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A Novel Technique for Advancing the Inferior Labrum in a Bankart Repair
Brook A. Adams, M.D., William H. Garrett, B.S., Garth B. Wright, M.D., Maher W. Khan, M.D., Jonathon B. Taylor, B.S., Keith D. Nord, M.D. Arthroscopy Techniques Volume 2, Issue 2, Pages e121-e124 (May 2013) DOI: /j.eats Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 1 Preoperative magnetic resonance imaging of left shoulder: A fat-suppressed proton density–weighted axial image shows an edematous and irregular anteroinferior labrum (arrow) and adjacent capsular stripping (arrowhead) compatible with a soft-tissue Bankart lesion. (G, Glenoid; HH, Humeral Head) Arthroscopy Techniques 2013 2, e121-e124DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 2 Preoperative magnetic resonance imaging of left shoulder: A T1-weighted coronal oblique image shows the anteroinferior labral tear (arrow) and plastic deformation of the inferior glenohumeral ligament (arrowhead). (G, Glenoid; HH, Humeral Head) Arthroscopy Techniques 2013 2, e121-e124DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 3 Left shoulder in lateral decubitus position showing placement of spear through low posterolateral portal. Measurements are 2 to 4 cm lateral and 4 to 5 cm inferior to the posterolateral corner of the acromion. Arthroscopy Techniques 2013 2, e121-e124DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 4 Arthroscopic findings. (A) The anteroinferior labral tear and capsular stripping are visualized through the anterosuperolateral portal. (B) The SutureLasso is inserted through the low posterolateral portal and reaches the 6-o'clock position. (C) The lasso is passed through the inferior capsule and labrum toward the suture anchor. (D) The finished repair is shown, as visualized through the posterior portal after the nitinol wire pulls the suture through the labrum and is tied with a sliding locking knot. (Ant Inf, anteroinferior.) (G, Glenoid; HH, Humeral Head) Arthroscopy Techniques 2013 2, e121-e124DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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