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Peer-reviewedCC BYArthroscopy techniques

A Tension-Controlled Arthroscopic Technique for Fixation of a Glenolabral Articular Disruption Lesion in an Overhead Athlete.

7 affiliations
  1. 1Department of Orthopedics Mclaren Oakland Hospital Pontiac Michigan U.S.A.
  2. 2Department of Orthopedics Henry Ford Macomb Hospital Clinton Township Michigan U.S.A.
  3. 3Detroit Orthopaedic Institute PLLC Troy Michigan U.S.A.
  4. 4Michigan State University College of Osteopathic Medicine East Lansing Michigan U.S.A.
  5. 5Oakland University William Beaumont School of Medicine Rochester, New York U.S.A.
  6. 6Wayne State University School of Medicine Detroit Michigan U.S.A.
  7. 7Detroit Medical Center Sports Medicine Fellowship Detroit Michigan U.S.A.

Abstract

Glenolabral articular disruption lesions are rare post-traumatic injuries that occur after shoulder instability events particularly in young, high-demand athletes. Managing these injuries can be challenging especially in overhead athletes who require a degree of physiologic laxity to preserve throwing mechanics. Although various treatment methods have previously been described, literature addressing these injuries in overhead throwers remains limited. We describe a technique in which a manually tensionable knotted anchor is placed at the 6:30 position, reducing the chondrolabral complex with an avoidance of overtensioning the tissue to preserve throwing mechanics. This approach provides stable fixation and anatomic reduction of the chondrolabral tissue while minimizing the risk of overconstraint and can be considered a reliable option for treating these lesions in overhead athletes.

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BibTeX
@article{farner2026tensioncontrolled,
  title = {{A Tension-Controlled Arthroscopic Technique for Fixation of a Glenolabral Articular Disruption Lesion in an Overhead Athlete.}},
  author = {Nathan Farner and Nicholas Zingas and Daria Bradley and Shariff K Bishai},
  journal = {Arthroscopy techniques},
  year = {2026},
  month = oct,
  doi = {10.1002/atn2.70294},
  url = {https://europepmc.org/article/MED/42921114},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - A Tension-Controlled Arthroscopic Technique for Fixation of a Glenolabral Articular Disruption Lesion in an Overhead Athlete.
AU  - Nathan Farner
AU  - Nicholas Zingas
AU  - Daria Bradley
AU  - Shariff K Bishai
PY  - 2026
DA  - 2026/10/23
JO  - Arthroscopy techniques
DO  - 10.1002/atn2.70294
UR  - https://europepmc.org/article/MED/42921114
AB  - Glenolabral articular disruption lesions are rare post-traumatic injuries that occur after shoulder instability events particularly in young, high-demand athletes. Managing these injuries can be challenging especially in overhead athletes who require a degree of physiologic laxity to preserve throwing mechanics. Although various treatment methods have previously been described, literature addressing these injuries in overhead throwers remains limited. We describe a technique in which a manually tensionable knotted anchor is placed at the 6:30 position, reducing the chondrolabral complex with an avoidance of overtensioning the tissue to preserve throwing mechanics. This approach provides stable fixation and anatomic reduction of the chondrolabral tissue while minimizing the risk of overconstraint and can be considered a reliable option for treating these lesions in overhead athletes.
SN  - 2212-6287
ER  -