Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2013

01-07-2013 | Shoulder

Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion

Authors: Frank Martetschläger, Jeffrey R. Padalecki, Peter J. Millett

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2013

Login to get access

Abstract

Traumatic posterior shoulder dislocations are often accompanied by an impression fracture on the anterior surface of the humeral head known as a “reverse Hill-Sachs lesion”. This bony defect can engage on the posterior glenoid rim and subsequently lead to recurrent instability and progressive joint destruction. We describe a new modified arthroscopic McLaughlin procedure, which allows for filling of the bony defect with the subscapularis tendon and subsequently prevents recurrence of posterior instability. This technique creates a double-mattress suture providing a large footprint for the subscapularis and a broader surface area to allow for effective tendon to bone healing. Furthermore, it obviates the need for detaching the subscapularis tendon and avoids the morbidity potentially associated with open procedures.
Level of evidence V.
Appendix
Available only for authorised users
Literature
1.
Ames JB, Millett PJ (2011) Combined posterior osseous Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments: a case report and pathoanatomic subtyping of “floating” posterior inferior glenohumeral ligament lesions. J Bone Joint Surg Am 93(20):111–114CrossRef
2.
Antoniou J, Harryman DT 2nd (2000) Arthroscopic posterior capsular repair. Clin Sports Med 19(1):101–114PubMedCrossRef
3.
Bahk MS, Karzel RP, Snyder SJ (2010) Arthroscopic posterior stabilization and anterior capsular plication for recurrent posterior glenohumeral instability. Arthroscopy 26(9):1172–1180PubMedCrossRef
4.
Bigliani LU, Pollock RG, McIlveen SJ, Endrizzi DP, Flatow EL (1995) Shift of the posteroinferior aspect of the capsule for recurrent posterior glenohumeral instability. J Bone Joint Surg Am 77(7):1011–1020PubMed
5.
Bottoni CR, Franks BR, Moore JH, DeBerardino TM, Taylor DC, Arciero RA (2005) Operative stabilization of posterior shoulder instability. Am J Sports Med 33(7):996–1002PubMedCrossRef
6.
Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16(7):677–694PubMedCrossRef
7.
Charalambous CP, Gullett TK, Ravenscroft MJ (2009) A modification of the McLaughlin procedure for persistent posterior shoulder instability: technical note. Arch Orthop Trauma Surg 129(6):753–755PubMedCrossRef
8.
Checchia SL, Santos PD, Miyazaki AN (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Should Elb Surg 7(1):53–65CrossRef
9.
10.
Finkelstein JA, Waddell JP, O’Driscoll SW, Vincent G (1995) Acute posterior fracture dislocations of the shoulder treated with the Neer modification of the McLaughlin procedure. J Orthop Trauma 9(3):190–193PubMedCrossRef
11.
Gerber C, Lambert SM (1996) Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg Am 78(3):376–382PubMed
12.
Goubier JN, Iserin A, Duranthon LD, Vandenbussche E, Augereau B (2003) A 4-portal arthroscopic stabilization in posterior shoulder instability. J Should Elb Surg 12(4):337–341CrossRef
13.
Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18PubMed
14.
Keppler P, Holz U, Thielemann FW, Meinig R (1994) Locked posterior dislocation of the shoulder: treatment using rotational osteotomy of the humerus. J Orthop Trauma 8(4):286–292PubMedCrossRef
15.
Kim SH, Ha KI, Park JH, Kim YM, Lee YS, Lee JY, Yoo JC (2003) Arthroscopic posterior labral repair and capsular shift for traumatic unidirectional recurrent posterior subluxation of the shoulder. J Bone Joint Surg Am 85-A(8):1479–1487PubMed
16.
Koo SS, Burkhart SS, Ochoa E (2009) Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs. Arthroscopy 25(11):1343–1348PubMedCrossRef
17.
Krackhardt T, Schewe B, Albrecht D, Weise K (2006) Arthroscopic fixation of the subscapularis tendon in the reverse Hill-Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy 22 (2):227 e221–227 e226
18.
Mankin HJ, Doppelt S, Tomford W (1983) Clinical experience with allograft implantation. The first ten years. Clin Orthop Relat Res 174:69–86PubMed
19.
Martetschlager F, Rios D, Boykin RE, Giphart JE, de Waha A, Millett PJ (2012) Coracoid impingement: current concepts. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-012-2013-7
20.
McDermott AG, Langer F, Pritzker KP, Gross AE (1985) Fresh small-fragment osteochondral allografts. Long-term follow-up study on first 100 cases. Clin Orthop Relat Res 197:96–102PubMed
21.
Hl McLaughlin (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24–A(3):584–590
22.
Millett PJ, Clavert P, Hatch GF 3rd, Warner JJ (2006) Recurrent posterior shoulder instability. J Am Acad Orthop Surg 14(8):464–476PubMed
23.
Millett PJ, Clavert P, Warner JJ (2003) Arthroscopic management of anterior, posterior, and multidirectional shoulder instability: pearls and pitfalls. Arthroscopy 19(Suppl 1):86–93PubMed
24.
Mologne TS, Zhao K, Hongo M, Romeo AA, An KN, Provencher MT (2008) The addition of rotator interval closure after arthroscopic repair of either anterior or posterior shoulder instability: effect on glenohumeral translation and range of motion. Am J Sports Med 36(6):1123–1131PubMedCrossRef
25.
Ponce BA, Millett PJ, Warner JP (2004) Management of posterior glenohumeral instability with large humeral head defects. Tech Should Elb Surg 5(3):146–156CrossRef
26.
Provencher MT, Mologne TS, Hongo M, Zhao K, Tasto JP, An KN (2007) Arthroscopic versus open rotator interval closure: biomechanical evaluation of stability and motion. Arthroscopy 23(6):583–592PubMedCrossRef
27.
Robinson CM, Aderinto J (2005) Recurrent posterior shoulder instability. J Bone Joint Surg Am 87(4):883–892PubMedCrossRef
28.
Savoie FH 3rd, Holt MS, Field LD, Ramsey JR (2008) Arthroscopic management of posterior instability: evolution of technique and results. Arthroscopy 24(4):389–396PubMedCrossRef
29.
Steinmann SP (2003) Posterior shoulder instability. Arthroscopy 19:102–105PubMed
30.
Williams RJ 3rd, Strickland S, Cohen M, Altchek DW, Warren RF (2003) Arthroscopic repair for traumatic posterior shoulder instability. Am J Sports Med 31(2):203–209PubMed
31.
Wirth MA, Groh GI, Rockwood CA Jr (1998) Capsulorrhaphy through an anterior approach for the treatment of atraumatic posterior glenohumeral instability with multidirectional laxity of the shoulder. J Bone Joint Surg Am 80(11):1570–1578PubMed
32.
Wolf EM, Eakin CL (1998) Arthroscopic capsular plication for posterior shoulder instability. Arthroscopy 14(2):153–163PubMedCrossRef
33.
Yamamoto N, Itoi E, Tuoheti Y, Seki N, Abe H, Minagawa H, Shimada Y, Okada K (2006) Effect of rotator interval closure on glenohumeral stability and motion: a cadaveric study. J Should Elb Surg 15(6):750–758CrossRef
Metadata
Title
Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion
Authors
Frank Martetschläger
Jeffrey R. Padalecki
Peter J. Millett
Publication date
01-07-2013
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2237-6

Other articles of this Issue 7/2013

Knee Surgery, Sports Traumatology, Arthroscopy 7/2013 Go to the issue

Knee

The effects of arthroscopic joint debridement in the knee osteoarthritis: results of a meta-analysis

Shoulder

Influence of posterior capsular tightness on throwing shoulder injury

Shoulder

Increased levels of apoptosis and p53 in partial-thickness supraspinatus tendon tears

Hip

A cadaveric model for ligamentum teres function: a pilot study

Hip

Function of the ligamentum teres during multi-planar movement of the hip joint

Obituary

Paolo Aglietti, M.D.: 1942–2013