{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:49:29Z","timestamp":1773611369899,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Advancing technology, improved instrumentation, and a desire to address intra\u2010articular pathology with a minimally invasive approach have driven the expansion of arthroscopic shoulder surgery in the past 2 decades. Proponents cite greatly improved visualization, lack of the need to perform a capsulotomy, fewer subscapularis issues postoperatively, and improved access to the entire glenohumeral joint. Our understanding and recognition of glenohumeral joint pathology have improved, and our ability to appropriately treat it has also improved. Aside from the anteroinferior and superior capsulolabral injury, orthopaedic surgeons have encountered and are able to address combined lesions, posterior labral tears, 270\u00b0 to 360\u00b0 labral tears, capsular laxity, humeral avulsion of the glenohumeral ligaments, associated glenoid or humeral bone loss, and partial\u2010thickness rotator cuff tears. To adequately address the extent of pathology encountered in a shoulder instability case, access to the inferior, posteroinferior, and posterior aspects is necessary. In this technical article we present a simplified approach using safe access points by dividing the glenohumeral joint into 4 quadrants that allows for ease of instrumentation and implant placement. This will provide a blueprint for the treatment of capsulolabral injuries. In addition to portal selection and location, we will discuss several instruments we believe are advantageous in tissue manipulation and suture management.<\/jats:p>","DOI":"10.1016\/j.arthro.2009.09.019","type":"journal-article","created":{"date-parts":[[2010,4,2]],"date-time":"2010-04-02T04:35:21Z","timestamp":1270182921000},"page":"555-562","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Four\u2010Quadrant Approach to Capsulolabral Repair: An Arthroscopic Road Map to the Glenoid"],"prefix":"10.1002","volume":"26","author":[{"given":"Shane T.","family":"Seroyer","sequence":"first","affiliation":[{"name":"Section of Shoulder and Elbow Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Section of Shoulder and Elbow Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew T.","family":"Provencher","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Division of Sports Surgery Naval Medical Center San Diego San Diego California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony A.","family":"Romeo","sequence":"additional","affiliation":[{"name":"Section of Shoulder and Elbow Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,4,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200101"},{"key":"e_1_2_3_3_1","first-page":"412","volume-title":"Operative arthroscopy","author":"Mazzocca 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}