{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T08:15:34Z","timestamp":1793780134154,"version":"4.6.1"},"reference-count":17,"publisher":"SAGE Publications","issue":"14","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The \u201cdistance to dislocation\u201d (DTD) calculation has been proposed as 1 method to predict the risk of recurrent dislocation after arthroscopic Bankart repair for an \u201con-track\u201d shoulder. Rates of recurrent dislocation at specific DTD values are unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Among patients with \u201con-track\u201d shoulder lesions who underwent primary arthroscopic Bankart repair, the rate of recurrent dislocation would increase as DTD values decrease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case-control study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of 188 patients with \u201con-track\u201d shoulder lesions who underwent primary arthroscopic anterior labral repair between 2007 and 2019, with a minimum 2-year follow-up. Glenoid bone loss, Hill-Sachs interval, glenoid track, and DTD were determined from preoperative magnetic resonance imaging scans. The rate of recurrent dislocation was determined at 2-mm DTD intervals. Univariate and multivariate regression analyses were used to evaluate the relationship between recurrent dislocation, patient characteristics, and bone loss variables. A multivariate regression model was created to predict the probability of failure at continuous DTD values. A subgroup analysis of failure rate based on collision sports participation was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 29 patients (15.4%) sustained recurrent dislocations. Patient age ( P = .046), multiple dislocations ( P = .03), glenoid bone loss ( P &lt; .001), Hill-Sachs interval length ( P &lt; .001), and DTD ( P &lt; .001) were all independent predictors of failure. As the DTD decreased, the rate of recurrent dislocation increased. Below a DTD threshold of 10 mm, the recurrent dislocation rate increased exponentially. Up to a threshold of 24 mm, the failure rate for collision athletes remained &gt;12.3%, independent of the DTD. Conversely, the failure rate among noncollision athletes decreased steadily as the DTD increased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For \u201con-track\u201d shoulder lesions, as the DTD approached 0 mm (\u201coff-track\u201d threshold), the risk of recurrent dislocation after arthroscopic Bankart repair increased significantly. Below a DTD threshold of 10 mm, the risk of failure increased exponentially. The risk of recurrent dislocation for collision sports athletes remained elevated at higher DTD values than for noncollision athletes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465221128913","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T09:24:02Z","timestamp":1670318642000},"page":"3875-3880","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":54,"title":["Distance to Dislocation and Recurrent Shoulder Dislocation After Arthroscopic Bankart Repair: Rethinking the Glenoid Track Concept"],"prefix":"10.1177","volume":"50","author":[{"given":"Aaron E.","family":"Barrow","sequence":"first","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaquille J.-C.","family":"Charles","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Issa","sequence":"additional","affiliation":[{"name":"American University of Beirut Medical Center, Beirut, Lebanon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajinkya A.","family":"Rai","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-7514","authenticated-orcid":false,"given":"Jonathan D.","family":"Hughes","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."},{"name":"Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryson P.","family":"Lesniak","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."},{"name":"Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Rodosky","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."},{"name":"Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Popchak","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."},{"name":"Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Lin","sequence":"additional","affiliation":[{"name":"UPMC Center for Sports Medicine, 3200 South Water Street, Pittsburgh, Pennsylvania, USA."},{"name":"Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,6]]},"reference":[{"key":"bibr1-03635465221128913","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01983"},{"key":"bibr2-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-05955-0"},{"key":"bibr3-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.10.004"},{"key":"bibr4-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517704184"},{"key":"bibr5-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1177\/2325967114549541"},{"key":"bibr6-03635465221128913","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.11.7639"},{"key":"bibr7-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1016\/j.jses.2018.10.001"},{"key":"bibr8-03635465221128913","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00917"},{"key":"bibr9-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2140-1"},{"key":"bibr10-03635465221128913","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01099"},{"key":"bibr11-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515578250"},{"key":"bibr12-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517697963"},{"key":"bibr13-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516656367"},{"key":"bibr14-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-016-2559-4"},{"key":"bibr15-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.12.012"},{"key":"bibr16-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519886319"},{"key":"bibr17-03635465221128913","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.02.013"}],"container-title":["The 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