Table 2.

Pearls and Pitfalls of DAGHT in ABER Position During ABR for the Dominant Side in Overhead-Throwing Athletes

Pearls -Careful checking of the site of the suture passage in the ABER position to avoid overtightening the capsule when repairing the anterior to the anterosuperior glenohumeral capsular ligaments -Avoiding creation of too many "bumpers" because of overtightening -The anterior superior capsule, including the MGHL, is visible in the ABER position, but not in the resting position. -Adequate postoperative rehabilitation to avoid external rotation deficits Pitfalls -The conventional suture position (resting position) may fail to recognize when the capsulolabral complex is anteriorly displaced from the glenoid edge, leading to an improper suture site and overtightening of the capsule. -Creating too many “bumpers” reduces the range of motion -Inappropriate rehabilitation

ABER, abduction and external rotation; ABR, arthroscopic Bankart repair; DAGHT, dynamic anterior glenohumeral capsular ligament tensioning; MGHL, middle glenohumeral ligament.