Arthroscopic Modified McLaughlin Procedure and Remplissage for Treatment of Simultaneous Reverse Hill-Sachs and Hill-Sachs Lesions

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2022 Sep 5

PMID 36061462

Authors

Santiago Arauz

David Gonzalez-Martin

Marcelo Quiroga

Pedro Guillen

Affiliations

Soon will be listed here.

Abstract

Hill-Sachs lesions (HSLs) can be present after a primary shoulder dislocation and may go unrecognized; this can alter the necessary bony constraint within the glenohumeral joint. To deal with HSLs, remplissage is a safe procedure with low complication rates, low recurrent instability rates, and good patient outcome scores compared with many of the other alternative techniques. On the other hand, a great number of techniques have been described to treat reverse Hill-Sachs lesions (RHSLs). In this article, we propose a method of treatment for combined simultaneous HSL and RHSL shoulder injuries. However, consensus on a specific treatment is yet to be established. We present an arthroscopic treatment guideline for patients with shoulder instability due to anterior and posterior labral lesions, HSL, and RHSL.

Citing Articles

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References

Martetschlager F, Padalecki J, Millett P . Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion. Knee Surg Sports Traumatol Arthrosc. 2012; 21(7):1642-6. DOI: 10.1007/s00167-012-2237-6. View

Krackhardt T, Schewe B, Albrecht D, Weise K . Arthroscopic fixation of the subscapularis tendon in the reverse Hill-Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy. 2006; 22(2):227.e1-227.e6. DOI: 10.1016/j.arthro.2005.10.004. View

Begin M, Gagey O, Soubeyrand M . Acute bilateral posterior dislocation of the shoulder: one-stage reconstruction of both humeral heads with cancellous autograft and cartilage preservation. Chir Main. 2012; 31(1):34-7. DOI: 10.1016/j.main.2012.01.002. View

Lavender C, Hanzlik S, Pearson S, Caldwell 3rd P . Arthroscopic Reverse Remplissage for Posterior Instability. Arthrosc Tech. 2016; 5(1):e43-7. PMC: 4809750. DOI: 10.1016/j.eats.2015.09.005. View

Alexander T, Beicker C, Tokish J . Arthroscopic Remplissage for Moderate-Size Hill-Sachs Lesion. Arthrosc Tech. 2016; 5(5):e975-e979. PMC: 5123989. DOI: 10.1016/j.eats.2016.04.022. View

Coyner K, Arciero R . Shoulder Instability: Anterior, Posterior, Multidirectional, Arthroscopic Versus Open, Bone Block Procedures. Sports Med Arthrosc Rev. 2018; 26(4):168-170. DOI: 10.1097/JSA.0000000000000211. View

Bernholt D, Lacheta L, Goldenberg B, Millett P . Arthroscopic Knotless Modified McLaughlin Procedure for Reverse Hill-Sachs Lesions. Arthrosc Tech. 2020; 9(1):e65-e70. PMC: 6993127. DOI: 10.1016/j.eats.2019.09.002. View

Charalambous C, Gullett T, Ravenscroft M . A modification of the McLaughlin procedure for persistent posterior shoulder instability: technical note. Arch Orthop Trauma Surg. 2008; 129(6):753-5. DOI: 10.1007/s00402-008-0721-8. View

Luedke C, Tolan S, Tokish J . Arthroscopic Repair of Posterior Bony Bankart Lesion and Subscapularis Remplissage. Arthrosc Tech. 2017; 6(3):e689-e694. PMC: 5495635. DOI: 10.1016/j.eats.2017.01.016. View

10.

McLAUGHLIN H . Posterior dislocation of the shoulder. J Bone Joint Surg Am. 1952; 24 A(3):584-90. View

11.

Paul J, Buchmann S, Beitzel K, Solovyova O, Imhoff A . Posterior shoulder dislocation: systematic review and treatment algorithm. Arthroscopy. 2011; 27(11):1562-72. DOI: 10.1016/j.arthro.2011.06.015. View

12.

Hachem A, Bascones K, Costa DO G, Rondanelli S R, Rius X . Arthroscopic Knotless Subscapularis Bridge Technique for Reverse Hill-Sachs Lesion With Posterior Shoulder Instability. Arthrosc Tech. 2021; 10(1):e103-e116. PMC: 7823086. DOI: 10.1016/j.eats.2020.09.016. View

13.

Griffin J, Brockmeier S . Shoulder instability with concomitant bone loss in the athlete. Orthop Clin North Am. 2014; 46(1):89-103. DOI: 10.1016/j.ocl.2014.09.006. View

14.

Haley C . History and Physical Examination for Shoulder Instability. Sports Med Arthrosc Rev. 2017; 25(3):150-155. DOI: 10.1097/JSA.0000000000000154. View

15.

Hawkins R, Neer 2nd C, Pianta R, Mendoza F . Locked posterior dislocation of the shoulder. J Bone Joint Surg Am. 1987; 69(1):9-18. View

16.

Kelly B, Field L . Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion. Arthrosc Tech. 2018; 6(5):e2061-e2064. PMC: 5793892. DOI: 10.1016/j.eats.2017.06.041. View