nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.07.2013 | Shoulder

Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion

verfasst von: Frank Martetschläger, Jeffrey R. Padalecki, Peter J. Millett

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 7/2013

Einloggen, um Zugang zu erhalten

Abstract

Traumatic posterior shoulder dislocations are often accompanied by an impression fracture on the anterior surface of the humeral head known as a “reverse Hill-Sachs lesion”. This bony defect can engage on the posterior glenoid rim and subsequently lead to recurrent instability and progressive joint destruction. We describe a new modified arthroscopic McLaughlin procedure, which allows for filling of the bony defect with the subscapularis tendon and subsequently prevents recurrence of posterior instability. This technique creates a double-mattress suture providing a large footprint for the subscapularis and a broader surface area to allow for effective tendon to bone healing. Furthermore, it obviates the need for detaching the subscapularis tendon and avoids the morbidity potentially associated with open procedures.

Level of evidence V.

Nur mit Berechtigung zugänglich

Ames JB, Millett PJ (2011) Combined posterior osseous Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments: a case report and pathoanatomic subtyping of “floating” posterior inferior glenohumeral ligament lesions. J Bone Joint Surg Am 93(20):111–114CrossRef

Antoniou J, Harryman DT 2nd (2000) Arthroscopic posterior capsular repair. Clin Sports Med 19(1):101–114PubMedCrossRef

Bahk MS, Karzel RP, Snyder SJ (2010) Arthroscopic posterior stabilization and anterior capsular plication for recurrent posterior glenohumeral instability. Arthroscopy 26(9):1172–1180PubMedCrossRef

Bigliani LU, Pollock RG, McIlveen SJ, Endrizzi DP, Flatow EL (1995) Shift of the posteroinferior aspect of the capsule for recurrent posterior glenohumeral instability. J Bone Joint Surg Am 77(7):1011–1020PubMed

Bottoni CR, Franks BR, Moore JH, DeBerardino TM, Taylor DC, Arciero RA (2005) Operative stabilization of posterior shoulder instability. Am J Sports Med 33(7):996–1002PubMedCrossRef

Burkhart SS, De Beer JF (2000) 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 16(7):677–694PubMedCrossRef

Charalambous CP, Gullett TK, Ravenscroft MJ (2009) A modification of the McLaughlin procedure for persistent posterior shoulder instability: technical note. Arch Orthop Trauma Surg 129(6):753–755PubMedCrossRef

Checchia SL, Santos PD, Miyazaki AN (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Should Elb Surg 7(1):53–65CrossRef

Cicak N (2004) Posterior dislocation of the shoulder. J Bone Joint Surg Br 86(3):324–332PubMedCrossRef

10.

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):190–193PubMedCrossRef

11.

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):376–382PubMed

12.

Goubier JN, Iserin A, Duranthon LD, Vandenbussche E, Augereau B (2003) A 4-portal arthroscopic stabilization in posterior shoulder instability. J Should Elb Surg 12(4):337–341CrossRef

13.

Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18PubMed

14.

Keppler P, Holz U, Thielemann FW, Meinig R (1994) Locked posterior dislocation of the shoulder: treatment using rotational osteotomy of the humerus. J Orthop Trauma 8(4):286–292PubMedCrossRef

15.

Kim SH, Ha KI, Park JH, Kim YM, Lee YS, Lee JY, Yoo JC (2003) Arthroscopic posterior labral repair and capsular shift for traumatic unidirectional recurrent posterior subluxation of the shoulder. J Bone Joint Surg Am 85-A(8):1479–1487PubMed

16.

Koo SS, Burkhart SS, Ochoa E (2009) Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs. Arthroscopy 25(11):1343–1348PubMedCrossRef

17.

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 22 (2):227 e221–227 e226

18.

Mankin HJ, Doppelt S, Tomford W (1983) Clinical experience with allograft implantation. The first ten years. Clin Orthop Relat Res 174:69–86PubMed

19.

Martetschlager F, Rios D, Boykin RE, Giphart JE, de Waha A, Millett PJ (2012) Coracoid impingement: current concepts. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-012-2013-7

20.

McDermott AG, Langer F, Pritzker KP, Gross AE (1985) Fresh small-fragment osteochondral allografts. Long-term follow-up study on first 100 cases. Clin Orthop Relat Res 197:96–102PubMed

21.

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

22.

Millett PJ, Clavert P, Hatch GF 3rd, Warner JJ (2006) Recurrent posterior shoulder instability. J Am Acad Orthop Surg 14(8):464–476PubMed

23.

Millett PJ, Clavert P, Warner JJ (2003) Arthroscopic management of anterior, posterior, and multidirectional shoulder instability: pearls and pitfalls. Arthroscopy 19(Suppl 1):86–93PubMed

24.

Mologne TS, Zhao K, Hongo M, Romeo AA, An KN, Provencher MT (2008) The addition of rotator interval closure after arthroscopic repair of either anterior or posterior shoulder instability: effect on glenohumeral translation and range of motion. Am J Sports Med 36(6):1123–1131PubMedCrossRef

25.

Ponce BA, Millett PJ, Warner JP (2004) Management of posterior glenohumeral instability with large humeral head defects. Tech Should Elb Surg 5(3):146–156CrossRef

26.

Provencher MT, Mologne TS, Hongo M, Zhao K, Tasto JP, An KN (2007) Arthroscopic versus open rotator interval closure: biomechanical evaluation of stability and motion. Arthroscopy 23(6):583–592PubMedCrossRef

27.

Robinson CM, Aderinto J (2005) Recurrent posterior shoulder instability. J Bone Joint Surg Am 87(4):883–892PubMedCrossRef

28.

Savoie FH 3rd, Holt MS, Field LD, Ramsey JR (2008) Arthroscopic management of posterior instability: evolution of technique and results. Arthroscopy 24(4):389–396PubMedCrossRef

29.

Steinmann SP (2003) Posterior shoulder instability. Arthroscopy 19:102–105PubMed

30.

Williams RJ 3rd, Strickland S, Cohen M, Altchek DW, Warren RF (2003) Arthroscopic repair for traumatic posterior shoulder instability. Am J Sports Med 31(2):203–209PubMed

31.

Wirth MA, Groh GI, Rockwood CA Jr (1998) Capsulorrhaphy through an anterior approach for the treatment of atraumatic posterior glenohumeral instability with multidirectional laxity of the shoulder. J Bone Joint Surg Am 80(11):1570–1578PubMed

32.

Wolf EM, Eakin CL (1998) Arthroscopic capsular plication for posterior shoulder instability. Arthroscopy 14(2):153–163PubMedCrossRef

33.

Yamamoto N, Itoi E, Tuoheti Y, Seki N, Abe H, Minagawa H, Shimada Y, Okada K (2006) Effect of rotator interval closure on glenohumeral stability and motion: a cadaveric study. J Should Elb Surg 15(6):750–758CrossRef

Titel: Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion
verfasst von: Frank Martetschläger
Jeffrey R. Padalecki
Peter J. Millett
Publikationsdatum: 01.07.2013
Verlag: Springer-Verlag
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 7/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2237-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2013

Surgical indications for treatment for femoroacetabular impingement with surgical hip dislocation

Clinical outcomes of open meniscal repair of horizontal meniscal tears in young patients

Arthroscopic evaluation of knee lateral compartment widening after lateral ligamentous injury

Clinical outcome and structural integrity of all-arthroscopic repair of degenerative subscapularis tendon tears

Anterior cruciate ligament tears: what we already know