Proper insertion angle is essential to prevent intra-articular protrusion of a knotless suture anchor in shoulder rotator cuff repair.
The advent of new arthroscopic devices has led to the development of novel techniques of arthroscopic rotator cuff repair. However, failure to recognize specific technical aspects and improper application of these devices can lead to complications. We report a case of intra-articular protrusion of knotless anchors (PEEK PushLock SP, 4.5 x 18.5 mm; Arthrex, Naples, FL), used in the lateral row of a suture-bridging technique for arthroscopic rotator cuff repair. This case draws attention to the increased length of such devices when compared with traditional suture anchors, the technical aspects of proper device use, the possible patient-related factors such as implant-patient size mismatch, and the importance of additional imaging for the investigation of failure to progress postoperatively.
Wong
Andrew S
AS
Allegheny Hand Center and Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
Kokkalis
Zinon T
ZT
Schmidt
Christopher C
CC
D003646:Debridement / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D053441:Suture Anchors; D013537:Sutures / Q000009:adverse effects*; D016896:Treatment Outcome