Is revision remplissage possible for failed primary remplissage operation?: a case report

Abstract

A Hill-Sachs lesion is a bony defect of the posterosuperior humeral head occurring with anterior shoulder instability. It has been considered as an important factor associated with recurrence, and the risk of recurrent dislocation is increased in the large or engaged type.1 The remplissage operation is one of the treatment methods for a pathogenic Hill-Sachs lesion. It attaches the posterosuperior aspect of joint capsule and the infraspinatus tendon to the Hill-Sachs lesion, thereby preventing the lesion from engaging into the anterior glenoid. Although the rate is low, redislocation can occur even after the remplissage operation, and how to treat failed remplissage is not yet clear. In this case report we present a patient who underwent a revision remplissage operation for failed remplissage procedure caused by early exercise and trauma.