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Arthroscopic Reverse Remplissage for Posterior Instability
Chad D. Lavender, M.D., Shane R. Hanzlik, M.D., Sara E. Pearson, Ph.D., Paul E. Caldwell, M.D. Arthroscopy Techniques Volume 5, Issue 1, Pages e43-e47 (February 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 1 Sagittal and axial views of the shoulder show traditional portal placement for shoulder arthroscopy as well as the reverse Hill-Sachs lesion associated with posterior instability. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 2 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing the subscapularis tendon and humeral head. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 3 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing the reverse Hill-Sachs lesion. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 4 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing the first anchor placement within the reverse Hill-Sachs lesion in preparation for a reverse remplissage procedure. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 5 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing the second anchor placement within the reverse Hill-Sachs lesion in preparation for a reverse remplissage procedure. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 6 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing suture retrieval in a retrograde fashion through the subscapularis tendon in preparation for a reverse remplissage procedure. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 7 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing sutures passed through the subscapularis tendon in preparation for a reverse remplissage procedure. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 8 Sagittal and axial views of the shoulder show placement of the double-loaded suture anchors into the reverse Hill-Sachs lesion with passage of the sutures through the subscapularis tendon. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 9 Arthroscopic view of the right shoulder in the lateral decubitus position from the posterior portal with a 70° arthroscope visualizing sutures tied on the anterior aspect of the subscapularis tendon after completion of a reverse remplissage procedure. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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Fig 10 Sagittal and axial views of the shoulder show completion of the reverse remplissage procedure with the sutures tied down to fill the reverse Hill-Sachs with the subscapularis tendon. Arthroscopy Techniques 2016 5, e43-e47DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions
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