Arthroscopic Stabilization for First-Time Versus Recurrent Shoulder Instability

Arthroscopic technique for labral repair associated with instability. The patient in this video is in the lateral position, and the arthroscope is in the anterosuperior portal, with instrumentation passed through the anteroinferior portal. This patient has an associated inferior and posterior labral injury that has already been repaired. The image shows evidence of the Bankart lesion, which has healed medial on the glenoid neck. The labrum is first elevated from the glenoid rim until the underlying subscapularis muscle is exposed. The bone is then decorticated to expose a bleeding bony surface by use of a rasp or bur. A suture anchor is then placed on the glenoid rim, and the suture is shuttled through the labrum, with care taken to advance and imbricate a portion of the anterior-inferior capsule with the labral repair. The suture is then tied by standard arthroscopic techniques.