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The mean visual analog scale score for pain with motion significantly improved from 4.1 preoperatively to 1.7 at the last follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The range of motion in the affected shoulder revealed limitations of 9.4\u00b0 in forward flexion and 17.8\u00b0 in external rotation compared with the unaffected shoulder. Both the Constant and Rowe scores significantly improved (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 and\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001, respectively). Recurrence, which includes dislocation and subluxation, occurred in 14% postoperatively. Anteroinferior labral lesion was seen in 92% of patients. Associated lesions included superior labrum anterior to posterior lesion (22%), midsubstance capsular tear (10%), and Hill\u2010Sachs lesion (92%). Rotator cuff tears were found in 18%\u2014partial\u2010thickness tear in 10% and full\u2010thickness tear, which was repaired with suture anchor, in 8%. Among the intra\u2010articular lesions, there was no significant relation with recurrent instability or functional outcome as a single factor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In patients with chronic anterior shoulder instability who were older than 40\u00a0years, the clinical results after arthroscopic surgery showed statistically significant improvement with good muscle strength recovery. The quality of labral lesion, size of the Hill\u2010Sachs lesion, and glenoid defect showed positive correlation with the number of preoperative dislocation. The intra\u2010articular pathologies were varied, however no single articular lesion had significant impact on the recurrence rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.08.041","type":"journal-article","created":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T01:19:43Z","timestamp":1546478383000},"page":"314-322","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Arthroscopic Findings and Clinical Outcomes in Patients 40\u00a0Years of Age and Older With Recurrent Shoulder Dislocation"],"prefix":"10.1002","volume":"35","author":[{"given":"Kyunghan","family":"Ro","sequence":"first","affiliation":[{"name":"Shoulder &amp; Elbow Clinic Department of Orthopaedic Surgery College of Medicine Kyung Hee University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Seo","family":"Kim","sequence":"additional","affiliation":[{"name":"Shoulder &amp; Elbow Clinic Department of Orthopaedic Surgery College of Medicine Kyung Hee University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Dae","family":"Kim","sequence":"additional","affiliation":[{"name":"Shoulder &amp; Elbow Clinic Department of Orthopaedic Surgery College of Medicine Kyung Hee University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Girl","family":"Rhee","sequence":"additional","affiliation":[{"name":"Shoulder &amp; Elbow Clinic Department of Orthopaedic Surgery College of Medicine Kyung Hee University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,3]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1359105312446770"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000338558"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513510391"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.208"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790540"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506295179"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516675145"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.10.041"},{"key":"e_1_2_2_10_2","first-page":"38","article-title":"Glenohumeral instability in patients over 40 years\u2010old: Injuries, treatment and complications","volume":"58","author":"Lopez\u2010Hualda A.","year":"2013","journal-title":"Rev Esp Cir Ortop Traumatol"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201210000-00001"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.79792"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511434522"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-54077-0_21"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513492952"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510370199"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0578-z"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870090-00005"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70145-8"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860010-00001"},{"key":"e_1_2_2_22_2","first-page":"97","article-title":"Instability of the shoulder: complex problems and failed repairs: Part I. 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