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This bony defect can engage on the posterior glenoid rim and subsequently lead to recurrent instability and progressive joint destruction. We describe a new modified arthroscopic McLaughlin procedure, which allows for filling of the bony defect with the subscapularis tendon and subsequently prevents recurrence of posterior instability. This technique creates a double\u2010mattress suture providing a large footprint for the subscapularis and a broader surface area to allow for effective tendon to bone healing. Furthermore, it obviates the need for detaching the subscapularis tendon and avoids the morbidity potentially associated with open procedures.<\/jats:p><jats:p><jats:italic>Level of evidence<\/jats:italic> V.<\/jats:p>","DOI":"10.1007\/s00167-012-2237-6","type":"journal-article","created":{"date-parts":[[2012,10,6]],"date-time":"2012-10-06T03:18:43Z","timestamp":1349493523000},"page":"1642-1646","source":"Crossref","is-referenced-by-count":56,"title":["Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill\u2010Sachs lesion"],"prefix":"10.1002","volume":"21","author":[{"given":"Frank","family":"Martetschl\u00e4ger","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Sports Medicine, University Hospital Rechts der Isar Munich Technical University IsmaningerStrasse 22 81675 Munich Germany"},{"name":"<!--<label>2<\/label>--> The Steadman Clinic Steadman Philippon Research 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