posterior shoulder instability: the augmented mclaughlin procedure

Posterior shoulder dislocation, whilst uncommon, is frequently missed and often associated with a significant defect on the antero-medial aspect of the humeral head (the reverse hill-sachs lesion). several techniques for stabilisation have been described, depending on the size of the lesion. we describe an additional technique for stabilising the shoulder following posterior dislocation by augmenting the reverse hill-sachs lesion with layers of extracellular matrix, thus further filling the defect.