Abstract
A 30° arthroscope is introduced via the posterior soft spot portal, and an anterosuperior
portal is created with the use of a 7-mm disposable cannula. The anterosuperior portal
is used for instrumentation. An 18-gauge spinal needle is passed via the portal of
Neviaser and the rotator cuff into arthroscopic view above the superior labrum. A
No. 1 polydioxanone suture (PDS; Ethicon, Somerville, NJ) is advanced through the
spinal needle. An arthroscopic retriever or meniscal clamp is used to retrieve the
free end of the suture and bring it out through a small anterior stab wound. A suture
anchor is inserted via the anterosuperior portal into the superior neck of the glenoid.
The more medial limb of the No. 2 Ethibond suture (Ethicon) from the suture anchor
is retrieved with the inferior limb of the No. 1 PDS suture, and both are brought
out through the anterosuperior cannula. The opposite end of the No. 1 PDS suture is
then manually pulled, while, under direct arthroscopic visualization, the No. 2 Ethibond
suture, now tied to the opposite end of the PDS, is pulled through the superior labral
tissue. That anchor suture is retrieved and is placed outside the cannula that contains
the other anchor suture. Standard arthroscopic knot tying is then employed.
Key Words
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References
- SLAP lesions of the shoulder.Arthroscopy. 1990; 6: 274-279
- The arthroscopic treatment of glenoid labral tears in the throwing athlete.Orthop Trans. 1984; 8: 44
- Arthroscopic repair of superior glenoid labrum detachment (the SLAP lesion).J Shoulder Elbow Surg. 1993; 2: 147-155
- Arthroscopy of the shoulder.Orthop Clin North Am. 1987; 18: 361-372
Article info
Publication history
Published online: January 20, 2007
Footnotes
Cite this article as: Selby RM, Altchek DW, Di Giacomo G. The Di Giacomo technique: Simplified suture passing in SLAP repair. Arthroscopy 2007;23:439.e1-439.e2 [doi:10.1016/j.arthro.2006.07.045].
Research performed at The Hospital for Special Surgery. The authors report no conflict of interest.
Identification
Copyright
© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
