Inferior labrum anterior to posterior lesions as an isolated injury or as part of an extensive traumatic labral tear are uncommon and may present as multidirectional instability of the shoulder. These lesions are hard to visualize radiographically and many times are diagnosed only during surgery. Arthroscopic repair of these lesions requires advanced arthroscopic skills and is required for restoration of glenohumeral stability. We report a combined double-pulley simple knot technique that anatomically reconstructs the inferior labrum while overcoming the typical technical challenges, providing a large footprint for healing along the inferior glenoid rim and minimizing the amount of suture material in direct contact with the articular cartilage and the risk of knot migration.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039351 | PMC |
| http://dx.doi.org/10.1016/j.eats.2016.02.027 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Postoperative femoral head cartilage injury after hip arthroscopic treatment for femoroacetabular impingement syndrome and labral tear.
J Orthop Traumatol
December 2024
Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Background: Postoperative femoral head cartilage injury (FHCI) is a rare condition that can be observed in a certain proportion of patients undergoing hip arthroscopy. However, the prevalence and associated factors of FHCI, and the effect of this condition on clinical outcomes still remain unknown.
Patients And Methods: Consecutive patients who were diagnosed with femoroacetabular impingement syndrome (FAIS) and labral tear and underwent hip arthroscopic treatment in our institute between July 2020 and July 2021 were retrospectively evaluated.
Effect of Acetabular Labral Tear Orientation on Hip Joint Kinematics: A Comparison of Radial Tears, Chondrolabral Junction Tears and Complex Tears in Cadaveric Hips.
Orthop J Sports Med
November 2024
Department of Orthopaedic Surgery, Stanford University, Stanford, California, USA.
Background: Acetabular labral tear morphology or orientation may influence hip stability.
Hypothesis: A radial tear of the acetabular labrum would result in greater rotational and translational motion compared with a chondrolabral separation.
Study Design: Controlled laboratory study.
Basics of Shoulder Arthroscopy Part IV: Diagnostic Arthroscopy in the Lateral Decubitus Position.
Arthrosc Tech
October 2024
Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.
Shoulder arthroscopy is a versatile method for treating a variety of shoulder pathologies in a minimally invasive manner. Typically, it is performed with the patient positioned in a beach-chair or lateral decubitus position with the latter being conventionally preferred for shoulder instability work given the use of traction and creation of a distracted joint. This allows ideal visualization and accessibility of the anterior, inferior, and posterior aspects of the glenoid, labrum, and axillary pouch.
View Article and Find Full Text PDFMagnetic resonance imaging of the shoulder in symptomatic professional rugby players: a retrospective analysis.
Skeletal Radiol
September 2024
Musculoskeletal Centre X-Ray Department, Leeds Teaching Hospitals Trust, Chapel Allerton Hospital, Chapeltown Road, Leeds, UK.
Article Synopsis
- The study examined shoulder injuries in professional rugby players, focusing on MRI findings from a sample of 110 symptomatic players over four years.
- Results showed that 33% had rotator cuff or long head biceps abnormalities, with 57% having glenoid labral tears, indicating a high prevalence of shoulder issues among players.
- Analysis revealed that backs had more bony abnormalities than forwards, and many players exhibited multiple injuries, suggesting that shoulder problems are common and complex in contact sports like rugby.
Open Bankart Repair with Subscapularis Split.
JBJS Essent Surg Tech
September 2024
Duke University Medical Center, Durham, North Carolina.
Article Synopsis
- Anterior shoulder dislocations are prevalent among young, active males, and open Bankart repair is recommended for recurrent instability due to its lower recurrence rates and quicker recovery compared to arthroscopic methods.
- The open surgery involves a specific technique where the subscapularis tendon is "spared" by splitting it to minimize damage during repair, while a capsulotomy allows access to the joint for proper labrum repair using suture anchors.
- Indications for this surgical approach include failed previous arthroscopic repair, multiple dislocations, and situations involving subcritical bone loss, especially in individuals engaged in high-risk sports.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!