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The American Journal of Sports Medicine 33:1918-1923 (2005)
© 2005 American Orthopaedic Society for Sports Medicine

Basic Science Update

Suture Anchors and Tacks for Shoulder Surgery, Part 1

Biology and Biomechanics

Edward G. McFarland, MD*, Hyung Bin Park, MD, Ekavit Keyurapan, MD, Harpreet S. Gill, MD and Harpal S. Selhi, MD

From the Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland

* Address correspondence to Edward G. McFarland, MD, c/o Elaine P. Henze, Medical Editor, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, #A672, Baltimore, MD 21224-2780 (e-mail: ehenze1{at}jhmi.edu).

The development and successful clinical application of suture anchors and tacks have revolutionized the surgeon’s ability to secure soft tissues to bone via open or arthroscopic surgical techniques. When used carefully and with proper technique, these devices provide viable options for the repair and reconstruction of many intra-articular and extra-articular abnormalities in the shoulder, including rotator cuff tears, shoulder instability, and biceps lesions that require labrum repair or biceps tendon tenodesis. Like many technologies, however, the successful application of these devices requires an understanding of the biology and biomechanics that affect their use in the shoulder as well as knowledge of the factors that can affect subsequent clinical outcomes, including complications.

Key Words: shoulder • anchors • fixation • rotator cuff • instability • labrum






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