More recent studies have suggested an increasing trend toward addressing glenoid and humeral bone loss when treating recurrent anterior shoulder instability, as soft tissue–only procedures have unacceptably high failure rates. 11 , 15 , 21 , 32 In the most cited article on the list, Burkhart and De Beer 12 (rank, 1; mean citations, 881.5; citation density, 48.97) in 2000 described the necessity of addressing bony deficits in patients presenting with inverted-pear glenoid lesions to prevent recurrence.
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Assessment and Trends in the Methodological Quality of the Top 50 Most Cited Articles in Shoulder Instability.
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