2021
DOI: 10.1016/j.eats.2021.08.031
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Single-Portal Arthroscopic Posterior Shoulder Stabilization

Abstract: Posterior shoulder instability occurs when the labrum detaches posteriorly from the glenoid owing to significant trauma and is a relatively uncommon type of shoulder dislocation. Although posterior instability has often been treated with open shoulder stabilization, modern arthroscopic procedures are being rapidly pursued by surgeons as an improved option because of decreased invasiveness and reduced operative times. Arthroscopic stabilization of the posterior glenoid labrum typically involves 2 working portal… Show more

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Cited by 3 publications
(8 citation statements)
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“…11 The benefits of arthroscopic treatment of PSI include its less invasive nature, ability to leave the infraspinatus tendon intact, greater distance to at-risk nerves, better visualization, ability to access other areas of the joint, and faster recovery. 5,9,12 Fig 2 . With the patient in the beach chair position and viewing through an anterosuperior portal, an 18-gauge spinal needle demonstrating the trajectory of the posterior working portal that will allow for posterior labral repair and capsular shift of the right shoulder (A). On the external view, the trajectory and location of the working portal are illustrated.…”
Section: Discussionmentioning
confidence: 99%
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“…11 The benefits of arthroscopic treatment of PSI include its less invasive nature, ability to leave the infraspinatus tendon intact, greater distance to at-risk nerves, better visualization, ability to access other areas of the joint, and faster recovery. 5,9,12 Fig 2 . With the patient in the beach chair position and viewing through an anterosuperior portal, an 18-gauge spinal needle demonstrating the trajectory of the posterior working portal that will allow for posterior labral repair and capsular shift of the right shoulder (A). On the external view, the trajectory and location of the working portal are illustrated.…”
Section: Discussionmentioning
confidence: 99%
“…12 Moreover, improved pain and function were reported in a retrospective study of 32 baseball players after arthroscopic posterior labral repair with a single working portal, resulting in a 94% rate of patient satisfaction and a 94% rate of return to sport, with 61% of patients returning to their previous level of play. 13 Park et al 5 published a singleeworking portal technique in which posterior stabilization was performed with the patient in the lateral decubitus position and conventional PEEK (polyether ether ketone) suture anchors were used. In comparison, the illustrated technique has the advantage of using knotless, allsuture anchors, which have been shown to result in excellent fixation [14][15][16][17][18] while reducing the operating room time.…”
Section: Posterior Labral Repair and Capsular Closure E3mentioning
confidence: 99%
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“…9 Bleeding and nerve complications can occur increasingly with a higher number of portal skin incisions. 10,11 Surgical scar is also a complaint, especially from an anterior shoulder surgical wound, which is easily seen.…”
Section: Discussionmentioning
confidence: 99%