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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Open operative treatment for anterior shoulder instability: When and why?.J Bone Joint Surg Am. 2005; 87: 419-432
- Arthroscopic anterior stabilization and posterior capsular plication for anterior glenohumeral instability: A report of 71 cases.Arthroscopy. 2006; 22: 539-547
- Arthroscopic versus open shoulder stabilization for recurrent anterior instability: A prospective randomized clinical trial.Am J Sports Med. 2006; 34: 1730-1737
- The treatment of traumatic anterior instability of the shoulder: Nonoperative and surgical treatment.Arthroscopy. 2009; 25: 298-304
- Arthroscopic versus open treatment of Bankart lesion of the shoulder: A prospective randomized study.Arthroscopy. 2004; 20: 456-462
- Tissue fixation security in transosseous rotator cuff repairs: A mechanical comparison of simple versus mattress sutures.Arthroscopy. 1996; 12: 704-708
- Biomechanical advantages of triple-loaded suture anchors compared with double-row rotator cuff repairs.Arthroscopy. 2010; 26: 316-323
- Determination of anterior labral repair stress during passive arm motion in a cadaveric model.Arthroscopy. 2008; 24: 930-935
- Snyder S.J. Shoulder arthroscopy. Ed 2. Lippincott, Williams & Wilkins, Philadelphia2003
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.
