{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T03:30:23Z","timestamp":1792899023849,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2000,10,1]],"date-time":"2000-10-01T00:00:00Z","timestamp":970358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2000,10,1]],"date-time":"2000-10-01T00:00:00Z","timestamp":970358400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2000,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Our goal was to analyze the results of 194 consecutive arthroscopic Bankart repairs (performed by 2 surgeons with an identical suture anchor technique) in order to identify specific factors related to recurrence of instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of Study:<\/jats:title>\n                    <jats:p>Case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We analyzed 194 consecutive arthroscopic Bankart repairs by suture anchor technique performed for traumatic anterior\u2010inferior instability. The average follow\u2010up was 27 months (range, 14 to 79 months). There were 101 contact athletes (96 South African rugby players and 5 American football players). We identified significant bone defects on either the humerus or the glenoid as (1) \u201cinverted\u2010pear\u201d glenoid, in which the normally pear\u2010shaped glenoid had lost enough anterior\u2010inferior bone to assume the shape of an inverted pear; or (2) \u201cengaging\u201d Hill\u2010Sachs lesion of the humerus, in which the orientation of the Hill\u2010Sachs lesion was such that it engaged the anterior glenoid with the shoulder in abduction and external rotation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 21 recurrent dislocations and subluxations (14 dislocations, 7 subluxations). Of those 21 shoulders with recurrent instability, 14 had significant bone defects (3 engaging Hill\u2010Sachs and 11 inverted\u2010pear Bankart lesions). For the group of patients without significant bone defects (173 shoulders), there were 7 recurrences (4% recurrence rate). For the group with significant bone defects (21 patients), there were 14 recurrences (67% recurrence rate). For contact athletes without significant bone defects, there was a 6.5% recurrence rate, whereas for contact athletes with significant bone defects, there was an 89% recurrence rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>(1) Arthroscopic Bankart repairs give results equal to open Bankart repairs if there are no significant structural bone deficits (engaging Hill\u2010Sachs or inverted\u2010pear Bankart lesions). (2) Patients with significant bone deficits as defined in this study are not candidates for arthroscopic Bankart repair. (3) Contact athletes without structural bone deficits may be treated by arthroscopic Bankart repair. However, contact athletes with bone deficiency require open surgery aimed at their specific anatomic deficiencies. (4) For patients with significant glenoid bone loss, the surgeon should consider reconstruction by means of the Latarjet procedure, using a large coracoid bone graft.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1053\/jars.2000.17715","type":"journal-article","created":{"date-parts":[[2005,2,10]],"date-time":"2005-02-10T03:51:33Z","timestamp":1108007493000},"page":"677-694","source":"Crossref","is-referenced-by-count":1742,"title":["Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs"],"prefix":"10.1002","volume":"16","author":[{"given":"Stephen S.","family":"Burkhart","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Baylor College of Medicine University of Texas Health Science Center at San Antonio San Antonio Texas U.S.A."},{"name":"Sports Science Institute of South Africa Oranjezicht Capetown South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe F.","family":"De Beer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Baylor College of Medicine University of Texas Health Science Center at San Antonio San Antonio Texas U.S.A."},{"name":"Sports Science Institute of South Africa Oranjezicht Capetown South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2000,10,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00004"},{"key":"e_1_2_3_3_1","first-page":"313","article-title":"Techniques chirurgicales dans le traitement de la luxation anteriointerne recidivante de l\u2019\u00e9paule","volume":"61","author":"Latarjet M","year":"1965","journal-title":"Lyon 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esc\u00e0pulo humeralPresented at the IV Congress of Simposia Latino Americana Ortopedica y Traumatologia Santiago Chile 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of the inverted\u2010pear glenoid and the humeral engaging Hill\u2010Sachs lesion"],"short-title":[],"issued":{"date-parts":[[2000,10]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2000,10]]}},"alternative-id":["10.1053\/jars.2000.17715"],"URL":"https:\/\/doi.org\/10.1053\/jars.2000.17715","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,10]]}}}