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

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.