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Related Experiment Video

Updated: Mar 22, 2026

Reverse Total Shoulder Arthroplasty
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Arthroscopic Reverse Remplissage for Posterior Instability.

Chad D Lavender1, Shane R Hanzlik1, Sara E Pearson1

  • 1Orthopaedic Research of Virginia, Richmond, Virginia, U.S.A.

Arthroscopy Techniques
|April 14, 2016
PubMed
Summary
This summary is machine-generated.

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Posterior shoulder dislocation, often caused by seizures, can lead to a reverse Hill-Sachs lesion. This study presents an arthroscopic technique for treating this defect, aiming to reduce recurrence and improve shoulder stability.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Posterior shoulder dislocation is a rare injury, frequently linked to electrical shock or seizures.
  • Patients often exhibit an impaction fracture on the anterior humeral head, termed a reverse Hill-Sachs lesion.
  • Management of this bony defect to prevent recurrent instability remains a challenge.

Purpose of the Study:

  • To describe an arthroscopic surgical technique for addressing reverse Hill-Sachs lesions.
  • To evaluate the efficacy of this minimally invasive approach in managing posterior shoulder instability.
  • To offer an alternative to traditional open surgical methods.

Main Methods:

  • The study advocates for an arthroscopic approach to treat reverse Hill-Sachs lesions.

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  • Techniques include suture anchor-based distal tenodesis of the subscapularis tendon.
  • Alternatively, a reverse remplissage procedure is proposed.

    • Main Results:

    • The proposed arthroscopic methods aim to reconstruct the humeral head defect.
    • These techniques are designed to enhance glenohumeral stability and decrease dislocation recurrence.
    • Focus is on a less invasive surgical option compared to open procedures.

    Conclusions:

    • Arthroscopic treatment of reverse Hill-Sachs lesions offers a viable alternative for posterior shoulder instability.
    • Distal subscapularis tenodesis or reverse remplissage can effectively manage the bony defect.
    • This approach may lead to improved outcomes and reduced recurrence rates.