Lateral Clavicular Autograft for Repair of Reverse Hill-Sachs Defect
Ravikiran Shenoy 1, Srinath Kamineni*, 2
Identifiers and Pagination:Year: 2011
First Page: 49
Last Page: 51
Publisher Id: TOORTHJ-5-49
Article History:Received Date: 26/11/2010
Revision Received Date: 7/2/2011
Acceptance Date: 15/2/2011
Electronic publication date: 16/3/2011
Collection year: 2011
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.
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.