Arthroscopic Remplissage for Engaging Hill-Sachs Lesions in Patients With Anterior Shoulder Instability  Christopher L. Camp, M.D., Diane L. Dahm, M.D., Aaron J. Krych, M.D.  Arthroscopy Techniques  Volume 4, Issue 5, Pages e499-e502 (October 2015) DOI: 10.1016/j.eats.2015.05.003 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Viewing the right shoulder in the beach-chair position from the posterior portal, the large Hill-Sachs (HS) lesion on the humeral head (HH) is seen as it engages the glenoid (G) with the arm abducted and externally rotated. (B) Viewing from the anterolateral portal, the posterolateral accessory portal is created directly over the HS defect. A switching stick is placed in the posterior portal to maintain patency. (C) The HS lesion is debrided with a shaver or curette to prepare the base for healing. Arthroscopy Techniques 2015 4, e499-e502DOI: (10.1016/j.eats.2015.05.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Viewing from the anterolateral portal, the suture anchor is placed in the center of the Hill-Sachs defect. (B) The sutures are retrieved through the capsule. (C) After the sutures are tied down, the capsule fills the Hill-Sachs (HS) defect on the humeral head (HH). Arthroscopy Techniques 2015 4, e499-e502DOI: (10.1016/j.eats.2015.05.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions