Epidemiology of shoulder instability procedures: A comprehensive analysis of complications and costs

Matthew J. Best, Kevin Y. Wang, Suresh K. Nayar, Amil R. Agarwal, R. Timothy Kreulen, Sribava Sharma, Edward G. McFarland, Uma Srikumaran

Research output: Contribution to journalArticlepeer-review


Background: Recurrent shoulder instability is a debilitating condition that can lead to chronic pain, decreased function, and inability to return to activities or sport. This retrospective epidemiology study was performed to report 90-day postoperative complications and costs of Latarjet, anterior bone block reconstruction, arthroscopic, and open Bankart repair for shoulder instability. Methods: Patients 18 years and older who underwent four primary shoulder surgeries from 2010 to 2019 were identified using national claims data. Patient demographics, comorbidities, and 90-day postoperative complications were analyzed using univariate analysis and multivariable logistic regression. Total and itemized 90-day reimbursements were determined for each procedure. Results: The 90-day medical and surgery-specific complication rates were highest for anterior bone block reconstruction, followed by Latarjet. Arthroscopic Bankart repair had the highest 90-day costs and primary procedure costs compared to other procedures. Conclusion: Anterior bone block reconstruction and Latarjet procedures were associated with the highest rates of 90-day medical and surgery-specific complications, while arthroscopic Bankart repair was associated with the highest costs.

Original languageEnglish (US)
JournalShoulder and Elbow
StateAccepted/In press - 2022


  • anterior bone block reconstruction
  • Bankart
  • complications
  • cost
  • Latarjet
  • Shoulder instability

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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