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The current evidence suggests glenoid bone loss of 20% or more as a cutoff value indicating augmentation. Expert consensus\u2013based techniques, such as the Delphi, clarify evidence\u2010based medicine and allow pooling of expert opinion in a scientific fashion. These methods suggest that 3\u2010dimensional computed tomography should be used to evaluate bone loss, previous dislocations, or failed soft\u2010tissue surgery; Hill\u2013Sachs lesions are poorly quantified by standard imaging; and, in cases with a bone deficit of &gt;20%, glenoid bone graft should be considered. No consensus was reached regarding glenoid track evaluation, magnetic resonance imaging for evaluation of bone loss, safety of arthroscopic Latarjet, remplissage use for Hill\u2013Sachs lesions of less than 30%, indications for a shoulder sling for 4 to 6 weeks after surgery, or postoperative rehabilitation timing and range\u2010of\u2010motion protocols.<\/jats:p>","DOI":"10.1016\/j.arthro.2021.01.055","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T02:17:24Z","timestamp":1622600244000},"page":"1729-1730","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["<i>Editorial Commentary<\/i>\n                    : Delphi Expert Consensus Clarifies Evidence\u2010Based Medicine for Shoulder Instability and Bone Loss"],"prefix":"10.1002","volume":"37","author":[{"given":"Erik","family":"Hohmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"45","article-title":"Management of humeral and glenoid bone loss associated with glenohumeral instability","volume":"68","author":"DiPaola M.J.","year":"2010","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.16.00091"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515578250"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.09.016"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.07.032"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.11.109"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520949840"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1614394"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.11.022"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.004"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020476"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.12.002"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.12.237"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980632100089X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980632100089X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.01.055","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2021.01.055","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.01.055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:06:20Z","timestamp":1773565580000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2021.01.055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1016\/j.arthro.2021.01.055"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2021.01.055","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Delphi Expert Consensus Clarifies Evidence-Based Medicine for Shoulder Instability and Bone Loss","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2021.01.055","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}