Arthroscopic repair of a chondrolabral lesion associated with anterior glenohumeral dislocation

Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1748-51. doi: 10.1007/s00167-010-1095-3. Epub 2010 Mar 10.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arthroscopy / methods*
  • Athletic Injuries / complications
  • Athletic Injuries / surgery
  • Cartilage, Articular / injuries
  • Cartilage, Articular / pathology
  • Cartilage, Articular / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Shoulder Dislocation / complications
  • Shoulder Dislocation / surgery*
  • Shoulder Injuries
  • Shoulder Joint / pathology
  • Shoulder Joint / surgery*
  • Suture Anchors*