Hill-Sachs fracture and Bankart lesion: sequelae of anterior shoulder dislocation

Case contributed by Mohammad A. ElBeialy
Diagnosis certain

Presentation

Fall on the left shoulder during a football match.

Patient Data

Age: 35 years
  • Depression fracture of the posterior supero-lateral humeral head with marrow edema signal demonstrating low T1 and high T2/STIR signal intensity

  • No other marrow signal abnormality

  • Torn anterior inferior labrum (Bankart's lesion)

  • Intact rotator cuff muscles and tendon

  • Minimal joint effusion

Plain X-ray done earlier at the time of trauma showed anterior shoulder dislocation.

Case Discussion

Hill-Sachs fracture of the posterior supero-lateral humeral head with torn anterior inferior labrum (Bankart lesion) as well as minimal joint effusion (sequelae of anterior shoulder dislocation).

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