{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:05:42Z","timestamp":1789729542689,"version":"4.0.1"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"\n Purpose<\/jats:title>\n To evaluate shoulder stability and function at long\u2010term follow\u2010up after arthroscopic single\u2010row suture anchor fixation of bony Bankart lesions.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This was a retrospective, single\u2010center study. Patients with anterior glenoid rim fractures after traumatic shoulder instability who underwent arthroscopic single\u2010row suture anchor fixation for bony Bankart lesions between 1999 and 2010 were included. Only patients with a minimum follow\u2010up of 14\u2009years were eligible for the present long\u2010term analysis. Patients completed a standardized questionnaire including clinical data regarding shoulder stability, reoperation, patient satisfaction, and sports activity as well as patient\u2010reported outcome measures, including the Constant Score, Subjective Shoulder Value (SSV), American Shoulder and Elbow Surgeons Score, Oxford Instability Score, and Western Ontario Shoulder Instability Index. Changes in patient\u2010reported outcome measures were evaluated using cohort\u2010specific minimal clinically important difference thresholds, and patient satisfaction was assessed against a predefined threshold (\u22658\/10). Paired t\u2010tests or Wilcoxon signed\u2010rank tests were used as appropriate, with\n P<\/jats:italic>\n \u2009<\u2009.05 considered significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Fifty patients were initially identified, of whom 45 were included in a previously published midterm follow\u2010up study. Of these, 13 patients were unavailable for long\u2010term follow\u2010up (7 lost to follow\u2010up and 6 deceased), resulting in a final cohort of 32 patients with a mean follow\u2010up of 18.3\u2009years (range, 14.4\u201025.1\u2009years). Of patients, 90.6% reported no subjective instability. The redislocation rate was 3.1% (1 patient), and the recurrent subjective instability rate was 9.4% (3 patients). Two patients required revision surgery (1 open reosteosynthesis after traumatic glenoid fracture 9 years postoperatively and 1 reverse shoulder arthroplasty because of cuff arthropathy 21.9\u2009years postoperatively). High satisfaction was reported by 29 of 32 patients (90.6%) based on the predefined threshold, and 96.9% of patients indicated that they would undergo the procedure again. Most patients (92.9%) returned to sports at the same level or higher than compared with their preinjury level. The mean Constant Score was 80.7 points, SSV 87.2%, American Shoulder and Elbow Surgeons 92.4 points, Oxford Instability Score 44.6 points, and Western Ontario Shoulder Instability Index 90.4 points. Although a statistically significant decline in SSV was observed over time (\n P<\/jats:italic>\n \u2009<\u2009.05), cohort\u2010specific minimal clinically important difference thresholds were met or exceeded by 12 of 32 patients for SSV (37.5%), 12 of 32 for Western Ontario Shoulder Instability Index (37.5%), and 9 of 32 for Oxford Instability Score (28.1%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Arthroscopic single\u2010row suture anchor repair of bony Bankart lesions provides excellent long\u2010term stability with low rates of recurrence and reoperation, high patient satisfaction, and favorable functional outcomes, even after nearly 2 decades.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level IV, retrospective case series.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/arj.70565","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:41:27Z","timestamp":1789728087000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Clinical Outcomes of Arthroscopic Suture Anchor Fixation of Bony Bankart Lesions at a Mean 18\u2010Year Follow\u2010Up"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7845-2758","authenticated-orcid":false,"given":"Malik","family":"Jessen","sequence":"first","affiliation":[{"name":"Department of Sports Orthopaedics Klinikum rechts der Isar Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2649-8420","authenticated-orcid":false,"given":"Maximilian","family":"Hinz","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Surgery (CMSC) Charit\u00e9\u2010Universitaetsmedizin Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Plath","sequence":"additional","affiliation":[{"name":"Orthop\u00e4disches Fachzentrum (OFZ) Weilheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastian","family":"Scheiderer","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopaedics Klinikum rechts der Isar Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4777-3639","authenticated-orcid":false,"given":"Sebastian","family":"Siebenlist","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopaedics Klinikum rechts der Isar Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucca","family":"Lacheta","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopaedics Klinikum rechts der Isar Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/JSA.0000000000000286","article-title":"The bony Bankart: Clinical and technical considerations","volume":"28","author":"Nolte PC","year":"2020","journal-title":"Sports Med Arthrosc Rev."