title: Arthroscopic reduction and subchondral support of reverse Hill-Sachs lesions with a bioabsorbable interference screw.
abstract: Traumatic posterior dislocation of the shoulder is frequently associated with an osteochondral defect on the anterior articular surface of the humeral head (so-called reverse Hill-Sachs lesion). Possible treatment options are either filling or elevation of the osseous defect. Previously, an open technique has been described using a bioabsorbable interference screw. On the basis of a 64-year-old patient presenting with a reverse Hill-Sachs lesion after epileptic seizure, we describe an arthroscopic technique in which the defect is reconstructed under arthroscopic and fluoroscopic control and supported by a bioabsorbable interference screw.
authors.affiliation: Department of Trauma and Reconstructive Surgery, University of Leipzig, Liebigstrasse 20, Leipzig, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Engel
authors.forename: Pierre
authors.initials: P
authors.lastname: Hepp
authors.forename: Georg
authors.initials: G
authors.lastname: Osterhoff
authors.forename: Christoph
authors.initials: C
authors.lastname: Josten
mesh_terms: D020341:Absorbable Implants; D001182:Arthroscopy; D001863:Bone Screws; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D006811:Humerus / Q000293:injuries*; D008875:Middle Aged; D012783:Shoulder Dislocation / Q000150:complications; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery