This is a novel technique used for more complex cases of shoulder instability or dislocation. Typical shoulder dislocations cause damage and tearing of the labrum and shoulder ligaments, however, more complex or repeated dislocations can cause “denting” of the humeral head (ball). If this dent is significant and not treated, shoulder instability can occur again even after a traditional repair.
Remplissage is an arthroscopic procedure by which a portion of the rotator cuff tendon is shifted into the dent to prevent it from dislocating. There is no significant difference in pain or recovery with this technique as opposed to a traditional labral repair but there is a significant increase in the success rate of this procedure in the presence of a dent in the humeral head. It’s imperative that this be recognized and treated at the time of surgery. Drs. Silas and Bak have years of experience in evaluating and appropriately treating this type of shoulder instability.