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Ariadne's Thread: An Easy Way to Find Your Way Back to the Glenohumeral Joint Through the Posterior Portal Once You Have Left


Bouaicha, Samy; Wieser, Karl; Grubhofer, Florian (2018). Ariadne's Thread: An Easy Way to Find Your Way Back to the Glenohumeral Joint Through the Posterior Portal Once You Have Left. Arthroscopy Techniques, 7(11):e1231-e1234.

Abstract

Finding the way back into the glenohumeral space after a time-consuming rotator cuff reconstruction is not always easy because of swelling of the surrounding soft tissues. We present a safe and quick technical tip on how to reintroduce the arthroscope by means of a transarticular suture. After primary work in the glenohumeral space is performed and before the arthroscope is withdrawn from the joint, a monofilament suture is channeled from the anterior working portal through the glenohumeral joint to exit from the posterior portal. Once the subacromial reconstruction of the posterosuperior cuff tear is finished and the surgeon wants to re-establish the posterior portal to the glenohumeral space to assess the reconstruction intra-articularly, the channeled suture limb can be used to re-enter the posterior portal and to find the way back into the glenohumeral joint without harming the reconstruction. This fast and easy tip might be helpful for any arthroscopic shoulder surgeon who wants to reassess the glenohumeral space at the end of a procedure on a regular basis without losing time or his or her nerve and who wants to prevent additional damage to the posterior soft tissues.

Abstract

Finding the way back into the glenohumeral space after a time-consuming rotator cuff reconstruction is not always easy because of swelling of the surrounding soft tissues. We present a safe and quick technical tip on how to reintroduce the arthroscope by means of a transarticular suture. After primary work in the glenohumeral space is performed and before the arthroscope is withdrawn from the joint, a monofilament suture is channeled from the anterior working portal through the glenohumeral joint to exit from the posterior portal. Once the subacromial reconstruction of the posterosuperior cuff tear is finished and the surgeon wants to re-establish the posterior portal to the glenohumeral space to assess the reconstruction intra-articularly, the channeled suture limb can be used to re-enter the posterior portal and to find the way back into the glenohumeral joint without harming the reconstruction. This fast and easy tip might be helpful for any arthroscopic shoulder surgeon who wants to reassess the glenohumeral space at the end of a procedure on a regular basis without losing time or his or her nerve and who wants to prevent additional damage to the posterior soft tissues.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:November 2018
Deposited On:19 Dec 2018 14:35
Last Modified:24 Sep 2019 23:57
Publisher:Elsevier
ISSN:2212-6287
OA Status:Closed
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1016/j.eats.2018.08.008
PubMed ID:30533373

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