Arthroscopic Fixation of Acute Bony Bankart Fractures Using Circumferential Suture Cerclage With a Transglenoid Technique.

Abstract

Bony Bankart anterior glenoid rim fractures typically result from traumatic anterior shoulder instability. Management options include nonoperative treatment, open reduction and internal fixation, and arthroscopic fixation. Treatment selection varies based on fracture size, displacement, comminution, and chronicity, as well as patient-specific factors. Arthroscopic fixation has shown similar functional outcomes with lower morbidity when compared with open techniques. The purpose of this technical note is to describe a reproducible arthroscopic technique for anterior glenoid fracture reduction and fixation using a suture cerclage construct. This method uses metal-free, robust suture cerclage fixation to capture and reduce the fracture via guided bone tunnels.