Hill-Sachs Remplissage Procedure Based on Posterosuperior Capsulomuscular Anatomy

Madis Rahu; Jüri-Toomas Kartus; Elle Põldoja; Ivo Kolts; Kristo Kask

doi:10.1016/j.eats.2019.02.009

Hill-Sachs Remplissage Procedure Based on Posterosuperior Capsulomuscular Anatomy

Arthrosc Tech. 2019 May 23;8(6):e623-e627. doi: 10.1016/j.eats.2019.02.009. eCollection 2019 Jun.

Authors

Madis Rahu^{1

2}, Jüri-Toomas Kartus^{1

3

4}, Elle Põldoja², Ivo Kolts², Kristo Kask⁵

Affiliations

¹ Sports Trauma Centre, Sports Medicine and Rehabilitation Clinic, Tartu University Hospital, Tartu, Estonia.
² Department of Anatomy, Institute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia.
³ Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
⁴ Department of Orthopaedics, NU Hospital Group, Trollhättan, Sweden.
⁵ Orthopaedic Centre of Surgery Clinic, North Estonia Medical Centre, Tallinn, Estonia.

Abstract

The remplissage technique is a procedure designed to fill a posterosuperior humeral head defect with the infraspinatus tendon and posterior-superior capsule in patients with engaging Hill-Sachs lesions. We describe a remplissage technique using 2 posterior working portals that respects the anatomy of the posterior-superior area of the glenohumeral joint without compromising the vascularization.