AI Article Synopsis

  • Labral tears usually occur at the anterior part of the hip joint, specifically between the 12- and 3-o'clock positions, with the 12 o'clock being the top part.
  • Placing suture anchors in the 3- and 4-o'clock positions is challenging due to limited visibility and the thin bone structure in that area, making it hard to drill safely.
  • This technical note introduces a new inside-out technique for anchor placement during acetabular labral repair, providing a safer and more reliable method compared to traditional outside-in approaches.

Article Abstract

Labral tears most commonly occur anteriorly between the 12- and 3-o'clock positions, with the 12-o'clock position denoted as superior and the 3-o'clock position denoted as anterior. When approaching the 3-o'clock position and beyond, suture anchor placement becomes difficult given the challenging arthroscopic trajectory and an overall thin anterior rim of cortical bone for anchor purchase, resulting in a narrow angle of safe drilling. The purpose of this technical note is to present a safe and reproducible method of suture anchor placement during acetabular labral repair approaching the 3- and 4-o'clock positions, with the 12-o'clock position representing the superior anatomic location and the 3-o'clock position representing the anterior anatomic location regardless of hip laterality. We use an inside-out anchor placement technique to place far medial anchors, which differs from the conventional techniques (e.g., outside-in technique) in which anchor placement is performed along the external margin of the acetabular labrum.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144940PMC
http://dx.doi.org/10.1016/j.eats.2024.102949DOI Listing

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