RESEARCH ARTICLE

Lateral Clavicular Autograft for Repair of Reverse Hill-Sachs Defect

The Open Orthopaedics Journal 16 Mar 2011 RESEARCH ARTICLE DOI: 10.2174/1874325001105010049

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.
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