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01-12-2012 | Original Article

Arthroscopic posterior bone block: surgical technique

Authors: Laurent Lafosse, Giorgio Franceschi, Bartlomiej Kordasiewicz, Wade J. Andrews, Daniel Schwartz

Published in: MUSCULOSKELETAL SURGERY | Issue 3/2012

Abstract

Posterior glenohumeral instability remains a difficult problem. There are still many controversies regarding surgical treatment, due to a lack of understanding the pathomechanical issues leading to posterior instability. This article presents a new arthroscopic technique of posterior bone block augmentation, which we found to be effective, repeatable and successful. This technique can be used for combined soft tissue and bony defects as well as for revisions after previous soft tissue reconstructions.

Gerber C, Nyffeler RW (2002) Classification of glenohumeral joint instability. Clin Orthop Relat Res 400:65–76PubMedCrossRef

O’Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB (1998) The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med 26(5):610–613PubMed

Rockwood CA, Matsen FA, Wirth MA, Lippitt SB (2009) The shoulder. Saunders Elsevier, London

Hurley JA, Anderson TE, Dear WA (1992) Posterior shoulder instability. Surgical versus conservative results with evaluation of glenoid version. Am J Sports Med 20(4):396–400PubMedCrossRef

Tibone JE, Bradley JP (1993) The treatment of posterior subluxation in athletes. Clin Orthop Relat Res 291:124–137PubMed

McIntyre LF, Caspari RB, Savoie FH III (1997) The arthroscopic treatment of posterior shoulder instability: two-year results of a multiple suture technique. Arthroscopy 13:426–432PubMedCrossRef

Wolf EM, Eakin CL (1998) Arthroscopic capsular plication for posterior shoulder instability. Arthroscopy 14:153–163PubMedCrossRef

Williams RJ III, Strickland S, Cohen M et al (2003) Arthroscopic repair for traumatic posterior shoulder instability. Am J Sports Med 31:203–209PubMed

Kim SH, Ha KI, Park JH et al (2003) Arthroscopic posterior labral repair and capsular shift for traumatic unidirectional recurrent posterior subluxation of the shoulder. J Bone Joint Surg Am 85:1479–1487PubMedCrossRef

10.

Provencher MT, King S, Solomon DJ, Bell SJ, Mologne TS (2005) Recurrent posterior shoulder instability: diagnosis and management. Oper Tech Sports Med 13(4):196–205CrossRef

11.

Savoie FH, Holt MS, Field LD, Ramsey JR (2008) Arthroscopic management of posterior instability: evolution of technique and results. Arthroscopy 24(4):389–396PubMedCrossRef

12.

Harryman DT, Sidles JA, Harris SL, Matsen FA III (1991) The role of the rotator interval capsule in passive motion and stability of the shoulder. J Bone Joint Surg Am 74:53–66

13.

Castagna A, Snyder SJ, Conti M, Borroni M, Massazza G, Garofalo R (2007) Posterior humeral avulsion of the glenohumeral ligament: a clinical review of 9 cases. Arthrosc: J Arthrosc Relat Surg 23(8):809–815CrossRef

14.

Hill JD, Lovejoy JF, Kelly RA (2007) Combined posterior Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments associated with recurrent posterior shoulder instability. Arthroscopy 23(3):327.e1–327.e3

15.

Chen L, Keefe D, Park J, Resnick D (2009) Posterior bony humeral avulsion of glenohumeral ligament with reverse bony Bankart lesion. J Shoulder Elbow Surgery 18(3):e45–e49

16.

Surin V, Blader S, Markhede G (1990) Rotational osteotomy of the humerus for posterior instability of the shoulder. J Bone Joint Surg Am 72:181–186PubMed

17.

Walch G, Dras SP, Ray GS, Saha AK (1966) Observations on the tilt of the glenoid cavity of the scapula. J Anat Soc Ind 15:114

18.

English E, Macnab I (1974) Recurrent posterior dislocation of the shoulder. Can J Surg 17:147–151PubMed

19.

