Outcomes of Arthroscopic Bony Bankart Repair Compared With Soft-Tissue Only Bankart Repair in the Adolescent Population

BACKGROUND: Outcomes of arthroscopic management of bony Bankart (BB) lesions may result in higher reinjury rates, revision surgeries, and return-to-sport outcomes compared with adolescent patients with no bony Bankart (NBB) lesions. METHODS: Adolescent patients undergoing arthroscopic stabilization (2010 to 2023) with a minimum of 2 years follow-up were categorized into BB and NBB cohorts based on MRI and intraoperative findings. Preinjury glenoid diameter was estimated using a best-fit circle technique. Data collected included demographics, injury details, surgical techniques, and surgical outcomes. Patient-reported outcomes were assessed using single assessment numeric evaluation (SANE), pediatric/adolescent shoulder survey (PASS), and quick Disabilities of the Arm Shoulder and Hand (qDASH) scores. RESULTS: Fifty patients were analyzed (25 BB, 25 NBB), with mean age 16.9±0.9 years (BB) and 16.6±1.0 years (NBB) ( P =0.32), and overall mean follow-up 4.2 years. BB was associated with males ( P =0.02) and collision mechanisms of injury ( P =0.02). BB utilized more suture anchors (6.0±1.2 vs. 4.9±1.4) ( P =0.005). Preinjury glenoid diameter was larger in the BB (29.9±2.6 vs. 26.2±2.3 mm) ( P