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Arthroscopic Treatment of a Reverse Hill-Sachs Lesion

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1 Arthroscopic Treatment of a Reverse Hill-Sachs Lesion
Richard E. Duey, M.D., Stephen S. Burkhart, M.D.  Arthroscopy Techniques  Volume 2, Issue 2, Pages e155-e159 (May 2013) DOI: /j.eats Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Left shoulder, anterosuperolateral viewing portal, showing damage to posterior capsule (PC) and labrum (L). (H, humeral head.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Left shoulder, anterosuperolateral viewing portal, showing prepared bone bed (B) for later repair of posterior capsulolabral tissues. (H, humeral head; L, labrum; PC, posterior capsule.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Left shoulder, anterosuperolateral viewing portal, showing a suture hook for passing sutures for later repair of posterior capsulolabral tissues (PC). (H, humeral head; L, labrum.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Left shoulder, anterosuperolateral viewing portal, showing preparation of reverse Hill-Sachs defect (D) with an arthroscopic ring curette. (H, humeral head; M, middle glenohumeral ligament; S, subscapularis tendon.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Left shoulder, anterosuperolateral viewing portal, showing a suture anchor that has been placed in the superior aspect of the bone lesion. The sutures are passed with an antegrade suture passer through the middle glenohumeral ligament (M). (D, reverse Hill-Sachs defect; S, subscapularis tendon.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Left shoulder, anterosuperolateral viewing portal, showing repair of posterior capsulolabral tissues (PC) to glenoid (posterior Bankart repair). (G, glenoid; H, humeral head.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

8 Fig 7 Left shoulder, anterosuperolateral viewing portal. (A) Sutures have been passed through the middle glenohumeral ligament (M), which is pulled into the defect (D). (B) Middle glenohumeral ligament (M) after it has been sutured into the reverse Hill-Sachs defect. (S, subscapularis tendon; H, humeral head.) Arthroscopy Techniques 2013 2, e155-e159DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions


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