Dynamic Anterior Stabilization Using Transosseous Bone Tunnel Technique With the Adjustable Loop Length Cortical Button Incorporating High-Strength Suture Augmentation for Recurrent Shoulder Instability

Ayyappan V Nair; Pramod Kumar Mohan; Ajit Jangale; Vikas Kuntwad; M Praveen Kumar; Naresh Goud; Shekhar Sreekumar

doi:10.1016/j.eats.2022.07.007

Dynamic Anterior Stabilization Using Transosseous Bone Tunnel Technique With the Adjustable Loop Length Cortical Button Incorporating High-Strength Suture Augmentation for Recurrent Shoulder Instability

Arthrosc Tech. 2022 Oct 20;11(11):e1929-e1935. doi: 10.1016/j.eats.2022.07.007. eCollection 2022 Nov.

Authors

Ayyappan V Nair¹, Pramod Kumar Mohan¹, Ajit Jangale¹, Vikas Kuntwad¹, M Praveen Kumar¹, Naresh Goud¹, Shekhar Sreekumar¹

Affiliation

¹ Bangalore Shoulder Institute, Bangalore, India.

Abstract

Dynamic anterior stabilization using the long head of the biceps tendon is a recently described technique in the management of recurrent shoulder dislocation with subcritical bone loss. This technique involves the transfer of the long head of the biceps to the glenoid, providing sling and hammock effect. The long head of the biceps (LHB) tendon fixation can be accomplished with a variety of implants. We present a modified fixation technique of LHB tendon using transosseous bone tunnel with the adjustable loop length cortical button, incorporating high-strength suture augmentation device in a patient with recurrent glenohumeral instability with limited glenoid bone loss and an engaging Hill-Sachs defect in the humeral head.