Editorial Commentary: Treatment of Panlabral Shoulder Lesions: The Circle Concept Revisited

Abstract

Shoulder instability is common in athletes. Combined labral injuries are also common and appear more frequently in chronic cases, suggesting propagation of smaller tears with each event. Panlabral tears, or 270 tears, represent an extreme form of this phenomenon. Arthroscopy has allowed for improved appreciation of these combined patterns. Although it is essential to fix all labral lesions identified during arthroscopy, it is also crucial to enter surgical cases with a clear diagnosis (i.e., anterior, posterior, or combined instability) to adequately address symptoms.