Arthroscopic repair of combined labral lesions

The recognition of combined lesions of the glenoid labrum is increasing. These lesions are associated with instability in at least one direction and may be the result of untreated Bankart or reverse Bankart lesions. Although the diagnosis can often be made by physical examination and magnetic resonance imaging, combined lesions can be discovered intraoperatively in patient with suspected anterior or posterior instability. The general approach to the lesions is to repair the labral tears in a systematic fashion allowing ease of access to the glenoid. The goal of this article is to present our approach and share some technical steps that may facilitate this repair procedure.