{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:51:26Z","timestamp":1792003886227,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:00:00Z","timestamp":1727308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The long\u2010term failure rate of the arthroscopic Bankart repair may reach unacceptable values, raising the need to augment this classic procedure. Arthroscopic subscapularis augmentation is the tenodesis of the upper part of the subscapularis tendon to the anterior glenoid rim. The aim of the study was to evaluate the mid\u2010term clinical and functional outcomes of patients operated with arthroscopic subscapularis augmentation of the classic Bankart repair due to recurrent anterior shoulder instability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective single\u2010centre case series study with prospectively collected data. All patients suffered from recurrent anterior shoulder instability and had glenoid bone loss less than 13.5% of the inferior glenoid diameter (subcritical glenoid bone loss). Patients with greater anterior glenoid bone defect, engaging Hill\u2013Sachs lesions, multidirectional instability or subscapularis insufficiency were excluded. Postoperatively, all patients were evaluated for recurrence and apprehension. The patient's shoulder range of motion and functional scores were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final study cohort included 34 patients with a mean age of 29.3\u2009\u00b1\u200910.2 years. The mean follow\u2010up period was 42.4\u2009\u00b1\u200910.7 months (range, 24\u201362 months). Two out of 34 patients (5.8%) experienced a re\u2010dislocation postoperatively, while one additional patient had a subjective feeling of apprehension. External rotation at the last follow\u2010up was lower compared to preoperative values or the healthy side, but only one patient had restrictions in his sporting activities. The functional scores were significantly increased compared to the preoperative values. Twenty\u2010two out of 26 patients (84.6%) returned to the same level of sporting activities, and 30\/34 patients (88.2%) were highly satisfied with the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroscopic subscapularis augmentation of the classic Bankart repair reduces the dislocation recurrence rate and leads to satisfactory clinical and functional mid\u2010term outcomes in patients with recurrent anterior shoulder instability and less than a subcritical glenoid bone loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12483","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T05:37:57Z","timestamp":1727329077000},"page":"1826-1833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Arthroscopic subscapularis augmentation of the classic Bankart repair leads to satisfactory clinical and functional mid\u2010term outcomes in patients with recurrent anterior shoulder instability and less than a subcritical glenoid bone loss"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9798-0938","authenticated-orcid":false,"given":"Emmanouil","family":"Brilakis","sequence":"first","affiliation":[{"name":"3<sup>rd<\/sup> Orthopaedic Department Hygeia Hospital Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9760-004X","authenticated-orcid":false,"given":"Nikolaos Platon","family":"Sachinis","sequence":"additional","affiliation":[{"name":"First Orthopaedic Department of Aristotle University of Thessaloniki \u201cGeorgios Papanikolaou\u201d Hospital Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Kokkineli","sequence":"additional","affiliation":[{"name":"3<sup>rd<\/sup> Orthopaedic Department Hygeia 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