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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
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      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">f2</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/f2</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Placing Knotless Suture Anchor Through Mid-Glenoid Portal</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Provencher</surname>
            <given-names id="Hyl6uixL6b">Matthew Provencher MD</given-names>
          </name>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <label id="Hyht1gnq">Massachusetts General Hospital</label>
      </aff>
      <pub-date pub-type="ppub">
        <year>2024</year>
      </pub-date>
      <volume>2024</volume>
      <issue>11</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license xlink:href="https://jomi.com/license">
          <license-p>
            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
          </license-p>
        </license>
      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/f2/placing-knotless-suture-anchor-through-mid-glenoid-portal">Content is available at https://jomi.com/article/f2/placing-knotless-suture-anchor-through-mid-glenoid-portal</self-uri>
      <abstract>
        <p>Optimal portal placement for arthroscopic shoulder stabilization procedures can significantly aid a surgeon’s visualization during the repair as well as suture anchor placement. A percutaneous knotless anchor insertion kit used through a mid-glenoid portal allows the surgeon to access positions on the glenoid rim that are commonly difficult to reach. Moreover, the knotless kit has the ability to save valuable time during arthroscopic stabilization procedures and also eliminates the risk of postoperative knot impingement. The mid-glenoid portal should be made approximately 1 cm lateral from the joint line of the humeral head and 2–3 cm inferior and 1–2 cm medial from the posterolateral acromial angle. This portal placement avoids injury to the labrum and should be determined after assessing both the thickness of the local soft tissues and the size of the relevant bony architecture. A hole for the knotless anchor should be drilled approximately 1–2 mm onto the face of the glenoid, and the labral tape is then passed a short distance through the eyelet of the knotless fixation device before the construct is inserted into the glenoid. A hemostat is used to hold the tape as it is placed into the drill hole, and a mallet is used to drive the interference portion of the plastic implant to a marked depth. Finally, once the suture anchor is securely affixed, the insertion device is unloaded and pulled out of the portal with 6 counterclockwise turns.</p>
      </abstract>
      <kwd-group>
        <kwd>Shoulder</kwd>
        <kwd>Knotless</kwd>
        <kwd>Suture</kwd>
        <kwd>Anchor</kwd>
        <kwd>Mid-Glenoid</kwd>
        <kwd>Portal</kwd>
        <kwd>Percutaneous</kwd>
        <kwd>Kit</kwd>
        <kwd>Labrum</kwd>
        <kwd>Arthroscopic</kwd>
        <kwd>N/A</kwd>
        <kwd>Advanced</kwd>
        <kwd>NA</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>