Reverse Hill-Sachs defect
Citation, DOI, disclosures and article data
Citation:
Venkatesh M, Bickle I, Lustosa L, et al. Reverse Hill-Sachs defect. Reference article, Radiopaedia.org (Accessed on 08 Mar 2025) https://doi.org/10.53347/rID-25880
Permalink:
rID:
25880
Article created:
13 Nov 2013,
Manchikanti Venkatesh
Disclosures:
At the time the article was created Manchikanti Venkatesh had no recorded disclosures.
View Manchikanti Venkatesh's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Ian Bickle had the following disclosures:
- Hexarad, I work for this out sourcing company during non NHS hours (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Ian Bickle's current disclosures
Revisions:
19 times, by
11 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- McLaughlin lesion
- McLaughlin lesions
- Reverse Hill-Sachs lesions
- McLaughlin's lesion
- Reverse Hill-Sachs lesion
Reverse Hill-Sachs defect, also known as 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 osteonecrosis.
Radiographic features
On plain radiographs, CT, and MRI, the lesion is characterized by loss of normal convexity and a wedge defect in the anteromedial aspect of the humeral head (cf. Hill-Sachs defect).
See also
Quiz questions
References
- 1. Shah N & Tung G. Imaging Signs of Posterior Glenohumeral Instability. AJR Am J Roentgenol. 2009;192(3):730-5. doi:10.2214/AJR.07.3849 - Pubmed
- 2. Patrizio L & Sabetta E. Acute Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion of the Epiphyseal Humeral Head. ISRN Surg. 2011;2011:851051. doi:10.5402/2011/851051 - Pubmed
- 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. doi:10.4103/0971-3026.82284 - Pubmed
- 4. Moratalla M & Gabarda R. Images in Emergency Medicine. Posterior Shoulder Dislocation with Reverse Hill-Sachs Deformity. Emerg Med J. 2009;26(8):608. doi:10.1136/emj.2008.066050 - Pubmed
Incoming Links
Articles:
Cases:
- Bilateral posterior shoulder dislocations with reverse Hill-Sachs defects
- Posterior shoulder dislocation with reverse Hill-Sachs and Bankart lesions
- Posterior shoulder dislocation with reverse Hill-Sachs fracture
- Posterior shoulder dislocation with reverse Hill-Sachs fracture
- Posterior shoulder dislocation
- Failure of open reduction with bone grafting of reverse Hill-Sachs lesion
- Acute posterior shoulder dislocation (ultrasound)
- Posterior shoulder dislocation
- Posterior shoulder dislocation with reverse Hill-Sachs lesion and displaced fracture
- Posterior shoulder dislocation with reverse Hill-Sachs and reverse bony Bankart injuries
- Posterior shoulder dislocation
- Posterior shoulder dislocation
- Posterior shoulder dislocation with reverse Hill-Sachs
- Posterior shoulder dislocation with reverse Hill-Sachs
- Reverse Perthes lesion
- Reverse Hill-Sachs lesion
- Posterior shoulder dislocation
- Reverse Hill-Sachs and reverse Bankart lesions
- Posterior dislocation of the shoulder
- Posterior shoulder dislocation
Multiple choice questions:
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