{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:17:48Z","timestamp":1787066268085,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"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":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine how intraoperative assessment (engagement test) may affect recurrent dislocation rate and to compare the clinical outcomes, recurrence rates, and presence of on\u2010\/off\u2010track conditions between cases that received arthroscopic Bankart repair alone (nonengaged Hill\u2010Sachs lesion) and Bankart repair with remplissage (engaged Hill\u2010Sachs lesion).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 213 patients who underwent arthroscopic Bankart repair alone (186 patients with nonengaging lesions, group A) or with remplissage (27 patients with engaging lesion, group B) for recurrent anterior shoulder instability with &lt;25% glenoid bone defect. The presence of an engaging Hill\u2010Sachs lesion was determined during arthroscopic evaluation. On\u2010track or off\u2010track lesions were assessed retrospectively from preoperative 3\u2010dimensional (3D) computed tomography (CT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean glenoid bone defect was 13.7% in group A and 20.7% in group B (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Off\u2010track lesions were identified in 8.1% (15\/186) and 100% (27\/27) in group B. At the final follow\u2010up (minimum 2 years; mean follow\u2010up periods after surgery of 50.1 months in group A and 47.7 months in group B), there were no significant differences in shoulder functional scores and recurrence rates between groups, despite improvement after surgery. In the off\u2010track lesion (group A\u20101: nonengaging but off\u2010track lesion), recurrence instability occurred in 9 patients (60%, 9\/15). Also, comparing group A\u20101 and group B, we noted significant differences in shoulder functional scores and recurrence rates (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Of 186 patients, 8.1% with nonengaging Hill\u2010Sachs lesions during direct arthroscopic examination under anesthesia actually demonstrated off\u2010track lesions on preoperative 3D CT scans retrospectively, with 60% experiencing recurrent instability. Intraoperative manual assessment for Hill\u2010Sachs engagement was inferior to 3D CT scan in establishing the presence of off\u2010track defects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>III, retrospective comparative study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.09.037","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T05:45:47Z","timestamp":1601358347000},"page":"450-456","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Does an \u201cOff\u2010Track\u201d Hill\u2010Sachs Lesion That Is Misclassified as \u201cNon\u2010Engaging\u201d Affect Outcomes From Bankart Repair Alone Compared With Bankart Repair Combined With Remplissage?"],"prefix":"10.1002","volume":"37","author":[{"given":"Yun\u2010Jae","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Arthroscopy and Joint Research Institute Severance Hospital Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chul","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Arthroscopy and Joint Research Institute Severance Hospital Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung\u2010Jae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Arthroscopy and Joint Research Institute Severance Hospital Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae\u2010Hwan","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Arthroscopy and Joint Research Institute Severance Hospital Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae\u2010Yong","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Arthroscopy and Joint Research Institute Severance Hospital Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010Min","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Arthroscopy and Joint Research Institute Severance Hospital Yonsei University College of Medicine Seoul 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