Remplissage

What is a Remplissage?

The remplissage procedure follows its literal meaning in French, “to fill in”. The shoulder joint connects the humerus (upper arm bone) and the shoulder blade (scapula). The humeral (upper arm bone) head may be lesioned after repeated shoulder dislocations. A surgeon will evaluate the shoulder joint region after creating a small incision and using an arthroscope (camera) to minimize muscle loss and damage. Rotator cuff tendon  (infraspinatus) and surrounding shoulder joint tissue may be used to fill in this worn away bony lesion. The infraspinatus tendon will be secured by anchors or sutures, preventing the humeral head from engaging with the glenoid labrum. The Remplissage procedure treats a patient’s restricted mobility and pain, and ultimately reduces the risk of future shoulder dislocations.

Who needs a Remplissage?

Patients often report pain, stiffness, and repeated shoulder dislocations. A surgeon will evaluate the shoulder joint for the amount of bone loss and corresponding lesion size to gauge a patient’s candidacy for the Remplissage procedure. Patients with recurring shoulder dislocations may require this surgical procedure as well.

More about Remplissages...

The Remplissage technique is commonly done alongside Hill-Sachs lesions. Hill-Sachs lesions are humeral head compressions following shoulder dislocations. They may also be done to treat Bankart lesions – a tear of the glenoid labrum that is responsible for stabilizing the humeral head by increasing the concavity of the shoulder socket.

Life after Remplissages...

More information coming soon!