Anterior glenohumeral dislocation with associated greater tuberosity fracture and Hill-Sachs lesion
Presentation
Syncope and fall at home, painful shoulder on waking.
Patient Data
Initial radiograph
Anterior-inferior dislocation of the humeral head with a displaced greater tuberosity fracture.
Post-relocation
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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