Tratamiento artroscópico de luxación posterior inveterada de hombro con lesión de Hill Sachs Reverso

Abstract

Posterior glenohumeral dislocations comprise between 2% and 5% of all shoulder
dislocations and are associated with high-energy trauma, seizures, and electrocution,
despite advances in imaging techniques, they remain underdiagnosed in up to 79%
of cases. , leading to a late diagnosis. They can occur associated with a reverse Hill
Sachs injury, which results from the impaction of the posterior glenoid edge on the
anterior aspect of the humeral head, the treatment of these injuries represents a real
challenge for the orthopedic surgeon, in the absence of a consensus in literature on the
best treatment option.
The size of the defect determines its treatment, it has been described that for defects of
25-50% the Mc Laughlin procedure is a treatment option, however modifications to the
original technique have been described
We present the case of a patient with posterior shoulder dislocation associated with a
30% reverse Hill Sachs lesion, hooking of 30 days of evolution, treated arthroscopically
using the modified Mc Laughlin technique; through the filling the Hill Sachs lesion
with anchor suture without compromise the insertion at the lesser tuberosity of the
subscapularis tendon.