{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:09:43Z","timestamp":1792602583880,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T00:00:00Z","timestamp":1608768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T00:00:00Z","timestamp":1608768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T00:00:00Z","timestamp":1608768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T00:00:00Z","timestamp":1608768000000},"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":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify risk factors for recurrent shoulder instability after arthroscopic stabilization in adolescent athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective case\u2010control study was undertaken of all patients younger than 18 years undergoing arthroscopic shoulder stabilization for anterior instability between 2009 and 2016. Two patient cohorts were identified: (1) patients with recurrent instability (frank dislocations or subluxations) after arthroscopic stabilization and (2) an age\u2010 and sex\u2010matched cohort of patients with no recurrent instability at a minimum of 2 years\u2019 follow\u2010up from index surgery. Patient demographic, injury, radiographic, and surgical variables were recorded. Variables with\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .10 on univariate analysis were entered into a binary logistic multivariate regression analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 35 patients (20.5%) in whom arthroscopic stabilization failed at a mean of 1.2 \u00b1 1.0 years after their index surgical procedure. A separate age\u2010 and sex\u2010matched cohort of 35 patients with no evidence of recurrent instability was identified (mean follow\u2010up, 5.4 \u00b1 2.0 years; minimum follow\u2010up, 2 years). Univariate analysis identified increased glenoid bone loss (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .039), decreased glenoid retroversion (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .024), and more than 1 instability event prior to surgery (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .017) as significant risk factors for recurrent instability. Multivariate regression analysis revealed that glenoid retroversion less than 6\u00b0, skeletal immaturity, and more than 1 prior instability event significantly and independently predicted future recurrence. The risk of recurrence after arthroscopic stabilization was increased by 3 times in patients with 2 risk factors and by 4 times in patients with all 3 risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Anterior glenoid bone loss, glenoid version, skeletal immaturity, and multiple preoperative instability events are risk factors for failed arthroscopic stabilization in adolescent athletes with anterior instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.12.211","type":"journal-article","created":{"date-parts":[[2020,12,25]],"date-time":"2020-12-25T03:49:43Z","timestamp":1608868183000},"page":"1427-1433","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"title":["Glenoid Pathology, Skeletal Immaturity, and Multiple Preoperative Instability Events Are Risk Factors for Recurrent Anterior Shoulder Instability After Arthroscopic Stabilization in Adolescent Athletes"],"prefix":"10.1002","volume":"37","author":[{"given":"Timothy T.","family":"Cheng","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Diego San Diego California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Edmonds","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California San Diego San Diego California U.S.A."},{"name":"Rady 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