{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:17:47Z","timestamp":1777695467490,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The goal of this study was to evaluate the intra\u2010articular pathology in patients with atraumatic shoulder instability who did not respond to conservative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of study<\/jats:title>\n                    <jats:p>Prospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Of 226 patients treated for shoulder instability over a 2\u2010year\u2010period, 43 patients (average age, 27.5 years; 26 men and 17 women) were classified as having atraumatic instability. None had responded to physiotherapy. The intra\u2010articular pathology was documented during diagnostic arthroscopy before the definitive surgical procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three types of lesions of the capsulolabral complex were defined: incomplete labral lesions, pathologic elongation of the capsule or \u201cnon\u2010Bankart lesions\u201d (type I), classic Bankart lesions (type II), and complex lesions of the labrum and capsule (type III). Type I was found in 19 patients (44.2%); type II lesions were seen in 13 (30.2%); and type III in 11 (25.6%) patients. Hill\u2010Sachs lesions were found in 26 shoulders (60.5%). Chondral lesions of the glenoid were seen in 10 shoulders (23%); SLAP lesions in 5 (11.7%); and partial, articular\u2010side defects of the supraspinatus tendon in 3 (6.9%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Atraumatic onset of shoulder instability does not imply the absence of intra\u2010articular lesions, at least in patients not showing a response to physiotherapy. Arthroscopy is helpful to diagnose the definite intra\u2010articular pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2003.11.037","type":"journal-article","created":{"date-parts":[[2004,3,6]],"date-time":"2004-03-06T05:39:24Z","timestamp":1078551564000},"page":"268-272","source":"Crossref","is-referenced-by-count":22,"title":["Arthroscopic findings in atraumatic shoulder instability"],"prefix":"10.1002","volume":"20","author":[{"given":"Andreas W","family":"Werner","sequence":"first","affiliation":[{"name":"Department of Orthopaedics University of Duesseldorf Duesseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Lichtenberg","sequence":"additional","affiliation":[{"name":"ATOS\u2010Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helge","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Duesseldorf Duesseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariane","family":"Nikolic","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Duesseldorf Duesseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Habermeyer","sequence":"additional","affiliation":[{"name":"ATOS\u2010Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,3,1]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"526","volume-title":"The shoulder","author":"Matsen F.A.","year":"1990"},{"key":"e_1_2_2_3_1","first-page":"165","volume-title":"The shoulder: Evaluation and treatment","author":"Rowe 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