Tratamiento artroscópico de la luxación posterior crónica de hombro. Técnica quirúrgica y presentación de 2 casos

Posterior dislocations of shoulder represent less than 5% of all shoulder dislocations, and may include significant bone loss of the anterior humeral head (a reverse Hill-Sachs lesion) requiring surgical treatment. The orthopaedic surgeon often diagnoses this injury in the chronic phase due to an incorrect primary diagnosis. These lesions were traditionally treated with open reduction and transfer of the subscapularis tendon or the lesser tuberosity to the bone defect. A surgical technique for the arthroscopic management of these lesions is presented, as well as its application and outcome in two clinical cases. The technique is based on the filling of the bone defect of the humeral head with the subscapularis tendon.