Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: A new concept of glenoid track

Yamamoto, Nobuyuki; Itoi, Eiji; Abe, Hidekazu; Minagawa, Hiroshi; Seki, Nobutoshi; Shimada, Yasuhiro; Okada, Kyoji

doi:10.1016/j.jse.2006.12.012

Cited by 619 publications

(508 citation statements)

References 30 publications

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“…14 According to the glenoid track concept, as glenoid bone defect size increases, the glenoid track decreases in width and increases the probability that a Hill-Sachs lesion can engage the glenoid rim. 21,22 As a result, combined glenoid and humeral head bone loss has additive negative effects on glenohumeral joint stability. As little as 2 mm of glenoid bone loss in the setting of a medium Hill-Sachs lesion (1.47 cm 3 ) and 4 mm of glenoid bone loss in the setting of a small HillSachs lesion (0.87 cm 3 ) have been correlated with failed soft-tissue Bankart repairs.…”

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confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management.

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confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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“…12 The idea further evolved in 2007 with Yamamoto et al's publication in the Journal of Shoulder and Elbow Surgery describing the new concept of glenoid track and the significance of "offtrack" lesions causing recurrent instability. 2 With the increasing awareness of the effects on glenoid bone loss on outcomes and recurrence rates with instability, surgical techniques for effective management are evolving.…”

Section: Discussionmentioning

confidence: 99%

“…The Hill-Sachs lesion is inspected for size and position relative to the articular surface and posterior rotator cuff insertion, then the arm is taken dynamically into abduction and external rotation to check for engagement of the Hill-Sachs over the anterior glenoid rim, 3 which complements the preoperative assessment and measurement of the glenoid track. 2 After determination that the Hill-Sachs lesion warrants remplissage in addition to arthroscopic Bankart repair, the Hill-Sachs is prepared biologically for healing of the infraspinatus into the defect with a 4-mm bone cutter shaver, burr, or rasp (Arthrex). This is done by viewing from the anterior superior portal and placing the shaver or rasp from the posterior portal.…”

Section: Surgical Techniquementioning

confidence: 99%

“…1 More recently, an appreciation for bipolar bone loss (glenoid bone loss with a Hill-Sachs lesion) has increased, leading to a more critical evaluation of the Hill-Sachs role in instability surgery. 2,3 Both preoperative imaging and dynamic intraoperative assessment are used to predict the potential contribution of the Hill-Sachs lesion to recurrent instability. Different surgical options to address the humeral head defect and decrease the risk have been described.…”

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confidence: 99%

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Arthroscopic Remplissage for Moderate-Size Hill-Sachs Lesion

Alexander

Beicker

Tokish

2016

Arthroscopy Techniques

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Humeral bone loss has been shown to be a risk factor for failure after arthroscopic treatment of instability. We present the arthroscopic remplissage technique originally described by Koo and Burkhart et al. with a modification in the percutaneous anchor placement and suture tying that is reproducible and effective. We percutaneously place 2 suture anchors, which require no additional suture passing across the tissue, to create a double pulley technique, filling the defect with posterior capsule and rotator cuff. Therefore, the Hill-Sachs defect becomes extra-articular, eliminating the potential engagement of the anterior glenoid and contribution to recurrence of instability. This technique is applicable broadly for most Hill-Sachs lesions that need addressing. By not having to pass or shuttle any suture through tissue after anchor placement and by eliminating the necessity to go subacromially to retrieve or tie suture, the technique saves time and improves reproducibility. The compression of tissue into the Hill Sachs surface area also is improved by double-reinforced suturing through the double-pulley technique. The combination of these advantages creates a sound and efficient technique for remplissage.

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“…Dazu trugen maßgeblich auch deutschsprachige Unfallchirurgen und Orthopäden bei, von deren Erfahrung wir heute profitieren. Prinzipien wurden postuliert und manche wieder verworfen, andere wie das des "glenoid track" kamen hinzu [4]. Von den daraus resultierenden Therapieverfahren haben sich einige bewährt, andere wurden optimiert oder wieder verlassen.…”

Section: Instabilität Schultergelenkunclassified

Instabilität Schultergelenk

Ockert

2018

Unfallchirurg

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Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: A new concept of glenoid track

Cited by 619 publications

References 30 publications

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

Arthroscopic Remplissage for Moderate-Size Hill-Sachs Lesion

Instabilität Schultergelenk

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