title: Arthroscopic Posterior Stabilization of the Shoulder Using a Percutaneous Knotless Mattress Suture Technique.
abstract: Posterior shoulder instability is far less common than anterior instability, and its arthroscopic treatment can be technically demanding. We describe a percutaneous arthroscopic technique for posterior shoulder stabilization using mattress sutures and knotless anchors. Spinal needles are used to pass the sutures percutaneously in a mattress fashion. Knotless anchors are used to secure the sutures under the labrum. These anchors can be used without cannulas, giving easier access to the posterior glenoid. This procedure is simple, cost-effective, and safe, avoiding the presence of both knots and suture strands in contact with the humeral head.
authors.affiliation: Shoulder Unit, Department of Orthopaedics, St. George's Hospital, London, England.
authors.forename: Duncan
authors.initials: D
authors.lastname: Tennent
authors.affiliation: Shoulder Unit, Department of Orthopaedics, St. George's Hospital, London, England.
authors.forename: Chiara
authors.initials: C
authors.lastname: Concina
authors.affiliation: Shoulder Unit, Department of Orthopaedics, St. George's Hospital, London, England.
authors.forename: Eyiyemi
authors.initials: E
authors.lastname: Pearse
references.citation: Arthroscopy. 2013 Mar;29(3):485-90
references.pmid: 23317565
references.citation: Arthroscopy. 2012 Oct;28(10):1337-43
references.pmid: 22705299
references.citation: J Bone Joint Surg Am. 2005 Apr;87(4):883-92
references.pmid: 15805222
references.citation: J Shoulder Elbow Surg. 2003 Jul-Aug;12(4):337-41
references.pmid: 12934026
references.citation: Arthroscopy. 2011 Oct;27(10):1422-33
references.pmid: 21872422
references.citation: Am J Sports Med. 2003 Mar-Apr;31(2):203-9
references.pmid: 12642253
references.citation: Am J Sports Med. 2010 Jul;38(7):1413-9
references.pmid: 20522831
references.citation: J Bone Joint Surg Am. 2003 Aug;85(8):1479-87
references.pmid: 12925627