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Updated: Oct 28, 2025

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Influential and Highest Cited Shoulder Instability Articles: A Bibliometric Analysis.

Sachin Allahabadi1, Ava Eftekhari1, Sonali E Feeley1

  • 1Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.

Orthopaedic Journal of Sports Medicine
|July 15, 2021
PubMed
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Highly cited shoulder instability articles often lack high-quality evidence and robust methodology. Citation density moderately correlates with publication year, but not with study quality.

Area of Science:

  • Orthopaedic Surgery
  • Sports Medicine
  • Biomechanics

Background:

  • Citation counts are used to evaluate influential orthopaedic surgery articles.
  • The correlation between citations and methodological quality is often assessed.

Purpose of the Study:

  • To identify and characterize the 50 most cited articles on shoulder instability.
  • To examine publication trends and assess the correlation between citations and evidence quality.

Main Methods:

  • A cross-sectional study using Web of Science and Scopus databases.
  • Identified top 50 cited articles on shoulder instability.
  • Assessed evidence levels and methodological quality using modified Coleman Methodology Score (mCMS), Jadad scale, and MINORS.
Keywords:
BankartLatarjetinstability; dislocationqualityshoulderstabilization

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Main Results:

  • Top 50 articles averaged 381.5 citations (15.0 citations/year).
  • 30% were biomechanical/cadaveric studies, 30% case series; only 6% had Level 1 evidence.
  • No significant correlation found between citation metrics and methodological quality scores.
  • Moderate correlation between citation density and publication year (r=0.70).

Conclusions:

  • Influential shoulder instability articles frequently feature biomechanical studies.
  • Most highly cited papers demonstrate lower evidence levels and poorer methodology.
  • Citation density correlates moderately with publication year, not study quality.