دورية أكاديمية
Risk Factors for Recurrence Following Arthroscopic Bankart Repair - A Systematic.
| العنوان: | Risk Factors for Recurrence Following Arthroscopic Bankart Repair - A Systematic. |
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| المؤلفون: | Bulleit CH; Duke University Hospital, Durham, NC, USA. Electronic address: clark.bulleit@duke.edu., Hurley ET; Duke University Hospital, Durham, NC, USA., Jing C; Duke University Hospital, Durham, NC, USA., Hinton ZW; Duke University Hospital, Durham, NC, USA., Doyle TR; Sports Surgery Clinic, Santry, Dublin 9, Dublin, Ireland., Anakwenze OA; Duke University Hospital, Durham, NC, USA., Klifto CS; Duke University Hospital, Durham, NC, USA., Dickens JF; Duke University Hospital, Durham, NC, USA., Lau BC; Duke University Hospital, Durham, NC, USA. |
| المصدر: | Journal of shoulder and elbow surgery [J Shoulder Elbow Surg] 2024 Jun 07. Date of Electronic Publication: 2024 Jun 07. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Country of Publication: United States NLM ID: 9206499 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-6500 (Electronic) Linking ISSN: 10582746 NLM ISO Abbreviation: J Shoulder Elbow Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St. Louis, MO : Mosby Original Publication: St. Louis, MO : Mosby Yearbook, Inc., c1992- |
| مستخلص: | Background: Recurrent instability remains a major source of morbidity following arthroscopic Bankart repair. Many risk factors and predictive tools have been described, but there remains a lack of consensus surrounding individual risk factors and their contribution to outcomes. Purpose: To systematically review the literature to identify and quantify risk factors for recurrence following arthroscopic Bankart repair. Methods: A literature search was performed using the PubMed/Medline databases based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Studies were included if they evaluated risk factors for recurrent instability following arthroscopic Bankart repair. Results: Overall, 111 studies were included in the analysis, including a total of 19,307 patients and 2,750 episodes of recurrent instability with 45 risk factors described. Age at operation was reported by 60 studies, with 35 finding increased risk at younger ages. Meta-analysis showed a two-fold recurrence rate of 27.0% (171/634) for patients under 20 years old compared to 13.3% (197/1485) for older patients (p<0.001). Seventeen studies completed multivariable analysis, 13 of which were significant (Odds Ratio 1.3-14.0). Glenoid bone loss was evaluated by 39 studies, with 20 finding an increased risk. Multivariable analysis in 9 studies found OR ranging from 0.7-35.1; 6 were significant. Off-track Hill-Sachs lesions were evaluated in 21 studies (13 significant), with 3 of 4 studies that conducted multivariable analysis finding a significant association with odds ratio of 2.9-8.9 of recurrence. The number of anchors used in repair was reported by 25 studies, with 4 finding increased risk with fewer anchors. Pooled analysis demonstrated a 25.0% (29/156) risk of recurrence with 2 anchors compared to 18.1% (89/491) with 3 or more anchors (p=0.06). Other frequently described risk factors included glenohumeral joint hyperlaxity (46% of studies reporting a significant association), number of preoperative dislocations (31%), contact sport participation (20%), competitive sport participation (46%), patient sex (7%), and concomitant SLAP tear (0%). Conclusion: Younger age, glenoid bone loss, and off-track Hill-Sachs lesions, are established risk factors for recurrence following arthroscopic Bankart repair. Other commonly reported risk factors included contact and competitive sports participation, number of fixation devices, and patient sex. (Copyright © 2024. Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Football (American); General; Glenoid Labrum; Instability; Rugby; Shoulder |
| تواريخ الأحداث: | Date Created: 20240609 Latest Revision: 20240609 |
| رمز التحديث: | 20240610 |
| DOI: | 10.1016/j.jse.2024.04.017 |
| PMID: | 38852707 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-6500 |
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| DOI: | 10.1016/j.jse.2024.04.017 |