Table 2.

Pearls and Pitfalls of the Technique

Pearls	Pitfalls
•Computed tomography scans can help to identify best trajectory for button fixation and ensure that the fracture is large enough to take the button	•Keep pump pressure low to prevent fluid extravasation
•Keep the posterior portal medial and superior against the acromion to optimize angle for fracture fixation—this keeps the drill guide parallel to the glenoid and perpendicular to the fracture	•Preplan where to put Bankart anchors. Place these before removing the cannulated drill to protect suture buttons
•Minimize debridement of the capsulolabral complex, as the injury with glenoid fracture/dislocation tends to occur through bone	•Reduce fracture fragment using hook guide and Bankart elevators before drilling tunnel