{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:16:38Z","timestamp":1792196198658,"version":"4.4.0"},"reference-count":128,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,7,4]],"date-time":"2014-07-04T00:00:00Z","timestamp":1404432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,7,4]],"date-time":"2014-07-04T00:00:00Z","timestamp":1404432000000},"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":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to systematically review the clinical outcomes and recurrence rates after arthroscopic anterior shoulder stabilization in the beach chair (BC) and lateral decubitus (LD) positions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors performed a systematic review of multiple medical databases using Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA) guidelines. All English\u2010language literature from 1990 to 2013 reporting clinical outcomes after arthroscopic anterior shoulder stabilization with suture anchors or tacks with a minimum 2\u2010year follow\u2010up period were reviewed by 2 independent reviewers. Data on recurrent instability rate, return to activity\/sport, range of motion, and subjective outcome measures were collected. Study methodological quality was evaluated with the Modified Coleman Methodology Score (MCMS) and the Quality Appraisal Tool (QAT). To quantify the structured review of observational data, meta\u2010analytic statistical methods were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010four studies (38 BC position, 26 LD position) met inclusion criteria. A total of 3,668 shoulders were included, with 2,211 of patients in the BC position (average age, 26.7 \u00b1 3.8\u00a0years; 84.5% male sex) and 1,457 patients in the LD position (average age, 26.0 \u00b1 3.0\u00a0years; 82.7% male sex). The average follow\u2010up was 49.8 \u00b1 29.5\u00a0months in the BC group compared with 38.7 \u00b1 23.3\u00a0months in the LD group. Average overall recurrent instability rates were 14.65 \u00b1 8.4% in the BC group (range, 0% to 38%) compared with 8.5% \u00b1 7.1% in the LD group (range, 0% to 30%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002). The average postoperative loss in external rotation motion (in abduction) was reported in 19 studies in the BC group and in13 studies in the LD group, with an average loss of 2.4\u00b0 \u00b1 1.0\u00b0 and 3.6\u00b0 \u00b1 2.6\u00b0 in each group, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Excellent clinical outcomes with low recurrence rates can be obtained after arthroscopic anterior shoulder stabilization in either the BC or the LD position; however, lower recurrence rates are noted in the LD position. Additional long\u2010term randomized clinical trials comparing these positions are needed to better understand the potential advantages and disadvantages of each position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of studies with Level I through Level IV evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2014.05.008","type":"journal-article","created":{"date-parts":[[2014,7,4]],"date-time":"2014-07-04T10:30:51Z","timestamp":1404469851000},"page":"1349-1365","source":"Crossref","is-referenced-by-count":92,"title":["Outcomes of Arthroscopic Anterior Shoulder Instability in the Beach Chair Versus Lateral Decubitus Position: A Systematic Review and Meta\u2010Regression Analysis"],"prefix":"10.1002","volume":"30","author":[{"given":"Rachel M.","family":"Frank","sequence":"first","affiliation":[{"name":"Division of 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