Surgical Technique: Arthroscopic Reconstruction of Engaging Humeral Hill-Sachs Defects Using Cannulated Ostoeoconductive Grafts (COGs)

Wahl, Christopher J.; Wilcox, Jason James; Merritt, Andrew L.; Slaney, Suzanne Lenore

doi:10.1097/bte.0b013e3181fd2f8d

Cited by 2 publications

(1 citation statement)

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“…Two years postoperatively, the patient continued to do well without recurrent instability and no radiographic evidence of humeral head collapse. Wahl and colleagues 62 recently described the use of osteoconductive graft plugs for the reconstruction of traumatic humeral head bone defects in 19 patients. In this procedure, a guide pin is placed tangentially to the articular surface at the defect, and an acorn reamer is used to drill an 8.0-mm socket to accommodate a 9.0-mm osteoconductive plug.…”

Section: Operative Treatment Of Hill-sachs Lesionsmentioning

confidence: 99%

Diagnosis and Management of Humeral Head Bone Loss in Shoulder Instability

Skendzel

Sekiya

2012

Am J Sports Med

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Humeral head bone defects (Hill-Sachs lesions) are caused by anterior shoulder dislocation with impaction of the posterosuperior humeral head onto the anterior glenoid rim. Frequently, these bony lesions are associated with glenohumeral instability, and large lesions may contribute to recurrent instability after failure of a soft tissue repair. To improve outcomes and minimize the risk of persistent instability, a thorough understanding of the biomechanics of humeral bone loss is required. Detection and quantification of clinically relevant humeral head bone loss are performed through an accurate history, physical examination, and interpretation of imaging studies. The diagnosis and treatment options for reverse Hill-Sachs lesions are discussed, and the various treatment options for Hill-Sachs lesions are reviewed, including operative techniques to limit engagement of the deformity by soft tissue transfer, rotational osteotomy, bone grafting, or osteochondral transplantation.

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Section: Operative Treatment Of Hill-sachs Lesionsmentioning

confidence: 99%