},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.2214\/AJR.07.3009","article-title":"Prevalence, pattern, and spectrum of glenoid bone loss in anterior shoulder dislocation: CT analysis of 218 patients","volume":"190","author":"Griffith JF","year":"2008","journal-title":"AJR Am J Roentgenol."},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jse.2005.06.006","article-title":"Histologic analysis of bony Bankart lesions in recurrent anterior instability of the shoulder","volume":"15","author":"Fujii Y","year":"2006","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.csm.2021.05.001","article-title":"Glenohumeral joint instability: A review of anatomy, clinical presentation, and imaging","volume":"40","author":"Ladd LM","year":"2021","journal-title":"Clin Sports Med."},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"2130","DOI":"10.1007\/s00167-021-06847-7","article-title":"Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill\u2010Sachs and Bankart lesions: A systematic review and meta\u2010analysis","volume":"30","author":"Rutgers C","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1016\/j.jse.2025.03.037","article-title":"Global, regional, and national burden of shoulder dislocation 1990 to 2021: A systematic analysis of the global burden of disease study 2021","volume":"35","author":"Liu W","year":"2026","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.23.00200","article-title":"Bony Bankart lesion: Diagnosis, management, and outcomes","volume":"12","author":"Weisberg Z","year":"2024","journal-title":"JBJS Rev."},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1177\/03635465221076841","article-title":"Bone fragment resorption and clinical outcomes of traumatic bony Bankart lesion treated with arthroscopic repair versus open latarjet","volume":"50","author":"Giacomo GD","year":"2022","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1177\/0363546513483087","article-title":"Absorption of the bone fragment in shoulders with bony Bankart lesions caused by recurrent anterior dislocations or subluxations: When does it occur?","volume":"41","author":"Nakagawa S","year":"2013","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"2539","DOI":"10.1016\/j.jse.2024.04.017","article-title":"Risk factors for recurrence following arthroscopic Bankart repair: A systematic review","volume":"33","author":"Bulleit CH","year":"2024","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.jse.2024.09.045","article-title":"Glenohumeral bone lesions occurring during the first episode of shoulder dislocation do not influence function at an average of 2 years","volume":"34","author":"Abane C","year":"2025","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.OA.20.00133","article-title":"Nonoperative treatment of anterior glenoid rim fractures after first\u2010time traumatic anterior shoulder dislocation: A study with 9\u2010year follow\u2010up","volume":"5","author":"Wieser K","year":"2020","journal-title":"JB JS Open Access."},{"key":"e_1_2_8_14_1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1186\/s12891-020-03384-1","article-title":"Anatomic healing after non\u2010operative treatment of a large, displaced anterior glenoid rim fracture after primary traumatic anterior shoulder dislocation \u2010 a case report","volume":"21","author":"Ernstbrunner L","year":"2020","journal-title":"BMC Musculoskelet Disord."},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"3533","DOI":"10.1007\/s00402-024-05466-4","article-title":"Impact of size and fragmentation of the anteroinferior glenoid rim on clinical and functional outcomes of non\u2010operatively treated bony Bankart lesions in middle\u2010aged population","volume":"144","author":"Secci G","year":"2024","journal-title":"Arch Orthop Trauma Surg."},{"key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1007\/s12178-017-9435-2","article-title":"Arthroscopic Bankart repair for the management of anterior shoulder instability: Indications and outcomes","volume":"10","author":"DeFroda S","year":"2017","journal-title":"Curr Rev Musculoskelet Med."