Skip to main content
SpringerLink
Log in

Bone loss in anterior instability

  • Shoulder (JS Dines, Section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Bone loss is commonly observed in shoulders with anterior instability. The Latarjet procedure is commonly performed when a glenoid bony defect exists that is greater than 25 % of the glenoid width or when the risk of recurrent instability is higher (i.e., collision-sport athletes). Hill–Sachs lesions need to be assessed as well. For the purpose of assessing the bipolar lesions, the glenoid track concept is useful. A Hill–Sachs lesion that is located more medially than the medial margin of the glenoid track is defined as an engaging Hill–Sachs lesion. A potential treatment for such a condition is remplissage, but this procedure also decreases range of motion. Thus, its application in overhead athletes needs to be carefully considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Kazar B, Relovszky E. Prognosis of primary dislocation of the shoulder. Acta Orthop Scand. 1969;40:216–24.

    Article  PubMed  CAS  Google Scholar 

  2. Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg. 1978;60:1–16.

    PubMed  CAS  Google Scholar 

  3. Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med. 1997;25:306–11.

    Article  PubMed  CAS  Google Scholar 

  4. Thomas SC, Matsen 3rd FA. An approach to the repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability. J Bone Joint Surg. 1989;71:506–13.

    PubMed  CAS  Google Scholar 

  5. Sugaya H, Moriishi J, Dohi M, Kon Y, Tsuchiya A. Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg. 2003;85:878–84.

    PubMed  Google Scholar 

  6. Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000;16:677–94.

    Article  PubMed  CAS  Google Scholar 

  7. Flinkkilä T, Hyvönen P, Ohtonen P, Leppilahti J. Arthroscopic Bankart repair: results and risk factors of recurrence of instability. Knee Surg Sports Traumatol Arthrosc. 2010;18(12):1752–8.

    Article  PubMed  Google Scholar 

  8. Milano G, Grasso A, Russo A, et al. Analysis of risk factors for glenoid bone defect in anterior shoulder instability. Am J Sports Med. 2011;39(9):1870–6.

    Article  PubMed  Google Scholar 

  9. Matsen III FA, Thomas SC, Rockwood Jr CA, Wirth MA. Glenohumeral instability. In: Rockwood Jr CA, Matsen III FA, editors. The shoulder. Philadelphia: WB Saunders; 1998. p. 611–754.

    Google Scholar 

  10. Matsen III FA, Thomas SC. Glenohumeral instability. In: McCollister Evarts C, editor. Surgery of the musculoskeletal system. 2nd ed. New York: Churchill Livingstone; 1990. p. 1439–69.

    Google Scholar 

  11. Itoi E, Lee SB, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: A cadaveric study. J Bone Joint Surg. 2000;82-A:35–46.

    Google Scholar 

  12. Montgomery Jr WH, Wahl M, Hettrich C, et al. Anteroinferior bone-grafting can restore stability in osseous glenoid defects. J Bone Joint Surg. 2005;87:1972–7.

    Article  PubMed  Google Scholar 

  13. Saito H, Itoi E, Sugaya H, et al. Location of the glenoid defect in shoulders with recurrent anterior dislocation. Am J Sports Med. 2005;33:889–93.

    Article  PubMed  Google Scholar 

  14. Ji JH, Kwak DS, Yang PS, et al. Comparisons of glenoid bony defects between normal cadaveric specimens and patients with recurrent shoulder dislocation: an anatomic study. J Should Elb Surg. 2012;21(6):822–7.

    Article  Google Scholar 

  15. Yamamoto N, Itoi E, Abe H, et al. Effect of an anterior glenoid defect on anterior stability: a cadaveric study. Am J Sports Med. 2009;37:949–54.

    Article  PubMed  Google Scholar 

  16. • Yamamoto N, Muraki T, Sperling JW, et al. Stabilizing mechanism in bone-grafting of a large glenoid defect. J Bone Joint Surg. 2010;92:2059–66. A Bankart-repaired shoulder with an anterior bony defect larger than 25 % of the glenoid width presented instability and, thus, needs to be treated surgically.

    Article  PubMed  Google Scholar 

  17. Bigliani LU, Newton PM, Steinmann SP, Connor PM, Mcllveen SJ. Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med. 1998;26(1):41–5.

    PubMed  CAS  Google Scholar 

  18. Lo IK, Parten PM, Burkhart SS. The inverted pear glenoid: an indicator of significant glenoid bone loss. Arthroscopy. 2004;20:169–74.

    Article  PubMed  Google Scholar 

  19. Malgaigne JF. Traité des fractures et des luxations. Paris: JB Baillière; 1855.

    Google Scholar 

  20. Hill HA, Sachs MD. The grooved defect of the humeral head. A frequently unrecognized complication of dislocations of the shoulder joint. Radiology. 1940;35:690–700.

    Google Scholar 

  21. Spatschil A, Landsiedl F, Anderl W, et al. Posttraumatic anterior-inferior instability of the shoulder: arthroscopic findings and clinical correlations. Arch Orthop Trauma Surg. 2006;126(4):217–22.

    Article  PubMed  CAS  Google Scholar 

  22. Yiannakopoulos CK, Mataragas E, Antonogiannakis E. A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy. 2007;23(9):985–90.

    Article  PubMed  Google Scholar 

  23. Owens BD, Nelson BJ, Duffey ML, et al. Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events. J Bone Joint Surg. 2010;92(7):1605–11.

    Article  PubMed  Google Scholar 

  24. Calandra JJ, Baker CL, Uribe J. The incidence of Hill-Sachs lesions in initial anterior shoulder dislocations. Arthroscopy. 1989;5(4):254–7.

    Article  PubMed  CAS  Google Scholar 

  25. Gyftopoulos S, Carpenter E, Kazam J, Babb J, Bencardino J. MR imaging of subscapularis tendon injury in the setting of anterior shoulder dislocation. Skeletal Radiol. 2012. Mar 6. PMID:22392011.

  26. Lee BG, Cho NS, Rhee YG. Anterior labroligamentous periosteal sleeve avulsion lesion in arthroscopic capsulolabral repair for anterior shoulder instability. Knee Surg Sports Traumatol Arthrosc. 2011;19(9):1563–9.

    Article  PubMed  Google Scholar 

  27. Connolly JF. Humeral head defects associated with shoulder dislocation: their diagnostic and surgical significance. Instr Course Lect. 1972;21:42–54.

    Google Scholar 

  28. Weber BG, Simpson LA, Hardegger F. Rotational humeral osteotomy for recurrent anterior dislocation of the shoulder associated with a large Hill-Sachs lesion. J Bone Joint Surg. 1984;66:1443–50.

    PubMed  CAS  Google Scholar 

  29. Buhler M, Gerber C. Shoulder instability related to epileptic seizures. J Should Elb Surg. 2002;11:339–44.

    Article  Google Scholar 

  30. Miniaci A, Berlet G. Recurrent anterior instability following failed surgical repair: Allograft reconstruction of large humeral head defects. J Bone Joint Surg Br. 2001;83 Suppl 1:19–20.

    Google Scholar 

  31. Hardy P. Bony lesions influence on the result of the arthroscopic treatment of gleno-humeral instability. Symposium: Shoulder instability – limits of arthroscopic surgery: bone deficiency, shrinkage, acute instability. Read at 5th International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Congress, Auckland, March 10–14, 2003.

  32. Voos JE, Livermore RW, Feeley BT, et al. Prospective evaluation of arthroscopic Bankart repairs for anterior instability. Am J Sports Med. 2010;38(2):302–7.

    Article  PubMed  Google Scholar 

  33. Saito H, Itoi E, Minagawa H, et al. Location of the Hill-Sachs lesion in shoulders with recurrent anterior dislocation. Arch Orthop Trauma Surg. 2009;129:1327–34.

    Article  PubMed  Google Scholar 

  34. Cho SH, Cho NS, Rhee YG. Preoperative analysis of the Hill-Sachs lesion in anterior shoulder instability: how to predict engagement of the lesion. Am J Sports Med. 2011;39(11):2389–95.

    Article  PubMed  Google Scholar 

  35. Sekiya JK, Wickwire AC, Stehle JH, Debski RE. Hill-Sachs defects and repair using osteoarticular allograft transplantation: biomechanical analysis using a joint compression model. Am J Sports Med. 2009;37(12):2459–66.

    Article  PubMed  Google Scholar 

  36. Sekiya JK, Jolly J, Debski RE. The effect of a Hill-Sachs defect on glenohumeral translations, in situ capsular forces, and bony contact forces. Am J Sports Med. 2012;40(2):388–94.

    Article  PubMed  Google Scholar 

  37. Kaar SG, Fening SD, Jones MH, Colbrunn RW, Miniaci A. Effect of humeral head defect size on glenohumeral stability: a cadaveric study of simulated Hill-Sachs defects. Am J Sports Med. 2010;38(3):594–9.

    Article  PubMed  Google Scholar 

  38. Yamamoto N, Itoi E, Abe H, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Should Elb Surg. 2007;16:649–56.

    Article  Google Scholar 

  39. Kurokawa D, Yamamoto N, Omori Y, Sano H, Itoi E. The incidence of a large Hill-Sachs lesion which needs to be treated. 58th Annual Meeting, ORS, San Francisco, February 4–7, 2012.

  40. Itoi E, Yamamoto N, Omori Y. Glenoid track. In: Di Giacomo G, Costantini A, De Vita A, de Gasperis N, editors. Shoulder instability: Alternative surgical techniques. Milan: Springer-Verlag; 2011. p. 1–17.

    Chapter  Google Scholar 

  41. • Omori Y, Yamamoto N, Koishi H, et al. Measurement of the glenoid track in vivo, investigated by the 3D motion analysis using open MRI. Read at 78th Annual Meeting, AAOS, San Diego, February 15–19, 2011. The glenoid track in live shoulders was measured using MRI. The medial margin of the glenoid track was located at a distance equivalent to 85 % of the glenoid width with the arm at 90° of abduction and external rotation.

  42. Rokous JR, Feagin JA, Abbott HG. Modified axillary roentgenogram. A useful adjunct in the diagnosis of recurrent instability of the shoulder. Clin Orthop Relat Res. 1972;82:84–6.

    Article  PubMed  CAS  Google Scholar 

  43. Bernageau J. Imaging of the shoulder in orthopedic pathology]. Rev Prat. 1990;40(11):983–92.

    PubMed  CAS  Google Scholar 

  44. Huijsmans PE, de Witte PB, de Villiers RV, et al. Recurrent anterior shoulder instability: accuracy of estimations of glenoid bone loss with computed tomography is insufficient for therapeutic decision-making. Skeletal Radiol. 2011;40(10):1329–34.

    Article  PubMed  Google Scholar 

  45. Magarelli N, Milano G, Baudi P, et al. Comparison between 2D and 3D computed tomography evaluation of glenoid bone defect in unilateral anterior gleno-humeral instability. Radiol Med. 2012;117(1):102–11.

    Article  PubMed  CAS  Google Scholar 

  46. Huijsmans PE, Haen PS, Kidd M, et al. Quantification of a glenoid defect with three-dimensional computed tomography and magnetic resonance imaging: a cadaveric study. J Should Elb Surg. 2007;16(6):803–9.

    Article  Google Scholar 

  47. Barchilon VS, Kotz E, Barchilon Ben-Av M, Glazer E, Nyska M. A simple method for quantitative evaluation of the missing area of the anterior glenoid in anterior instability of the glenohumeral joint. Skeletal Radiol. 2008;37(8):731–6.

    Article  PubMed  Google Scholar 

  48. Rerko MA, Pan X, Donaldson C, Jones GL, Bishop JY. Comparison of various imaging techniques to quantify glenoid bone loss in shoulder instability. J Shoulder Elbow Surg. 2012. doi:10.1016/j.jse.2012.05.034

  49. Burkhart SS, Debeer JF, Tehrany AM, Parten PM. Quantifying glenoid bone loss arthroscopically in shoulder instability. Arthroscopy. 2002;18(5):488–91.

    Article  PubMed  Google Scholar 

  50. Aigner F, Longato S, Fritsch H, Kralinger F. Anatomical considerations regarding the "bare spot" of the glenoid cavity. Surg Radiol Anat. 2004;26(4):308–11.

    Article  PubMed  CAS  Google Scholar 

  51. Kralinger F, Aigner F, Longato S, Rieger M, Wambacher M. Is the bare spot a consistent landmark for shoulder arthroscopy? A study of 20 embalmed glenoids with 3-dimensional computed tomographic reconstruction. Arthroscopy. 2006;22(4):428–32.

    Article  PubMed  Google Scholar 

  52. Kim HK, Emery KH, Salisbury SR. Bare spot of the glenoid fossa in children: incidence and MRI features. Pediatr Radiol. 2010;40(7):1190–6.

    Article  PubMed  Google Scholar 

  53. Charousset C, Beauthier V, Bellaïche L, et al. Can we improve radiological analysis of osseous lesions in chronic anterior shoulder instability? Orthop Traumatol Surg Res. 2010;96(8 Suppl):S88–93.

    Article  PubMed  CAS  Google Scholar 

  54. Kodali P, Jones MH, Polster J, Miniaci A, Fening SD. Accuracy of measurement of Hill-Sachs lesions with computed tomography. J Should Elb Surg. 2011;20(8):1328–34.

    Article  Google Scholar 

  55. Hayes ML, Collins MS, Morgan JA, Wenger DE, Dahm DL. Efficacy of diagnostic magnetic resonance imaging for articular cartilage lesions of the glenohumeral joint in patients with instability. Skeletal Radiol. 2010;39(12):1199–204.

    Article  PubMed  Google Scholar 

  56. Zhu YM, Lu Y, Zhang J, Shen JW, Jiang CY. Arthroscopic Bankart repair combined with remplissage technique for the treatment of anterior shoulder instability with engaging Hill-Sachs lesion: a report of 49 cases with a minimum 2-year follow-up. Am J Sports Med. 2011;39(8):1640–7.

    Article  PubMed  Google Scholar 

  57. • Boileau P, O'Shea K, Vargas P, et al. Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg. 2012;94(7):618–26. Forty-two patients (ISIS > 3, no glenoid bony defect, engagement during intraoperative dynamic examination) underwent Bankart repair with remplissage. The infraspinatus tendon was confirmed to be healed to the Hill–Sachs lesion with MRI. At 2-year follow-up, 98 % were stable, with 8°–9° of limitation in external rotation.

    Article  PubMed  Google Scholar 

  58. Latarjet M. A propos du traitement des luxations récidivantes de l'épaule [Treatment of recurrent dislocation of the shoulder]. Lyon Chir. 1954;49:994–7.

    PubMed  CAS  Google Scholar 

  59. Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br. 1958;40:198–202.

    PubMed  Google Scholar 

  60. Young AA, Baba M, Neyton L, Godeneche A, Walch G. Coracoid graft dimensions after harvesting for the open Latarjet procedure. J Shoulder Elbow Surg. 2012. doi:10.1016/j.jse.2012.05.036

  61. Hantes ME, Venouziou A, Bargiotas KA, et al. Repair of an anteroinferior glenoid defect by the latarjet procedure: quantitative assessment of the repair by computed tomography. Arthroscopy. 2010;26(8):1021–6.

    Article  PubMed  Google Scholar 

  62. Ghodadra N, Gupta A, Romeo AA, et al. Normalization of glenohumeral articular contact pressures after Latarjet or iliac crest bone-grafting. J Bone Joint Surg. 2010;92(6):1478–89.

    Article  PubMed  Google Scholar 

  63. Armitage MS, Elkinson I, Giles JW, Athwal GS. An anatomic, computed tomographic assessment of the coracoid process with special reference to the congruent-arc latarjet procedure. Arthroscopy. 2011;27(11):1485–9.

    Article  PubMed  Google Scholar 

  64. Yamamoto N, Muraki T, Sperling JW, et al. What is the stabilizing mechanism of the Latarjet procedure? Read at 76th Annual Meeting, AAOS, Las Vegas, Feb 25–28, 2009.

  65. Yamamoto N, Muraki T, An KN, et al. The stabilizing mechanism of the Latarjet procedure: Part II. Read at 56th Annual Meeting, Orthop Res Soc, New Orleans, March 6–9, 2010.

  66. Auffarth A, Kralinger F, Resch H. Anatomical glenoid reconstruction via a J-bone graft for recurrent posttraumatic anterior shoulder dislocation. Oper Orthop Traumatol. 2011;23(5):453–61.

    Article  PubMed  CAS  Google Scholar 

  67. Iannotti JP, Frangiamore SJ. Fate of large structural allograft for treatment of severe uncontained glenoid bone deficiency. J Should Elb Surg. 2012;21(6):765–71.

    Article  Google Scholar 

  68. Bhatia DN. Dual-window Subscapularis-sparing Approach: A New Surgical Technique for Combined Reconstruction of a Glenoid Bone Defect or Bankart Lesion Associated With a HAGL Lesion in Anterior Shoulder Instability. Tech Hand Up Extrem Surg. 2012;16(1):30–6.

    Article  PubMed  Google Scholar 

  69. • Neyton L, Young A, Dawidziak B, et al. Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet-Patte procedure with minimum 5-year follow-up. J Should Elb Surg. 2012 May 5. [Epub ahead of print] Latarjet procedure was performed to 37 shoulders of 34 rugby players. At an average 12-year follow-up, there was no dislocation, all but one returned to rugby, and 5 with remnant apprehension. Thirty percent of them had mild osteoarthritic changes on x-rays.

  70. de Beer JF, Roberts C. Glenoid bone defects–open latarjet with congruent arc modification. Orthop Clin North Am. 2010;41(3):407–15.

    Article  PubMed  Google Scholar 

  71. • Hovelius L, Sandström B, Olofsson A, Svensson O, Rahme H. The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Should Elb Surg. 2012;21(5):647–60. Bristow–Latarjet procedure was performed in 319 patients, with follow-up ranging from 5 to 23 years. Sixteen shoulders (5 %) had redislocation, and 3 of them (1 %) had revision surgery. X-ray showed bony healing in 83 % and fibrous union in 13 %. In total, 93 % were satisfied or very satisfied.

    Article  Google Scholar 

  72. Cerciello S, Edwards TB, Walch G. Chronic anterior glenohumeral instability in soccer players: results for a series of 28 shoulders treated with the Latarjet procedure. J Orthop Traumatol. 2012;13(4):197–202. doi:10.1007/s10195-012-0201-3

    Google Scholar 

  73. Hart R, Sváb P, Krejzla J. Modified Latarjet procedure for recurrent shoulder dislocation in elderly patients. Acta Chir Orthop Traumatol Cech. 2010;77(2):105–11.

    PubMed  CAS  Google Scholar 

  74. Schmid SL, Farshad M, Catanzaro S, Gerber C. The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients. J Bone Joint Surg. 2012;94(11):e75.

    Article  PubMed  Google Scholar 

  75. Lafosse L, Lejeune E, Bouchard A, et al. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy. 2007;23(11):1242.e1–5.

    Article  Google Scholar 

  76. Lafosse L, Boyle S. Arthroscopic Latarjet procedure. J Should Elb Surg. 2010;19(2 Suppl):2–12.

    Article  Google Scholar 

  77. Boileau P, Mercier N, Roussanne Y, Thélu CÉ, Old J. Arthroscopic Bankart-Bristow-Latarjet procedure: the development and early results of a safe and reproducible technique. Arthroscopy. 2010;26(11):1434–50.

    Article  PubMed  Google Scholar 

  78. • Raiss P, Lin A, Mizuno N, Melis B, Walch G. Results of the Latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. J Bone Joint Surg Br. 2012;94(9):1260–4. Fourteen shoulders of 12 patients with epilepsy underwent Latarjet procedure, with an average 8.3 years of follow-up. Six shoulders (43 %) redislocated during epileptic seizure, and two of them recurred after revision surgery. Medical control of seizure is of utmost importance.

    Article  PubMed  CAS  Google Scholar 

  79. Beran MC, Donaldson CT, Bishop JY. Treatment of chronic glenoid defects in the setting of recurrent anterior shoulder instability: a systematic review. J Should Elb Surg. 2010;19(5):769–80. Epub 2010 Apr 14.

    Article  Google Scholar 

  80. Regan Jr WD, Webster-Bogaert S, Hawkins RJ, Fowler PJ. Comparative functional analysis of the Bristow, Magnuson-Stack, and Putti-Platt procedures for recurrent dislocation of the shoulder. Am J Sports Med. 1989;17:42–8.

    Article  PubMed  Google Scholar 

  81. Wolf EM, Pollack M, Smalley C. Hill-Sachs "Remplissage:" An arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2007;23:e1–2.

    Google Scholar 

  82. Kazel MD, Sekiya JK, Greene JA, Bruker CT. Percutaneous correction (humeroplasty) of humeral head defects (Hill-Sachs) associated with anterior shoulder instability: a cadaveric study. Arthroscopy. 2005;12:1473–8.

    Google Scholar 

  83. Re P, Gallo RA, Richmond JC. Transhumeral head plasty for large Hill-Sachs lesions. Arthroscopy. 2006;22:e1–4.

    PubMed  Google Scholar 

  84. Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Hill-Sachs "remplissage": an arthroscopic solution for the engaging hill-sachs lesion. Arthroscopy. 2008;24:723–6.

    Article  PubMed  Google Scholar 

  85. Koo SS, Burkhart SS, Ochoa E. Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs. Arthroscopy. 2009;25(11):1343–8.

    Article  PubMed  Google Scholar 

  86. Abdelhady AM. Neglected anterior shoulder dislocation: open remplissage of the Hill-Sachs lesion with the infraspinatus tendon. Acta Orthop Belg. 2010;76(2):162–5.

    PubMed  Google Scholar 

  87. Giles JW, Elkinson I, Ferreira LM, et al. Moderate to large engaging Hill-Sachs defects: an in vitro biomechanical comparison of the remplissage procedure, allograft humeral head reconstruction, and partial resurfacing arthroplasty. J Shoulder Elbow Surg. 2012;21(9):1142–51. doi:10.1016/j.jse.2011.07.017

    Google Scholar 

  88. • Elkinson I, Giles JW, Faber KJ, et al. The effect of the remplissage procedure on shoulder stability and range of motion: an in vitro biomechanical assessment. J Bone Joint Surg. 2012;94(11):1003–12. Range of motion and stability was assessed using cadaveric shoulders with 15 % and 30 % Hill–Sachs lesions before and after remplissage. Dislocation occurred after creating a 30 % lesion. Remplissage prevented dislocation but caused limited range of motion in both 15 % and 30 % lesions.

    Article  PubMed  Google Scholar 

  89. Park MJ, Tjoumakaris FP, Garcia G, Patel A, Kelly 4th JD. Arthroscopic remplissage with Bankart repair for the treatment of glenohumeral instability with Hill-Sachs defects. Arthroscopy. 2011;27(9):1187–94.

    Article  PubMed  Google Scholar 

  90. Nourissat G, Kilinc AS, Werther JR, Doursounian L. A prospective, comparative, radiological, and clinical study of the influence of the “remplissage” procedure on shoulder range of motion after stabilization by arthroscopic Bankart repair. Am J Sports Med. 2011;39(10):2147–52.

    Article  PubMed  Google Scholar 

  91. Franceschi F, Papalia R, Rizzello G, et al. Remplissage repair--new frontiers in the prevention of recurrent shoulder instability: a 2-year follow-up comparative study. Am J Sports Med. 2012;40(11):2462–9. doi:10.1177/0363546512458572

    Google Scholar 

Download references

Disclosure

E Itoi: receives money for U.S. patent of shoulder brace ER, royalties from Alcare Co.; N Yamamoto: none; D Kurokawa: none; H Sano: none.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

    Eiji Itoi, Nobuyuki Yamamoto, Daisuke Kurokawa & Hirotaka Sano

Authors
  1. Eiji Itoi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nobuyuki Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Daisuke Kurokawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hirotaka Sano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eiji Itoi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Itoi, E., Yamamoto, N., Kurokawa, D. et al. Bone loss in anterior instability. Curr Rev Musculoskelet Med 6, 88–94 (2013). https://doi.org/10.1007/s12178-012-9154-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12178-012-9154-7

Keywords

Search

Navigation