# Capsulolabral Advancement and “Suture-First” Knot-Less Technique for Chronic Posterior Glenolabral Articular Disruption Lesion of the Shoulder

## TL;DR

This paper introduces a new surgical technique using suture-first knotless anchors to treat chronic posterior shoulder labral lesions.

## Contribution

The novel contribution is a suture-first knotless anchor technique for capsulolabral advancement in chronic posterior GLAD lesions.

## Key findings

- The described technique aims to minimize articular defect exposure and restore glenolabral integrity.
- The method involves capsulolabral advancement and knotless anchors for chronic posterior GLAD lesions.

## Abstract

Glenoid labrum articular disruption (GLAD lesions) have been classically described along the anterior and inferior aspect of the glenoid. Posterior GLAD lesions are a rare variant in which the posterior-inferior glenoid and the labrum are involved. The management of chronic GLAD lesions is challenging and requires removal of loose fibrous tissue, microdrilling, and capsulolabral advancement in order to minimize an exposed articular defect and re-establish glenolabral integrity. We describe a technique of capsulolabral advancement with “suture-first” knotless anchors to manage a case of chronic posterior GLAD lesion of shoulder.