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Modified McLaughlin Procedure Using a Double-Row Suture Anchor for Chronic Locked Posterior Shoulder Dislocation: A
Ausberto Velasquez Garcia1,2,3
1Department of Orthopedic Surgery, Clinica Universidad de los Andes, Santiago, Chile.
JBJS Case Connector
|July 9, 2022
Summary
A novel surgical technique successfully treated a chronic locked posterior shoulder dislocation with a significant reverse Hill-Sachs lesion (RHSL). This approach offers joint preservation for extensive humeral head defects.
Area of Science:
- Orthopedic Surgery
- Shoulder Reconstruction
Background:
- Chronic locked posterior shoulder dislocation is a debilitating condition.
- Reverse Hill-Sachs lesions (RHSLs) can complicate shoulder dislocations, affecting joint stability.
Observation:
- A 49-year-old active male presented with a chronic locked posterior shoulder dislocation after a direct fall.
- Radiographic evaluation revealed a reverse Hill-Sachs lesion (RHSL) involving 31% of the articular surface.
Findings:
- The patient underwent a modified McLaughlin procedure for reconstruction.
- A double-row suture anchor technique was utilized for fixation of the lesser tuberosity transfer and subscapularis tenodesis.
- The procedure resulted in successful treatment of the RHSL.
Implications:
- This modified surgical approach provides adequate stability, pain reduction, and functional recovery.
- It represents a viable joint preservation option for managing extensive humeral head defects.
- The use of double-row suture anchors offers a novel fixation method in this procedure.
