{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T01:15:49Z","timestamp":1788225349111,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Treatment options for severe glenoid bone defects caused by recurrent anterior shoulder instability include autologous coracoid transfer and bone graft reconstruction. The effect of bone\u2010grafting techniques is satisfactory, and the fixation methods for the bone block include screws or suture buttons. However, problems caused by metal plants and high bone resorption rates are a serious concern. In addition, the current anchor suture fixation technique is prone to unstable fixation and bone block rotation. Therefore, we describe an arthroscopic technique for severe glenoid bone defects that use autologous iliac bone grafting, combined with labrum anchors and pulley knot to fix the bone block, known as the \u201c3\u2010pulley 4\u2010point antirotation suture anchor technique.\u201d Four labrum suture anchors are placed on the upper and lower edges of the glenoid defect to form 4 force points (4\u2010point fixation), and the pulley technique is used for knotting to make the fixation more secure and solve the problem of easy rotation.<\/jats:p>","DOI":"10.1002\/atn2.70233","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:58:40Z","timestamp":1788224320000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Iliac Crest Bone Grafting for Shoulder Glenoid Defect Augmentation Using a \u201cThree\u2010Pulley Four\u2010Point Antirotation\u201d Suture Anchor Technique"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7809-2625","authenticated-orcid":false,"given":"Li","family":"Gong","sequence":"first","affiliation":[{"name":"Sports Medicine Department Jiangxi University of Traditional Chinese Medicine Affiliated Hongdu Hospital  Jiangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiming","family":"Hou","sequence":"additional","affiliation":[{"name":"Sports Medicine Department Jiangxi University of Traditional Chinese Medicine Affiliated Hongdu Hospital  Jiangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Zhou","sequence":"additional","affiliation":[{"name":"Sports Medicine Department Jiangxi University of Traditional Chinese Medicine Affiliated Hongdu Hospital  Jiangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoyong","family":"Fan","sequence":"additional","affiliation":[{"name":"Sports Medicine Department Jiangxi University of Traditional Chinese Medicine Affiliated Hongdu Hospital  Jiangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangshen","family":"Hu","sequence":"additional","affiliation":[{"name":"Sports Medicine Department Jiangxi University of Traditional Chinese Medicine Affiliated Hongdu Hospital  Jiangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3276-2715","authenticated-orcid":false,"given":"Ming","family":"Zhou","sequence":"additional","affiliation":[{"name":"Sports Medicine Department Jiangxi University of Traditional Chinese Medicine Affiliated Hongdu Hospital  Jiangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.arthro.2013.10.004","article-title":"Evolving concept of bipolar bone loss and the Hill\u2010Sachs lesion: From \u201cengaging\/non\u2010engaging\u201d lesion to \u201con\u2010track\/off\u2010track\u201d lesion","volume":"30","author":"Di Giacomo G","year":"2014","journal-title":"Arthroscopy."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"2795","DOI":"10.1177\/0363546519871896","article-title":"Management of the failed Latarjet procedure: Outcomes of revision surgery with fresh distal tibial allograft","volume":"47","author":"Provencher MT","year":"2019","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1177\/03635465231188530","article-title":"Arthroscopic Latarjet versus arthroscopic free bone block procedures for anterior shoulder instability: A proportional meta\u2010analysis comparing recurrence, complication, and reoperation rates","volume":"52","author":"Cozzolino A","year":"2024","journal-title":"Am J Sports 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Shoulder Elbow Surg."},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"1882","DOI":"10.1016\/j.arthro.2023.11.020","article-title":"Screw fixation for the Latarjet procedure may reduce risk of recurrent instability but increases reoperation rate compared to suture\u2010button fixation: A systematic review","volume":"40","author":"Maguire JA","year":"2024","journal-title":"Arthroscopy."},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1016\/j.arthro.2023.10.021","article-title":"Suture button fixation in Latarjet has similar load to failure and clinical outcomes but lower bone resorption compared with screw fixation: A systematic review","volume":"40","author":"Hali NZ","year":"2024","journal-title":"Arthroscopy."},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1016\/j.arthro.2023.11.035","article-title":"Editorial Commentary: Suture button fixation for the Latarjet procedure is superior to screw fixation","volume":"40","author":"Chakrabarti MO","year":"2024","journal-title":"Arthroscopy."},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"e1817","DOI":"10.1016\/j.eats.2022.06.019","article-title":"Arthroscopic anterior glenoid bone grafting for shoulder instability using an interconnected suture anchor technique","volume":"11","author":"Ameziane Y","year":"2022","journal-title":"Arthrosc Tech."},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"e1955","DOI":"10.1016\/j.eats.2023.07.014","article-title":"Arthroscopic bone block cerclage suture fixation of fresh distal tibial allograft for anterior glenoid reconstruction","volume":"12","author":"Kelly SR","year":"2023","journal-title":"Arthrosc Tech."},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s12178-024-09895-x","article-title":"Sutures, screws, buttons, and anchors: A review of current bone graft fixation devices for glenoid bone loss in the unstable shoulder","volume":"17","author":"Rosenow CS","year":"2024","journal-title":"Curr Rev Musculoskelet Med."},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"2858","DOI":"10.1177\/03635465231188976","article-title":"Primary stability and bone contact loading evaluation of suture\u2010 and screw\u2010based coracoid graft fixation for anterior glenoid bone loss","volume":"51","author":"Ritter D","year":"2023","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"100726","DOI":"10.1016\/j.asmr.2023.04.010","article-title":"Screw\u2010related complications may occur at a greater rate after arthroscopic versus open Latarjet procedure: A systematic review","volume":"5","author":"Lacouture\u2010Suarez JD","year":"2023","journal-title":"Arthrosc Sports Med Rehabil."},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1016\/j.jse.2012.02.008","article-title":"Complications associated with open coracoid 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