Arthroscopic Bankart repair

Anterior shoulder instability usually results from traumatic events with the arm in a position of abduction and external rotation. The most consistent anatomic finding is the Bankart lesion, which consists of disruption of the anterior capsulolabral ligamentous structures from the glenoid. Anatomic and biomechanical studies have identified the anterior inferior glenohumeral ligament as the major static stabilizer of anterior instability. The open Bankart repair is the gold standard for procedures to restore stability and function to the shoulder. With technologic advancements and the need to contain the costs of health care, alternative procedures have been developed. Arthroscopic Bankart repair reduces intraoperative and postoperative complications as well as rehabilitation time in order to return patients to their preoperative level of activity. The TAG suture anchor technique is an arthroscopic procedure designed to match the complication rates of the open procedure while reducing complications related to permanent implants adjacent to the glenohumeral joint.