Arthroscopy for shoulder instability and a technique for arthroscopic repair

History of shoulder instability surgery

“…Arthroscopic labral fixation was suggested by Craig D. Morgan, who published the first series of Bankart repairs with transglenoid sutures in 1987 [113]. The following year, Richard B. Caspari described a transglenoid suture technique that allowed the surgeon to advance and adjust tension in the capsuloligamentous structures [35]; Murray A. Wiley described a similar approach using rivets for labral fixation [177]. The use of suture anchors in Bankart repair appeared shortly after in publications by Stephen J. Snyder (figure 11) and Eugene M. Wolf (figure 12) [155,182,187], followed by non-threaded bioabsorbable tacks (figure 13) [157,[171][172][173].…”

Evaluation of glenoid capsulolabral complex insertional anatomy and restoration with single- and double-row capsulolabral repairs

“…Authors also advocate full release of the capsulolabral complex from the anterior glenoid neck to better mobilize the capsule and facilitate shifting the capsule to eliminate capsular stretch injury. 14,28,43,58,68 Finally, preparation of the anterior glenoid bone is performed with a burr, shaver, or rasp to stimulate healing of the capsular tissue to the anterior glenoid. 14 We have been concerned with repairing the capsulolabral complex onto the articular surface of the glenoid, as the soft tissue does not heal directly to the cartilage but rather to the anterior glenoid bone surface.…”

Repair of Bankart lesions with a suture anchor in recurrent dislocation of the shoulder

“…During recent years arthroscopic shoulder stabilization has gained increasing popularity (4, 21,22). Multiple arthroscopic techniques have been described, including the use of staples, tacks, suture anchors, screws and transglenoid sutures (22)(23)(24)(25)(26). The results after arthroscopic shoulder stabilization have, however, not been as predictable as open Bankart reconstruction (4, 14,27,28), but some studies report promising short-term results (28)(29)(30).…”