CC2022: Inconsistencies in Controlling for Risk Factors for Recurrent Shoulder Instability After Primary Arthroscopic Bankart Repair: A Systematic Review (November 2022)-Inconsistencies in Controlling for Risk Factors for Recurrent Shoulder Instability After Primary Arthroscopic Bankart Repair: A Systematic Review (November 2022)

Inconsistencies in Controlling for Risk Factors for Recurrent Shoulder Instability After Primary Arthroscopic Bankart Repair: A Systematic Review (November 2022)

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Pdf Summary

This systematic review assessed the consistency of reported risk factors for recurrent shoulder instability after arthroscopic Bankart repair. The most consistently significant risk factors found in multivariate analyses were off-track lesions, glenoid bone loss, Instability Severity Index Score, level of sports participation, number of anchors used, and younger age. However, there was significant heterogeneity in the analysis and controlling of risk factors across the reviewed studies. The review also highlighted the need for future studies to control for all relevant risk factors, use advanced imaging for measuring glenoid bone loss, and consider a lower predictive threshold for the Instability Severity Index Score. The study concluded that current evidence on risk factors for failure of arthroscopic Bankart repair lacks consistency and that future research should aim to improve the quality of evidence by addressing these inconsistencies and including all known risk factors.

Keywords

systematic review

risk factors

recurrent shoulder instability

arthroscopic Bankart repair

off-track lesions

glenoid bone loss

Instability Severity Index Score

level of sports participation

number of anchors used

younger age