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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2016

01-02-2016 | Shoulder

Is arthroscopic remplissage a tenodesis or capsulomyodesis? An anatomic study

Authors: Alexandre Lädermann, Paolo Arrigoni, Johannes Barth, Pablo Narbona, Bryan Hanypsiak, Stephen S. Burkhart, Patrick J. Denard

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2016

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Abstract

Purpose

Arthroscopic remplissage of a Hill–Sachs lesion is classically described as a capsulotenodesis of the infraspinatus within the posterolateral humeral head. The aim of this cadaveric study was to evaluate the anatomic relationship between the position of anchors and sutures placed for remplissage and the infraspinatus and teres minor. The hypothesis was that remplissage actually corresponds to a capsulomyodesis of the infraspinatus and teres minor muscles.

Methods

A two-anchor arthroscopic remplissage was performed followed by open dissection of ten fresh-frozen human cadaveric shoulders. The exit point of sutures related to muscle–tendon unit as well as the distance between the anchors and the rotator cuff was measured.

Results

The superior sutures were localized generally in the infraspinatus, near the musculotendinous junction. The inferior sutures passed through the teres minor muscle in seven of ten cases. The distance between the superior and inferior anchors and the posterolateral greater tuberosity was 14 ± 2 and 12 ± 3 mm, respectively.

Conclusions

Arthroscopic remplissage is a capsulomyodesis of infraspinatus and teres minor rather than a capsulotenodesis of the infraspinatus alone as previously believed. Muscular damage may explain posterosuperior pain observed in patients who underwent remplissage.
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Metadata
Title
Is arthroscopic remplissage a tenodesis or capsulomyodesis? An anatomic study
Authors
Alexandre Lädermann
Paolo Arrigoni
Johannes Barth
Pablo Narbona
Bryan Hanypsiak
Stephen S. Burkhart
Patrick J. Denard
Publication date
01-02-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3756-8

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