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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 6

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Acta Ortop Mex 2014; 28 (6)

Arthroscopic treatment of Hill-Sachs lesions in glenohumeral instability. «Remplissage» technique

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

Language: Spanish
References: 40
Page: 382-388
PDF size: 268.58 Kb.


ABSTRACT

Hill-Sachs lesion is a defect of the posterosuperior aspect of the humeral head that occurs during an episode of instability. Under abduction and external rotation, this lesion may engage the anterior glenoid border, thus favoring instability. It may be the cause of many failed surgical stabilization procedures. We herein describe the arthroscopic remplissage technique, which consists of filling the lesion through capsulotenodesis of the infraspinatus tendon. This maneuver should be always be performed together with anterior capsulolabral repair. The results obtained by the authors and published in the literature are good, with a loss of mobility similar to the one resulting from the isolated arthroscopic Bankart technique. We recommend performing remplissage together with Bankart repair in patients with glenohumeral instability with significant Hill-Sachs lesions without a glenoid defect or with defects less than 25%.


REFERENCES

  1. Cetik O, Uslu M, Ozsar BK: The relationship between Hill-Sachs lesion and recurrent anterior shoulder dislocation. Acta Orthop Belg. 2007; 73: 175-8.

  2. Sachs MH: The groove defect of the humeral head. A frequently unrecognized complication of dislocation of the shoulder joint. Radiology. 1940; 35: 690-700.

  3. Burkhart SS, De Beer JF: Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000; 16: 677-94.

  4. Lynch JR, Clinton JM, Dewing CB, Warme WJ, Matsen FA III: Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elbow Surg. 2009; 18: 317-28.

  5. Patel RV, Apostle K, Leith JM, Regan WD: Revision arthroscopic capsulolabral reconstruction for recurrent instability of the shoulder. J Bone Joint Surg BR. 2008; 90: 1462-7.

  6. Rowe CR, Zarins B, Ciullo JV: Recurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment. J Bone Joint Surg Am. 1984; 66: 159-68.

  7. Flatow EL, Warner JI: Instability of the shoulder: complex problems and failed repairs: Part I. Relevant biomechanics, multidirectional instability and severe glenoid loss. Instr Course Lect. 1998; 47: 97-112.

  8. Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L: Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am. 2006; 88: 1755-63.

  9. Balg F, Boileau P: The instability severity index score: a simple pre-operative score to select patients for arthroscopic or open shoulder stabilization. J Bone Joint Surg Br. 2007; 89: 1470-7.

  10. Yamamoto N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, Okada K. Contact between the glenoid and the humeral head in abduction, external rotation and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg. 2007; 16(5): 649-56.

  11. O’Neil. Arthroscopic Bankart repair of anterior detachments of the glenoid labrum. A prospective study. J Bone Joint Surg Am. 1999; 81: 1357-66.

  12. Sekiya JK, Wickwire AC, Stehele JH, Debski RE: Hill-Sachs defects and repair using osteoarticular allograft transplantation: biomechanical analysis using a joint compression model. Am J Sports Med. 2009; 37: 2459-66.

  13. Elkinson I, Giles JW, Faber KJ, Boons HW, Ferreira LM, Johnson JA, Athwal GS: The effect of the remplissage procedure on shoulder stability and range of motion: an in vitro biomechanical assessment. J Bone Joint Surg Am. 2012; 94: 1003-12.

  14. Giles JW, Elkinson I, Ferreira LM, Faber KJ, Boons HW, Litchfield R, et al: Moderate to large engaging Hill-Sachs defects: an in vitro biomechanical comparison of the remplissage procedure, allograft humeral head reconstruction, and partial resurfacing arthroplasty. J Shoulder Elbow Surg. 2012; 21: 1142-51.

  15. Provencher MT, Ghodadra N, Romeo AA: Arthroscopic management of anterior instability: pearls, pitfalls and lessons learned. Orthop Clin N Am. 2010; 41: 325-37.

  16. Walch G, Boileau P: Latarjet-Bristow procedure for recurrent anterior instability. Tech Shoulder Elbow Surg. 2000; 1: 256-61.

  17. Park MJ, Tjoumakaris FP, Garcia G, Patel A, Kelly JD: Arthroscopic remplissage with Bankart repair for the treatment of gleno-humeral instability with Hill-Sachs defects. Arthroscopy. 2011; 27: 1187-94.

  18. Park MJ, Garcia G, Malhotra A, Major N, Tjoumakaris FP, Kelly JD: The evaluation of arthroscopic remplissage by high-resolution magnetic resonance imaging. Am J Sports Med. 2012; 40: 2331-6.

