Editorial Commentary : Shifting More Than Just the Anterior Capsulolabral Tissue—Changing the Outlook on the Surgical Outcomes of the Anterior Labroligamentous Periosteal Sleeve Avulsions Lesion

Anterior labroligamentous periosteal sleeve avulsions, or "ALPSA" lesions, have been shown to have inferior clinical outcomes in prior literature, often attributed to their increased difficulty in restoration of anatomy at the time of surgery. A challenge to this notion may lie in adherence to specific surgical techniques that allow for restoration of native anatomy, leading to similar imaging and clinical outcomes in the treatment of anterior labroligamentous periosteal sleeve avulsions lesions as compared with standard Bankart tears. The keys to success include adequate visualization, liberation, mobilization, and restoration of the tissue as this is paramount for successful surgical repair and ultimately may lead to improved outcomes.