García-Germán-Vázquez D, Menéndez-Martínez P, Guijarro-Valtueña A, Viloria-Recio F, García-Rodríguez D, Canillas-del Rey F

Idioma: Español
Referencias bibliográficas: 40
Paginas: 382-388
Archivo PDF: 268.58 Kb.

RESUMEN

La lesión de Hill-Sachs es un defecto de la parte posterosuperior de la cabeza humeral que se produce durante el episodio de inestabilidad. En abducción y rotación externa esta lesión puede engranarse con un margen anterior de la glenoides, favoreciendo la inestabilidad. Su presencia puede ser la causa de un gran número de fracasos de la estabilización quirúrgica. Describimos la técnica de remplissage artroscópico que consiste en el relleno de la lesión mediante una capsulotenodesis del tendón del músculo infraespinoso. Este gesto debe realizarse siempre conjuntamente con la reparación cápsulo-labral anterior. Los resultados obtenidos por los autores y publicados en la literatura son buenos con pérdida de movilidad similar a la obtenida con técnica de Bankart artroscópica aislada. Recomendamos la realización de un remplissage conjuntamente con un Bankart en aquellos pacientes con inestabilidad glenohumeral que presenten lesiones de Hill-Sachs significativas sin defecto glenoideo o con defectos menores de 25%.

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