Arthroscopic Double-Row Suture Anchor Repair of Acute Posterior Bony Bankart Lesion  Justin A. Ly, B.A., Erin M. Coleman, M.A., A.T.C., Eric J. Kropf, M.D.  Arthroscopy Techniques  Volume 5, Issue 4, Pages e839-e843 (August 2016) DOI: 10.1016/j.eats.2016.04.004 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic view of left shoulder from the posterior viewing portal, which confirmed that rotator cuff, the proximal biceps, and the anterior and superior labrum were all normal. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic view of left shoulder from a high posterior reveals posterior labral trauma, and mild cartilage loss consistent with the patient's history and preoperative imaging. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view of left shoulder from high anterior portal showing a periosteal elevator was used to mobilize the bony fragment. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A) Arthroscopic view of left shoulder from the high anterior portal showing the 4.0-mm barrel burr (Arthrex, Naples, FL) used to stimulate bleeding of the fragment and the native glenoid. (B) Arthroscopic view of left shoulder from the high anterior portal showing a rasp also being used to stimulate bleeding of the fragment and the native glenoid. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 (A, B) Arthroscopic view of left shoulder from the anterior portal shows the sutures being shuttled around the bony fragment using a straight-hook IDEAL Suture Shuttle with CHIA PercPasser (Mitek, Raynham, MA). Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic view of left shoulder from the anterior portal shows two 2.4 × 12–mm BioComposite Suturetak Suture Anchors (Arthrex, Naples, FL) placed and tied at the proximal and distal extent of the fragment. A third 3.5 × 19.5–mm BioComposite PushLock Suture Anchor (Arthrex) is being placed at the edge of the glenoid, completing the double-row construct. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 Arthroscopic view of left shoulder from the anterior portal shows the final construct with the posterior labrum and capsule covering the bony Bankart lesion. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 8 (A, B) Arthroscopic view of left shoulder from the anterior portal showing the posterior capsular from the working cannula being closed with No. 0 polydioxanone (PDS) suture and tied extra-capsularly. Arthroscopy Techniques 2016 5, e839-e843DOI: (10.1016/j.eats.2016.04.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions