Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position
Traumatic posterior shoulder dislocations are commonly associated with a posterior labral tear and an impaction fracture involving the anterior humeral head referred to as a reverse Hill-Sachs lesion (RHSL). This humeral defect can engage on the posterior glenoid rim during shoulder cross-body adduc...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724003116 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582167369089024 |
|---|---|
| author | Te-Feng A. Chou, M.D. Eloy Tabeayo, M.D. Konrad I. Gruson, M.D. |
| author_facet | Te-Feng A. Chou, M.D. Eloy Tabeayo, M.D. Konrad I. Gruson, M.D. |
| author_sort | Te-Feng A. Chou, M.D. |
| collection | DOAJ |
| description | Traumatic posterior shoulder dislocations are commonly associated with a posterior labral tear and an impaction fracture involving the anterior humeral head referred to as a reverse Hill-Sachs lesion (RHSL). This humeral defect can engage on the posterior glenoid rim during shoulder cross-body adduction combined with shoulder elevation and may require surgical intervention. Depending on the size of the RHSL relative to the articular arc of the humeral head, traditional open surgical options including transfer of the subscapularis tendon alone, subscapularis transfer with the attached lesser tuberosity into the humeral impaction injury, or reconstruction using allograft for more severe defects have been described. We present an all-arthroscopic technique performed in the lateral decubitus position involving concomitant repair of the posterior labral tear and transfer of the subscapularis tendon (reverse remplissage or arthroscopic modified McLaughlin procedure) into a moderately sized RHSL. |
| format | Article |
| id | doaj-art-6b51b4e6402a4802811ecc055053ea3b |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-6b51b4e6402a4802811ecc055053ea3b2025-01-30T05:14:09ZengElsevierArthroscopy Techniques2212-62872025-01-01141103178Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus PositionTe-Feng A. Chou, M.D.0Eloy Tabeayo, M.D.1Konrad I. Gruson, M.D.2Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, U.S.A.Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, U.S.A.Address correspondence to Konrad I. Gruson, M.D., Department of Orthopaedic Surgery, Albert Einstein College of Medicine, 1250 Waters Place, 11th Floor, Bronx, New York 10461, U.S.A.; Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, U.S.A.Traumatic posterior shoulder dislocations are commonly associated with a posterior labral tear and an impaction fracture involving the anterior humeral head referred to as a reverse Hill-Sachs lesion (RHSL). This humeral defect can engage on the posterior glenoid rim during shoulder cross-body adduction combined with shoulder elevation and may require surgical intervention. Depending on the size of the RHSL relative to the articular arc of the humeral head, traditional open surgical options including transfer of the subscapularis tendon alone, subscapularis transfer with the attached lesser tuberosity into the humeral impaction injury, or reconstruction using allograft for more severe defects have been described. We present an all-arthroscopic technique performed in the lateral decubitus position involving concomitant repair of the posterior labral tear and transfer of the subscapularis tendon (reverse remplissage or arthroscopic modified McLaughlin procedure) into a moderately sized RHSL.http://www.sciencedirect.com/science/article/pii/S2212628724003116 |
| spellingShingle | Te-Feng A. Chou, M.D. Eloy Tabeayo, M.D. Konrad I. Gruson, M.D. Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position Arthroscopy Techniques |
| title | Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position |
| title_full | Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position |
| title_fullStr | Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position |
| title_full_unstemmed | Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position |
| title_short | Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position |
| title_sort | arthroscopic modified mclaughlin procedure and posterior labral repair in the lateral decubitus position |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724003116 |
| work_keys_str_mv | AT tefengachoumd arthroscopicmodifiedmclaughlinprocedureandposteriorlabralrepairinthelateraldecubitusposition AT eloytabeayomd arthroscopicmodifiedmclaughlinprocedureandposteriorlabralrepairinthelateraldecubitusposition AT konradigrusonmd arthroscopicmodifiedmclaughlinprocedureandposteriorlabralrepairinthelateraldecubitusposition |