Arthroscopic treatment of posterior instability of the shoulder with an associated reverse Hill–Sachs lesion using an iliac bone-block autograft - 27/08/19
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Abstract |
Posterior dislocation of the shoulder is often accompanied by an impression fracture in the anterior surface of the humeral head, called a reverse Hill–Sachs injury. This bone defect can engage on the posterior glenoid rim, which can lead to recurrent instability and progressive joint destruction. We describe a new arthroscopic procedure that fills the reverse Hill–Sachs lesion with an iliac bone-block autograft and repairs the posterior articular capsule arthroscopically, which can stabilize the posterior shoulder. It avoids the need to detach the subscapularis tendon and can reduce the risks associated with open procedures.
Level of evidence |
V, technical note.
Le texte complet de cet article est disponible en PDF.Keywords : Posterior instability of the shoulder, Reverse Hill–Sachs lesion, Iliac bone-block autograft, Arthroscopic treatment
Plan
Vol 105 - N° 5
P. 819-823 - septembre 2019 Retour au numéro
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