Table 1.

Pearls and Pitfalls

Pearls	Pitfalls
The lateral decubitus position allows improved visualization of the glenoid and improved access to the ipsilateral ICBG harvest site.	Decreased visualization will lead to difficulty in glenoid preparation and bone block application of the anterior glenoid and posterior labrum.
The PL portal is created parallel to the glenoid.	A PL portal that is not parallel to the glenoid will not allow appropriate creation of the far anterior-medial (transpectoral) portal and will lead to difficult graft positioning.
A bleeding bed is created on the anterior glenoid neck for optimal bone-to-bone fixation and healing.	Inadequate anterior glenoid preparation may lead to poor healing.
Dissection of the rotator interval is performed to expose key structures.	Inadequate dissection of the coracoid, conjoint tendon, and borders of the subscapularis will lead to difficulty in graft passage and increased risk to the musculocutaneous and axillary nerves.
The bone block is recessed by 1-2 mm from the glenoid face.	A proud bone block may lead to abnormal contact forces on the humeral head.
Revision Bankart repair is performed to create an extra-articular graft.	An intra-articular graft may lead to deleterious contact of the humeral head on the non-chondral surface of the ICBG.

ICBG, iliac crest bone graft; PL, posterolateral.