Treatment of a Reverse Hill Sachs Lesion and Posterior HAGL Lesion Labrum Repair

Chronic posterior glenohumeral joint instability can be a challenging clinical entity for patients and surgeons alike. In the setting of a posterior dislocation, a large anterior humeral impaction injury (reverse Hill-Sachs [HS]) may occur, leading to engagement of the humerus with the posterior glenoid bone, especially during internal rotation of the joint. This is made [...]

Open Repair of an Anterior Humeral Avulsion of the Glenohumeral Ligament (HAGL)

A Humeral Avulsion of the Glenohumeral Ligament, or HAGL lesion, is an uncommon yet disabling shoulder injury, which leads to complaints of pain and overall inability to properly use the shoulder from patients. While a posterior HAGL lesion is repaired arthroscopically, an anterior HAGL lesion is treated through an open approach. Often, these can be [...]

Arthroscopic Labral Repair in the Setting of Recurrent Posterior Shoulder Instability

Posterior shoulder instability is becoming more commonly recognized and is a problem with the posterior labrum (usually a tear) that can cause pain, dysfunction, and limitation of shoulder activity.  Nonoperative management is the mainstay of treatment, including scapular stabilizing exercises, however, in cases that are resistant to a good therapy program, and if pain with [...]

Anatomic Humeral Head Reconstruction with Fresh Osteochondral Talus Allograft for Posterior Glenohumeral Instability with Reverse Hill-Sachs Lesion

The treatment of recurrent glenohumeral instability, especially with a concomitant bony lesion, remains challenging. Moreover, the presence of an engaging reverse Hill-Sachs in combination with posterior instability will result in the need for a more aggressive treatment option.  Large bony defects of the humeral head have traditionally been treated with a fresh humeral head allograft.  [...]

Latarjet Technique for Treatment of Anterior Shoulder Instability with Glenoid Bone Loss

Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 15% to 30% of the glenoid surface area and may also be considered for the primary [...]

Revision Acromioclavicular-Coracoclavicular (AC-CC) Reconstruction: Use of Dog Bone and Two Allografts to Fix the CC Ligaments and AC joint Capsule

Injuries to the acromioclavicular (AC) joint are common, particularly in the young and active population. Type I and II injuries are typically treated nonoperatively, while type IV–VI injuries are most often treated surgically. A variety of surgical techniques have been described, including anatomic and non-anatomic reconstruction. However, up to 80% go on to lose radiographic [...]

Repair of an Isolated Coracoid Fracture with Suture Anchor Fixation

Coracoid fractures are rare injuries, which may occur in isolation or in association with other shoulder pathology. Although uncommon, if left untreated, a coracoid fracture will result in chronic pain and shoulder disability, and weakness as the conjoint tendon attaches here with 3 muscles. In regard to surgical technique, most reports describe the use of [...]