{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:18:24Z","timestamp":1789474704046,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100002569","name":"Wonkwang University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002569","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aims of this study were to evaluate the incidence of anchor penetration of the far cortex of the glenoid neck after arthroscopic Bankart repair and to compare the biomechanical properties of anchors in the 4\u2010 and 5:30\u2010 to 6\u2010o'clock positions on the glenoid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve (6 matched pairs) fresh\u2010frozen human cadaveric shoulders were used to simulate arthroscopic Bankart repair in the lateral decubitus position. The most inferior anchor (5:30 to 6 o'clock) and that above it (4 o'clock) were inserted via the anteroinferior portal on the glenoid using the standard technique. After both anchor insertions, anchor perforation of the glenoid far cortex was identified. Biomechanical properties were measured to determine cyclic displacement of anchors at 100 and 500 cycles, stiffness, yield load, and ultimate failure strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 12 suture anchors (100%) at 5:30 to 6 o'clock penetrated throughout the far cortex, whereas only 4 anchors (33%) at 4 o'clock did so (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .005). The mean distance the anchor tip traveled into far cortex was significantly longer at 5:30 to 6 o'clock than at 4 o'clock (6.8 \u00b1 1.6 mm\n                      <jats:italic>v<\/jats:italic>\n                      2.0 \u00b1 1.6 mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001). In terms of mechanical strength, anchors at 5:30 to 6 o'clock had greater 100\u2010 and 500\u2010cycle mean displacements than those at 4 o'clock (3.0 \u00b1 0.5 mm\n                      <jats:italic>v<\/jats:italic>\n                      2.5 \u00b1 0.3 mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .018 for 100 cycles; 3.5 \u00b1 0.7 mm\n                      <jats:italic>v<\/jats:italic>\n                      2.8 \u00b1 0.3 mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .018 for 500 cycles), although no differences in ultimate failure strength after cyclic loading were found between 2 positions (133.4 \u00b1 40.3 and 133.7 \u00b1 29.2 N, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .985).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For arthroscopic Bankart repair, insertion of the most inferior anchor via the anteroinferior portal with standard technique, in the lateral decubitus position, carries a high risk of perforating the inferior far cortex of the glenoid (100% in our study). This may result in mechanical weakness of the most inferior repair specifically in the early postoperative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Perforation of the glenoid far cortex by the most inferior anchor and its mechanical weakness should be taken into consideration. Further study is needed to improve surgical technique to place the most inferior anchor in an optimal position by arthroscopy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2012.08.013","type":"journal-article","created":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T22:48:40Z","timestamp":1356734920000},"page":"31-36","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"title":["Inferior Anchor Cortical Perforation With Arthroscopic Bankart Repair: A Cadaveric Study"],"prefix":"10.1002","volume":"29","author":[{"given":"Tae Kang","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Wonkwang University Sanbon Hospital Gunpo Gyeonggi\u2010do Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Hwan","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Seoul Medical Center Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Hak","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery School of Medicine Center for Joint Diseases and Rheumatism Kyung Hee University Hospital at Gangdong Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Soo","family":"Shon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Medical Center Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Soo","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Medical Engineering Jungwon University Goesan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Won Hah","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Samsung Medical Center Sungkyunkwan University School of Medicine Seoul 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}