Arthroscopic Repair of 270- and 360-Degree Glenoid Labrum Tears: A Systematic Review

Delta-Loop-Stitch: Three-Point Fixation for Combined Radial and Tangential Capsular Shift for the Treatment of Multidirectional Instability of the Shoulder and Hyperlaxity

“…1,[4][5][6][7][8][9] With the development of techniques and understanding of the pathology, arthroscopic procedures more and more replaced the open approaches. 2,3,[10][11][12][13][14][15][16][17] Concerns remain for the potential of iatrogenic damage to the articular surface by the sutures and protruding knots as well as for insufficiency of the suture due to limited tissue quality in terms of pullout and cutting through. This can be addressed and minimized by the use of partially resorbable sutures such as ORTHOCORD (Ethicon, Norderstedt, Germany) or complete resorbable sutures such as PDS-II (Ethicon) and the application of the lasso-loop stitch, that has been shown to reduce the risk for cutting through the tissue.…”

“… 1 , 4 , 5 , 6 , 7 , 8 , 9 With the development of techniques and understanding of the pathology, arthroscopic procedures more and more replaced the open approaches. 2 , 3 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 …”

Editorial Commentary: Treatment of Panlabral Shoulder Lesions: The Circle Concept Revisited

“…I n their article titled, "Arthroscopic Repair of 270-and 360-Degree Glenoid Labrum Tears: A Systematic Review," Ernat, Yheulon, and Shaha provide us with a heterogeneous look into the currently sparse peerreviewed research on large combined labral tears encompassing either 270 or 360 of the glenoid clock face. 1 Although the authors admittedly acknowledge the heterogeneity and overall lack of research on the topic (one half of the 6 studies reviewed containing less than or equal to 10 patients), they should be commended on their effort to concisely summarize an intrinsically complex topic. In some ways, their manuscript reads as a historical summary on the insights we have gained in treating "panlabral" lesions, starting with Powell's description of this entity in 2004 as a type IX slap tear and Lo and Burkhart's description of triple labral lesions (combined anterior, posterior, superior labral tears).…”

Arthroscopic Labral Repair Using Knotless Suture Anchors in the Setting of a 270° Labral Tear of the Shoulder

“…In the setting of 270 labral tears, the anterior, inferior and posterior aspects of the glenoid labrum are detached from the glenoid, rendering the antero-and posteroinferior regions of the glenohumeral joint unstable. 5,6 Open and arthroscopic techniques have been described to address glenohumeral shoulder instability, both producing positive patient-reported outcomes, low risk of recurrence, and high return-to-activity rates. [6][7][8][9] The modern mainstay of anterior instability treatment involves capsulolabral plication using knotted and/or knotless suture anchors.…”

“…5,6 Open and arthroscopic techniques have been described to address glenohumeral shoulder instability, both producing positive patient-reported outcomes, low risk of recurrence, and high return-to-activity rates. [6][7][8][9] The modern mainstay of anterior instability treatment involves capsulolabral plication using knotted and/or knotless suture anchors. While knotted all-suture anchors remain widely utilized, recent research has supported the functional equivalence of knotless allsuture anchors which offer the advantage of potentially quicker application, tensionability, with a lower risk of subsequent soft-tissue and cartilage abrasions.…”