Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion
Posterior shoulder instability occurs less often than anterior shoulder instability but is increasingly recognized as a relatively common condition. The reverse Hill-Sachs lesion is present in some patients with posterior instability and is best described as an impaction fracture of the anterior hum...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717302098 |
| _version_ | 1829507618106769408 |
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| author | Brian J. Kelly, M.D. Larry D. Field, M.D. |
| author_facet | Brian J. Kelly, M.D. Larry D. Field, M.D. |
| author_sort | Brian J. Kelly, M.D. |
| collection | DOAJ |
| description | Posterior shoulder instability occurs less often than anterior shoulder instability but is increasingly recognized as a relatively common condition. The reverse Hill-Sachs lesion is present in some patients with posterior instability and is best described as an impaction fracture of the anterior humeral head. These reverse Hill-Sachs lesions can predispose the patient to recurrent instability events and may need to be addressed directly at the time of surgery. Multiple open and arthroscopic procedures have been described to transfer bone or soft tissue structures into this reverse Hill-Sachs defect. An arthroscopic technique for the transfer of the subscapularis tendon into the defect using a standard 30° arthroscope, standard portals, and suture anchors is described. |
| first_indexed | 2024-12-16T11:11:58Z |
| format | Article |
| id | doaj.art-6bc560bb010c458a823ea263cb56dfb0 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-16T11:11:58Z |
| publishDate | 2017-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-6bc560bb010c458a823ea263cb56dfb02022-12-21T22:33:43ZengElsevierArthroscopy Techniques2212-62872017-10-0165e2061e2064Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs LesionBrian J. Kelly, M.D.0Larry D. Field, M.D.1Address correspondence to Brian J. Kelly, M.D., Mississippi Sports Medicine and Orthopaedic Center, 1325 East Fortification Street, Jackson, MS 39202, U.S.A.; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Posterior shoulder instability occurs less often than anterior shoulder instability but is increasingly recognized as a relatively common condition. The reverse Hill-Sachs lesion is present in some patients with posterior instability and is best described as an impaction fracture of the anterior humeral head. These reverse Hill-Sachs lesions can predispose the patient to recurrent instability events and may need to be addressed directly at the time of surgery. Multiple open and arthroscopic procedures have been described to transfer bone or soft tissue structures into this reverse Hill-Sachs defect. An arthroscopic technique for the transfer of the subscapularis tendon into the defect using a standard 30° arthroscope, standard portals, and suture anchors is described.http://www.sciencedirect.com/science/article/pii/S2212628717302098 |
| spellingShingle | Brian J. Kelly, M.D. Larry D. Field, M.D. Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion Arthroscopy Techniques |
| title | Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion |
| title_full | Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion |
| title_fullStr | Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion |
| title_full_unstemmed | Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion |
| title_short | Arthroscopic Transfer of the Subscapularis Tendon for Treatment of a Reverse Hill-Sachs Lesion |
| title_sort | arthroscopic transfer of the subscapularis tendon for treatment of a reverse hill sachs lesion |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717302098 |
| work_keys_str_mv | AT brianjkellymd arthroscopictransferofthesubscapularistendonfortreatmentofareversehillsachslesion AT larrydfieldmd arthroscopictransferofthesubscapularistendonfortreatmentofareversehillsachslesion |