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

Frank Martetschläger, Jeffrey R. Padalecki, Peter J. Millett

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

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.

Original languageEnglish
Pages (from-to)1642-1646
Number of pages5
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume21
Issue number7
DOIs
StatePublished - Jul 2013
Externally publishedYes

Keywords

  • Arthroscopic McLaughlin procedure
  • Posterior instability of the shoulder
  • Posterior Shoulder dislocation
  • Reverse Hill-Sachs lesion

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