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Arthroscopic repair of humeral avulsion of glenohumeral ligament lesion : anterior and posterior techniques

Page, Richard S. and Bhatia, Deepak N. 2009, Arthroscopic repair of humeral avulsion of glenohumeral ligament lesion : anterior and posterior techniques, Techniques in hand and upper extremity surgery, vol. 13, no. 2, pp. 98-103, doi: 10.1097/BTH.0b013e3181976ecf.

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Title Arthroscopic repair of humeral avulsion of glenohumeral ligament lesion : anterior and posterior techniques
Author(s) Page, Richard S.ORCID iD for Page, Richard S. orcid.org/0000-0002-2225-7144
Bhatia, Deepak N.
Journal name Techniques in hand and upper extremity surgery
Volume number 13
Issue number 2
Start page 98
End page 103
Total pages 6
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2009-06
ISSN 1089-3393
1531-6572
Keyword(s) glenohumeral ligaments
axillary pouch portal
anteroinferior portal
arthroscopy
shoulder
Summary Humeral avulsion of the inferior glenohumeral ligament complex is an unusual pathology, often implicated in traumatic shoulder instability. Traditional open techniques involve at least partial detachment of the subscapularis, and arthroscopic techniques are limited by neurovascular boundaries. The technique described here presents an anterior and posterior arthroscopic approach that can be used individually or in combination to treat different types of humeral avulsion of the inferior glenohumeral ligament lesions. The anterior approach is based on anatomic guidelines described in the literature. The posterior approach is based on the arthroscopic and cadaveric anatomic studies described by one of the authors (D.N.B.); use of the recently described axillary pouch portal (Bhatia portal) permits safe arthroscopic instrumentation access in the entire inferior glenohumeral recess and provides adequate access to the posteroinferior aspect of the humeral head. The differential mattress stitch technique ensures secure fixation of the avulsed ligaments and eliminates excessive capsular redundancy. Technical tips to avoid complications are discussed, and a detailed rehabilitation protocol is presented.
Language eng
DOI 10.1097/BTH.0b013e3181976ecf
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009, Lippincott Williams & Wilkins
Persistent URL http://hdl.handle.net/10536/DRO/DU:30047413

Document type: Journal Article
Collection: School of Medicine
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