Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticlesComplications of metallic suture anchors in shoulder surgery: A report of 8 cases*
Section snippets
Methods
This study is a retrospective review of patients referred to our institution for evaluation of a failed index reconstructive procedure about the shoulder in which suture anchors were used to repair the specific pathology. Eight patients seen over a 7-year period formed the database for this study (see Table 1).Patient Sex Age (yr) Injury (Date) Initial Diagnosis Operation 1 (Date) Operation 2 (Date) Seen Here Time to Presentation Comment A.D. M 48 Fall at work (1/15/97) RCT Open RCT
Results
On average, 5.4 suture anchors per shoulder (range, 3 to 8) were used. In the 4 patients with glenoid anchors only, 3 patients had an extraosseously positioned device. The position was either intra-articular or between the scapula and subscapularis muscle (Fig 1).When more than 3 anchors were used in
Discussion
The use of metallic suture anchors about the shoulder is commonplace, being greatly advanced by arthroscopic and open shoulder reconstructive techniques. Placing suture anchors in open Bankart repairs has been performed in an attempt to simplify the classic technique of drill holes and suture repair. Nonetheless, the need to repair the inferior glenohumeral ligament (IGHL) to the glenoid edge requires placing suture anchors near the glenoid rim and, by default, near the glenoid surface.
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Address correspondence and reprint requests to Robert C. Schenck, Jr., M.D., Sports Medicine Section, Univeristy of New Mexico Health Science Center, ACC-2W, Albuquerque, NM 87131-5296, U.S.A. E-mail: [email protected]