Glenoid labrum articular disruption (GLAD) lesions are an uncommon concomitant injury associated with labral tears, occurring\nin 1.5-2.9% of cases. In previous reported cases, the articular lesion is debrided during repair of the labral injury, which may\npredispose patients to osteoarthritis, a longitudinal complication seen in articular debridement of the hip. We report the case of\na 15-year-old healthy adolescent male swimmer who sustained a labral injury with a concomitant GLAD lesion. During\noperative management, three Polyetheretherketone (PEEK) SutureTaks were placed on the glenoid. #2 FiberWire was used to\nimbricate capsular tissue, passed beneath the labrum, and was then subsequently advanced through the fibrous rim of the\ndisplaced cartilage flap/GLAD lesion at the site of each suture anchor. This construct restored tension to the anterior band of\nthe inferior glenohumeral ligament, recreated the anteroinferior labral bumper, and effectively reduced the cartilage flap/GLAD\nlesion to the anterior inferior glenoid. By six months postoperatively, the patient demonstrated near-normal function with full\nrange of motion and evidence of a stable construct on MRI. Unlike previously described cases, this is the first report of a hybrid\ntechnique that simultaneously performed a primary repair of both labral and articular injuries without the use of additional\nimplants for the articular lesion. Primary repair of the labral and articular lesions should provide longitudinal benefit to the\npatient by reducing the risk of developing glenohumeral osteoarthritis.
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