September 22, 2026 · The American journal of sports medicine · DOI: 10.1177/03635465261483327

Indications for Isolated Arthroscopic Bankart Repair in the Adolescent Shoulder May Be Limited: Bipolar Bone Loss and Low Distance to Dislocation Found Commonly in an Adolescent Population With Glenohumeral Instability

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This study aimed to evaluate the prevalence of bone loss and its correlation with various factors in adolescent patients presenting with anterior shoulder instability. The findings revealed that 34.3% of the adolescents had bipolar bone loss, with male sex and a history of five or more dislocations identified as independent predictors. The high prevalence of off-track lesions and short distance to dislocation suggests that isolated arthroscopic Bankart repair may not be adequate for many adolescents with this condition.

John E Arvesen, Henry B Ellis, Dang-Huy Do, Cody Todesco, Antonia L Dinulescu, Robert L Van Pelt, Charles W Wyatt, Philip L Wilson

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