1. Establish portals
A. Posterior portal for viewing
B. Anterior portal
- need to keep low and away from biceps, otherwise difficult to get around biceps
- for suture passage, if in combination with bankart repair often use AI portal instead of AS
Arthroscopic
- intra-articular
- suprapectoral
Open
- suprapectoral
- subpectoral
Concept
Superior labrum anterior & posterior
Injury to superior part of glenoid labrum involving region of biceps tendon insertion
2 groups
1. Young patients
- most common in young males
- fall / trauma
LHB primary function is humeral head depressor
Also accelerate / decelerate arm in overhead sports
Biceps problems usually occur with other pathology
- rotator cuff / instability
3 main problems
1. Degeneration