{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:39:22Z","timestamp":1786984762388,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"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":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare rates of recurrent dislocation and postsurgical outcomes in patients undergoing arthroscopic Bankart repair for anterior shoulder instability immediately after a first\u2010time traumatic anterior dislocation versus patients who sustained a second dislocation event after initial nonoperative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review was performed of patients undergoing primary arthroscopic stabilization for anterior shoulder instability without concomitant procedures and minimum 2\u2010year clinical follow\u2010up. Primary outcome was documentation of a recurrent shoulder dislocation. Secondary clinical outcomes included range of motion, Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons Shoulder Score (ASES), and Shoulder Activity Scale (SAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010seven patients (mean age 21.3 years \u00b1 7.3 years) met inclusion criteria. Sixty\u2010three shoulders underwent surgical stabilization after a single shoulder dislocation, and 14 underwent surgery after 2 dislocations. Average follow\u2010up was 35.9 months. The rate of recurrent dislocation was significantly higher in the 2\u2010dislocation group compared to single dislocations (42.8% vs 14.2%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .03). No significant difference was present in range of motion, VAS, ASES, and SAS scores. The minimal clinically important difference (MCID) was 1.4 for VAS and 1.8 for SAS scores. The MCID was met or exceeded in the primary dislocation group in 31\/38 (81.6%) patients for VAS, 23\/31 (74.1%) for ASES, and 24\/31 for SES (77.4%) scores. For the second dislocation cohort, MCID was met or exceeded in 7\/9 (77.8%) for VAS, 4\/7 (57.1%) for ASES, and 5\/7 for SES (71.4%) scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Immediate arthroscopic surgical stabilization after a first\u2010time anterior shoulder dislocation significantly decreases the risk of recurrent dislocation in comparison to those who undergo surgery after 2 dislocation events, with comparable clinical outcome scores. These findings suggest that patients who return to activities after a primary anterior shoulder dislocation and sustain just 1 additional dislocation event are at increased risk of a failing arthroscopic repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective comparative study; Level of evidence,\u00a03.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.10.012","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T15:36:33Z","timestamp":1670427393000},"page":"682-688","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Increased Failure Rates After Arthroscopic Bankart Repair After Second Dislocation Compared to Primary Dislocation With Comparable Clinical Outcomes"],"prefix":"10.1002","volume":"39","author":[{"given":"Michael A.","family":"Fox","sequence":"first","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas P.","family":"Drain","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajinkya","family":"Rai","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Zheng","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel B.","family":"Carlos","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Serrano Riera","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soheil","family":"Sabzevari","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Popchak","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Rodosky","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryson P.","family":"Lesniak","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Lin","sequence":"additional","affiliation":[{"name":"Pittsburgh Shoulder Institute Department of Orthopedic Surgery University of Pittsburgh Pittsburgh 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