AOSSM Specialty Day 2023 with ISAKOS - no CME-6. AOSSM-ISAKOS - Shoulder Instability

6. AOSSM-ISAKOS - Shoulder Instability - Hettrich

Video Transcription

Video Summary

In the video, Carolyn Hetrick discusses the arthroscopic labral repair with remplissage indications in 2023. Remplissage is the French word for filling and involves capsulotinodesis of the infraspinatus or the teres minor tendons in the posterior capsule into the Hill-Sachs lesion to prevent engagement into the glenoid rim. Recent studies have shown that adding remplissage to Bankart repair significantly reduces recurrence rates in both collision and contact athletes. The optimal level of glenoid bone loss for performing remplissage is still debated. The surgical technique involves cleaning the Hill-Sachs lesion and placing anchors to secure the tendons. Excess medial placement of anchors should be avoided, especially in overhead throwing athletes, to prevent loss of external rotation and cartilage degeneration.

Keywords

arthroscopic labral repair

remplissage indications

capsulotinodesis

Hill-Sachs lesion

recurrence rates