{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:04:04Z","timestamp":1778601844320,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"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":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate bone union and postoperative recurrence after arthroscopic bony Bankart repair (ABBR) in male competitive rugby and American football players with a subcritical glenoid defect of \u226513.5% and to compare findings with those in players with a glenoid defect of &lt;13.5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were male competitive rugby or American football players with a glenoid defect and bone fragment who underwent ABBR from July 2011 to December 2018 and were followed for a minimum of 2 years. We investigated the influence of glenoid defect and bone fragment size on bone union and postoperative recurrence after ABBR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 45 rugby players and 35 American football players. A total of 38 shoulders were assigned to the small defect group (&lt;13.5%) and 42 to the large defect group (\u226513.5%). The complete bone union rate was 47.4% in the small defect group and 71.4% in the large defect group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .040), and postoperative recurrence was seen in 13 (34.2%) and 5 shoulders (11.9%), respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .030). In the small defect group, the bone fragment size was &lt;7.5% in 30 shoulders and \u22657.5% in 8 shoulders; in comparison, the respective numbers were 12 and 30 shoulders in the large defect group, and large fragments (&gt;7.5%) were significantly more common in this group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The complete union rate was significantly higher in shoulders with a large fragment (\u22657.5%) than in those with a small fragment (&lt;7.5%; 78.9% versus 42.9%, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001). The recurrence rate was 33.3% in shoulders with a small fragment (&lt;7.5%) and 10.5% in shoulders with a large fragment (\u22657.5%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .017) and was significantly lower in shoulders with a complete union than in those without a complete union (6.3% versus 46.9%, respectively;\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>The postoperative recurrence rate after ABBR was lower in male competitive rugby and American football players with a large glenoid defect (\u226513.5%) than in those with a small glenoid defect (&lt;13.5%) and might be associated with a higher rate of complete bone union of the resultant large bone fragment (\u22657.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>III, case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.07.033","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T23:59:12Z","timestamp":1628639952000},"page":"673-681","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["A Glenoid Defect of 13.5% or Larger Is Not Always Critical in Male Competitive Rugby and American Football Players Undergoing Arthroscopic Bony Bankart Repair: Contribution of Resultant Large Bone Fragment"],"prefix":"10.1002","volume":"38","author":[{"given":"Shigeto","family":"Nakagawa","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Yukioka Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehito","family":"Hirose","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryohei","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Kansai Rosai Hospital Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Yokoi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Yukioka Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoki","family":"Ohori","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Sports Medicine Yukioka Hospital Osaka 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