Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors
Posterior glenohumeral dislocation can result in impaction fractures to the anteromedial humeral head, known as a reverse Hill-Sachs lesion. They may also cause damage to the posterior capsuloligamentous structures. This can lead to ongoing posterior instability and altered biomechanics resulting in...
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| 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/S2212628724004389 |
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| author | Nasri H. Zreik, M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A. Magnus Arnander, M.Sc. , F.R.C.S. (Orth)., Dip. Hand Surg. Eyiyemi Pearse, B.M., B.Ch. (Oxon), B.A. (Hons), M.A. (Oxon), F.R.C.S., (Orth). Duncan Tennent, B.Sc. (Hons), F.R.C.S. (Orth), Pg.Cert. (MedEd), M.A.cadM.Ed., F.F.S.T.Ed. |
| author_facet | Nasri H. Zreik, M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A. Magnus Arnander, M.Sc. , F.R.C.S. (Orth)., Dip. Hand Surg. Eyiyemi Pearse, B.M., B.Ch. (Oxon), B.A. (Hons), M.A. (Oxon), F.R.C.S., (Orth). Duncan Tennent, B.Sc. (Hons), F.R.C.S. (Orth), Pg.Cert. (MedEd), M.A.cadM.Ed., F.F.S.T.Ed. |
| author_sort | Nasri H. Zreik, M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A. |
| collection | DOAJ |
| description | Posterior glenohumeral dislocation can result in impaction fractures to the anteromedial humeral head, known as a reverse Hill-Sachs lesion. They may also cause damage to the posterior capsuloligamentous structures. This can lead to ongoing posterior instability and altered biomechanics resulting in early degenerative changes. Ongoing symptoms may result in challenges to a patient’s day-to-day and sporting activities. Early intervention to stabilize the shoulder may help avoid these. We present a reproducible technique for posterior stabilization using linked knotless anchors to perform a remplissage of the subscapularis into the reverse Hill-Sachs lesion defect that avoids the need for exposure of the subcoracoid bursa. |
| format | Article |
| id | doaj-art-38d55b98f6da47cbb652b7903a68a758 |
| institution | DOAJ |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-38d55b98f6da47cbb652b7903a68a7582025-08-20T03:14:02ZengElsevierArthroscopy Techniques2212-62872025-04-0114410328510.1016/j.eats.2024.103285Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless AnchorsNasri H. Zreik, M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A.0Magnus Arnander, M.Sc. , F.R.C.S. (Orth)., Dip. Hand Surg.1Eyiyemi Pearse, B.M., B.Ch. (Oxon), B.A. (Hons), M.A. (Oxon), F.R.C.S., (Orth).2Duncan Tennent, B.Sc. (Hons), F.R.C.S. (Orth), Pg.Cert. (MedEd), M.A.cadM.Ed., F.F.S.T.Ed.3Address correspondence to Nasri Zreik, M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A., Department of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, St. James Wing (5th Floor), Blackshaw Rd, London SW17 0QT, England.; Department of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, EnglandDepartment of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, EnglandDepartment of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, EnglandDepartment of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, EnglandPosterior glenohumeral dislocation can result in impaction fractures to the anteromedial humeral head, known as a reverse Hill-Sachs lesion. They may also cause damage to the posterior capsuloligamentous structures. This can lead to ongoing posterior instability and altered biomechanics resulting in early degenerative changes. Ongoing symptoms may result in challenges to a patient’s day-to-day and sporting activities. Early intervention to stabilize the shoulder may help avoid these. We present a reproducible technique for posterior stabilization using linked knotless anchors to perform a remplissage of the subscapularis into the reverse Hill-Sachs lesion defect that avoids the need for exposure of the subcoracoid bursa.http://www.sciencedirect.com/science/article/pii/S2212628724004389 |
| spellingShingle | Nasri H. Zreik, M.B. Ch.B. (Hons), B.Sc. (Hons), M.Sc. (Res), P.G.Cert. (Med; Ed;), F.R.C.S. (Orth)., F.E.B.O.T., F.H.E.A. Magnus Arnander, M.Sc. , F.R.C.S. (Orth)., Dip. Hand Surg. Eyiyemi Pearse, B.M., B.Ch. (Oxon), B.A. (Hons), M.A. (Oxon), F.R.C.S., (Orth). Duncan Tennent, B.Sc. (Hons), F.R.C.S. (Orth), Pg.Cert. (MedEd), M.A.cadM.Ed., F.F.S.T.Ed. Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors Arthroscopy Techniques |
| title | Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors |
| title_full | Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors |
| title_fullStr | Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors |
| title_full_unstemmed | Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors |
| title_short | Posterior Stabilization and Reverse Hill-Sachs Remplissage Using Linked Knotless Anchors |
| title_sort | posterior stabilization and reverse hill sachs remplissage using linked knotless anchors |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724004389 |
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