Abstract
The Hill–Sachs lesion is one of the common findings seen in patients with recurrent anterior dislocation of the shoulder. Seven percent of these lesions are a large Hill–Sachs lesion that needs to be treated, which may engage with the glenoid rim even after arthroscopic Bankart repair. We have proposed to use a concept of “glenoid track” to evaluate the risk of engagement with the glenoid. If a Hill–Sachs lesion is located more medially over the medial margin of the glenoid track or off the glenoid track (off-track lesion), such lesion needs to be treated and arthroscopic Bankart repair alone is not enough. There are several surgical treatment options such as the Latarjet procedure or arthroscopic remplissage procedure for such a large Hill–Sachs lesion. If a large glenoid defect exists in addition to an off-track Hill–Sachs lesion, the Latarjet procedure would be the best option. If the glenoid defect is small, it may be the best indication for arthroscopic remplissage procedure.
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References
Boileau P, O’Shea K, Vargas P, et al. Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg Am. 2012;94(7):618–26.
Burkhart SS, Danaceau SM. Articular arc length mismatch as a cause of failed bankart repair. Arthroscopy. 2000;16:740–4.
Di Giacomo G, Itoi E, Burkhart SS. Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from “engaging/non-engaging” lesion to “on-track/off-track” lesion. Arthroscopy. 2014;30:90–8.
Itoi E, Yamamoto N. Shoulder instability: treating bony loss. Curr Orthop Pract. 2012;23:609–15.
Kurokawa D, Yamamoto N, Nagamoto H, Omori Y, Tanaka M, Sano H, Itoi E. The prevalence of a large Hill-Sachs lesion that needs to be treated. J Shoulder Elbow Surg. 2013;22(9):1285–9.
Omi R, Alexander W. Hooke A, Zhao K, et al. The effect of the remplissage procedure on shoulder range of motion: a cadaveric study. Am J Sports Med. 2014;30(2):178–87.
Omori Y, Yamamoto N, Koishi H, et al. Measurement of the glenoid track in vivo, investigated by the 3D motion analysis using open MRI. Read at 78th annual meeting, AAOS, San Diego, 15–19 Feb 2011.
Park CS, JH Yoo, NS Cho, YG Rhee. Arthroscopic remplissage for humeral defect in anterior shoulder instability: is it needed? Presented at the 39th annual meeting of Japan Shoulder Society, Tokyo, 5–6 Oct, 2012.
Saito H, Itoi E, Minagawa H, Yamamoto N, Tuoheti Y, Seki N. Location of the Hill-Sachs lesion in shoulders with recurrent anterior dislocation. Arch Orthop Trauma Surg. 2009;129(10):1327–34.
Walch G, Boileau P. Latarjet-Bristow procedure for recurrent anterior instability. Tech Shoulder Elbow Surg. 2000;1(4):256–61.
Wolf EM, Pollack M, Smalley C. Hill-Sachs “Remplissage”: an arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2007;23:e1–2.
Yamamoto N, Itoi E, Abe H, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg. 2007;16:649–56.
Yamamoto N, Muraki T, Sperling JW, et al. Stabilizing mechanism in bone-grafting of a large glenoid defect. J Bone Joint Surg Am. 2010;92:2059–66.
Yamamoto N, Muraki T, An KN, et al. The stabilizing mechanism of the Latarjet procedure: a cadaveric study. J Bone Joint Surg Am. 2013;95(15):1390–7.
Yamamoto N, Kurokawa D, Hatta T, et al. Shoulder stabilization for traumatic anterior shoulder instability: contact athletes versus noncontact athletes. Read at 78th annual meeting, AAOS, Chicago, 19–23 Mar, 2013.
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Yamamoto, N., Itoi, E. (2015). Traumatic Anterior Shoulder Instability: Part III. Hill–Sachs Lesions. In: PARK, JY. (eds) Sports Injuries to the Shoulder and Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41795-5_19
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DOI: https://doi.org/10.1007/978-3-642-41795-5_19
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