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Arthroscopic Knotless Modified McLaughlin Procedure for Reverse Hill-Sachs Lesions.


ABSTRACT: Posterior shoulder dislocations often are associated with an impression fracture involving the anterior humeral head known as a reverse Hill-Sachs lesion. These injuries can result in significant bone defects that require surgical management to prevent them from engaging the posterior glenoid. We present a modified arthroscopic, knotless McLaughlin procedure (tenodesis of the subscapularis tendon into the bone defect) for the treatment of small-to medium-sized, engaging Hill-Sachs lesions. The knotless fashion aims to eliminate potential problems associated with knot tying, such as knot migration, knot impingement, and chondral abrasion.

SUBMITTER: Bernholt DL 

PROVIDER: S-EPMC6993127 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Arthroscopic Knotless Modified McLaughlin Procedure for Reverse Hill-Sachs Lesions.

Bernholt David L DL   Lacheta Lucca L   Goldenberg Brandon T BT   Millett Peter J PJ  

Arthroscopy techniques 20191218 1


Posterior shoulder dislocations often are associated with an impression fracture involving the anterior humeral head known as a reverse Hill-Sachs lesion. These injuries can result in significant bone defects that require surgical management to prevent them from engaging the posterior glenoid. We present a modified arthroscopic, knotless McLaughlin procedure (tenodesis of the subscapularis tendon into the bone defect) for the treatment of small-to medium-sized, engaging Hill-Sachs lesions. The k  ...[more]

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