{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T23:57:28Z","timestamp":1793059048461,"version":"4.5.0"},"reference-count":60,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The extent of shoulder instability and the indication for surgery may be determined by the prevalence or size of associated lesions. However, a varying prevalence is reported and the actual values are therefore unclear. In addition, it is unclear whether these lesions are present after the first dislocation and whether or not these lesions increase in size after recurrence. The aim of this systematic review was (1) to determine the prevalence of lesions associated with traumatic anterior shoulder dislocations, (2) to determine if the prevalence is higher following recurrent dislocations compared to first\u2010time dislocations and (3) to determine if the prevalence is higher following complete dislocations compared to subluxations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed, EMBASE, Cochrane and Web of Science were searched. Studies examining shoulders after traumatic anterior dislocations during arthroscopy or with MRI\/MRA or CT published after 1999 were included. A total of 22 studies (1920 shoulders) were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of Hill\u2013Sachs and Bankart lesions was higher in recurrent dislocations (85%; 66%) compared to first\u2010time dislocations (71%; 59%) and this was statistically significant (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01; <jats:italic>P<\/jats:italic>\u2009=\u20090.05). No significant difference between recurrent and first\u2010time dislocations was observed for SLAP lesions, rotator\u2010cuff tears, bony Bankart lesions, HAGL lesions and ALPSA lesions. The proportion of Hill\u2013Sachs lesions was significantly higher in complete dislocations (82%) compared to subluxations (54%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher proportions of Hill\u2013Sachs and Bankart were observed in recurrent dislocations compared to first\u2010time dislocations. No difference was observed for bony Bankart, HAGL, SLAP, rotator\u2010cuff tear and ALPSA. Especially when a Hill\u2013Sachs or Bankart is present after first\u2010time dislocation, early surgical stabilization may need to be considered as other lesions may not be expected after recurrence and to limit lesion growth. However, results should be interpreted with caution due to substantial heterogeneity and large variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06847-7","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T23:33:07Z","timestamp":1641425587000},"page":"2130-2140","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill\u2013Sachs and Bankart lesions: a systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"30","author":[{"given":"Cain","family":"Rutgers","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Vrije Universiteit Amsterdam De Boelelaan 1105 1081 HV Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas. P. E.","family":"Verweij","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Shoulder and Elbow Unit, Joint Research, Department of Orthopaedic Surgery OLVG Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Priester\u2010Vink","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Medical Library, Department of Research and Epidemiology OLVG Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek F. 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