Posterior Labral Repair and Reverse Remplissage for Acute Posterior Instability in High-Risk Athletes

Posterior shoulder instability is increasingly recognized, particularly among contact athletes subjected to repetitive posterior loading. Posterior dislocation causes an anterior impaction of the humeral head known is a reverse Hill-Sachs lesion. In elite contact sport athletes, a labral repair may not be sufficient. We describe a posterior labral repair with all-suture anchors in the beach-chair position with an adjunct arthroscopic reverse remplissage procedure for added stability. This presents a reliable, minimally invasive treatment option in these high-risk patients.