Why 6 Fingers Are Better Than 5! The Versatility and Utility of the Sixth Finger Knot Pusher in Arthroscopic Shoulder Surgery.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 40936527.
- Also identified by DOI 10.1016/j.eats.2025.103675 and PMC identifier 12420584.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Arthroscopic knot tying in shoulder surgery offers the surgeon versatility and security when performing certain procedures. While knotless techniques have become popular, the young surgeon should develop and maintain their knot-tying skills. The surgeon's knot has been shown to offer the best loop and knot security on testing. The sixth finger knot pusher is a double-lumen knot pusher that permits tying the arthroscopic surgeon's knot, while offering a number of advantages over a traditional knot pusher. Its utility in shoulder surgery, as well as its advantages and disadvantages, are discussed in this Technical Note.
Anatomy
- shoulder