to the treatment of anterior shoulder instability over the past four decades. Methods We searched for (anterior shoulder instability OR anterior shoulder dislocation) AND (treatment OR reconstruction) in ARTICLE (Mesh) in the Web of Science database from 1980 to 2020. We analyzed the keywords, author, institution, country, number of citations, average number of citations, publication year, and partnership of the identified articles. Information about annual publications was analyzed using Microsoft Excel 2019; the remaining data were analyzed using VOSviewer version 1.6.11 (Leiden University, Leiden, Netherlands) and CiteSpace version 5.7.R2 (Drexel University, Philadelphia, PA, USA). Results A total of 1964 articles were published between 1980 and 2020. The American Journal of Sports Medicine, the United States, the United States Department of Defense, and Arcieio were journals, countries, institutions, and authors with the highest numbers of publications. The topic hotspots were instability, shoulder, and dislocation, while the research frontiers were arthroscopic, Bankart repair, Latarjet procedure, risk factors, recurrence, and complications. Conclusion The treatment of anterior shoulder instability has shown an increasing number of publications each year and achieved great progress. The United States made the most outstanding contributions to this important field. Arthroscopic, Bankart repair, and Latarjet procedures were research hotspots and risk factors, recurrence, and complications were likely to research frontiers.

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Risk Factors for Hospital Admission Following Arthroscopic Bankart Repair

Orthopedics ◽

10.3928/01477447-20170719-04 ◽

2017 ◽

Vol 40 (5) ◽

pp. e855-e861 ◽

Cited By ~ 4

Author(s):

Steven F. DeFroda ◽

Steven L. Bokshan ◽

Brett D. Owens

Keyword(s):

Risk Factors ◽

Hospital Admission ◽

Bankart Repair ◽

Arthroscopic Bankart Repair

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Predicting Failure After Primary Arthroscopic Bankart Repair: Analysis of a Statistical Model Using Anatomic Risk Factors

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2019.11.109 ◽

2020 ◽

Vol 36 (4) ◽

pp. 964-970 ◽

Cited By ~ 6

Author(s):

Edward H. Yian ◽

Michael Weathers ◽

Jonathan R. Knott ◽

Jeffrey F. Sodl ◽

Hillard T. Spencer

Keyword(s):

Risk Factors ◽

Statistical Model ◽

Bankart Repair ◽

Arthroscopic Bankart Repair

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Paper # 195: Risk Factors for Recurrent Shoulder Dislocation after Arthroscopic Bankart Repair

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2011.08.195 ◽

2011 ◽

Vol 27 (10) ◽

pp. e200-e201

Author(s):

Junji Ide ◽

Kenshi Kikukawa ◽

Hiroki Irie ◽

Kei Senba ◽

Keishi Uezono ◽

...

Keyword(s):

Risk Factors ◽

Shoulder Dislocation ◽

Bankart Repair ◽

Arthroscopic Bankart Repair ◽

Recurrent Shoulder Dislocation

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Clinical Outcomes and Prognostic Factors of Arthroscopic Bankart Repair for Recurrent Shoulder Instability in Soldiers: A Retrospective Single-Center Analysis

10.21203/rs.3.rs-34799/v1 ◽

2020 ◽

Author(s):

Ji Li ◽

Wei Qi ◽

Qiang Zhang ◽

Ketao Wang ◽

Wei Li ◽

...

Keyword(s):

Risk Factors ◽

Statistical Analysis ◽

Shoulder Instability ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Time Interval ◽

Single Center ◽

Recurrent Shoulder Instability ◽

Arthroscopic Bankart Repair ◽

The Mean

Abstract Background: The optimal surgical treatment of recurrent traumatic anterior shoulder instability remains a debated topic. The soldier is a special population with high-intensity military training of shoulder. The purpose of this study was to evaluate the clinical outcomes of arthroscopic Bankart repair for recurrent shoulder instability in soldiers and identify the related risk factors. Methods: A retrospective single-center analysis was performed for soldiers with recurrent shoulder instability who underwent arthroscopic Bankart repair between 2009 and 2014. The primary outcome measure was recurrence of instability (redislocation or subluxation). Statistical analysis by binary logistic regression analysis was performed for the significance of various risk factors including sex, gender, number of preoperative dislocations (single/recurrent), the time interval between the first dislocation and the surgery (less or more than 6 months), SLAP repair and number of anchors. The functional outcomes were assessed with the visual analog scale (VAS), the American Shoulder and Elbow Surgery Score (ASES) and Rowe stability score preoperatively and at the last follow-up. Results: A total of 95 shoulders were followed for 53.81±9.37 months (range, 38 to 92 months). The overall postoperative recurrent instability rate was 16.84% (16 in 95). The statistical analysis showed significant differences in age (P=0.045, OR=0.818), and the time interval between the first dislocation and surgery (P=0.035, OR=5.289). There was a significant improvement in the mean VAS, ASES, and Rowe scores postoperatively (P<0.05), but the mean VAS and Rowe scores were lower in the patients of recurrence (P=0.022 and 0.034, respectively). Conclusions: This study suggested that surgery within 6 months of the first dislocation may be required for the young soldiers, although several repair techniques exist for anterior shoulder instability, arthroscopic Bankart repair remains a viable option.

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