Posterior shoulder instability managed by arthroscopic acromial pediculated bone-block. Technique - 19/12/17
, J. Grimberg b, P. Clavert c, J.-F. Kouvalchouk d, F. Sirveaux e, G. Nourissat f, J. Garret g, P. Mansat h, A. Godenèche ithe French Arthroscopy Society
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Abstract |
In posterior shoulder instability (recurrent dislocation, involuntary posterior subluxation or voluntary subluxation that has become involuntary), surgery may be considered in case of failure of functional treatment if there are no psychological contraindications. Acromial bone-block with pediculated deltoid flap, as described by Kouvalchouk, is an alternative to iliac bone-block, enabling triple shoulder locking by the blocking effect, the retention hammock provided by the deltoid flap and posterior capsule repair. Arthroscopy allows shoulder joint exploration and diagnosis of associated lesions, with opening and conservation of the posterior capsule; it greatly facilitates bone-block positioning and capsule reinsertion. The present report describes the procedure in detail.
Level of evidence |
Technical note.
Le texte complet de cet article est disponible en PDF.Keywords : Acromial bone-block, Technique, Shoulder, Instability, Posterior
Plan
Vol 103 - N° 8S
P. S203-S206 - décembre 2017 Retour au numéro
Article précédent
- Painful posterior shoulder instability: Anticipating and preventing failure. A study in 25 patients
- J. Garret, G. Nourissat, M.B. Hardy, D. Antonucci, P. Clavert, P. Mansat, A. Godenèche, French Arthroscopy Society
- Endoscopic or arthroscopic iliopsoas tenotomy for iliopsoas impingement following total hip replacement. A prospective multicenter 64-case series
- W. Guicherd, N. Bonin, T. Gicquel, J.E. Gedouin, X. Flecher, M. Wettstein, M. Thaunat, N. Prevost, E. Ollier, O. May, the French Arthroscopy Society
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