The Use of Accessory Portals in Bankart Repair With Posterior Extension in the Lateral Decubitus Position
| Autor: | Jason T. Hamamoto, Mark A. McCarthy, Nikhil N. Verma, Gregory L. Cvetanovich, John D. Higgins, Kevin J. Campbell |
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| Rok vydání: | 2016 |
| Předmět: |
Orthopedic surgery
musculoskeletal diseases 030222 orthopedics Labrum medicine.medical_specialty business.industry Glenohumeral instability medicine.medical_treatment 030229 sport sciences Limiting medicine.disease Surgery 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Bankart lesion Technical Note Lateral Decubitus Position Medicine Orthopedics and Sports Medicine Bankart repair business RD701-811 Suture anchors |
| Zdroj: | Arthroscopy Techniques, Vol 5, Iss 5, Pp e1121-e1128 (2016) |
| ISSN: | 2212-6287 |
| DOI: | 10.1016/j.eats.2016.06.003 |
| Popis: | The Bankart lesion, in which the anteroinferior labrum is detached from the glenoid, is the critical anatomic lesion in the majority of patients with anterior glenohumeral instability. Some patients with anterior glenohumeral instability will have Bankart lesions with posterior extension beyond the 6-o'clock position, and achieving anatomic labral repair in these cases can present a technical challenge. In our experience, the lateral decubitus position and use of accessory portals allow superior visualization of the inferior half of the glenohumeral joint for glenoid and labral preparation, anchor placement, and suture management. The use of double-loaded suture anchors at the inferior glenoid provides multiple points of fixation at this challenging location while limiting the number of anchors required. The purpose of this article is to present a simple and reproducible technique for arthroscopic repair of Bankart lesions with posterior extension, emphasizing the use of accessory 5-o'clock trans-subscapularis and 7-o'clock portals. |
| Databáze: | OpenAIRE |
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