Anterior shoulder dislocation with Hill-Sachs defect and bony Bankart lesion

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Left shoulder trauma.

Patient Data

Age: 70 years
Gender: Female
  • mild joint effusion
  • anterior shoulder dislocation
  • bony bankart lesion as low signal fracture line with subjacent bone marrow edema along with anterior glenoid bone
  • hill sacs defect as a bony impression with subjacent bone marrow edema at posterolateral humerus head
  • articular side partial tear along subscapularis tendon
  • abnormal intrasubstance increased signal and fibers discontinuity along with infraspinatus tendon related to partial thickness tear
  • abnormal intrasubstance increased fluid signal along with supraspinatus tendon related to tendinosis
  • subacromial / subdeltoid bursa
  • mild capsular hypertrophy and degenerative changes along with the AC joint
  • acromion type II

Case Discussion

Anterior shoulder dislocation with bony bankart lesion, hill sacs defect as well as rotator cuff tendinopathy.

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