A modification of the McLaughlin procedure for persistent posterior shoulder instability: technical note

Archives of Orthopaedic and Trauma Surgery
C P CharalambousM J Ravenscroft

Abstract

We describe a modification of the McLaughlin procedure for persistent posterior shoulder instability following posterior glenohumeral dislocation with a large antero-medial reverse Hill-Sachs lesion. In the original McLaughlin description, the subscapularis was divided close to its insertion to the lesser tuberosity and sutured into the reverse Hill-Sachs lesion using bone drill holes. In our newly described technique, the subscapularis tendon is not divided but is instead plicated into the reverse Hill-Sachs lesion using suture anchors inserted in the humeral head defect. We present the case of a patient with persistent posterior instability following traumatic posterior glenohumeral dislocation, successfully treated with our new technique.

References

Sep 24, 2004·Journal of Shoulder and Elbow Surgery·John W SperlingRobert H Cofield
Mar 21, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Elvire ServienDaniel P O'Connor

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Citations

Oct 19, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alexander Van TongelLieven De Wilde
Oct 12, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Frank MartetschlägerPeter J Millett
Apr 25, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Simone CercielloKatia Corona
Sep 6, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jochen PaulAndreas B Imhoff
Oct 3, 2012·Orthopedics·Zinon T KokkalisAristides B Zoubos
Jul 5, 2013·Orthopedics·Zinon T KokkalisPanayiotis J Papagelopoulos
Aug 20, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ahmed ShamsWael Azzam
Mar 16, 2017·Orthopedics·Yousuf M Khira, Adel M Salama
Mar 21, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mohamed S Arafa, Ahmed Abdelbadie
Oct 20, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alfonso M RomanoFrancesco Ascione
Jan 1, 2020·JSES Open Access·Stephen DiMariaBrett Owens
Jul 4, 2021·Journal of Shoulder and Elbow Surgery·Marcio CohenGeraldo Rocha Motta Filho

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