{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:03:53Z","timestamp":1790805833374,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,5,10]],"date-time":"2020-05-10T00:00:00Z","timestamp":1589068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,5,10]],"date-time":"2020-05-10T00:00:00Z","timestamp":1589068800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,5,10]],"date-time":"2020-05-10T00:00:00Z","timestamp":1589068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,5,10]],"date-time":"2020-05-10T00:00:00Z","timestamp":1589068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To perform a meta\u2010analysis of the current evidence in the literature comparing arthroscopic Bankart repair versus conservative management for first\u2010time anterior shoulder dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A literature search of the MEDLINE, Embase, and Cochrane Library databases was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses) guidelines. Prospective studies comparing arthroscopic Bankart repair versus conservative management as treatment for first\u2010time anterior shoulder dislocation were included. Recurrence, further treatment, and return to play were compared, with all statistical analysis performed using Review Manager, version 5.3.\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten prospective studies with 569 patients were included. Arthroscopic Bankart repair resulted in a lower rate of total recurrent instability (9.7% vs 67.4,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0= 0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001) and further surgical treatment for anterior shoulder instability (5.9% vs 46.7%,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0= 0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Additionally, arthroscopic Bankart repair resulted in a higher rate of return to play (92.8% vs 80.8%,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0= 0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic Bankart repair resulted in a 7\u2010fold lower recurrence rate and a higher rate of return to play than conservative management. Thus, arthroscopic Bankart repair may be advisable to perform routinely in patients with first\u2010time dislocation who participate in sports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, systematic review of Level I and II studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.04.046","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T02:43:09Z","timestamp":1588905789000},"page":"2526-2532","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":137,"title":["Arthroscopic Bankart Repair Versus Conservative Management for First\u2010Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","volume":"36","author":[{"given":"Eoghan T.","family":"Hurley","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery New York University Langone Health New York New York U.S.A."},{"name":"Sports Surgery Clinic Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit K.","family":"Manjunath","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Bloom","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Pauzenberger","sequence":"additional","affiliation":[{"name":"Sports Surgery Clinic Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannan","family":"Mullett","sequence":"additional","affiliation":[{"name":"Sports Surgery Clinic Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Alaia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery New York University Langone Health New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery New York University Langone Health New York New York 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