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Experts were assigned to 1 of 6 working groups defined by specific subtopics within posterior shoulder instability. Consensus was defined as achieving 80% to 89% agreement, whereas strong consensus was defined as 90% to 99% agreement, and unanimous consensus was indicated by 100% agreement with a proposed statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All of the statements relating to rehabilitation, return to play, and follow\u2010up achieved consensus. There was unanimous consensus that the following criteria should be considered: restoration of strength, range of motion, proprioception, and sport\u2010specific skills, with a lack of symptoms. There is no minimum time point required to return to play. Collision athletes and military athletes may take longer to return because of their greater risk for recurrent instability, and more caution should be exercised in clearing them to return to play, with elite athletes potentially having different considerations in returning to play. The relative indications for revision surgery are symptomatic apprehension, multiple recurrent instability episodes, further intra\u2010articular pathologies, hardware failure, and pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study group achieved strong or unanimous consensus on 59% of statements. Unanimous consensus was reached regarding the criteria for return to play, collision\/elite athletes having different considerations in return to play, indications for revision surgery, and imaging only required as routine for those with glenoid bone grafting\/osteotomies at subsequent follow\u2010ups. There was no consensus on optimal fixation method for a glenoid bone block, the relative indications for glenoid osteotomy, whether fluoroscopy is required or if the labrum should be concomitantly repaired.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level V, expert opinion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.04.034","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T01:27:34Z","timestamp":1715390854000},"page":"181","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Posterior Shoulder Instability, Part II\u2014Glenoid Bone Grafting, Glenoid Osteotomy, and Rehabilitation\/Return to Play\u2014An International Expert Delphi Consensus Statement"],"prefix":"10.1002","volume":"41","author":[{"given":"Eoghan 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U.S.A."},{"name":"Rothman Orthopaedic Institute New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom R.","family":"Doyle","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."},{"name":"Department of Orthopaedic Surgery University of Ottawa Ottawa Ontario Canada"},{"name":"Department of Orthopaedic Surgery The University of Utah Salt\u2010Lake City Utah U.S.A."},{"name":"Department of Orthopaedic Surgery Wake Forest Winston\u2010Salem North Carolina U.S.A."},{"name":"Rothman Orthopaedic Institute New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay M.","family":"Levin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."},{"name":"Department of Orthopaedic Surgery University of Ottawa Ottawa Ontario Canada"},{"name":"Department of Orthopaedic Surgery The University of Utah Salt\u2010Lake City Utah U.S.A."},{"name":"Department of Orthopaedic Surgery Wake Forest Winston\u2010Salem North Carolina U.S.A."},{"name":"Rothman Orthopaedic Institute New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogdan A.","family":"Matache","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."},{"name":"Department of Orthopaedic Surgery University of Ottawa Ottawa Ontario Canada"},{"name":"Department of Orthopaedic Surgery The University of Utah Salt\u2010Lake City Utah U.S.A."},{"name":"Department of Orthopaedic Surgery Wake Forest Winston\u2010Salem North Carolina U.S.A."},{"name":"Rothman Orthopaedic Institute New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter N.","family":"Chalmers","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North 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