{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:48:27Z","timestamp":1773571707862,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,7,1]],"date-time":"2006-07-01T00:00:00Z","timestamp":1151712000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2006,7,1]],"date-time":"2006-07-01T00:00:00Z","timestamp":1151712000000},"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":[[2006,7]]},"abstract":"\n Purpose<\/jats:title>\n This prospective study correlates passive range of external rotation with arthroscopic findings in patients with anterior instability for the purpose of defining criteria that can be used to detect a medially healed Bankart lesion.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n External rotation at 90\u00b0 abduction (ER\n 90<\/jats:sup>\n ) was assessed on examination with the patient under anesthesia in bilateral shoulders of 46 consecutive patients with unidirectional, anterior glenohumeral instability. Arthroscopy was used to identify 22 patients with a detached Bankart lesion (group I) and 24 patients with a medially healed Bankart lesion (group II). Differences in ER\n 90<\/jats:sup>\n between symptomatic and asymptomatic shoulders for both groups were compared. The\n t<\/jats:italic>\n test and the Wilcoxon rank\u2010sum test measured significance.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In group I, mean ER\n 90<\/jats:sup>\n in the symptomatic shoulder was 5\u00b0 greater than in the asymptomatic shoulder; in group II, mean ER\n 90<\/jats:sup>\n in the symptomatic shoulder was 7.4\u00b0 less than in the asymptomatic shoulder (\n P<\/jats:italic>\n < .001). Loss of ER\n 90<\/jats:sup>\n was highly sensitive (92%) and specific (95%), with a positive predictive value of 96% for detection of a medially healed Bankart lesion.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n If a loss of 5\u00b0 or more of ER\n 90<\/jats:sup>\n in the affected shoulder is found on examination under anesthesia, one should have a high degree of suspicion for the presence of a medially healed Bankart lesion.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level II, development of diagnostic criteria on basis of consecutive patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.arthro.2006.02.008","type":"journal-article","created":{"date-parts":[[2006,8,21]],"date-time":"2006-08-21T07:05:10Z","timestamp":1156143910000},"page":"710-715","source":"Crossref","is-referenced-by-count":10,"title":["Loss of Passive External Rotation at 90\u00b0 Abduction Is Predictive of a Medially Healed Bankart Lesion"],"prefix":"10.1002","volume":"22","author":[{"given":"Allen","family":"Deutsch","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Baylor College of Medicine Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Ramsey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Presbyterian Medical Center University of Pennsylvania Philadelphia Pennsylvania U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Gerald R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Presbyterian Medical Center University of Pennsylvania Philadelphia Pennsylvania 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