Arthroscopic Humeral Head Hill-Sachs Grafting With Talus Allograft.

Harkin, William E; McCormick, Johnathon R; Trenhaile, Scott W · Arthrosc Tech · 2025

case_report · Level V

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Abstract

The presence of a Hill-Sachs lesion is a known risk factor for recurrent shoulder instability. Many procedures have been described for the treatment of off-track Hill-Sachs lesions; however, each of these techniques is fraught with potential disadvantages and complications. In this Technical Note and accompanying video, we describe our technique for arthroscopic treatment of a Hill-Sachs lesion with talus osteochondral allograft. This technique recreates native humeral head anatomy with a highly congruent graft without altering the biomechanics of the glenohumeral joint.

Anatomy