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Arthroscopic repair of a chondrolabral lesion associated with anterior glenohumeral dislocation
Chondrolabral lesions are uncommon after anteroinferior glenohumeral dislocations. This report describes a new dual-lesion complex that involved an avulsion of the anteroinferior glenoid labrum and a flap tear of the adjacent articular cartilage [glenoid labral tear and articular cartilage flap (GLAF) lesion]. The chondral component involved a large undermined region of the anterior half of the lower glenoid articular cartilage, and the labral component involved an avulsion from the 2.30–6 o’clock position on the glenoid. The labral tear was reconstructed with 3 suture anchors to form a neo-labrum in an attempt to overlap and stabilize the periphery of the chondral flap. A meniscal repair device was used to place a mattress stitch in the cartilage periphery to further stabilize the flap. This technique resulted in a secure repair without any chondral damage, and this remained intact on an MRI performed at a 3-month follow-up. A final 12-month follow-up showed complete recovery, as assessed by the Oxford shoulder instability score and Rowe score, and by a return to the pre-injury sporting level.
History
Journal
Knee surgery, sports traumatology, arthroscopyVolume
18Issue
12Pagination
1748 - 1751Publisher
SpringerLocation
Heidelberg, GermanyPublisher DOI
ISSN
0942-2056eISSN
1433-7347Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2010, Springer-VerlagUsage metrics
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