Bipolar bone loss common in adolescents with shoulder instability

A retrospective cohort study of 181 patients aged 10 to 19 with anterior shoulder instability found that 74.6% had bone loss, 34.3% had bipolar bone loss, 7.2% were off-track, and 41.4% had a distance to dislocation under 10 mm. The study reported male sex and five or more prior dislocations as independent predictors of bipolar bone loss on multivariate analysis. The authors state these findings suggest isolated arthroscopic Bankart repair may be insufficient for many adolescent patients.

Most relevant for: Adolescents aged 10 to 19 presenting with anterior glenohumeral instability, particularly males and those with multiple prior dislocations.

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