RESEARCH ARTICLE


Lateral Clavicular Autograft for Repair of Reverse Hill-Sachs Defect



Ravikiran Shenoy 1, Srinath Kamineni*, 2
1 Department of Orthopaedics, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
2 Department of Orthopaedics, University of Kentucky, Lexington, Kentucky, USA


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Creative Commons License
© Shenoy and Kamineni; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Orthopaedics, University of Kentucky, Lexington, Kentucky, USA; Tel: +1 859 323 0574; E-mail: srinathkamineni@gmail.com


Abstract

Posterior dislocations of the shoulder joint can result in an impression fracture over the anteromedial humeral head, termed the reverse Hill-Sachs lesion, the presence of which can contribute to recurrent dislocations. Methods described to repair this defect include using allografts, iliac crest and coracoid process autografts, and bone graft substitutes. We describe a novel technique using the lateral end of the ipsilateral clavicle as an autograft in a 78 year old man with a reverse Hill Sachs lesion. This graft can be harvested through the same incision and does not compromise the stability of the acromioclavicular joint or any future shoulder arthroplasty.

Keywords: Shoulder dislocation, posterior dislocation, reverse Hill-Sachs lesion, autograft.