Anatomical reconstruction of reverse hill-sachs lesions using the underpinning technique

Orthopedics
Samik BanerjeeVipul R Patel

Abstract

Posterior glenohumeral joint dislocation is an uncommon injury and is associated with bony and ligamentous disruption. It requires prompt diagnosis and early treatment to prevent acute or recurrent instability and subsequent dysfunction. Reverse Hill-Sachs lesions associated with this injury are challenging to treat, and optimal treatment is controversial. Treatment methods can be divided into those that achieve stability through muscle transfers, osteotomies, or posterior bone-block procedures (glenoid augmentation) and those that restore the sphericity of the humeral head. Joint replacement is often suggested for large head lesions (>50%) considered beyond reconstruction. Restoration of stability, preservation of the proximal humeral anatomy, and salvage of the humeral head sphericity should be the treatment goals in the younger population.This article describes the surgical technique of elevation of the impressed osteochondral fragment followed by filling the lesion with Allomatrix bone graft putty (Wright Medical Technology, Arlington, Tennessee) in 2 patients. The size of the head lesion was ≤35%. Underpinning raft screws were used to provide subchondral support and prevent the collapse of the elevated fragment. Postoperat...Continue Reading

References

Nov 14, 1997·Journal of Shoulder and Elbow Surgery·P M ConnorD F D'Alessandro
Apr 3, 1998·Journal of Shoulder and Elbow Surgery·S L ChecchiaA N Miyazaki
May 6, 2004·The Journal of Bone and Joint Surgery. British Volume·N Cicak
Jan 6, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Marco AssomPaolo Rossi
Feb 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Tilmann KrackhardtKuno Weise
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·C Michael RobinsonCole Beavis
Jan 3, 2009·Journal of Shoulder and Elbow Surgery·Jill L CaplanRobert J Neviaser
Feb 25, 2009·Archives of Orthopaedic and Trauma Surgery·Thomas EngelChristoph Josten
Apr 1, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·O BarbierG Versier
May 4, 2010·The Journal of Bone and Joint Surgery. British Volume·D E MeuffelsJ A N Verhaar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Marc BanerjeeSven Shafizadeh
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Marco AssomPaolo Rossi
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
© 2021 Meta ULC. All rights reserved