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Related Concept Videos

Muscles of the Shoulder01:23

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Reverse Total Shoulder Arthroplasty
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Posterior Shoulder Instability: The Augmented McLaughlin Procedure.

Richard Dimock1, Kashif Memon1, Paolo Consigliere2

  • 1Rowley Bristow Orthopaedic Unit, Ashford and St Peter's Hospital NHS Foundation Trust, Chertsey, Surrey, UK.

The Archives of Bone and Joint Surgery
|December 14, 2020
PubMed
Summary

Posterior shoulder dislocation can be missed and cause humeral head defects. This study presents a new technique using extracellular matrix to augment reverse Hill-Sachs lesions, improving shoulder stability.

Keywords:
McLaughlin procedurePosterior dislocationeverse hill-sachsll suture anchorxtracellular matrix

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomaterials Science

Background:

  • Posterior shoulder dislocation is uncommon but often overlooked.
  • It is frequently associated with reverse Hill-Sachs lesions, which are defects on the humeral head.
  • Existing stabilization techniques vary based on lesion size.

Purpose of the Study:

  • To describe a novel surgical technique for stabilizing posterior shoulder dislocations.
  • To address significant reverse Hill-Sachs lesions.
  • To evaluate the use of extracellular matrix for augmenting bone defects.

Main Methods:

  • A new surgical technique for posterior shoulder dislocation stabilization is detailed.
  • The method involves augmenting the reverse Hill-Sachs lesion.
  • Extracellular matrix grafts are used to fill the humeral head defect.

Main Results:

  • The described technique provides an additional option for shoulder stabilization.
  • Augmentation with extracellular matrix effectively fills the defect in the reverse Hill-Sachs lesion.
  • This method aims to enhance stability following posterior shoulder dislocation.

Conclusions:

  • A novel technique using extracellular matrix for reverse Hill-Sachs lesions is presented.
  • This approach offers a method to further fill defects and improve shoulder stability.
  • The technique provides a valuable addition to the management of posterior shoulder dislocations.