},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.arthro.2021.07.022","article-title":"Anterior shoulder instability part I\u2010diagnosis, nonoperative management, and Bankart repair\u2010an international consensus statement","volume":"38","author":"Hurley ET","year":"2022","journal-title":"Arthroscopy."},{"key":"e_1_2_8_18_1","doi-asserted-by":"crossref","first-page":"5994","DOI":"10.1007\/s00167-023-07655-x","article-title":"Arthroscopic latarjet yields better union and prevention of instability compared to arthroscopic bony Bankart repair in shoulders with recurrent anterior instability: A systematic review","volume":"31","author":"Billaud A","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1053\/jars.2002.35266","article-title":"Arthroscopic approach to acute bony Bankart lesion","volume":"18","author":"Porcellini G","year":"2002","journal-title":"Arthroscopy."},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1177\/0363546507300262","article-title":"Arthroscopic stabilization in patients with an inverted pear glenoid: Results in patients with bone loss of the anterior glenoid","volume":"35","author":"Mologne TS","year":"2007","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/1758573217717102","article-title":"Arthroscopic repair of bony Bankart lesions in collision athletes","volume":"10","author":"Shah N","year":"2018","journal-title":"Shoulder Elbow."},{"key":"e_1_2_8_22_1","first-page":"1752","article-title":"Arthroscopic osseous Bankart repair for chronic recurrent traumatic anterior glenohumeral instability","volume":"87","author":"Sugaya H","year":"2005","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_23_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1177\/0363546513509062","article-title":"Arthroscopic repair of small and medium\u2010sized bony Bankart lesions","volume":"42","author":"Kim YK","year":"2014","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_24_1","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1177\/0363546512472880","article-title":"The \u201cbony Bankart bridge\u201d technique for restoration of anterior shoulder stability","volume":"41","author":"Millett PJ","year":"2013","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_25_1","doi-asserted-by":"crossref","first-page":"2067","DOI":"10.1177\/0363546507305011","article-title":"Long\u2010term outcome of acute versus chronic bony Bankart lesions managed arthroscopically","volume":"35","author":"Porcellini G","year":"2007","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_26_1","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1016\/j.arthro.2015.03.005","article-title":"Arthroscopic suture anchor fixation of bony Bankart lesions: Clinical outcome, magnetic resonance imaging results, and return to sports","volume":"31","author":"Plath JE","year":"2015","journal-title":"Arthroscopy."},{"key":"e_1_2_8_27_1","doi-asserted-by":"crossref","first-page":"2893","DOI":"10.1016\/j.jse.2024.07.027","article-title":"Arthroscopic repair of anteroinferior glenoid rim fractures: Mean 10\u2010year clinical and radiologic results","volume":"33","author":"Boehm E","year":"2024","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_28_1","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1016\/j.jse.2025.02.002","article-title":"Minimum 10\u2010year clinical and functional outcomes after arthroscopic bony Bankart bridge for the treatment of bony Bankart lesions","volume":"34","author":"Hinz M","year":"2025","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_29_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1177\/03635465980260012301","article-title":"Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder","volume":"26","author":"Bigliani LU","year":"1998","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_30_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/0304-3959(83)90126-4","article-title":"The validation of visual analogue scales as ratio scale measures for chronic and experimental pain","volume":"17","author":"Price DD","year":"1983","journal-title":"Pain."},{"key":"e_1_2_8_31_1","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/00003086-198701000-00023","article-title":"A clinical method of functional assessment of the shoulder","volume":"214","author":"Constant CR","year":"1987","journal-title":"Clin Orthop Relat Res."