Christopher R. Adams, M.D. Arthroscopy Techniques

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Presentation transcript:

Arthroscopic Glenoid Labral Repair With an Oblique Mattress Configuration Christopher R. Adams, M.D. Arthroscopy Techniques Volume 2, Issue 3, Pages e281-e283 (August 2013) DOI: 10.1016/j.eats.2013.03.004 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 A left shoulder in the lateral decubitus position viewed through the posterior portal at the posterosuperior labrum. (A) The deeper labrum is penetrated with a 90° SutureLasso, and (B) a TigerStick suture is advanced through the SutureLasso. The passed suture limb is then pulled out the anterior portal with a tissue grasper. (C) The same suture is then passed a second time through the labrum oblique and more superficial to the first pass. This suture limb is also pulled out the anterior portal. The end result is an inverted oblique mattress configuration through the labrum. (D) It should be noted that the normal orientation of the labral tissue fibers runs circumferentially around the glenoid. (E) Horizontal mattress sutures are in line with the labral fibers and may cut through the tissue, whereas (F) an oblique mattress configuration grabs the labral tissue from multiple planes and decreases the chance of cutting through. Arthroscopy Techniques 2013 2, e281-e283DOI: (10.1016/j.eats.2013.03.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 The same left shoulder viewed through the posterior portal at the posterosuperior labrum. (A) The pilot hole for the anchor is drilled. (B) Both suture limbs of the TigerStick are pulled out the anterosuperolateral portal and passed through the eyelet of the 3.5-mm Labral SwiveLock anchor. The anchor driver is advanced into the pilot hole until the anchor is flush with the glenoid surface. (C) The 2 suture limbs are then individually pulled and tensioned. The anchor is screwed in, and the sutures are cut flush with the glenoid. (D) The end result is an oblique inverted mattress configuration that covers up the anchor hole and results in a low-profile anatomic repair of the labrum. Arthroscopy Techniques 2013 2, e281-e283DOI: (10.1016/j.eats.2013.03.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions