case_images: PMC6387695_01
case_images: Preoperative MRI that was initially read as a Buford complex, but after failed conservative management, the lesion was reevaluated as an anterior inferior labral tear.
case_images: CRIOR2019-4371860.001.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.001.jpg
case_images: fig1
case_images: While the official report described a Buford complex, the abnormal-appearing labrum was located more inferior than the typical Buford complex:consistent with an anterior labral tear (Figure 1).
case_images: Anterior inferior labral injury at the 3 o'clock (a) and 6 o'clock (b) positions.
case_images: CRIOR2019-4371860.002.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.002.jpg
case_images: fig2
case_images: Diagnostic arthroscopy was significant for complete disruption of the labral tissue between the 3 o'clock and 6 o'clock positions (Figures 2(a) and 2(b), respectively).
case_images: Identification of a 6 mm x 8 mm glenolabral articular defect (GLAD).
case_images: CRIOR2019-4371860.003.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.003.jpg
case_images: fig3
case_images: It was also revealed that there was an articular glenoid cartilage lesion measuring 6 mm x 8 mm anteroinferiorly (Figure 3).
case_images: GLAD lesion following arthroscopic debridement of the underlying bony surface.
case_images: CRIOR2019-4371860.004.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.004.jpg
case_images: fig4
case_images: Before the labral repair, the calcified cartilage layer along the anterior-inferior glenoid, beneath the cartilage flap, was gently debrided and removed with an arthroscopic shaver and an arthroscopic curette (Figure 4).
case_images: Primary repair of the GLAD lesion. #2 suture is passed through the cartilage (a) with the fixation being incorporated into anchor constructs of the labral repair.
case_images: CRIOR2019-4371860.005.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.005.jpg
case_images: fig5
case_images: The Nitinol wire was used to shuttle #2 FiberWire though the cartilage flap, around the labrum, and through the capsular tissues to establish 3 fixation points (Figures 5(a) and 5(b)).
case_images: Final repair of the anterior inferior labrum and GLAD lesion.
case_images: CRIOR2019-4371860.006.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.006.jpg
case_images: fig6
case_images: This construct restored tension to the anterior band of the inferior glenohumeral ligament, recreated the anteroinferior labral bumper, and effectively reduced the cartilage flap/GLAD lesion to the anterior inferior glenoid (Figures 6(a) and 6(b)).
case_images: Coronal (a) and axial (b) MRI performed 5 months postoperative due to traumatic injury reveals a Hill-sachs lesion. After nonconservative treatment resulted in improvement, the patient was instructed to follow-up only as needed.
case_images: CRIOR2019-4371860.007.jpg
case_images: PMC6387695_01_CRIOR2019-4371860.007.jpg
case_images: fig7
case_images: An MRI was performed which revealed an intact GLAD lesion repair and labral repair (Figures 7(a) and 7(b), respectively).