McQuivey Kade S, Brinkman Joseph C, Tummala Sailesh V, Shaha James S, Tokish John M
Mayo Clinic Arizona Department of Orthopedic Surgery, Phoenix, Arizona, U.S.A.
Arthrosc Tech. 2022 Mar 19;11(4):e615-e621. doi: 10.1016/j.eats.2021.12.015. eCollection 2022 Apr.
Glenohumeral bone loss is a significant risk factor for recurrent instability after shoulder dislocation. The Hill-Sachs lesion is an osseous defect of the posterior humeral head that is commonly recognized after anterior shoulder dislocation. Several procedures exist to address humeral-sided bone loss, including soft tissue filling procedures, osteoarticular allografts, bone plugs, rotation osteotomies, and humeral head replacements. However, among the most common of these procedures is the arthroscopic remplissage. This technique involves capsulotenodesis of the posterior shoulder capsule and infraspinatus tendon into a Hill-Sachs lesion. Previously described techniques use knotted suture anchors. In this report, we describe a modified technique for remplissage using knotless, all-suture anchors to perform capsulotenodesis of a Hill-Sachs lesion. Benefits of this technique include a single skin incision, improved bone preservation, and easier facilitation of revision surgery if required.
盂肱关节骨质流失是肩关节脱位后复发性不稳定的一个重要风险因素。希尔-萨克斯损伤是肱骨头后部的骨缺损，在前肩关节脱位后较为常见。有多种手术方法可用于解决肱骨侧的骨质流失问题，包括软组织填充手术、骨关节异体移植、骨栓、旋转截骨术和肱骨头置换术。然而，这些手术中最常见的是关节镜下充填术。该技术包括将后肩囊和冈下肌腱缝合固定到希尔-萨克斯损伤处。先前描述的技术使用打结的缝合锚钉。在本报告中，我们描述了一种改良的充填术技术，使用无结全缝合锚钉对希尔-萨克斯损伤进行肩囊缝合固定。该技术的优点包括单一皮肤切口、更好地保留骨质以及在需要时更容易进行翻修手术。
