Zreik Nasri H, Arnander Magnus, Pearse Eyiyemi, Tennent Duncan
Department of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, England.
Arthrosc Tech. 2024 Oct 25;14(4):103285. doi: 10.1016/j.eats.2024.103285. eCollection 2025 Apr.
Posterior glenohumeral dislocation can result in impaction fractures to the anteromedial humeral head, known as a reverse Hill-Sachs lesion. They may also cause damage to the posterior capsuloligamentous structures. This can lead to ongoing posterior instability and altered biomechanics resulting in early degenerative changes. Ongoing symptoms may result in challenges to a patient's day-to-day and sporting activities. Early intervention to stabilize the shoulder may help avoid these. We present a reproducible technique for posterior stabilization using linked knotless anchors to perform a remplissage of the subscapularis into the reverse Hill-Sachs lesion defect that avoids the need for exposure of the subcoracoid bursa.
肩关节后脱位可导致肱骨头前内侧发生撞击骨折，即所谓的反Hill-Sachs损伤。它们还可能损害后方的关节囊韧带结构。这会导致持续的后方不稳定和生物力学改变，从而引发早期退变。持续的症状可能给患者的日常活动和体育活动带来挑战。早期进行肩关节稳定干预可能有助于避免这些情况。我们介绍一种可重复的技术，使用带线无结锚钉进行后方稳定，将肩胛下肌填充到反Hill-Sachs损伤缺损处，避免了暴露喙突下囊的需要。
