Posterior Shoulder Instability: The Augmented McLaughlin Procedure

Document Type : TECHNICAL NOTE


1 Rowley Bristow Orthopaedic Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, UK

2 The Reading Shoulder Unit, Royal Berkshire Hospital NHS Foundation Trust, Reading, UK

3 Rowley Bristow Orthopaedic Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, UK - Fortius Clinic, London, UK


Posterior shoulder dislocation, whilst uncommon, is frequently missed and often associated with a significant defect on
the antero-medial aspect of the humeral head (the reverse Hill-Sachs lesion). Several techniques for stabilisation have
been described, depending on the size of the lesion. We describe an additional technique for stabilising the shoulder
following posterior dislocation by augmenting the reverse Hill-Sachs lesion with layers of extracellular matrix, thus
further filling the defect.
Level of evidence: V


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