Reverse Hill-Sachs defect

Changed by Henry Knipe, 27 Sep 2021

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Reverse Hill-Sachs lesiondefect
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Reverse Hill-Sachs lesiondefect, also called a McLaughlin lesion, is defined as an impaction fracture of anteromedial aspect of the humeral head following posterior dislocation of the humerus. It is of surgical importance to identify this lesion and correct it to prevent avascular necrosis.

Radiographic features

On plain radiographs, CT, and MRI, the lesion is characterised by loss of normal convexity and a wedge defect in the anteromedial aspect of the humeral head (cf. Hill-Sachs lesiondefect).

See also

  • -<p><strong>Reverse Hill-Sachs lesion</strong>, also called a <strong>McLaughlin lesion</strong>, is defined as an impaction fracture of anteromedial aspect of the humeral head following <a href="/articles/posterior-shoulder-dislocation">posterior dislocation</a> of the <a href="/articles/humerus">humerus</a>. It is of surgical importance to identify this lesion and correct it to prevent avascular necrosis.</p><h4>Radiographic features</h4><p>On plain radiographs, CT, and MRI, the lesion is characterised by loss of normal convexity and a wedge defect in the anteromedial aspect of the humeral head (cf. <a href="/articles/hill-sachs-defect">Hill-Sachs lesion</a>).</p><h4>See also</h4><ul>
  • -<li><a href="/articles/hill-sachs-defect">Hill-Sachs lesion</a></li>
  • +<p><strong>Reverse Hill-Sachs defect</strong>, also called a <strong>McLaughlin lesion</strong>, is defined as an impaction fracture of anteromedial aspect of the humeral head following <a href="/articles/posterior-shoulder-dislocation">posterior dislocation</a> of the <a href="/articles/humerus">humerus</a>. It is of surgical importance to identify this lesion and correct it to prevent avascular necrosis.</p><h4>Radiographic features</h4><p>On plain radiographs, CT, and MRI, the lesion is characterised by loss of normal convexity and a wedge defect in the anteromedial aspect of the humeral head (cf. <a href="/articles/hill-sachs-defect">Hill-Sachs defect</a>).</p><h4>See also</h4><ul>
  • +<li><a href="/articles/hill-sachs-defect">Hill-Sachs defect</a></li>

References changed:

  • 1. Shah N & Tung G. Imaging Signs of Posterior Glenohumeral Instability. AJR Am J Roentgenol. 2009;192(3):730-5. <a href="https://doi.org/10.2214/AJR.07.3849">doi:10.2214/AJR.07.3849</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19234271">Pubmed</a>
  • 2. Patrizio L & Sabetta E. Acute Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion of the Epiphyseal Humeral Head. ISRN Surg. 2011;2011:851051. <a href="https://doi.org/10.5402/2011/851051">doi:10.5402/2011/851051</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/22084780">Pubmed</a>
  • 3. Jana M, Srivastava D, Sharma R et al. Spectrum of Magnetic Resonance Imaging Findings in Clinical Glenohumeral Instability. Indian J Radiol Imaging. 2011;21(2):98-106. <a href="https://doi.org/10.4103/0971-3026.82284">doi:10.4103/0971-3026.82284</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21799591">Pubmed</a>
  • 4. Moratalla M & Gabarda R. Images in Emergency Medicine. Posterior Shoulder Dislocation with Reverse Hill-Sachs Deformity. Emerg Med J. 2009;26(8):608. <a href="https://doi.org/10.1136/emj.2008.066050">doi:10.1136/emj.2008.066050</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19625562">Pubmed</a>
  • 1. Shah N, Tung GA. Imaging signs of posterior glenohumeral instability. AJR Am J Roentgenol. 2009;192 (3): 730-5. <a href="http://dx.doi.org/10.2214/AJR.07.3849">doi:10.2214/AJR.07.3849</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/19234271">Pubmed citation</a><span class="auto"></span>
  • 2. Patrizio L, Sabetta E. Acute posterior shoulder dislocation with reverse hill-sachs lesion of the epiphyseal humeral head. ISRN Surg. 2011;2011: 851051. <a href="http://dx.doi.org/10.5402/2011/851051">doi:10.5402/2011/851051</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200281">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/22084780">Pubmed citation</a><span class="auto"></span>
  • 3. Jana M, Srivastava DN, Sharma R et-al. Spectrum of magnetic resonance imaging findings in clinical glenohumeral instability. Indian J Radiol Imaging. 2011;21 (2): 98-106. <a href="http://dx.doi.org/10.4103/0971-3026.82284">doi:10.4103/0971-3026.82284</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137866">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/21799591">Pubmed citation</a><span class="auto"></span>
  • 4. Moratalla MB, Gabarda RF. Images in emergency medicine. Posterior shoulder dislocation with reverse Hill-Sachs deformity. (2009) Emergency medicine journal : EMJ. 26 (8): 608. <a href="https://doi.org/10.1136/emj.2008.066050">doi:10.1136/emj.2008.066050</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19625562">Pubmed</a> <span class="ref_v4"></span>

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