Gerber C, Ganz R, Vinh TS (1987) Glenoplasty for recurrent posterior shoulder instability. An anatomic reappraisal. Clin Orthop Relat Res 216:70–79PubMed

20.

Hawkins RH (1996) Glenoid osteotomy for recurrent posterior subluxation of the shoulder: assessment by computed axial tomography. J Should Elb Surg 5(5):393–400CrossRef

21.

Hindenach JC (1947) Recurrent posterior dislocation of the shoulder. J Bone Joint Surg 29:582–586PubMed

22.

Fried A (1949) Habitual posterior dislocation of the shoulder joint. A report on 5 operated cases. Acta Orthop Scand 18:329–345CrossRef

23.

Jones V (1958) Recurrent posterior dislocation of the shoulder. Report of a case treated by posterior bone block. J Bone Joint Surg Br 40B:203–207

24.

Mc Laughlin HL (1962) Follow-up notes on articles previously published in the journal. Posterior dislocation of the shoulder. J Bone and Joint Surg 44A:1477–1478

25.

Fronek J, Warren RF, Bowen M (1989) Posterior subluxation of the glenohumeral joint. J Bone Joint Surg Am 71:205–216PubMed

26.

Sirveaux F, Leroux J, Roche O, Gosselin O, Gasperi M, Molé D (2004) Surgical treatment of posterior instability of the shoulder joint using an iliac bone-block or an acromial pediculated bone block: outcome in eighteen patients. Rev Chir Orthop Reparatrice Appar Mot 90:411–419PubMedCrossRef

27.

Kouvalchouk JF, Coudert X, Watin Augouard L, Da Silva Rosa R, Paszkowski A (1993) Le traitement des instabilités postérieures de l’épaule par butée acromiale pédiculée à un lambeau deltoïdien. Rev Chir Orthop 79:661–665PubMed

28.

Scapinelli R (2006) Posterior addition acromioplasty in the treatment of recurrent posterior instability of the shoulder. J Should Elb Surg 15(4):424–431CrossRef

29.

Arciero RobertA, Mazzocca AugustusD (2006) Posterior acromial bone block augmentation for the treatment of posterior glenoid bone loss associated with recurrent posterior shoulder instability. Tech Should Elb Surg 7(4):210–217CrossRef

30.

Levigne Christophe, Garret Jerome, Walch Gilles (2005) Posterior bone block for posterior instability. Tech Should Elb Surg 6(1):26–35

31.

Levigne C, Mangione P, Walch G (1999) Recurrent posterior shoulder subluxations and dislocations with traumatic onset. About 31 cases with surgical treatment. J Should Elb Surg 5:508

32.

Levigne C, Dejour D, Mangione P et al (1996) Posterior instability of the shoulder (locked dislocation excluded). J Should Elb Surg 2–2:S35CrossRef

33.

Servien E, Walch G, Cortes ZE, Edwards TB, O’Connor DP (2007) Posterior bone block procedure for posterior shoulder instability. Knee Surg Sports Traumatol Arthrosc 15(9):1130–1136PubMedCrossRef

34.

Barbier O, Ollat D, Marchaland J-P, Versier G (2009) Iliac bone-block autograft for posterior shoulder instability. Orthop Traumatol Surg Res 95:100–107PubMedCrossRef

35.

Walch G, Ascani C, Boulahia A, Nove-Josserand L, Edwards TB (2002) Static posterior subluxation of the humeral head: an unrecognized entity responsible for glenohumeral osteoarthritis in the young adult. J Should Elb Surg 11(4):309–314CrossRef

36.

Fèvre M, Mialaret J (1938) Indications et technique des butées rétro-glénoïdiennes dans les luxations postérieures de l’épaule. J Chir 52:156–167

Title: Arthroscopic posterior bone block: surgical technique
Authors: Laurent Lafosse
Giorgio Franceschi
Bartlomiej Kordasiewicz
Wade J. Andrews
Daniel Schwartz
Publication date: 01-12-2012
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue 3/2012
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-012-0220-5

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Arthroscopic posterior bone block: surgical technique

Abstract

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