Ultrasound‐Assisted Arthroscopic Remplissage

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

Abstract Recurrent anterior shoulder dislocation, especially in cases with an engaging Hill–Sachs lesion, can lead to high recurrence rates following Bankart repair alone. Remplissage, an adjunct technique involving the infraspinatus and teres minor, enhances stability by converting the intra‐articular Hill–Sachs lesion into an extra‐articular defect. However, it is technically demanding and requires precise anatomical identification. We describe an ultrasound‐assisted arthroscopic remplissage technique that enhances procedural accuracy and safety. In this method, ultrasound is used intraoperatively to identify the infraspinatus, teres minor, and the Hill–Sachs lesion. Percutaneous needle placement and anchor insertion are guided under real‐time ultrasound visualization. This approach facilitates accurate fixation using the double‐pulley technique, ensuring optimal tissue compression and stability. Ultrasound complements conventional arthroscopy by enabling soft tissue visualization, guiding safe portal placement, and improving anchor orientation, especially for less‐experienced surgeons. This technique offers a safer and more effective alternative in treating recurrent shoulder instability with engaging Hill–Sachs lesions. © 2026 WILEY‐VCH GmbH http://www.w3.org/1999/xlink anchor jats-graphic-1 portrait ATN2-15-e70181-g003.webp anchor graphic portrait graphical