Arthroscopically Assisted Anterior Bone Block for Shoulder Instability

Background: Shoulder instability is a common complaint, with treatment depending on the severity of bony defect. Advancements in arthroscopic techniques have allowed for less invasive surgery decreased postoperative pain, improved graft placement, and better visualization. Indications: Large defects glenoid require bone block augmentation to reduce recurrent instability. In this presentation, arthroscopically assisted anterior was performed distal tibial allograft address shoulder large Technique Description: The patient placed lateral decubitus position. Standard portals are made. fashioned from allograft. Using guide, drill holes block. guide inserted posterior portal parallel joint surface. sleeves, superior inferior screw drilled metal cannula left place allow shuttling suture. Two anchors capsule labral junction be brought up once place. delivered through dilated reduced. sutures tensioned. A button each set looped sutures, Nice knot into each, tensioning device Once compression achieved, knots tied perform final fixation over buttons. suture passing used grab labrum priorly anchor tied. Results: Arthroscopically has been demonstrated similar clinical radiographic outcomes when compared open treatment. However, Latarjet shown soft tissue disruption possible improvements placement. Discussion/Conclusion: technically demanding but video, we demonstrate an Patient Consent Disclosure Statement: author(s) attests that consent obtained any patient(s) appearing publication. If individual may identifiable, included statement release or other written form approval submission