What is a Hill-Sachs lesion indicative of?

A Hill-Sachs defect is a posterolateral humeral head depression fracture, resulting from the impaction with the anterior glenoid rim, therefore indicative of an anterior glenohumeral dislocation. It is often associated with a Bankart lesion of the glenoid.

What is an engaging Hill-Sachs lesion?

and De Beer [3] coined the term “engaging. Hill-Sachs” to describe a lesion that predis- poses to recurrent dislocation or to the symp- toms of recurrent dislocation after Bankart. repair [3].

What is the difference between Hill-Sachs and Bankart lesion?

Anterior dislocation causes a typical impression fracture on the posterior humeral head, known as a Hill–Sachs lesion. The labrum or the glenoid itself may also be damaged; these injuries are known as Bankart lesions.

How is Hill-Sachs lesion treated?

For smaller sized Hills-Sachs lesions, in which less than 20% of the humeral head has been affected, physical therapy, or careful observation may be an effective option. For more severe cases and larger lesions, surgery is likely your best option for healing.

How do you treat a Hill-Sachs lesion?

What is the definition of a Hill Sachs lesion?

Hill–Sachs lesion. Jump to navigation Jump to search. A Hill–Sachs lesion, or Hill–Sachs fracture, is a cortical depression in the posterolateral head of the humerus. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly.

When does Hill Sachs defect occur in the shoulder?

Repeat dislocations lead to larger defects, which can result in an “engaging” Hill-Sachs defect​, which engages the anterior glenoid when the shoulder is abducted and externally rotated 4 . (see article: On-track and off-track shoulder lesions for further discussion) 10.

How often are Bankart lesions found in Hill Sachs patients?

Bankart lesions are up to 11 times more common in patients with a Hill-Sachs lesion, with increasing incidence with increasing size 8 . When a Hill-Sachs defect is identified careful assessment of the anterior glenoid should be undertaken to assess for a Bankart lesion.

Which is larger the glenoid track or the Hill Sachs track?

glenoid track = (0.83 x D) – d Hill-Sachs interval = Hill-Sachs defect + bone bridge between the rotator cuff attachment and lateral aspect of the Hill-Sachs defect measured in the axial plane A bipolar lesion is said to be engaging if the Hill-Sachs interval is larger than the glenoid track.