Risk factors for postage stamp fracture following arthroscopic Bankart repair: a systematic review

Male sex and younger age, previously identified as risk factors, were not associated with postage stamp fractures when contextualized within the full operative sample. Presence of osteolysis and athletic participation was consistently associated with postage stamp fracture and may represent meaningful risk factors. Contrary to earlier reports, higher anchor quantity was not associated with increased postage stamp fracture risk; instead, lower anchor counts may be linked to instability, which itself may predispose to postage stamp fracture. Use of absorbable anchors emerged as a potential contributor to fracture risk that warrants further research.