{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:29Z","timestamp":1787755349691,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,7,18]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>All-soft suture anchors (ASSAs) are commonly used for shoulder labral repair and capsulorrhaphy in patients with shoulder instability. While these anchors may have some specific advantages over other types of suture anchors, little is known about the prevalence and time-dependence of bone cyst formation and tunnel expansion after implantation of ASSAs. The aim of this study was to quantify the proportions of cyst formation and tunnel expansion around ASSAs and to characterize and test for differences in abnormalities observed at different postoperative time points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirty patients who were treated with arthroscopic shoulder stabilization surgery with ASSAs (1.4 mm; JuggerKnot, Biomet) underwent a computed tomography (CT) scan of the operatively treated shoulder at 1 month (10 patients), 6 months (10 patients), or 12 months (10 patients) postoperatively. Demographic and operative data were collected, and CT scans were evaluated for cyst formation, tunnel expansion, and tunnel volume measured in cubic millimeters. Statistical analyses were performed to detect differences in these outcomes among the follow-up groups. All shoulders were stable at all time points of the study, and there were no incidents of recurrent instability during the study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-one suture anchors were evaluated in 30 patients. Tunnel expansion was identified in the large majority of patients in the 6-month and 12-month follow-up groups, with a significant increase in these proportions compared with the 1-month follow-up group (p = 0.002). Mean tunnel volumes also significantly increased over the study period (p &lt; 0.001). The presence of cyst formation was negligible in all 3 follow-up cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study demonstrated low rates of cyst formation but a significantly increased tunnel volume 6 and 12 months after shoulder labral surgery with ASSAs. There was no association with the initial tunnel location. Additional well-controlled studies with longer follow-up are needed to identify potential associations among tunnel expansion, intraoperative technique, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.01169","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T16:21:19Z","timestamp":1532017279000},"page":"1223-1229","source":"Crossref","is-referenced-by-count":26,"title":["Glenoid Bone Reaction to All-Soft Suture Anchors Used for Shoulder Labral Repairs"],"prefix":"10.2106","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6131-2302","authenticated-orcid":false,"given":"T.","family":"Tompane","sequence":"first","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Carney","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.W.","family":"Wu","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Nguyen-Ta","sequence":"additional","affiliation":[{"name":"University of California, San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Dewing","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Provencher","sequence":"additional","affiliation":[{"name":"The Steadman Clinic, Vail, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"LeClere","sequence":"additional","affiliation":[{"name":"United States Naval Academy, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,7,18]]},"reference":[{"issue":"7","key":"bib1-20230810","doi-asserted-by":"crossref","first-page":"459","DOI":"10.5435\/JAAOS-20-07-459","article-title":"Tissue anchor use in arthroscopic glenohumeral surgery","volume":"20","author":"Diduch","year":"2012","journal-title":"J Am Acad Orthop Surg."},{"issue":"2","key":"bib2-20230810","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s001670050133","article-title":"Recurrent post-traumatic anterior shoulder dislocation\u2014open versus arthroscopic repair","volume":"7","author":"J\u00f8rgensen","year":"1999","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"1","key":"bib4-20230810","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ejrad.2008.02.027","article-title":"MRI of shoulder instability","volume":"68","author":"Steinbach","year":"2008","journal-title":"Eur J Radiol."},{"key":"bib5-20230810","article-title":"Surgical interventions for anterior shoulder instability in adults","volume":"4","author":"Pulavarti","year":"2009","journal-title":"Cochrane Database Syst Rev."},{"issue":"4","key":"bib6-20230810","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/S1058-2746(09)80040-2","article-title":"Adverse reactions to an absorbable shoulder fixation device","volume":"3","author":"Edwards","year":"1994","journal-title":"J Shoulder Elbow Surg."},{"issue":"1","key":"bib7-20230810","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/S0749-8063(00)90134-8","article-title":"Foreign-body reaction to the bioabsorbable Suretac device","volume":"16","author":"Burkart","year":"2000","journal-title":"Arthroscopy."