Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder
Anterior labroligamentous periosteal sleeve avulsions represent a diagnostic and treatment challenge. They are associated with a higher number of preoperative dislocations, as well as longer chronicity, and commonly result in a scarred and medialized labrum and periosteal sleeve complex. Anterior la...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-04-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720300037 |
| _version_ | 1828146861987332096 |
|---|---|
| author | Philip-C. Nolte, M.D., M.A. Justin W. Arner, M.D. Joseph D. Cooper, M.D. Bryant P. Elrick, M.Sc. Peter J. Millett, M.D., M.Sc. |
| author_facet | Philip-C. Nolte, M.D., M.A. Justin W. Arner, M.D. Joseph D. Cooper, M.D. Bryant P. Elrick, M.Sc. Peter J. Millett, M.D., M.Sc. |
| author_sort | Philip-C. Nolte, M.D., M.A. |
| collection | DOAJ |
| description | Anterior labroligamentous periosteal sleeve avulsions represent a diagnostic and treatment challenge. They are associated with a higher number of preoperative dislocations, as well as longer chronicity, and commonly result in a scarred and medialized labrum and periosteal sleeve complex. Anterior labroligamentous periosteal sleeve avulsion lesions therefore may be commonly overlooked. The complexity of the injury pattern has been associated with double the failure rate of standard Bankart lesions after arthroscopic repair. The purpose of this article is to describe our preferred arthroscopic technique for achieving full mobilization of the labral-periosteal complex and restore it to its anatomic location using a knotless, all-suture anchor construct. |
| first_indexed | 2024-04-11T20:53:04Z |
| format | Article |
| id | doaj.art-b563cad31f5c498182a3381d4f9a373f |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-04-11T20:53:04Z |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-b563cad31f5c498182a3381d4f9a373f2022-12-22T04:03:48ZengElsevierArthroscopy Techniques2212-62872020-04-0194e553e558Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the ShoulderPhilip-C. Nolte, M.D., M.A.0Justin W. Arner, M.D.1Joseph D. Cooper, M.D.2Bryant P. Elrick, M.Sc.3Peter J. Millett, M.D., M.Sc.4Steadman Philippon Research Institute, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.A; The Steadman Clinic, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.A; The Steadman Clinic, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.A; The Steadman Clinic, Vail, Colorado, U.S.A; Address correspondence to Peter J. Millett, M.D., M.Sc., Steadman Philippon Research Institute, The Steadman Clinic, 181 W Meadow Dr, Ste 400, Vail, CO 81657, U.S.A.Anterior labroligamentous periosteal sleeve avulsions represent a diagnostic and treatment challenge. They are associated with a higher number of preoperative dislocations, as well as longer chronicity, and commonly result in a scarred and medialized labrum and periosteal sleeve complex. Anterior labroligamentous periosteal sleeve avulsion lesions therefore may be commonly overlooked. The complexity of the injury pattern has been associated with double the failure rate of standard Bankart lesions after arthroscopic repair. The purpose of this article is to describe our preferred arthroscopic technique for achieving full mobilization of the labral-periosteal complex and restore it to its anatomic location using a knotless, all-suture anchor construct.http://www.sciencedirect.com/science/article/pii/S2212628720300037 |
| spellingShingle | Philip-C. Nolte, M.D., M.A. Justin W. Arner, M.D. Joseph D. Cooper, M.D. Bryant P. Elrick, M.Sc. Peter J. Millett, M.D., M.Sc. Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder Arthroscopy Techniques |
| title | Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder |
| title_full | Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder |
| title_fullStr | Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder |
| title_full_unstemmed | Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder |
| title_short | Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder |
| title_sort | arthroscopic fixation of an anterior labroligamentous periosteal sleeve avulsion alpsa of the shoulder |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720300037 |
| work_keys_str_mv | AT philipcnoltemdma arthroscopicfixationofananteriorlabroligamentousperiostealsleeveavulsionalpsaoftheshoulder AT justinwarnermd arthroscopicfixationofananteriorlabroligamentousperiostealsleeveavulsionalpsaoftheshoulder AT josephdcoopermd arthroscopicfixationofananteriorlabroligamentousperiostealsleeveavulsionalpsaoftheshoulder AT bryantpelrickmsc arthroscopicfixationofananteriorlabroligamentousperiostealsleeveavulsionalpsaoftheshoulder AT peterjmillettmdmsc arthroscopicfixationofananteriorlabroligamentousperiostealsleeveavulsionalpsaoftheshoulder |