Editorial Commentary: For Shoulder Hill-Sachs Lesion Remplissage, Medial Anchor Position Must Be Optimized to Achieve Stability Yet Minimize External Rotation Loss
Issued Date
2022-11-01
Resource Type
ISSN
07498063
eISSN
15263231
Scopus ID
2-s2.0-85140714534
Pubmed ID
36344057
Journal Title
Arthroscopy - Journal of Arthroscopic and Related Surgery
Volume
38
Issue
11
Start Page
2984
End Page
2986
Rights Holder(s)
SCOPUS
Bibliographic Citation
Arthroscopy - Journal of Arthroscopic and Related Surgery Vol.38 No.11 (2022) , 2984-2986
Suggested Citation
Ganokroj P., Whalen R.J., Provencher C.M.T. Editorial Commentary: For Shoulder Hill-Sachs Lesion Remplissage, Medial Anchor Position Must Be Optimized to Achieve Stability Yet Minimize External Rotation Loss. Arthroscopy - Journal of Arthroscopic and Related Surgery Vol.38 No.11 (2022) , 2984-2986. 2986. doi:10.1016/j.arthro.2022.08.025 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85411
Title
Editorial Commentary: For Shoulder Hill-Sachs Lesion Remplissage, Medial Anchor Position Must Be Optimized to Achieve Stability Yet Minimize External Rotation Loss
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
An off-track Hill-Sachs lesion (HSL) is a significant risk factor for recurrent shoulder instability after arthroscopic Bankart repair. Bankart repair combined with remplissage can better restore shoulder stability versus isolated Bankart repair when treating a combined Bankart lesion and off-track HSL. However, remplissage may be nonanatomic and associated with limitation of shoulder external rotation (ER), especially when the arm is in a 90° shoulder abduction position. Excessive medial placement of remplissage anchors is associated with postoperative ER loss and increased glenohumeral cartilage degeneration. The use of 2 medial anchors results in lower articular forces. Thus, in patients with shoulder instability, we recommend using 2 remplissage anchors in those with a Bankart lesion plus an off-track HSL. The anchors should be placed medially to achieve stability—but not so medial as to result in postoperative stiffness and significant ER loss.