Abstract
The intimate contact between articular surfaces of the humeral head and glenoid labrum
contribute to glenohumeral stability. When the articular surface area of these 2 surfaces
is decreased, as with the presence of a bony Bankart lesion or an engaging Hill-Sachs
lesion, the shoulder is more prone to dislocation. Although osteochondral allograft
transplantation has become widely popular for the treatment of osteochondral defects
of the knee, it is less used for treating bony defects of the humeral head. We present
a case in which a 16-year-old male athlete with multiple anterior shoulder dislocations
underwent arthroscopic repair of a Bankart lesion. His arthroscopic repair ultimately
failed and on subsequent magnetic resonance imaging he was found to have a large,
engaging Hill-Sachs defect. He underwent arthroscopic osteochondral allograft transplantation
to correct the humeral head bony deformity. As of the 1-year follow-up, the patient
has had no recurrences and had returned to his normal level of activity.
Key Words
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Article info
Footnotes
Cite this article as: Chapovsky F, Kelly JD IV. Osteochondral allograft transplantation for treatment of glenohumeral instability. Arthroscopy 2005;21:1007.e1-1007.e4 [doi:10.1016/j.arthro.2005.04.005].
Identification
Copyright
© 2005 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
