{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:35:42Z","timestamp":1791408942518,"version":"4.3.3"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012630","name":"Zimmer Biomet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012630","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate and compare the pathologies and clinical outcomes of patients with traumatic anterior shoulder instability who underwent arthroscopic stabilization at 40 years or older between shoulders with initial dislocation before age 40 years and at 40 years or after.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Shoulders that underwent arthroscopic stabilization for recurrent traumatic anterior shoulder instability at 40 years or older with a minimum of 2\u2010year follow\u2010up were included. The subjects were divided into 2 groups according to age at initial dislocation after propensity score matching to reduce potential bias: younger than 40 years (group 1) and 40 years or older (group 2). Radiographic findings, pathologies, clinical outcomes, and complications were compared between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Group 1 included 56 shoulders in 56 patients (26 men and 30 women) with a mean age of 51 years (range, 40\u201077 years). Group 2 included 28 shoulders in 28 patients (13 men and 15 women) with a mean age of 51 years (range, 40\u201077 years). Glenoid bone loss was greater in group 1 than in group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004). Rotator cuff tears were more frequently observed in group 2 than in group 1 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Both groups showed significant improvement in the West Ontario Shoulder Instability Index score (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 for each) and flexion (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 for each). The recurrence rate was 4% in group 1 and 7% in group\u00a02.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rotator cuff tears are significantly more frequent in recurrent shoulder instability patients with initial dislocation at age 40 or older. Arthroscopic stabilization yielded a low recurrence rate and favorable outcomes with a good return\u2010to\u2010sport rate in patients 40 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative prognostic trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.12.026","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T15:35:29Z","timestamp":1704296129000},"page":"1753-1759","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Rotator Cuff Tears are Significantly More Frequent in Recurrent Shoulder Instability Patients With Initial Dislocation at Age 40 or Older"],"prefix":"10.1002","volume":"40","author":[{"given":"Yusuke","family":"Ueda","sequence":"first","affiliation":[{"name":"Funabashi Orthopaedic Sports Medicine and Joint Center Funabashi Chiba Japan"},{"name":"Yonekura Spine and Joint Hospital Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Sugaya","sequence":"additional","affiliation":[{"name":"Tokyo Sports and Orthopaedic Clinic Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norimasa","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Funabashi Orthopaedic Sports Medicine and Joint Center Funabashi Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Matsuki","sequence":"additional","affiliation":[{"name":"Funabashi Orthopaedic Sports Medicine and Joint Center Funabashi Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morihito","family":"Tokai","sequence":"additional","affiliation":[{"name":"Tokyo Sports and Orthopaedic Clinic Tokyo 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