  19. Zhu YM, Lu Y, Zhang J, Shen JW, Jiang CY: Arthroscopic Bankart repair combined with remplissage technique for the treatment of anterior shoulder instability with engaging Hill-Sachs lesion: a report of 49 cases with a minimum 2-year follow-up. Am J Sports Med. 2011; 39: 1640-7.

  20. Koo SS, Burkhart SS, Ochoa E: Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs. Arthroscopy. 2009; 25: 1343-8.

  21. McCabe MP, Savoie FH, Field LD, Hobgood ER, Weinberg D, Brown DG, et al: Arthroscopic reconstruction in patients with shoulder instability and moderate bone loss (SS-02). Arthroscopy. 2012; 28S: e1-e2.

  22. Cicak N, Bilic R, Delimar D: Hill-Sachs lesion in recurrent shoulder dislocation: sonographic detection. J Ultrasound Med. 1998; 17(9): 557-60.

  23. Denti M, Monteleone M, Trevisan C, De Romedis B, Barmettler F: Magnetic resonance imaging versus arthroscopy for the investigation of the osteochondral humeral defect in anterior shoulder instability. A double-blind prospective study. Knee Surg Sports Traumatol Arthrosc. 1995; 3(3): 184-6.

  24. Krackhardt T, Schewe B, Albrecht D, Weise K: Arthroscopic fixation of the subscapularis tendon in the reverse Hill-Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy. 2006; 22(2): 227.e1-227.

  25. Weber BG, Simpson LA, Hardegger F: Rotational humeral osteotomy for recurrent anterior dislocation of the shoulder associated with a large Hill-Sachs lesion. J Bone Joint Surg Am. 1984; 66: 1443-50.

  26. Miniaci A, Berlet G: Recurrent anterior instability following failed surgical repair: Allograft reconstruction of large humeral head defects. J Bone Joint Surg Br. 2001; 83(Suppl 1): 19-20.

  27. Kazel MD, Sekiya JK, Greene JA, Bruker CT: Percutaneous correction (humeroplasty) of humeral head defects (Hill-Sachs) associated with anterior shoulder instability: a cadaveric study. Arthroscopy. 2005; 12: 1473-8.

  28. Moros C, Ahmad CS: Partial humeral head resurfacing and Latarjet coracoid transfer for treatment of recurrent anterior glenohumeral instability. Orthopedics. 2009; 32(8): 370-5.

  29. Garcia GH, Park MJ, Baldwin K, Fowler J, Kelly JD 4th, Tjoumakaris FP: Comparison of arthroscopic osteochondral substitute grafting and remplissage for engaging Hill-Sachs lesions. Orthopedics. 2013; 36(1): 38-43.

  30. Connolly J: Humeral head defects associated with shoulder dislocations. AAOS Instructional Course Lectures. 1972: 42-54.

  31. Wolf EM, Pollack ME: Hill-Sachs ‘‘remplissage’’: an arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2004; 20(Suppl 1): 14-15.

  32. Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC: Hill-Sachs «remplissage»: an arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2008; 24: 723-6.

  33. Itoi E, Lee SB, Berglund LJ, Berge LL, An KN: The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am. 2000; 82: 35-46.

  34. Bigliani LU, Newton PM, Steinmann SP, Connor PM, McIlveen SJ: Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med. 1998; 26: 41-5.

  35. Franceschi F, Papalia R, Rizzello G, Franceschetti E, Del Buono A, Panasci M, et al: Remplissage repair-new frontiers in the prevention of recurrent shoulder instability: a 2-year follow-up comparative study. Am J Sports Med. 2012; 40: 2462-9.

  36. Elkinson I, Giles JW, Boons HW, Faber KJ, Ferreira LM, Johnson JA, et al. The Shoulder remplissage procedure for Hill-Sachs defects: does technique matter? J Shoulder Elbow Surg. 2012: Oct 26.

  37. Deutsch HH, Kroll DG: Decreased range of motion following arthroscopic remplissage. Orthopedics. 2008; 31: 492.

  38. Boileau P, O’Shea K, Vargas P, Pinedo M, Old J, Zumstein M: Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg Am. 2012; 94(7): 618-26.

  39. Haviv B, Mayo L, Biggs D: Outcomes of arthroscopic «remplissage»: capsulotenodesis of the engaging large Hill-Sachs lesion. J Orthop Surg Res. 2011; 6: 29.

  40. Nourissat G, Kilinc AS, Werther JR, Doursounian L. A prospective, comparative, radiological, and clinical study of the influence of the «remplissage» procedure on shoulder range of motion after stabilization by arthroscopic Bankart repair. Am J Sports Med. 2011; 39: 2147-52.




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