Patients With Critical Humeral Bone Loss Have Similar Patient‐Reported Outcomes to Patients Without Critical Humeral Bone Loss After Arthroscopic Shoulder Stabilization at a Mean Follow‐Up of 7 Years

@article{gilbert2026patients,
  title = {{Patients With Critical Humeral Bone Loss Have Similar Patient‐Reported Outcomes to Patients Without Critical Humeral Bone Loss After Arthroscopic Shoulder Stabilization at a Mean Follow‐Up of 7 Years}},
  author = {Ryan Gilbert and Ryan T. Lin and Sahil Dadoo and Andrew Liu and Ting Cong and Adam Popchak and Bryson P. Lesniak and Mark Rodosky and Jonathan D. Hughes and Albert Lin},
  journal = {Arthroscopy, sports medicine, and rehabilitation},
  year = {2026},
  month = nov,
  doi = {10.1002/ars2.70140},
  url = {https://europepmc.org/article/PMC/PMC13729693},
  note = {CC BY},
}

TY  - JOUR
TI  - Patients With Critical Humeral Bone Loss Have Similar Patient‐Reported Outcomes to Patients Without Critical Humeral Bone Loss After Arthroscopic Shoulder Stabilization at a Mean Follow‐Up of 7 Years
AU  - Ryan Gilbert
AU  - Ryan T. Lin
AU  - Sahil Dadoo
AU  - Andrew Liu
AU  - Ting Cong
AU  - Adam Popchak
AU  - Bryson P. Lesniak
AU  - Mark Rodosky
AU  - Jonathan D. Hughes
AU  - Albert Lin
PY  - 2026
DA  - 2026/11/03
JO  - Arthroscopy, sports medicine, and rehabilitation
DO  - 10.1002/ars2.70140
UR  - https://europepmc.org/article/PMC/PMC13729693
AB  - Purpose: To compare long‐term patient‐reported outcomes (PROs) between patients with and without critical humeral bone loss (CHBL) and to compare long‐term PROs among patients with CHBL who underwent arthroscopic Bankart repair (ABR) alone versus those who received a remplissage augmentation (ABR + R).  Methods: A retrospective review included patients aged 13 to 50 years who underwent ABR or ABR + R for anterior shoulder instability from 2007 to 2023. Exclusion criteria included <1‐year follow‐up, >20% glenoid bone loss, off‐track Hill‐Sachs lesion, concomitant pathology, or revision surgery. CHBL was defined as humeral head defect extension below the 90° equator. Western Ontario Shoulder Index, pain Visual Analog Scale, and Subjective Shoulder Value were collected at the final follow‐up. PROs and recurrence rates were compared between cohorts and within the CHBL subgroup.  Results: Three hundred eighty‐four patients were included (mean age 23 ± 9 years (range: 13‐49), 78% men), of which 99 (26%) were successfully contacted for PROs: 129 (34%) with CHBL and 255 (66%) without CHBL. The CHBL cohort was older (25 vs 22 years, P < .01) and had smaller distance to dislocation (9 vs 13 mm, P < .01). Recurrent instability rates were comparable overall (22% vs 15%, P = .08), but, within the CHBL cohort, recurrence was significantly lower after ABR + R than ABR alone (9% vs 32%, P < .01). Ninety‐nine patients (26%) (41 CHBL, 58 non‐CHBL) completed PROs at a mean follow‐up of 7.3 years (range: 1.9‐14.4), with no significant differences in Western Ontario Shoulder Index, pain Visual Analog Scale, Subjective Shoulder Value, or recurrent instability between groups (all P > .05). In a multivariable linear regression, only recurrent instability was an independent predictor of inferior PROs; the presence of CHBL was not an independent predictor. Among CHBL patients, PROs were similar between ABR and ABR + R.  Conclusions: Patients with CHBL had similar long‐term PROs to those without CHBL after ABR or ABR + R at a minimum follow‐up of 1 year. Furthermore, the addition of remplissage was found to be associated with a reduced rate of recurrent anterior shoulder instability in patients with CHBL.  Level of Evidence: Level III, retrospective cohort study.
SN  - 2666-061X
ER  -