Posterior Labral Repair and Reverse Remplissage for Acute Posterior Instability in High-Risk Athletes.

Jaber, Ayham; Uppstrom, Tyler J; Nocek, Michael; Hawryluk, Christopher J; Jaber, Yazan; Murphy, Colin P; Millett, Peter J · Arthrosc Tech · 2025

case_series · Level IV

Where this comes from

Abstract

Posterior shoulder instability is increasingly recognized, particularly among contact athletes subjected to repetitive posterior loading. Posterior dislocation causes an anterior impaction of the humeral head known is a reverse Hill-Sachs lesion. In elite contact sport athletes, a labral repair may not be sufficient. We describe a posterior labral repair with all-suture anchors in the beach-chair position with an adjunct arthroscopic reverse remplissage procedure for added stability. This presents a reliable, minimally invasive treatment option in these high-risk patients.