Anterior glenohumeral dislocation with associated greater tuberosity fracture and Hill-Sachs lesion

Case contributed by Suraindra Mark Rajadurai
Diagnosis certain


Syncope and fall at home, painful shoulder on waking.

Patient Data

Age: 30 years
Gender: Male

Anterior-inferior dislocation of the humeral head with a displaced greater tuberosity fracture. 

The humeral head is now enlocated in the glenoid fossa. The greater tuberosity fragment is in improved alignment with only minimal displacement. 

A wedged shaped depression in the postero-lateral humeral head is in keeping with a Hill-Sachs deformity. No evidence of a displaced Bankart lesion on x-ray.

Case Discussion

This case demonstrates an anterior shoulder dislocation with an associated greater tuberosity fracture.

The greater tuberosity fragment is in a good anatomical position on the post-relocation study but there is the impression of a Hill-Sachs lesion. While the appearance primarily arises from the presence of the greater tuberosity fracture, it is likely that a true Hill-Sachs lesion is also present.

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