{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:36:02Z","timestamp":1773570962482,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T00:00:00Z","timestamp":1727827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe rates of revision surgery and recurrence events, as well as to evaluate functional outcomes and return to play (RTP) of a cohort of Division 1 (D1) collegiate American football players who underwent arthroscopic labral repair for shoulder instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>D1 collegiate American football players undergoing arthroscopic surgical management of shoulder instability between 2017 and 2021 at a single institution were included. Demographics, imaging, surgical details, and postoperative outcomes, including revision surgery and Western Ontario Shoulder Instability Index (WOSI), were collected. Hill\u2010Sachs lesions and glenoid bone loss were evaluated on magnetic resonance imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen shoulders of 15 consecutive male athletes were included, with mean age of 19.7 \u00b1 1.0 years and mean follow\u2010up of 2.1 \u00b1 1.0 years. Twelve injuries were shoulder subluxations and 3 were dislocations. Seven cases were posterior injuries, 4 were anterior, and 4 included both anterior and posterior injuries. All patients underwent arthroscopic labrum repair alone, without remplissage or any additional open procedures. A mean of 6 anchors were used in each shoulder, with anchors being placed in at least 2 quadrants. Hill\u2010Sachs lesions were observed in 6 shoulders (40%). Thirteen shoulders had no glenoid bone loss, and 2 had &gt;15% glenoid bone loss. Two shoulders required revision surgery. Significant differences were found in postoperative WOSI scores between patients with and without recurrent instability (66.9 \u00b1 11.5% vs 94.6 \u00b1 5.0%), and between patients with and without Hill\u2010Sachs lesions (84.6 \u00b1 14.7% vs 95.0 \u00b1 5.9%). Fourteen patients (93%) RTP at the same level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic labral repairs as a treatment for shoulder instability in D1 American football players, without remplissage\/bone block procedures, yielded low recurrence and revision rates, and a high RTP rate. Additionally, Hill\u2010Sachs lesions and recurrent shoulder instability were associated with inferior postoperative subjective outcomes (WOSI score).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.101028","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T06:32:37Z","timestamp":1728541957000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Division 1 Collegiate American Football Players Experience a Low Revision Rate After Undergoing Arthroscopic Shoulder Labral Repair"],"prefix":"10.1002","volume":"7","author":[{"given":"Camila","family":"Grandberg","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian D.","family":"Engler","sequence":"additional","affiliation":[{"name":"Orthopedic Institute of Central Maine Central Maine Medical Center Auburn Maine U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neilen A.","family":"Benvegnu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janina","family":"Kaarre","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."},{"name":"Department of Orthopaedics Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam J.","family":"Popchak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Rocca","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian M.","family":"Godshaw","sequence":"additional","affiliation":[{"name":"Ochsner Sports Medicine Institute New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan D.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Musahl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Medical Center Pittsburgh PA U.S.A."},{"name":"Department of Orthopaedics Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg 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