{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T04:29:15Z","timestamp":1793420955927,"version":"4.5.0"},"reference-count":28,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1016\/j.jse.2020.08.011","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T04:48:34Z","timestamp":1598417314000},"page":"2429-2445","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":66,"title":["Decision making in treatment after a first-time anterior glenohumeral dislocation: A Delphi approach by the Neer Circle of the American Shoulder and Elbow Surgeons"],"prefix":"10.1016","volume":"29","author":[{"given":"John M.","family":"Tokish","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John E.","family":"Kuhn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Ayers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Arciero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert T.","family":"Burks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0605-5312","authenticated-orcid":false,"given":"David M.","family":"Dines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier A.","family":"Duralde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal S.","family":"ElAttrache","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Millett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"St. Pierre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Provencher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9347-3688","authenticated-orcid":false,"given":"James E.","family":"Tibone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan B.","family":"Ticker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank A.","family":"Cordasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2020.08.011_bib1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1177\/036354659402200504","article-title":"Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations","volume":"22","author":"Arciero","year":"1994","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v067.i01","article-title":"Fitting linear mixed-effects models using lme4","volume":"67","author":"Bates","year":"2015","journal-title":"J Stat Softw"},{"key":"10.1016\/j.jse.2020.08.011_bib3","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1177\/0363546503262686","article-title":"Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors","volume":"32","author":"Buscayret","year":"2004","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib4","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1177\/0363546503262069","article-title":"Nonoperative management for in-season athletes with anterior shoulder instability","volume":"32","author":"Buss","year":"2004","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib5","series-title":"Studies in the quality of life; Delphi and decision-making","author":"Dalkey","year":"1972"},{"key":"10.1016\/j.jse.2020.08.011_bib6","first-page":"263","article-title":"Arthroscopic stabilization of acute initial anterior shoulder dislocation: the West Point experience","volume":"5","author":"DeBerardino","year":"1996","journal-title":"J South Orthop Assoc"},{"key":"10.1016\/j.jse.2020.08.011_bib7","doi-asserted-by":"crossref","first-page":"2842","DOI":"10.1177\/0363546514553181","article-title":"Return to play and recurrent instability after in-season anterior shoulder instability: a prospective multicenter study","volume":"42","author":"Dickens","year":"2014","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib8","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1177\/0363546519831286","article-title":"Prospective evaluation of glenoid bone loss after first-time and recurrent anterior glenohumeral instability events","volume":"47","author":"Dickens","year":"2019","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib9","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.arthro.2017.11.022","article-title":"Expert opinion is necessary: Delphi panel methodology facilitates a scientific approach to consensus","volume":"34","author":"Hohmann","year":"2018","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2020.08.011_bib10","doi-asserted-by":"crossref","first-page":"3278","DOI":"10.1016\/j.arthro.2018.10.004","article-title":"Research pearls: expert consensus based evidence using the Delphi method","volume":"34","author":"Hohmann","year":"2018","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2020.08.011_bib11","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/036354657800600611","article-title":"Shoulder dislocation in Swedish ice hockey players","volume":"6","author":"Hovelius","year":"1978","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib12","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.jse.2008.11.004","article-title":"Neer Award 2008: arthropathy after primary anterior shoulder dislocation\u2014223 shoulders prospectively followed up for twenty-five years","volume":"18","author":"Hovelius","year":"2009","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2020.08.011_bib13","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.arthro.2006.11.004","article-title":"Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: a randomized study with 10-year follow-up","volume":"23","author":"Jakobsen","year":"2007","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2020.08.011_bib14","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0749-8063(00)90079-3","article-title":"Arthroscopic labrum refixation for post-traumatic anterior shoulder instability: suture anchor versus transglenoid fixation technique","volume":"16","author":"Kandziora","year":"2000","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2020.08.011_bib15","doi-asserted-by":"crossref","first-page":"1842","DOI":"10.1016\/j.injury.2014.06.005","article-title":"The external rotation immobilisation does not reduce recurrence rates or improve quality of life after primary anterior shoulder dislocation: a systematic review and meta-analysis","volume":"45","author":"Liu","year":"2014","journal-title":"Injury"},{"key":"10.1016\/j.jse.2020.08.011_bib16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1067\/mse.2002.119388","article-title":"Development of arthrosis following dislocation of the shoulder: a case-control study","volume":"11","author":"Marx","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2020.08.011_bib17","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1136\/bjsports-2015-095149","article-title":"In children 18 years and under, what promotes recurrent shoulder instability after traumatic anterior shoulder dislocation? A systematic review and meta-analysis of risk factors","volume":"50","author":"Olds","year":"2016","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib18","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1136\/bjsports-2014-094342","article-title":"Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis","volume":"49","author":"Olds","year":"2015","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib19","doi-asserted-by":"crossref","first-page":"e000447","DOI":"10.1136\/bmjsem-2018-000447","article-title":"Who will redislocate his\/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation","volume":"5","author":"Olds","year":"2019","journal-title":"BMJ Open Sport Exerc Med"},{"key":"10.1016\/j.jse.2020.08.011_bib20","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1177\/0363546508328416","article-title":"Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes","volume":"37","author":"Owens","year":"2009","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib21","doi-asserted-by":"crossref","first-page":"2924","DOI":"10.2106\/JBJS.J.00631","article-title":"Position and duration of immobilization after primary anterior shoulder dislocation: a systematic review and meta-analysis of the literature","volume":"92","author":"Paterson","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2020.08.011_bib22","doi-asserted-by":"crossref","first-page":"2326","DOI":"10.2106\/JBJS.E.01327","article-title":"Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients","volume":"88","author":"Robinson","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2020.08.011_bib23","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1007\/s00167-009-0998-3","article-title":"Bony Bankart is a positive predictive factor after primary shoulder dislocation","volume":"18","author":"Salomonsson","year":"2010","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.jse.2020.08.011_bib24","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1177\/0363546515578250","article-title":"Redefining \"critical\" bone loss in shoulder instability: functional outcomes worsen with \"subcritical\" bone loss","volume":"43","author":"Shaha","year":"2015","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib25","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1016\/j.jse.2016.03.002","article-title":"Intra-articular lesions and their relation to arthroscopic stabilization failure in young patients with first-time and recurrent shoulder dislocations","volume":"25","author":"Shin","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2020.08.011_bib26","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1177\/0363546513492952","article-title":"Predictors of dislocation and revision after shoulder stabilization in Ontario, Canada, from 2003 to 2008","volume":"41","author":"Wasserstein","year":"2013","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jse.2020.08.011_bib27","doi-asserted-by":"crossref","first-page":"2616","DOI":"10.1016\/j.arthro.2016.05.039","article-title":"The true recurrence rate and factors predicting recurrent instability after nonsurgical management of traumatic primary anterior shoulder dislocation: a systematic review","volume":"32","author":"Wasserstein","year":"2016","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2020.08.011_bib28","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/0749-8063(89)90174-6","article-title":"Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes","volume":"5","author":"Wheeler","year":"1989","journal-title":"Arthroscopy"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274620306844?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274620306844?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:49:15Z","timestamp":1761007755000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274620306844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":28,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["S1058274620306844"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2020.08.011","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Decision making in treatment after a first-time anterior glenohumeral dislocation: A Delphi approach by the Neer Circle of the American Shoulder and Elbow Surgeons","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2020.08.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.","name":"copyright","label":"Copyright"}]}}