Abstract
Most shoulder instability repairs are performed with single-loaded suture anchors.
Recent reports have shown that there is increased stress on both the glenoid labrum
and suture anchor when sutures from single-loaded anchors are passed through the capsule
and labrum. This report describes a novel technique for shoulder instability repair
using double-loaded suture anchors in the glenoid. The first primary stitch is passed
through the labrum only and then tied, shifting the tissue superiorly. The second
stitch is passed inferiorly through the patulous capsule in addition to the labrum
with a pinch-tuck technique. This technique distributes the tension on the labral
repair and creates a fold to protect and shield the primary labral repair. Just as
flat sheets are folded and tucked underneath a mattress to form a “hospital corner,”
this procedure applies a similar principle to the labrum and capsule of the shoulder.
This technique is applicable for any type of shoulder instability repair, including
Bankart lesions, posterior labral tears, and multidirectional instability, that requires
the use of suture anchors.
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References
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Article info
Publication history
Accepted:
August 11,
2010
Received:
October 23,
2009
Footnotes
Note: To access the video accompanying this report, visit the December issue of Arthroscopy at www.arthroscopyjournal.org.
M.H.G. received support exceeding US $500 from Mitek, Van Nuys, California, related to this research. D.W.W. reports no conflict of interest.
Identification
Copyright
© 2010 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
