{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:29:31Z","timestamp":1789961371783,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,4]],"date-time":"2015-04-04T00:00:00Z","timestamp":1428105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,4,4]],"date-time":"2015-04-04T00:00:00Z","timestamp":1428105600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,4,4]],"date-time":"2015-04-04T00:00:00Z","timestamp":1428105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the results of arthroscopic capsulolabral repair for the treatment of posterior shoulder instability in a throwing athlete cohort when compared with non\u2010throwers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010eight overhead\u2010throwing athletes undergoing arthroscopic posterior capsulolabral reconstruction were case matched with 48 non\u2010throwing athletes. These cohorts were followed as they underwent posterior capsulolabral reconstruction by measuring shoulder pain, function, return to sport, and operative failures. Operative details such as intra\u2010articular pathology and repair construct were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At a mean follow\u2010up of 37 months (range, 12 to 97 months) postoperatively, no statistical differences were noted between throwers and non\u2010throwers regarding American Shoulder and Elbow Surgeons scores, stability, strength, or range of motion. Sixty percent of throwing athletes were able to return to their preinjury level of competitive throwing. Throwers with a discrete labral tear intraoperatively had a 10\u2010fold increased likelihood of returning to sport (odds ratio, 9.6;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .012). Similarly, throwers who had suture anchor constructs showed a 10\u2010fold increased likelihood of returning to play compared with anchor\u2010less repairs (odds ratio, 9.6;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.012). Non\u2010throwers showed no variability by labral findings or fixation techniques. Pitchers had equivocal outcome scores when compared with other throwers but had poorer return\u2010to\u2010play rates (50%\n                      <jats:italic>v<\/jats:italic>\n                      60% full return).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic capsulolabral plication for unidirectional posterior shoulder instability is an effective treatment for overhead\u2010throwing athletes. Intraoperatively, achieving an adequate capsular plication and stabilizing the repair with suture anchors will give this athletic population the best odds of returning to competitive sports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.01.016","type":"journal-article","created":{"date-parts":[[2015,4,5]],"date-time":"2015-04-05T13:41:15Z","timestamp":1428241275000},"page":"1041-1051","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":70,"title":["Posterior Shoulder Instability in Throwing Athletes: A\u00a0Case\u2010Matched Comparison of Throwers and Non\u2010Throwers"],"prefix":"10.1002","volume":"31","author":[{"given":"Michael P.","family":"McClincy","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin W.","family":"Arner","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Bradley","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania U.S.A."},{"name":"Burke and Bradley Orthopedics Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,4]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505285585"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513493599"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.11.004"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314426"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70211-X"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971020-00006"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200503000-00026"},{"issue":"291","key":"e_1_2_2_9_2","first-page":"124","article-title":"The treatment of posterior subluxation in athletes","author":"Tibone J.E.","year":"1993","journal-title":"Clin Orthop Relat 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