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Posterior Labral Repair and Reverse Remplissage for Acute Posterior Instability in High-Risk Athletes
Ayham Jaber1,2, Tyler J Uppstrom3, Michael Nocek1
1Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthroscopy Techniques
|October 24, 2025
Summary
Posterior shoulder instability in athletes can be treated with arthroscopic reverse remplissage and labral repair. This minimally invasive technique offers a reliable solution for high-risk patients experiencing recurrent posterior shoulder dislocations.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Posterior shoulder instability is a growing concern, especially in contact athletes due to repetitive posterior loading.
- Posterior dislocations can lead to reverse Hill-Sachs lesions, impacting the humeral head anteriorly.
- Standard labral repair may be insufficient for elite athletes with this condition.
Purpose of the Study:
- To describe a combined arthroscopic posterior labral repair and reverse remplissage procedure.
- To evaluate this technique as a reliable, minimally invasive treatment for posterior shoulder instability in high-risk athletes.
Main Methods:
- Surgical technique involves posterior labral repair using all-suture anchors.
- Procedure performed in the beach-chair position.
- Adjunct arthroscopic reverse remplissage is utilized for enhanced stability.
Main Results:
- The combined technique provides a reliable treatment option.
- It is a minimally invasive approach.
- Addresses the specific needs of high-risk athletes with posterior shoulder instability.
Conclusions:
- Arthroscopic posterior labral repair with reverse remplissage is an effective treatment.
- This procedure offers a reliable and minimally invasive solution for elite athletes.
- It addresses the challenges posed by posterior shoulder instability and reverse Hill-Sachs lesions.
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1. Clinical Evaluation:
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