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Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment  Robert A. Duerr, M.D., John.

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Presentation on theme: "Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment  Robert A. Duerr, M.D., John."— Presentation transcript:

1 Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment  Robert A. Duerr, M.D., John J. Christoforetti, M.D.  Arthroscopy Techniques  Volume 5, Issue 4, Pages e865-e869 (August 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Right shoulder magnetic resonance arthrogram and corresponding arthroscopic findings. (A) An axial section of the magnetic resonance arthrogram at the inferior glenohumeral joint shows a tear of the posterior glenohumeral capsule with the superior portion of the capsular tear (white arrow) and the inferior portion of the torn capsule (black arrow) visible. (B) Corresponding arthroscopic image of a right shoulder in the left lateral decubitus position. A 70° arthroscope from the anterior viewing portal visualizes the posteroinferior joint capsule with the inferior portion of the torn posterior glenohumeral capsule (black arrow) and superior leaflet of the torn posterior capsule (white arrow) and underlying infraspinatus muscle belly (asterisk). (G, glenoid; H, humeral head.) Arthroscopy Techniques 2016 5, e865-e869DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Right shoulder magnetic resonance arthrogram and corresponding arthroscopic findings. (A) An axial section of the magnetic resonance arthrogram of the glenohumeral joint shows increased signal within the anterior area of the glenoid-labrum complex (arrow). (B) Corresponding arthroscopic image of a right shoulder in the left lateral decubitus position. A 70° arthroscope from the posterior viewing portal visualizes the anterior-inferior glenoid and labrum with an arthroscopic probe showing the anterior-inferior glenoid labrum detachment from the 5-o'clock (asterisk) to 3-o'clock position (arrow). (G, glenoid; H, humeral head.) Arthroscopy Techniques 2016 5, e865-e869DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Arthroscopic images of a right shoulder in the left lateral decubitus position with a 70° arthroscope from the anterior portal viewing the posterior capsule tear (white arrows) before (A) and after (B) side-to-side suture closure. The frayed edge of the detached posterior labrum is indicated by the black arrows. (G, glenoid; H, humeral head.) Arthroscopy Techniques 2016 5, e865-e869DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Posterior capsular repair. The 70° arthroscope is placed in the anterior viewing portal with the lens directed toward the capsular tear. The posterior cannula is placed through the infraspinatus muscle belly within the extracapsular layer at the edges of the torn posterior capsule. Knot tying is performed within this cannula. Arthroscopy Techniques 2016 5, e865-e869DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Arthroscopic image of a right shoulder in the left lateral decubitus position with a 70° arthroscope from the anterior portal viewing the posterior glenohumeral capsule (PC) after debridement and knotless suture anchor repair of the detached posterior capsule–labrum complex (arrow). (G, glenoid; H, humeral head.) Arthroscopy Techniques 2016 5, e865-e869DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Arthroscopic images of a right shoulder in the left lateral decubitus position with a 70° arthroscope from the anterior portal viewing the posterior portal. (A) Absorbable suture has been passed through the inferior leaflet of the portal (black arrow), and a tissue penetrator is passed through the superior leaflet of the tear (white arrow) to pull the suture through the cannula. (B) The posterior portal has been closed (arrow). (G, glenoid.) Arthroscopy Techniques 2016 5, e865-e869DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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