What is Remplissage?
‘Remplissage’ is French for ‘to fill in’. The procedure was described in 2007 by Wolf et al [1] as an adjunct to the arthroscopic anterior stabilization procedure of the shoulder in order to address a large engaging Hill-Sach’s defect.
What is shoulder Remplissage?
Remplissage is an arthroscopic procedure that insets the posterior shoulder capsule and infraspinatus tendon into the Hill-Sachs defect, converting the intra-articular location of the defect to an extra-articular one.
What is Hill-Sachs Remplissage?
The Hill-Sachs remplissage technique is similar to an arthroscopic repair of a partial-thickness, articular- surface rotator cuff tear. It consists of fixation of the infraspinatus tendon and posterior capsule to the abraded surface of the Hill-Sachs lesion.
What is a Hill-Sachs lesion indicative of?
A Hill-Sachs lesion is a fracture in the long bone in the upper arm (humerus) that connects to the body at the shoulder. You doctor might have discovered this condition if you’ve experienced a dislocated shoulder. In this case, the arm bone slips out of the socket and is compressed against the socket’s rim.
How does Remplissage work?
A triple-loaded large rotator cuff anchor is inserted into the Hill-Sach’s defect through the posterior portal. Sutures are passed through the infraspinatus tendon and the posterior capsule, which are then tied down with a ‘parachute technique’, hence successfully filling the defect on the humeral head.
What is a Remplissage repair?
Remplissage is a French term that means “To Fill the Defect”. Thus in this procedure an additional pair of anchors are placed into the Hill-Sachs lesion and the infraspinatus rotator cuff tendon is repaired into the defect to fill the defect. This serves as a checkrein to prevent any further anterior instability.
How do I code Remplissage?
When a patient reports for an arthroscopic anterior capsulolabral repair with arthroscopic remplissage and rotator cuff repair- report code 29806, and 29999 (for the remplissage).
What is a shoulder Capsulorrhaphy?
A capsulorrhaphy is a surgical procedure that repairs and tightens the shoulder capsule, (the connective tissue around the shoulder) to help stabilize the ball and socket. The procedure tightens the essential ligaments that provide stability to the shoulder joint.
What is the ICD 10 code for Hill Sachs lesion?
29.
What is the CPT code for Hill Sachs lesion repair?
The CPT codes are as follows: 23455 – Capsulorrhaphy, anterior; with labral repair (Bankart procedure). There are parenthetical notes under this CPT code that instruct a coder to report 29806 for the arthroscopic procedure.
What is reverse Hills Sachs injury?
Reverse Hill-Sachs lesion, also called a McLaughlin lesion, is defined as an impaction fracture of anteromedial aspect of the humeral head following posterior dislocation of the humerus.
What is Hill Sachs defect?
The Hill-Sachs defect occurs when there is an injury to the bone and cartilage of the humeral head. As the humeral head dislocates from the socket of the shoulder joint, the round humeral head strikes the edge of the socket with force. This creates a divot in the humeral head called a compression fracture.
What is treatment for Hill Sachs fracture?
The Hill-Sachs lesion: diagnosis, classification, and management. Nonsurgical management, including focused rehabilitation, is acceptable in cases of small bony defects and nonengaging lesions in which the glenohumeral joint remains stable during desired activities. Surgical options include arthroscopic and open techniques.
What is small Hill Sachs lesion?
Hill-Sachs lesions are a posterolateral humeral head compression fracture, typically secondary to recurrent anterior shoulder dislocations, as the humeral head comes to rest against the anteroinferior part of the glenoid. It is often associated with a Bankart lesion of the glenoid.