Arthroscopic Knotless Modified McLaughlin Procedure for Reverse Hill-Sachs Lesions.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 32021776.
- Also identified by DOI 10.1016/j.eats.2019.09.002 and PMC identifier 6993127.
- Licence recorded as CC BY-NC-ND.
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Abstract
Posterior shoulder dislocations often are associated with an impression fracture involving the anterior humeral head known as a reverse Hill-Sachs lesion. These injuries can result in significant bone defects that require surgical management to prevent them from engaging the posterior glenoid. We present a modified arthroscopic, knotless McLaughlin procedure (tenodesis of the subscapularis tendon into the bone defect) for the treatment of small-to medium-sized, engaging Hill-Sachs lesions. The knotless fashion aims to eliminate potential problems associated with knot tying, such as knot migration, knot impingement, and chondral abrasion.