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Arthroscopic Reverse Remplissage for Posterior Instability.

ABSTRACT: Posterior shoulder dislocation is an unusual injury often associated with electrical shock or seizure. As with anterior instability, patients frequently present with an impaction injury to the anterior aspect of the humeral head known as a "reverse Hill-Sachs lesion." The treatment of this bony defect is controversial, and multiple surgical procedures to fill the defect in an effort to decrease recurrence have been described. Most of the reports have focused on an open approach using variations of lesser tuberosity and subscapularis transfers, bone allograft, and even arthroplasty to assist with persistent instability. We advocate an arthroscopic technique that involves a suture anchor-based distal tenodesis of the subscapularis tendon or a reverse remplissage procedure.

SUBMITTER: Lavender CD

PROVIDER: S-EPMC4809750 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature

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Arthroscopic Reverse Remplissage for Posterior Instability.

Lavender Chad D CD Hanzlik Shane R SR Pearson Sara E SE Caldwell Paul E PE

Arthroscopy techniques 20160118 1

Posterior shoulder dislocation is an unusual injury often associated with electrical shock or seizure. As with anterior instability, patients frequently present with an impaction injury to the anterior aspect of the humeral head known as a "reverse Hill-Sachs lesion." The treatment of this bony defect is controversial, and multiple surgical procedures to fill the defect in an effort to decrease recurrence have been described. Most of the reports have focused on an open approach using variations ...[more]

PMID: 27073776

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