{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:07:04Z","timestamp":1791958024319,"version":"4.3.4"},"reference-count":60,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T00:00:00Z","timestamp":1629590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T00:00:00Z","timestamp":1629590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T00:00:00Z","timestamp":1629590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Amsterdam UMC"},{"DOI":"10.13039\/501100001827","name":"Universiteit van Amsterdam","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001827","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u2010up of 2 years were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010nine studies met the inclusion criteria and comprised a total of 4582 shoulders (4578 patients). Meta\u2010analyses were feasible for 22 risk factors and demonstrated that age\u2009\u2264\u200920 years (RR\u2009=\u20092.02; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001), age\u2009\u2264\u200930 years (RR\u2009=\u20092.62; <jats:italic>P<\/jats:italic>\u2009=\u20090.005), participation in competitive sports (RR\u2009=\u20092.40; <jats:italic>P<\/jats:italic>\u2009=\u20090.02), Hill\u2010Sachs lesion (RR\u2009=\u20091.77; <jats:italic>P<\/jats:italic>\u2009=\u20090.0005), off\u2010track Hill\u2010Sachs lesion (RR\u2009=\u20093.24; <jats:italic>P<\/jats:italic>\u2009=\u20090.002), glenoid bone loss (RR\u2009=\u20092.38; <jats:italic>P<\/jats:italic>\u2009=\u20090.0001), ALPSA lesion (RR\u2009=\u20091.90; <jats:italic>P<\/jats:italic>\u2009=\u20090.03),\u2009&gt;\u20091 preoperative dislocations (RR\u2009=\u20092.02; <jats:italic>P<\/jats:italic>\u2009=\u20090.03),\u2009&gt;\u20096\u00a0months surgical delay (RR\u2009=\u20092.86; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001), ISIS\u2009&gt;\u20093 (RR\u2009=\u20093.28; <jats:italic>P<\/jats:italic>\u2009=\u20090.0007) and ISIS\u2009&gt;\u20096 (RR\u2009=\u20094.88; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001) 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,\u2009&gt;\u20095 preoperative dislocations and using\u2009\u2264\u20092 anchors could not be confirmed as risk factors. In addition, no difference was observed between the age groups\u2009\u2264\u200920 and 21\u201330 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Meta\u2010analyses demonstrated that age\u2009\u2264\u200920 years, age\u2009\u2264\u200930 years, participation in competitive sports, Hill\u2010Sachs lesion, off\u2010track Hill\u2010Sachs lesion, glenoid bone loss, ALPSA lesion,\u2009&gt;\u20091 preoperative dislocations,\u2009&gt;\u20096\u00a0months surgical delay from first\u2010time dislocation to surgery, ISIS\u2009&gt;\u20093 and ISIS\u2009&gt;\u20096 were risk factors for recurrence following an arthroscopic Bankart repair. These factors can assist clinicians in giving a proper advice regarding treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06704-7","type":"journal-article","created":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T00:03:17Z","timestamp":1629590597000},"page":"4004-4014","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":84,"title":["Age, participation in competitive sports, bony lesions, ALPSA lesions,\u2009&gt;\u20091 preoperative dislocations, surgical delay and ISIS score\u2009&gt;\u20093 are risk factors for recurrence following arthroscopic Bankart repair: a systematic review and meta\u2010analysis of 4584 shoulders"],"prefix":"10.1002","volume":"29","author":[{"given":"Lukas P. 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M. J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Amsterdam UMC, Department of Orthopedic Surgery University of Amsterdam, Amsterdam Movement Sciences, Location AMC Meibergdreef 9 1105 AZ Amsterdam The Netherlands"},{"name":"<!--<label>2<\/label>--> Academic Center for Evidence\u2010Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"<!--<label>3<\/label>--> Amsterdam Collaboration on Health and Safety in Sports (ACHSS), AMC\/VUmc IOC Research Center Amsterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Priester\u2010Vink","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Department of Research and Epidemiology OLVG Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek F. 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