With regard to anterior and inferior labral tears, arthroscopic repairs have demonstrated results similar to those of open repairs but with less soft-tissue dissection. Glenoid bone defects should be carefully examined and considered in preoperative planning. Large glenoid defects should be treated with acute repair or a bone-restoring procedure. A period of immobilization should be utilized after arthroscopic repair. Ligamentous laxity and other risk factors for failure after arthroscopic repair must be considered preoperatively. With regard to superior labral tears, patients who are ≥36 years of age should be considered for other procedures such as a biceps tenodesis or biceps tenotomy. With regard to posterior labral tears, tears may present with pain with or without instability symptoms. Arthroscopic repairs offer substantially less need for dissection and lead to less morbidity when compared with open repairs. Over 90% of athletes treated with posterior labral repair may return to their preoperative level of play.
Copyright remains with the authors and publisher.
With regard to anterior and inferior labral tears, arthroscopic repairs have demonstrated results similar to those of open repairs but with less soft-tissue dissection. Glenoid bone defects should be carefully examined and considered in preoperative planning. Large glenoid defects should be treated with acute repair or a bone-restoring procedure. A period of immobilization should be utilized after arthroscopic repair. Ligamentous laxity and other risk factors for failure after arthroscopic repair must be considered preoperatively. With regard to superior labral tears, patients who are ≥36 years of age should be considered for other procedures such as a biceps tenodesis or biceps tenotomy. With regard to posterior labral tears, tears may present with pain with or without instability symptoms. Arthroscopic repairs offer substantially less need for dissection and lead to less morbidity when compared with open repairs. Over 90% of athletes treated with posterior labral repair may return to their preoperative level of play.
Copyright remains with the authors and publisher.