Chapter 3 Instability

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CHAPTER 3 | Instability

3.5-mm SwiveLock anchors (Arthrex, Inc., Naples, FL) (Fig. 3-103A, B). This repair construct was quite robust (Fig. 3-104A, B). ■ It should be noted that a satisfactory angle of approach for anchor placement through the posteroinferior portal was achieved by adjusting the rotation of the shoulder and the abduction angle to obtain a more direct approach to the bone. FIGURE 3-102  Right shoulder, posterior viewing portal. A free FiberWire (Arthrex, Inc., Naples, FL) suture is passed antegrade with a Labral Scorpion suture passer (Arthrex, Inc., Naples, FL). P, Posteroinferior capsule.

■ After debridement of capsular edges, the underlying muscle was clearly visible (Fig. 3-101). ■ Sutures were passed with an antegrade suture passer (Fig. 3-102) through the capsule. They were then secured to the bone bed on the inferior aspect of the humeral head in knotless fashion with FIGURE 3-101  Right shoulder, posterior viewing portal. After debridement of the capsular margins as well as bone bed preparation, it is clear that the HAGL lesion extends from 5:30 to 6:30.

FIGURE 3-103  Posterior viewing portal. Fixation of sutures to bone. A: The eyelet of a SwiveLock C suture anchor (Arthrex, Inc., Naples, FL) has been loaded with four capsular suture limbs and is visible as it is about to be inserted into its bone socket. B: The suture anchor body (*) is visible as the anchor is inserted into the bone. P, Posteroinferior capsule.