Conversion to Arthroscopic Surgery for Anterior Shoulder Instability Does Not Significantly Increase Patient Out‐of‐Pocket Costs, But Both Conversion and Initial Arthroscopic Management Are Twice as Costly as Isolated Nonoperative Management
This study shows that nonoperative management of anterior shoulder instability is associated with the lowest patient out-of-pocket costs whereas conversion from nonoperative to arthroscopic treatment results in the highest costs. These findings highlight the financial implications of treatment selection and the potential cost burden for patients in whom initial conservative management fails.
Authors
- Dennis M. Bienstock (ORCID: https://orcid.org/0000-0003-2753-5219)
- Justin Tiao (ORCID: https://orcid.org/0000-0002-9414-7120)
- Brocha Z. Stern (ORCID: https://orcid.org/0000-0001-6604-7096)
- Timothy Hoang (ORCID: https://orcid.org/0000-0002-3012-3461)
- Shawn G. Anthony (ORCID: https://orcid.org/0000-0002-5511-7893)
- Jamie Kator (ORCID: https://orcid.org/0000-0003-1031-0021)
- Ashley M. Rosenberg (ORCID: https://orcid.org/0000-0001-9029-445X)
- Kevin C. Wang (ORCID: https://orcid.org/0000-0003-4321-0414)
- James N. Gladstone
Institutions
- Mount Sinai Health System (US)
- University of California, San Francisco (US)
- Icahn School of Medicine at Mount Sinai (US)
Publication Details
- Journal
- Arthroscopy The Journal of Arthroscopic and Related Surgery
- Published
- 2025-04-23
- DOI
- https://doi.org/10.1016/j.arthro.2025.04.027
- Citations
- 2
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 4.01
Funders
- National Center for Advancing Translational Sciences