What question did this study set out to answer?

To determine the percentage of glenoid bone loss associated with recurrent instability and inferior patient-reported outcomes after arthroscopic Bankart repair.

August 29, 2023Journal of Bone and Joint Surgery

Glenoid Bone Loss in Recurrent Shoulder Instability After Arthroscopic Bankart Repair

View Full Paper

Ask AI

Bookmark

Authors

KMKyong S. MinMadigan Army Medical Center JHJonathan HorngUniversity of Hawaiʻi at Mānoa CCChristian A. CruzKeck Hospital of USC

Discussion

Member takes

Implication

Systematic review reveals glenoid bone loss of at least 16% predicts recurrent instability after arthroscopic Bankart repair, indicating a lower threshold for surgical failure.

Key Points

To determine the percentage of glenoid bone loss associated with recurrent instability and inferior patient-reported outcomes after arthroscopic Bankart repair.
Conducted a systematic review of 3 clinical studies encompassing 528 patients with quantified glenoid bone loss undergoing arthroscopic Bankart repair.
Assessed failure (defined as recurrent dislocation or subluxation) and functional outcomes using receiver operating characteristic (ROC) curve analysis.
Recurrent dislocation or subluxation occurred in 23.7% (125 of 528) of patients, with a significantly younger age observed in patients experiencing repair failure compared to those who did not (22.9 vs 24.3 years; p = 0.009).
ROC curve analysis identified a threshold of ≥16.0% glenoid bone loss for predicting recurrent dislocation or subluxation (Youden index = 0.59, sensitivity = 80%, specificity = 80%).
In patients without recurrent instability, a threshold of 20.0% glenoid bone loss predicted a Single Assessment Numeric Evaluation score of <85% (Youden index = 0.93, sensitivity = 93%, specificity = 100%).

Cite This Study

Min et al. (2023) studied this question.

synapsesocial.com/papers/6a9e9df09fb28041eca532a8 https://doi.org/10.2106/jbjs.23.00388

View Full Paper

Ask AI

Bookmark

Implication

Systematic review reveals glenoid bone loss of at least 16% predicts recurrent instability after arthroscopic Bankart repair, indicating a lower threshold for surgical failure.

Glenoid Bone Loss in Recurrent Shoulder Instability After Arthroscopic Bankart Repair

Discussion

Member takes

Implication

Key Points

Cite This Study

Glenoid Bone Loss in Recurrent Shoulder Instability After Arthroscopic Bankart Repair

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider