Abstract
Traumatic posterior dislocation of the shoulder is frequently associated with an osteochondral defect on the anterior articular surface of the humeral head (so-called reverse Hill–Sachs lesion). Possible treatment options are either filling or elevation of the osseous defect. Previously, an open technique has been described using a bioabsorbable interference screw. On the basis of a 64-year-old patient presenting with a reverse Hill–Sachs lesion after epileptic seizure, we describe an arthroscopic technique in which the defect is reconstructed under arthroscopic and fluoroscopic control and supported by a bioabsorbable interference screw.
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Hawkins RJ, Neer CS, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18
McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24-A-3:584-590
Irlenbusch L, Pyschik M, Hein W, Brehme K (2008) Möglichkeiten der operativen Versorgung traumatisch bedingter posteriorer Schultergelenkluxationen. Unfallchirurg 111(6):464–468. doi:10.1007/s00113-007-1363-y
Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs. Arthroscopy J Arthroscopic Relat Surg 16(7):677–694. doi:10.1053/jars.2000.17715
Magnusson L, Kartus J, Ejerhed L, Hultenheim I, Sernert N, Karlsson J (2002) Revisiting the open bankart experience: a four- to nine-year follow-up. Am J Sports Med 30(6):778–782
Konig DP, Rutt J, Treml O, Kausch T, Hackenbroch MH (1996) Osteoarthrosis following the Putti–Platt operation. Arch Orthop Trauma Surg 115(3–4):231–232. doi:10.1007/BF00434561
Gerber C, Lambert SM (1996) Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg Am 78(3):376–382
Bock P, Kluger R, Hintermann B (2007) Anatomical reconstruction for reverse Hill–Sachs lesions after posterior locked shoulder dislocation fracture: a case series of six patients. Arch Orthop Trauma Surg 127(7):543–548. doi:10.1007/s00402-007-0359-y
Assom M, Castoldi F, Rossi R, Blonna D, Rossi P (2006) Humeral head impression fracture in acute posterior shoulder dislocation: new surgical technique. Knee Surg Sports Traumatol Arthrosc 14(7):668–672. doi:10.1007/s00167-005-0001-x
Stein DA, Jazrawi L, Bartolozzi AR (2002) Arthroscopic stabilization of anterior shoulder instability: a review of the literature. Arthroscopy. J Arthroscopic Relat Surg 18(8):912–924. doi:10.1053/jars.2002.36148
Krackhardt T, Schewe B, Albrecht D, Weise K (2006) Arthroscopic fixation of the subscapularis tendon in the reverse Hill–Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy J Arthrosc Relat Surg 22(2):227 e1–227 e6
Engel T, Lill H, Korner J, Josten C (1999) Bilateral posterior fracture-dislocation of the shoulder caused by an epileptic seizure—diagnostic, treatment and result. Unfallchirurg 102(11):897–901. doi:10.1007/s001130050499
Kropf EJ, Sekiya JK (2007) Osteoarticular allograft transplantation for large humeral head defects in glenohumeral instability. Arthroscopy J Arthrosc Relat Surg 23(3):322 e1–322 e5
Finkelstein JA, Waddell JP, O’Driscoll SW, Vincent G (1995) Acute posterior fracture dislocations of the shoulder treated with the Neer modification of the McLaughlin procedure. J Orthop Trauma 9(3):190–193. doi:10.1097/00005131-199506000-00002
Ma CB, Francis K, Towers J, Irrgang J, Fu FH, Harner CH (2004) Hamstring anterior cruciate ligament reconstruction: a comparison of bioabsorbable interference screw and endobutton-post fixation. Arthroscopy J Arthroscopic Relat Surg 20(2):122–128. doi:10.1016/j.arthro.2003.11.007
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Engel, T., Hepp, P., Osterhoff, G. et al. Arthroscopic reduction and subchondral support of reverse Hill–Sachs lesions with a bioabsorbable interference screw. Arch Orthop Trauma Surg 129, 1103–1107 (2009). https://doi.org/10.1007/s00402-009-0840-x
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DOI: https://doi.org/10.1007/s00402-009-0840-x