The suspension sling for arthroscopic fixation of SLAP lesions

We describe an arthroscopic technique for SLAP fixation. In most of the cases, the arthroscopic view during a SLAP repair is complicated by the posterior-superior labrum falling into the joint. We insert 2 needles over the supraspinatus portal, which are loaded with a No. l PDS. One needle is inserted under the surface of the posterior-superior labrum and the other over the surface. By using the anterior-superior portal, we can retrieve the 2 sutures and knot them together. By pulling the 2-knot sutures back over the anterior-superior portal, we create a sling and can hold the posterior-superior labrum back. In doing so, we gain an excellent arthroscopic view for preparing the glenoid neck and precise positioning of fixation devices without interfering with the superiorposterior labrum. The technique is easy and safe.