title: Arthroscopic Repair of Inferior Labrum Anterior to Posterior Lesions of the Shoulder Using a Combined "Double-Pulley" Simple Knot Technique.
abstract: Inferior labrum anterior to posterior lesions as an isolated injury or as part of an extensive traumatic labral tear are uncommon and may present as multidirectional instability of the shoulder. These lesions are hard to visualize radiographically and many times are diagnosed only during surgery. Arthroscopic repair of these lesions requires advanced arthroscopic skills and is required for restoration of glenohumeral stability. We report a combined double-pulley simple knot technique that anatomically reconstructs the inferior labrum while overcoming the typical technical challenges, providing a large footprint for healing along the inferior glenoid rim and minimizing the amount of suture material in direct contact with the articular cartilage and the risk of knot migration.
authors.affiliation: Tri-County Orthopedics, Carthage, New York, U.S.A.
authors.forename: Nata
authors.initials: N
authors.lastname: Parnes
authors.affiliation: Tri-County Orthopedics, Carthage, New York, U.S.A.
authors.forename: Maryellen
authors.initials: M
authors.lastname: Blevins
authors.affiliation: Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.
authors.forename: Brian
authors.initials: B
authors.lastname: Carr
authors.affiliation: Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Fort Drum, New York, U.S.A.
authors.forename: Paul
authors.initials: P
authors.lastname: Carey