A Biomechanical Analysis of Capsular Plication Versus Anchor Repair of the Shoulder: Can the Labrum Be Used as a Suture Anchor?

Outcomes of Arthroscopic Anterior Shoulder Instability in the Beach Chair Versus Lateral Decubitus Position: A Systematic Review and Meta-Regression Analysis

“…In most cases of anterior instability, an anteroinferior labral tear (Bankart lesion) is present, necessitating repair to the glenoid rim with any number of a variety of fixation devices. [8][9][10][11][12][13][14][15][16][17][18][19][20] The evolution of repair techniques for arthroscopic anterior shoulder stabilization has essentially seen 3 "phases" over the past several decades, including transglenoid suture repair (Caspari technique), [21][22][23] repair with bioabsorbable tacks, and repair with suture anchors. For most patients, arthroscopic stabilization with suture anchors has become the accepted standard of care, 3,4,6,24-28 although as described, recurrence rates are still unacceptably high.…”

“…In most cases of anterior instability, an anteroinferior labral tear (Bankart lesion) is present, necessitating repair to the glenoid rim with any number of a variety of fixation devices. [8][9][10][11][12][13][14][15][16][17][18][19][20] The evolution of repair techniques for arthroscopic anterior shoulder …”

Biomechanical Analysis Comparing a Traditional Superior-Inferior Arthroscopic Rotator Interval Closure With a Novel Medial-Lateral Technique in a Cadaveric Multidirectional Instability Model

“…Previous studies have shown that in the setting of a capsulorrhaphy, the use of a suture anchor results in less displacement than an anchorless capsulorrhaphy. 16 The present study, however, does not specifically compare medial-lateral RI closures performed with and without suture anchors. Future studies are needed to investigate whether the use of suture anchors in this setting does in fact result in less displacement, as it does in the setting of a capsulorrhaphy.…”

Arthroscopic Repair of a Glenoid Avulsion of the Glenohumeral Ligament

“…4 Use of the glenoid as a "suture anchor" affords similar loads to failure to anchor fixation in cadaveric models; however, increased displacement with cyclic loading is seen with soft-tissue fixation. 8 In addition, microscopic injury to the labrum during episodes of recurrent anterior instability may further compromise fixation strength in vivo. For these reasons, we prefer an anchor-based GAGL repair.…”