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Arthroscopic reduction and subchondral support of reverse Hill–Sachs lesions with a bioabsorbable interference screw

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

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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References

  1. Hawkins RJ, Neer CS, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18

    PubMed  CAS  Google Scholar 

  2. McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24-A-3:584-590

    Google Scholar 

  3. 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

    Article  PubMed  CAS  Google Scholar 

  4. 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

    Article  CAS  Google Scholar 

  5. 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

    PubMed  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    PubMed  CAS  Google Scholar 

  8. 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

    Article  PubMed  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. 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

    Article  Google Scholar 

  11. 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

    Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. 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

    Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. 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

    Article  Google Scholar 

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The authors report no conflict of interests.

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Correspondence to Pierre Hepp.

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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

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