Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1343-1348 , November 2009

Arthroscopic Double-Pulley Remplissage Technique for Engaging Hill-Sachs Lesions in Anterior Shoulder Instability Repairs

  • Samuel S. Koo, M.D., M.P.H.

      Affiliations

    • The San Antonio Orthopaedic Group, San Antonio, Texas, U.S.A.
    • ,
  • Stephen S. Burkhart, M.D.

      Affiliations

    • The San Antonio Orthopaedic Group, San Antonio, Texas, U.S.A.
    • Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to Stephen S. Burkhart, M.D., 150 E Sonterra Blvd, Ste 300, San Antonio, TX 78258, U.S.A.
    • ,
  • Eloy Ochoa, M.D.

      Affiliations

    • The San Antonio Orthopaedic Group, San Antonio, Texas, U.S.A.

Received 7 April 2009 ,Accepted 5 June 2009.

References 

  1. 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;16:677–694
  2. Flatow EL, Miniaci A, Evans PJ, Simonian PT, Warren RF. Instability of the shoulder: Complex problems and failed repairs: Part II (Failed repairs). Instr Course Lect. 1998;47:113–125
  3. Burkhart SS, Danaceau SM. Articular arc length mismatch as a cause of failed Bankart repair. Arthroscopy. 2000;16:740–744
  4. Miniaci A, Gish MW. Management of anterior glenohumeral instability associated with large Hill-Sachs defects. Tech Shoulder Elbow Surg. 2004;5:170–175
  5. Wolf EM, Pollack M, Smalley C. Hill-Sachs “remplissage”: An arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2007;23(Suppl, Abstr):e1–e2www.arthroscopyjournal.org
  6. Wolf EM, Pollack M. Hill-Sachs “remplissage”: An arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2004;20(Suppl 1, Abstr):e14–e15www.arthroscopyjournal.org
  7. Burkhart SS, Lo IKY, Brady PC. Burkhart's View of the Shoulder: The Cowboy's Guide to Advanced Shoulder Arthroscopy. Philadelphia: Lippincott Williams & Wilkins; 2006;
  8. Arrigoni P, Brady PC, Burkhart SS. The double-pulley technique for double-row rotator cuff repair. Arthroscopy. 2007;23:675.e1–675.e4www.arthroscopyjournal.org
  9. Saha AK. Recurrent dislocation of the shoulder: Physiopathology and operative corrections. Stuttgart: Georg Thieme Verlag; 1981;
  10. Hill HA, Sachs MD. The grooved defect of the humeral head. Radiology. 1940;35:690–700
  11. Bankart BA. Discussion on recurrent dislocation of the shoulder. J Bone Joint Surg Br. 1948;30:47
  12. Palmer I, Widen A. The bone block method for recurrent dislocation of the shoulder joint. J Bone Joint Surg Br. 1948;30:53–58
  13. Connolly JF. Humeral head defects associated with shoulder dislocation—Their diagnostic and surgical significance. Instr Course Lect. 1972;21:42–54
  14. Hawkins RH, Hawkins RJ. Failed anterior reconstruction for shoulder instability. J Bone Joint Surg Br. 1985;67:709–714
  15. Gerber C, Lambert SM. 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. 1996;78:376–382
  16. 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;22:227.e1–227.e6www.arthroscopyjournal.org
  17. 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 Am. 1984;66:1443–1450
  18. Re P, Gallo RA, Richmond JC. Transhumeral head plasty for large Hill-Sachs lesions. Arthroscopy. 2006;22:798.e1–798.e4www.arthroscopyjournal.org
  19. Branes J. Tratamiento de las luxaciones recidivantes de la articulacion escapulo humeral. In: Presented at the IV Congress of Simposia Latino Americana Ortopedica y Traumatologia. Santiago, Chile. 1969;
  20. Chapovsky F, Kelly JD. Osteochondral allograft transplantation for treatment of glenohumeral instability. Arthroscopy. 2005;21:1007
  21. Kropf EJ, Sekiya JK. Osteoarticular allograft transplantation for large humeral head defects in glenohumeral instability. Arthroscopy. 2007;23:322.e1–322.e5www.arthroscopyjournal.org
  22. Kelly JD, Ogunro S. Arthroscopic “filling” of Hill Sachs lesions. Arthroscopy. 2007;23:e2;(Abstr) www.arthroscopyjournal.org
  23. Cheng SL, Mackay MB, Richards RR. Treatment of locked posterior fracture-dislocations of the shoulder by total shoulder arthroplasty. J Shoulder Elbow Surg. 1997;6:11–17
  24. Pritchett JW, Clark JM. Prosthetic replacement for chronic unreduced dislocations of the shoulder. Clin Orthop Relat Res. 1987;89–93
  25. Green A, Norris TR. Shoulder arthroplasty for advanced glenohumeral arthritis after anterior instability repair. J Shoulder Elbow Surg. 2001;10:539–545
  26. Deutsch AA, Kroll DG. Decreased range of motion following arthroscopic remplissage. Orthopedics. 2008;31:492

 The authors report no conflict of interest.

 

Note: To access the supplementary video accompanying this report, visit the November issue of Arthroscopy at www.arthroscopyjournal.org.

PII: S0749-8063(09)00523-4

doi: 10.1016/j.arthro.2009.06.011

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1343-1348 , November 2009

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