{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T07:02:03Z","timestamp":1777964523994,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare return to sport, functional outcomes, recurrence of instability, and osteoarthritis (OA) between collision\/contact and limited\/noncontact athletes following arthroscopic labral reconstruction with a modified inferior capsular shift for anterior shoulder instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Athletes underwent an arthroscopic labral reconstruction with a modified inferior capsular shift by the senior author between 1999 and 2018. Inclusion criteria were labral stripping from 12 (just beyond the biceps anchor) to 6 o\u2019clock, less than 20% glenoid bone loss, active sports participation, and no previous surgery. Athletes were divided into collision\/contact and limited\/noncontact groups. Outcome measures, physical examination, and radiographic evaluation were collected at a minimum 5\u2010year follow\u2010up. Reoperations or any subjective laxity were considered failures. Radiographs were analyzed for OA using the Samilson\u2010Prieto Radiological Classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010two patients underwent arthroscopic labral reconstruction with a modified inferior capsular shift. Sixty\u2010four met the inclusion criteria. Thirty\u2010eight (age\u00a0= 26.0 \u00b1 8.0 years) participated in at least 1 collision\/contact sport, and 26 (age\u00a0= 38.0 \u00b1 9.0 years) participated in limited\/noncontact sports. Two (5%) collision\/contact and 3 (12%) limited\/noncontact athletes had traumatic reinjury requiring revision surgery. Of the remaining athletes (59\/64), minimum 5\u2010year follow\u2010up was obtained on 54 (92%), with a mean follow\u2010up of 12 \u00b1 4 years (range 5\u201023 years). All athletes returned to their original sport at the same level. There was no significant difference between collision\/contact and limited\/noncontact athletes in timing of return to sports (5.2 \u00b1 1.9 and 6.0 \u00b1 3.1 months, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .389). There were no significant differences between groups on any outcomes scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic labral reconstruction with a modified inferior capsular shift addressed anterior instability with return to sport for both collision\/contact and limited\/noncontact athletes with excellent functional and clinical outcomes, full shoulder range of motion, and a low prevalence of advanced OA at minimum 5\u2010year follow\u2010up. This modified technique resulted in a low failure rate in both limited\/noncontact and collision\/contact athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective case control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.10.020","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T11:26:58Z","timestamp":1698319618000},"page":"1420-1430","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Arthroscopic Labral Reconstruction With a Modified Inferior Capsular Shift Allows Return to Sport and Excellent Outcomes in Contact and Noncontact Athletes With Anterior Shoulder Instability at Minimum 5\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"40","author":[{"given":"Kevin 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