Recurrent anterior instability of the shoulder can lead to decreased function and disability. Open repairs of lesions of the anterior inferior labrum have historically been the ‘gold standard’. Past techniques of arthroscopic repairs of anterior inferior labral lesions have had higher rates of recurrent instability compared with open repair. However, with the advent of new techniques and materials, rates of recurrent instability are decreasing and approaching those of open techniques. This article reviews past techniques as well as recent advances. Additionally, the concepts of proper knot security, loop security and appropriate choice of anchors and sutures are reviewed. With use of these techniques and concepts, arthroscopic labral repair with suture anchors and capsulolabral repair can lead to a successful outcome.
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