SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Age, participation in competitive sports, bony lesions, ALPSA lesions, > 1 preoperative dislocations, surgical delay and ISIS score > 3 are risk factors for recurrence following arthroscopic Bankart repair: a systematic review and meta-analysis of 4584 shoulders.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Efficacy and safety of the Latarjet procedure for the treatment of athletes with glenoid bone defects ≥ 20%: a single-arm meta-analysis.Journal of orthopaedic surgery and research · 2024Pooled it
- Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill-Sachs and Bankart lesions: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Failure Rate After Shoulder Stabilization Procedures in the Military With Use of Knotless Suture Tape: A Case-Control Study.Orthopaedic journal of sports medicine · 2026Article
- Remplissage for "on-track" shoulders yields similar overall but different short-term game participation outcomes vs. Bankart repair alone.JSES reviews, reports, and techniques · 2026Article
- Cost-effectiveness of Adding Remplissage to Bankart Repair for On-track Hill-Sachs Lesions: A Markov Decision Analysis.The American journal of sports medicine · 2026Article
- Evidence-Based Risk Factors for Failure of Arthroscopic Labral Repair.Current reviews in musculoskeletal medicine · 2026Review
- Preoperative Instability Episodes as a Predictor of Recurrence After Arthroscopic Bankart Repair.The American journal of sports medicine · 2026Article
- Correlation of Social Determinants of Health Disparities With Outcomes After Bankart Repair: A Large Database Study.Orthopaedic journal of sports medicine · 2026Article
- The diagnostic value of pre- and post-reduction radiographs in anterior shoulder dislocation.Skeletal radiology · 2026Article
- Return to play and recovery metrics after arthroscopic Bankart repair with augmentations in rugby players.JSES reviews, reports, and techniques · 2026Article
- Rare Presentation of Chronic Anterior Instability with Concomitant Triad of Anterior Labral Periosteal Sleeve Avulsion, Hill-Sachs, and Humeral Avulsion of the Glenohumeral Ligament Lesions: A Case Report.Journal of orthopaedic case reports · 2026Article
- A comprehensive review of dynamic anterior stabilization of the long head of the biceps.Clinics in shoulder and elbow · 2026Article
- Risk factors for recurrent shoulder dislocation after arthroscopic Bankart repair: The role of age, lesion type, and middle glenohumeral ligament variations.Joint diseases and related surgery · 2026Article
- Shoulder Instability in the U.S. Military: A Systematic Review of Epidemiology, Operative Management, and Outcomes.Journal of clinical medicine · 2025Review
- Double-Row Bony Bankart Bridge for Large Bony Bankart Lesions: Technical Considerations.Arthroscopy techniques · 2025Article
- Effect of ALPSA Tear Morphology on Redislocation Risk After Arthroscopic Repair.Orthopaedic journal of sports medicine · 2025Article
- Role of clinical and radiological parameters for recurrence after primary anterior shoulder dislocation.JSES international · 2025Article
- Methodology and development of a machine learning probability calculator: Data heterogeneity limits ability to predict recurrence after arthroscopic Bankart repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Arthroscopic Anatomic Glenoid Reconstruction With Bankart Repair and Remplissage for Recurrent Anterior Shoulder Instability with Bipolar Bone Loss.Arthroscopy techniques · 2025Article
- Cadaveric Specimens Used in Studies Evaluating Bone Loss in Anterior Shoulder Instability Are Not Representative of the Affected Patient Population: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDetermining the risk of recurrent instability following an arthroscopic Bankart repair can be challenging, as numerous risk factors have been identified that might predispose recurrent instability. However, an overview with quantitative analysis of all available risk factors is lacking. Therefore, the aim of this systematic review is to identify risk factors that are associated with recurrence following an arthroscopic Bankart repair.
methodsRelevant studies were identified by searching PubMed, Embase/Ovid, Cochrane Database of Systematic Reviews/Wiley, Cochrane Central Register of Controlled Trials/Wiley, CINAHL/Ebsco, and Web of Science/Clarivate Analytics from inception up to November 12th 2020. Studies evaluating risk factors for recurrence following an arthroscopic Bankart repair with a minimal follow-up of 2 years were included.
resultsTwenty-nine studies met the inclusion criteria and comprised a total of 4582 shoulders (4578 patients). Meta-analyses were feasible for 22 risk factors and demonstrated that age ≤ 20 years (RR = 2.02; P < 0.00001), age ≤ 30 years (RR = 2.62; P = 0.005), participation in competitive sports (RR = 2.40; P = 0.02), Hill-Sachs lesion (RR = 1.77; P = 0.0005), off-track Hill-Sachs lesion (RR = 3.24; P = 0.002), glenoid bone loss (RR = 2.38; P = 0.0001), ALPSA lesion (RR = 1.90; P = 0.03), > 1 preoperative dislocations (RR = 2.02; P = 0.03), > 6 months surgical delay (RR = 2.86; P < 0.0001), ISIS > 3 (RR = 3.28; P = 0.0007) and ISIS > 6 (RR = 4.88; P < 0.00001) were risk factors for recurrence. Male gender, an affected dominant arm, hyperlaxity, participation in contact and/or overhead sports, glenoid fracture, SLAP lesion with/without repair, rotator cuff tear, > 5 preoperative dislocations and using ≤ 2 anchors could not be confirmed as risk factors. In addition, no difference was observed between the age groups ≤ 20 and 21-30 years.
conclusionMeta-analyses demonstrated that age ≤ 20 years, age ≤ 30 years, participation in competitive sports, Hill-Sachs lesion, off-track Hill-Sachs lesion, glenoid bone loss, ALPSA lesion, > 1 preoperative dislocations, > 6 months surgical delay from first-time dislocation to surgery, ISIS > 3 and ISIS > 6 were risk factors for recurrence following an arthroscopic Bankart repair. These factors can assist clinicians in giving a proper advice regarding treatment. LEVEL OF EVIDENCE: Level IV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.