A modification of the McLaughlin procedure for persistent posterior shoulder instability: technical note.
We describe a modification of the McLaughlin procedure for persistent posterior shoulder instability following posterior glenohumeral dislocation with a large antero-medial reverse Hill-Sachs lesion. In the original McLaughlin description, the subscapularis was divided close to its insertion to the lesser tuberosity and sutured into the reverse Hill-Sachs lesion using bone drill holes. In our newly described technique, the subscapularis tendon is not divided but is instead plicated into the reverse Hill-Sachs lesion using suture anchors inserted in the humeral head defect. We present the case of a patient with persistent posterior instability following traumatic posterior glenohumeral dislocation, successfully treated with our new technique.
Charalambous
C P
CP
Department of Shoulder Surgery, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, UK. bcharalambos@hotmail.com
Gullett
T K
TK
Ravenscroft
M J
MJ
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012008:Recurrence; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D053441:Suture Anchors; D053656:Tenodesis / Q000379:methods*