TechniquesAdequate Mobilization of the Inferior Glenohumeral Ligament-labrum Complex During Arthroscopic Bankart Repair: the “Suction-reduction” SignSchwab, Joseph M. MD; Jager, Zachary BS; Grindel, Steven I. MDAuthor Information Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI Disclosures: none. Sources of Support: none. Reprints: Steven I. Grindel, MD, Department of Orthopaedic Surgery, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 (e-mail: [email protected]). Received for publication April 28, 2009; accepted July 14, 2009 Techniques in Shoulder and Elbow Surgery: December 2009 - Volume 10 - Issue 4 - p 138-139 doi: 10.1097/BTE.0b013e3181b76c56 Buy Metrics Abstract Arthroscopic repair of Bankart lesions is a safe and effective surgical procedure that is commonly performed. Crucial to the success of the repair is anatomic restoration of the inferior glenohumeral ligament-labrum complex. Without anatomic restoration of this complex the risk of recurrent shoulder instability may be increased. Current techniques for assessing adequate mobilization of the inferior glenohumeral ligament-labrum complex include the use of graspers that may apply varying amounts of force to position the tissue. The use of graspers may increase trauma to the capsulolabral complex. This article describes a simple, atraumatic technique that helps determine adequate capsulolabral complex mobilization during arthroscopic repair of Bankart lesions. This technique does not require any additional expensive equipment beyond a normal shoulder arthroscopy setup. Furthermore, this technique provides another way to verify proper anatomic positioning when placing suture anchors. This technique has been used successfully in more than 30 patients undergoing arthroscopic repair of Bankart lesions. © 2009 Lippincott Williams & Wilkins, Inc.