Although suture anchor complications after arthroscopic shoulder surgery are uncommon, they can be devastating, such as articular cartilage or bone loss secondary to a dislodged or prominent suture anchor. Proper insertion of the anchor is the most important factor in the prevention of this complication, but if a complication occurs, prompt recognition and treatment are important to prevent damage to the shoulder. The goals were to (1) discuss strategies for preventing or dealing with dislodged or prominent suture anchors and (2) introduce techniques for removal of these implants.
AthwalGSShridharaniSMO’DriscollSW. Osteolysis and arthropathy of the shoulder after use of bioabsorbable knotless suture anchors: a report of four cases. J Bone Joint Surg Am. 2006;88:1840-1845.
2.
BurkartAImhoffABRoscherE. Foreign-body reaction to the bioabsorbable Suretac device. Arthroscopy. 2000;16:91-95.
3.
BurkhartSS. The deadman theory of suture anchors: observations along a south Texas fence line. Arthroscopy. 1995;11:119-123.
4.
BurkhartSSLoIKYBradyPC. Tricks and tips. In: BurkhartSSLoIKYBradyPC, eds. Burkhart’s View of the Shoulder: A Cowboy’s Guide to Advanced Shoulder Arthroscopy. Philadelphia, Pa: Lippincott Williams & Wilkins; 2006.
5.
BurkheadWZJrHuttonKS. Biologic resurfacing of the glenoid with hemiarthroplasty of the shoulder. J Shoulder Elbow Surg. 1995;4:263-270.
6.
ColeBJProvencherMT. Safety profile of bioabsorbable shoulder anchors. Arthroscopy. 2007;23:912-913.
7.
DeakinMStubbsDBruceWGoldbergJGilliesRMWalshWR. Suture strength and angle of load application in a suture anchor eyelet. Arthroscopy. 2005;21:1447-1451.
8.
EdwardsDJHoyGSaiesADHayesMG. Adverse reactions to an absorbable shoulder fixation device. J Shoulder Elbow Surg. 1994;3:230-233.
9.
HawkinsRB. Arthroscopic stapling repair for shoulder instability: a retrospective study of 50 cases. Arthroscopy. 1989;5:122-128.
10.
KaarTKSchenckRCJrWirthMARockwoodCAJr. Complications of metallic suture anchors in shoulder surgery: a report of 8 cases. Arthroscopy. 2001;17:31-37.
11.
KossSRichmondJCWoodwardJSJr. Two- to five-year followup of arthroscopic Bankart reconstruction using a suture anchor technique. Am J Sports Med. 1997;25:809-812.
12.
LaneJGSachsRARiehlB. Arthroscopic staple capsulorrhaphy: a long-term follow-up. Arthroscopy. 1993;9:190-194.
13.
LehtinenJTTingartMJAprelevaMTickerJBWarnerJJP. Anatomy of the superior glenoid rim: repair of superior labral anterior to posterior tears. Am J Sports Med. 2003;31:257-260.
14.
LevyJCViraniNAFrankleMACuffDPupelloDRHamelinJA. Young patients with shoulder chondrolysis following arthroscopic shoulder surgery treated with total shoulder arthroplasty. J Shoulder Elbow Surg. 2008;17:380-388.
15.
LiporaceFABonoCMCarusoSA. The mechanical effects of suture anchor insertion angle for rotator cuff repair. Orthopedics. 2002;25:399-402.
16.
MageeTShapiroMHewellGWilliamsD. Complications of rotator cuff surgery in which bioabsorbable anchors are used. AJR Am J Roentgenol. 2003;181:1227-1231.
17.
NhoSJProvencherMTSeroyerSTRomeoAA. Bioabsorbable anchors in glenohumeral shoulder surgery. Arthroscopy. 2009;25:788-793.
18.
NicholsonGPGoldsteinJLRomeoAA. Lateral meniscus allograft biologic glenoid arthroplasty in total shoulder arthroplasty for young shoulders with degenerative joint disease. J Shoulder Elbow Surg. 2007;16:S261-S266.
19.
PatederDBParkHBChronopoulosEFayadLMMcFarlandEG. Humeral head osteonecrosis after anterior shoulder stabilization in an adolescent. J Bone Joint Surg Am. 2004;86:2290-2293.
20.
RheeYGHaJH. Knot-induced glenoid erosion after arthroscopic fixation for unstable superior labrum anterior-posterior lesion: case report. J Shoulder Elbow Surg. 2006;15:391-393.
21.
RheeYGLeeDHChunIHBaeSC. Glenohumeral arthropathy after arthroscopic anterior shoulder stabilization. Arthroscopy. 2004;20:402-406.
22.
SassmannshausenGSukayMMairSD. Broken or dislodged poly-L-lactic acid bioabsorbable tacks in patients after SLAP lesion surgery. Arthroscopy. 2006;22:615-619.
SpeerKPWarrenRFPagnaniMWarnerJJP. An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am. 1996;78:1801-1807.
25.
TingartMJBouxseinMLZurakowskiDWarnerJPAprelevaM. Three-dimensional distribution of bone density in the proximal humerus. Calcif Tissue Int. 2003;73:531-536.
26.
WeberSCAbramsJSNottageWM. Complications associated with arthroscopic shoulder surgery. Arthroscopy. 2002;18:88-95.
27.
ZuckermanJDMatsenFAIII. Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am. 1984;66:175-180.