},{"issue":"8","key":"bib8-20230810","doi-asserted-by":"crossref","first-page":"1840","DOI":"10.2106\/JBJS.E.00721","article-title":"Osteolysis and arthropathy of the shoulder after use of bioabsorbable knotless suture anchors. A report of four cases","volume":"88","author":"Athwal","year":"2006","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib9-20230810","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1016\/j.jse.2008.02.014","article-title":"Anchor hole enlargement after arthroscopic Bankart repair using absorbable suture anchors: a report of three cases","volume":"17","author":"Takubo","year":"2008","journal-title":"J Shoulder Elbow Surg."},{"issue":"6","key":"bib10-20230810","doi-asserted-by":"crossref","first-page":"507","DOI":"10.2106\/JBJS.L.00314","article-title":"Complications observed following labral or rotator cuff repair with use of poly-L-lactic acid implants","volume":"95","author":"McCarty","year":"2013","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib11-20230810","first-page":"107","article-title":"Glenoid osteolysis after arthroscopic labrum repair with a bioabsorbable suture anchor","volume":"73","author":"Spoliti","year":"2007","journal-title":"Acta Orthop Belg."},{"issue":"5","key":"bib12-20230810","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1177\/03635465030310050201","article-title":"Poly-L-lactic acid tack synovitis after arthroscopic stabilization of the shoulder","volume":"31","author":"Freehill","year":"2003","journal-title":"Am J Sports Med."},{"issue":"3","key":"bib13-20230810","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1177\/0363546513517538","article-title":"Postoperative imaging of bioabsorbable anchors in rotator cuff repair","volume":"42","author":"Kim","year":"2014","journal-title":"Am J Sports Med."},{"key":"bib14-20230810","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/00003086-200202000-00009","article-title":"Properties of osteoconductive biomaterials: calcium phosphates","volume":"395","author":"LeGeros","year":"2002","journal-title":"Clin Orthop Relat Res."},{"issue":"5","key":"bib15-20230810","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.arthro.2010.11.056","article-title":"Long-term degradation of a poly-lactide co-glycolide\/\u03b2-tricalcium phosphate biocomposite interference screw","volume":"27","author":"Barber","year":"2011","journal-title":"Arthroscopy."},{"issue":"6","key":"bib16-20230810","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.1177\/0363546512441589","article-title":"Bone replacement of fast-absorbing biocomposite anchors in arthroscopic shoulder labral repairs","volume":"40","author":"Milewski","year":"2012","journal-title":"Am J Sports Med."},{"issue":"6","key":"bib17-20230810","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1177\/0363546511417573","article-title":"Complications of bioabsorbable suture anchors in the shoulder","volume":"40","author":"Dhawan","year":"2012","journal-title":"Am J Sports Med."},{"issue":"6","key":"bib18-20230810","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/j.arthro.2009.12.026","article-title":"Material properties and composition of soft-tissue fixation","volume":"26","author":"Suchenski","year":"2010","journal-title":"Arthroscopy."},{"issue":"5","key":"bib19-20230810","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1016\/j.arthro.2013.01.028","article-title":"Cyclic loading biomechanical analysis of the pullout strengths of rotator cuff and glenoid anchors: 2013 update","volume":"29","author":"Barber","year":"2013","journal-title":"Arthroscopy."},{"issue":"5","key":"bib20-20230810","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.arthro.2011.10.024","article-title":"Biomechanical evaluation of classic solid and novel all-soft suture anchors for glenoid labral repair","volume":"28","author":"Mazzocca","year":"2012","journal-title":"Arthroscopy."},{"issue":"8","key":"bib21-20230810","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1016\/j.jse.2013.12.036","article-title":"The histologic and biomechanical response of two commercially available small glenoid anchors for use in labral repairs","volume":"23","author":"Pfeiffer","year":"2014","journal-title":"J Shoulder Elbow Surg."},{"issue":"12","key":"bib22-20230810","doi-asserted-by":"crossref","first-page":"2840","DOI":"10.1177\/0363546517714476","article-title":"Postoperative recurrence of instability due to new anterior glenoid rim fractures after arthroscopic Bankart repair","volume":"45","author":"Nakagawa","year":"2017","journal-title":"Am J Sports Med."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201807180-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:41Z","timestamp":1787751701000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201807180-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,18]]},"references-count":21,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.17.01169","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,18]]}}}