Discussion Labral tears that encompass the inferior hemisphere can be isolated lesions between the 4- and 8-o’clock position (ILAP)9 or can be part of a 270 lesion7 or 360 lesion8 in traumatic multidirectional instability.10 These tears destabilize the inferior labrum along with the corresponding anterior and posterior bands of the inferior glenohumeral ligament, creating multidirectional shoulder instability. Previous studies have shown the importance of diagnosing and incorporating the inferior labral and glenohumeral ligament repair in the surgical reconstruction.7-9 Inferior labral lesions are hard to visualize radiographically; the magnetic resonance imaging appearance is less obvious in comparison with other locations of labral injury, and direct contact with the articular cartilage and the risk of knot migration. This technique can be performed while the patient is in the beach-chair or lateral decubitus position. It is simple and does not add to the complexity level, cost, or surgical time of the currently used techniques. Moreover, the surgeon can easily convert back to traditional techniques at any stage of the surgical procedure if needed.