},{"key":"e_1_2_8_32_1","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.jse.2007.02.123","article-title":"Comparison of the subjective shoulder value and the Constant score","volume":"16","author":"Gilbart MK","year":"2007","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_33_1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S1058-2746(09)80019-0","article-title":"A standardized method for the assessment of shoulder function","volume":"3","author":"Richards RR","year":"1994","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_34_1","doi-asserted-by":"crossref","first-page":"863","DOI":"10.2106\/00004623-198163060-00001","article-title":"Recurrent transient subluxation of the shoulder","volume":"63","author":"Rowe CR","year":"1981","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_35_1","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1177\/03635465980260060501","article-title":"The development and evaluation of a disease\u2010specific quality of life measurement tool for shoulder instability. The Western Ontario Shoulder Instability Index (WOSI).","volume":"26","author":"Kirkley A","year":"1998","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_36_1","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1302\/0301-620X.81B3.0810420","article-title":"The assessment of shoulder instability. The development and validation of a questionnaire","volume":"81","author":"Dawson J","year":"1999","journal-title":"J Bone Joint Surg Br."},{"key":"e_1_2_8_37_1","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jseint.2024.01.014","article-title":"Determining minimal clinically important difference and patient\u2010acceptable symptom state after arthroscopic isolated subscapularis repair","volume":"8","author":"Kilic AI","year":"2024","journal-title":"JSES Int."},{"key":"e_1_2_8_38_1","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.arthro.2023.06.031","article-title":"Quantifying threshold scores for patient satisfaction after massive rotator cuff repair for the interpretation of mid\u2010term patient\u2010reported outcomes","volume":"40","author":"Hwang ST","year":"2024","journal-title":"Arthroscopy."},{"key":"e_1_2_8_39_1","doi-asserted-by":"crossref","first-page":"232596712412865","DOI":"10.1177\/23259671241286520","article-title":"Establishing clinical significance for patients undergoing arthroscopic repair of type II SLAP lesions","volume":"12","author":"Parnes N","year":"2024","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_8_40_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/03635465231210289","article-title":"Establishing the minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state after arthroscopic posterior labral repair for posterior glenohumeral instability","volume":"52","author":"Scanaliato JP","year":"2024","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_41_1","doi-asserted-by":"crossref","first-page":"2238","DOI":"10.1016\/j.jse.2019.04.041","article-title":"Single assessment numeric evaluation (SANE) is a reliable metric to measure clinically significant improvements following shoulder arthroplasty","volume":"28","author":"Gowd AK","year":"2019","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_42_1","doi-asserted-by":"crossref","first-page":"3480","DOI":"10.1177\/0363546518807924","article-title":"Validity and responsiveness of the single alpha\u2010numeric evaluation for shoulder patients","volume":"46","author":"Thigpen CA","year":"2018","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_43_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s12306-018-0558-4","article-title":"Arthroscopic repair of glenoid rim fractures: A ligamentotaxis surgical technique","volume":"102","author":"Corradini A","year":"2018","journal-title":"Musculoskelet Surg."},{"key":"e_1_2_8_44_1","doi-asserted-by":"crossref","first-page":"2681","DOI":"10.1007\/s00167-023-07389-w","article-title":"Arthroscopic double\u2010row bridge fixation provided satisfactory shoulder functional restoration with high union rate for acute anterior glenoid fracture","volume":"31","author":"Park I","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_45_1","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.jse.2015.09.012","article-title":"Arthroscopic reduction and fixation of large solitary and multifragmented anterior glenoid rim fractures","volume":"25","author":"Scheibel M","year":"2016","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_46_1","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/s00167-007-0437-2","article-title":"Arthroscopic screw fixation of large anterior glenoid fractures","volume":"16","author":"Tauber M","year":"2008","journal-title":"Knee Surg Sports Traumatol Arthrosc."}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70565","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70565","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70565","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:41:34Z","timestamp":1789728094000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":45,"alternative-id":["10.1002\/arj.70565"],"URL":"https:\/\/doi.org\/10.1002\/arj.70565","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]},"assertion":[{"value":"2025-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"arj.70565"}}