AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-REPARACION LABRAL ANTERIOR

Video Transcription

Video Summary

The video demonstrates arthroscopic anterior labral repair with the patient in lateral decubitus using a posterior viewing portal and a single low, parallel anterior working portal. After portal dilation and cannula placement to allow curved instruments, the prior lesion is assessed and the labrum is mobilized from the anterior glenoid using a labrotome. A low PDS suture is passed as a traction/transport stitch to lateralize the medialized labrum and facilitate suture passage. The glenoid is prepared, then 2.3‑mm nonmetal anchors are placed starting around the 5 o’clock position. Sutures are shuttled and tied with sliding knots, typically using ≥3 anchors (four here), achieving reduction and a stabilizing “bumper” effect.

Keywords

arthroscopic anterior labral repair

lateral decubitus shoulder arthroscopy

posterior viewing portal

anterior working portal

nonmetal suture anchors