Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach
Hill-Sachs lesions (HSLs) are commonly associated with anterior shoulder instability with or without glenoid bone defects. Treatment decision mainly depends on the size and location of the defect on the humeral head. Osteochondral allograft transplantation has been described for the treatment of lar...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724004419 |
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| author | Jared T. Lee, M.D. Marco Adriani, M.D. Mikalyn T. DeFoor, M.D. Ryan J. Whalen, B.S., C.S.C.S. Natalie Cortes, M.S. Matthew T. Provencher, M.D., M.B.A., CAPT MC USNR (Ret.) |
| author_facet | Jared T. Lee, M.D. Marco Adriani, M.D. Mikalyn T. DeFoor, M.D. Ryan J. Whalen, B.S., C.S.C.S. Natalie Cortes, M.S. Matthew T. Provencher, M.D., M.B.A., CAPT MC USNR (Ret.) |
| author_sort | Jared T. Lee, M.D. |
| collection | DOAJ |
| description | Hill-Sachs lesions (HSLs) are commonly associated with anterior shoulder instability with or without glenoid bone defects. Treatment decision mainly depends on the size and location of the defect on the humeral head. Osteochondral allograft transplantation has been described for the treatment of large off-track HSLs. However, concerns have been raised due to concerns accessing the HSL and associated complications, predominantly due to the anterior aspect of the deltopectoral approach and subscapularis tenotomy used to gain access to these lesions. In addition, most of the studies used a lemon-wedge-shaped allograft to restore the defect, which can be technically demanding and time-consuming. This Technical Note aims to describe a posterior approach to the humeral head through an infraspinatus split that allows for accurate humeral head reconstruction with cylindrical osteochondral allografts in the setting of primary or recurrent anterior shoulder instability with large, off-track HSLs. |
| format | Article |
| id | doaj-art-3227dbaf7df64610970fcb00f70889fc |
| institution | DOAJ |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-3227dbaf7df64610970fcb00f70889fc2025-08-20T03:14:02ZengElsevierArthroscopy Techniques2212-62872025-04-0114410328810.1016/j.eats.2024.103288Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior ApproachJared T. Lee, M.D.0Marco Adriani, M.D.1Mikalyn T. DeFoor, M.D.2Ryan J. Whalen, B.S., C.S.C.S.3Natalie Cortes, M.S.4Matthew T. Provencher, M.D., M.B.A., CAPT MC USNR (Ret.)5The Steadman Clinic, Aspen, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, ItalySan Antonio Military Medical Center, Fort Sam Houston, Texas, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Matthew T. Provencher, MD, MBA, CAPT MC USNR (Ret.), The Steadman Clinic, 181 W Meadow Dr, Suite 400, Vail, CO 81657, U.S.A.Hill-Sachs lesions (HSLs) are commonly associated with anterior shoulder instability with or without glenoid bone defects. Treatment decision mainly depends on the size and location of the defect on the humeral head. Osteochondral allograft transplantation has been described for the treatment of large off-track HSLs. However, concerns have been raised due to concerns accessing the HSL and associated complications, predominantly due to the anterior aspect of the deltopectoral approach and subscapularis tenotomy used to gain access to these lesions. In addition, most of the studies used a lemon-wedge-shaped allograft to restore the defect, which can be technically demanding and time-consuming. This Technical Note aims to describe a posterior approach to the humeral head through an infraspinatus split that allows for accurate humeral head reconstruction with cylindrical osteochondral allografts in the setting of primary or recurrent anterior shoulder instability with large, off-track HSLs.http://www.sciencedirect.com/science/article/pii/S2212628724004419 |
| spellingShingle | Jared T. Lee, M.D. Marco Adriani, M.D. Mikalyn T. DeFoor, M.D. Ryan J. Whalen, B.S., C.S.C.S. Natalie Cortes, M.S. Matthew T. Provencher, M.D., M.B.A., CAPT MC USNR (Ret.) Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach Arthroscopy Techniques |
| title | Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach |
| title_full | Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach |
| title_fullStr | Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach |
| title_full_unstemmed | Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach |
| title_short | Humeral Head Bone Grafting of a Large Off-Track Hill-Sachs Lesion Using Femoral Condyle Osteochondral Allograft Through a Percutaneous Posterior Approach |
| title_sort | humeral head bone grafting of a large off track hill sachs lesion using femoral condyle osteochondral allograft through a percutaneous posterior approach |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724004419 |
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