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The continuity of the labrum with the inferior glenohumeral ligament is thought to be biomechanically significant as detachment of this capsulolabral complex has been involved in glenohumeral instability.
In their description, they combined a Bristow tenodesis with a standard intra-articular Bankart repair to recreate the glenoid concavity and reinforce the inferior glenohumeral ligaments and lower the subscapularis.
Anatomy and function of the glenohumeral ligaments in anterior shoulder instability.
Williams M, Snyder S, Buford D: The Buford Complex--The "cord-like" middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic variant.
In a type VII lesion, the biceps tendon-superior labrum separation extends anteriorly to involve the middle glenohumeral ligament.
22) The inferior glenohumeral ligament is the primary restraint to excess anterior translation of the humerus with the arm in 90[degrees] abduction and maximal external rotation.
8,15) The major goal of arthroscopy is to assess the anterior glenohumeral ligaments and labrum to determine the major direction of instability.
Arthroscopic findings consistent with rotator interval tears are capsular redundancy between the supraspinatus and subscapularis, biceps tendon fraying, superior glenohumeral ligament tears, and fraying of the superior border of the subscapularis.
Static stabilizers include the glenoid labrum and glenohumeral ligaments.
anterior instability may be created with release of the associated glenohumeral ligaments.