Modified McLaughlin Procedure Using a Double-Row Suture Anchor for Chronic Locked Posterior Shoulder Dislocation: A Case Report

Ausberto Velasquez Garcia

doi:10.2106/JBJS.CC.22.00213

Modified McLaughlin Procedure Using a Double-Row Suture Anchor for Chronic Locked Posterior Shoulder Dislocation: A Case Report

Ausberto Velasquez Garcia^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 49-year-old highly active man had a direct fall on the left shoulder, causing a chronic locked posterior shoulder dislocation. Radiographic analysis revealed a reverse Hill-Sachs lesion (RHSL) that affected 31% of the articular surface. He was successfully treated with a modified McLaughlin procedure that included a double-row suture anchor as a novel fixation approach to secure the lesser tuberosity transfer and the subscapularis tenodesis.Conclusion:The reported approach for reconstructing the RHSL provides adequate stability, pain reduction, and functional outcomes. It may be considered as an option for joint preservation in extensive humeral head defects.

Original language	English
Article number	e22.00213
Journal	JBJS Case Connector
Volume	12
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.22.00213
State	Published - 8 Jul 2022

Bibliographical note

Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.

Keywords

alpha angle
bone defect
chronic locked posterior shoulder dislocation
engagement lesion
humeral bone defect
LPSD
modified McLaughlin procedure
posterior shoulder instability
psi
reverse Hill-Sachs lesion
RHSL

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10.2106/JBJS.CC.22.00213

Cite this

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title = "Modified McLaughlin Procedure Using a Double-Row Suture Anchor for Chronic Locked Posterior Shoulder Dislocation: A Case Report",

abstract = "Case:A 49-year-old highly active man had a direct fall on the left shoulder, causing a chronic locked posterior shoulder dislocation. Radiographic analysis revealed a reverse Hill-Sachs lesion (RHSL) that affected 31\% of the articular surface. He was successfully treated with a modified McLaughlin procedure that included a double-row suture anchor as a novel fixation approach to secure the lesser tuberosity transfer and the subscapularis tenodesis.Conclusion:The reported approach for reconstructing the RHSL provides adequate stability, pain reduction, and functional outcomes. It may be considered as an option for joint preservation in extensive humeral head defects.",

keywords = "alpha angle, bone defect, chronic locked posterior shoulder dislocation, engagement lesion, humeral bone defect, LPSD, modified McLaughlin procedure, posterior shoulder instability, psi, reverse Hill-Sachs lesion, RHSL",

author = "\{Velasquez Garcia\}, Ausberto",

year = "2022",

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doi = "10.2106/JBJS.CC.22.00213",

language = "English",

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TY - JOUR

T1 - Modified McLaughlin Procedure Using a Double-Row Suture Anchor for Chronic Locked Posterior Shoulder Dislocation

T2 - A Case Report

AU - Velasquez Garcia, Ausberto

PY - 2022/7/8

Y1 - 2022/7/8

N2 - Case:A 49-year-old highly active man had a direct fall on the left shoulder, causing a chronic locked posterior shoulder dislocation. Radiographic analysis revealed a reverse Hill-Sachs lesion (RHSL) that affected 31% of the articular surface. He was successfully treated with a modified McLaughlin procedure that included a double-row suture anchor as a novel fixation approach to secure the lesser tuberosity transfer and the subscapularis tenodesis.Conclusion:The reported approach for reconstructing the RHSL provides adequate stability, pain reduction, and functional outcomes. It may be considered as an option for joint preservation in extensive humeral head defects.

AB - Case:A 49-year-old highly active man had a direct fall on the left shoulder, causing a chronic locked posterior shoulder dislocation. Radiographic analysis revealed a reverse Hill-Sachs lesion (RHSL) that affected 31% of the articular surface. He was successfully treated with a modified McLaughlin procedure that included a double-row suture anchor as a novel fixation approach to secure the lesser tuberosity transfer and the subscapularis tenodesis.Conclusion:The reported approach for reconstructing the RHSL provides adequate stability, pain reduction, and functional outcomes. It may be considered as an option for joint preservation in extensive humeral head defects.

KW - alpha angle

KW - bone defect

KW - chronic locked posterior shoulder dislocation

KW - engagement lesion

KW - humeral bone defect

KW - LPSD

KW - modified McLaughlin procedure

KW - posterior shoulder instability

KW - psi

KW - reverse Hill-Sachs lesion

KW - RHSL

UR - https://www.scopus.com/pages/publications/85134212548

U2 - 10.2106/JBJS.CC.22.00213

DO - 10.2106/JBJS.CC.22.00213

M3 - Article

C2 - 35809021

AN - SCOPUS:85134212548

SN - 2160-3251

VL - 12

JO - JBJS Case Connector

JF - JBJS Case Connector

IS - 3

M1 - e22.00213

ER -

Modified McLaughlin Procedure Using a Double-Row Suture Anchor for Chronic Locked Posterior Shoulder Dislocation: A Case Report

Abstract

Bibliographical note

Keywords

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