1Shahid-Beheshti University of Medical Science
2Shahid-Beheshti University of Medical Science Tehran, Iran
3Mashhad University of Medical Sciences, Mashhad, Iran
Mass General Hospital, Harvard Medical School, Boston,
02114 MA, US
To assess the outcome of the remplissage arthroscopic surgical method in patients with anterior shoulder dislocation associated with Hill-Sachs lesion.
Ten patients with anterior shoulder dislocations and Hill-Sachs lesions were entered into this study and were operated on by the remplissage arthroscopic surgical method. They were followed up 22 months after surgery in
order to evaluate the outcome of the treatment, including recurrence of dislocation and motion limitation.
During the internal follow up period no case of recurrence was found. Motion limitation during the follow up
period was not significant (internal rotation limitation=5°±1°, and external rotation limitation=4°±1°) Conclusions:
Our findings suggest that the remplissage arthroscopic surgical method is an acceptable, safe and
reliable treatment for anterior shoulder dislocation with engaging Hill-Sachs lesion.
Connolly J. Humeral head defects associated with shoulder dislocations—their diagnostic and surgical significance. Instr Course Lect. 1972;21:42-54.
DiPaola MJ, Jazrawi LM, Rokito AS, Kwon YW, Patel L, Pahk B, et al. Management of humeral and glenoid bone loss--associated with glenohumeral instability. Bull NYU Hosp Jt Dis. 2010;68(4):245-50.
Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am. 1996;78(11):1677-84.
Hovelius L, Eriksson K, Fredin H, Hagberg G, Hussenius A, Lind B, et al. Recurrences after initial dislocation of the shoulder. Results of a prospective study of treatment. J Bone Joint Surg Am. 1983;65(3):343-9.
Kralinger FS, Golser K, Wischatta R, Wambacher M, Sperner G. Predicting recurrence after primary anterior shoulder dislocation. Am J Sports Med. 2002;30(1):116-20.
Levine WN, Arroyo JS, Pollock RG, Flatow EL, Bigliani LU. Open revision stabilization surgery for recurrent anterior glenohumeral instability. Am J Sports Med. 2000;28(2):156-60.
Tauber M, Resch H, Forstner R, Raffl M, Schauer J. Reasons for failure after surgical repair of anterior shoulder instability. J Shoulder Elbow Surg. 2004;13(3):279-85.
Uhorchak JM, Arciero RA, Huggard D, Taylor DC. Recurrent shoulder instability after open reconstruction in athletes involved in collision and contact sports. Am J Sports Med. 2000;28(6):794-9.
Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Hill-sachs “remplissage”: an arthroscopic solution for the engaging hill-sachs lesion. Arthroscopy. 2008;24(6):723-6.
Burkhart SS, De Beer JF. 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. 2000;16(7):677-94.
Lynch JR, Clinton JM, Dewing CB, Warme WJ, Matsen FA. Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elbow Surg. 2009;18(2):317-28.
Koo SS, Burkhart SS, Ochoa E. Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs. Arthroscopy. 2009;25(11):1343-8.
Re P, Gallo RA, Richmond JC. Transhumeral head plasty for large Hill-Sachs lesions. Arthroscopy. 2006;22(7):798 e1-4.
Reichl M, Koudela K. Post-traumatic anterior shoulder instability--arthroscopic stabilization method using bone anchors. Acta Chir Orthop Traumatol Cech. 2004;71(1):37-44.
Deutsch AA, Kroll DG. Decreased range of motion following arthroscopic remplissage. Orthopedics. 2008;31(5):492.
Balg F, Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br. 2007;89(11):1470-7.