Anterior glenohumeral dislocation with Hill-Sachs lesion

Case contributed by Vikas Shah


Recurrent shoulder dislocations. Dislocated again and not reducible in ED.

Patient Data

Age: 50 years
Gender: Male

The humeral head has dislocated anteriorly, and there is a large wedge-shaped defect in the superolateral humeral head.

CT confirms anterior dislocation and large Hill-Sachs lesion with large piece of bone missing from superolateral humeral head, with anteroinferior glenoid margin "engaging" the Hill-Sachs defect. No bony Bankart lesion. Small osseous fragments which likely represent fragments of the humeral cortex. There is hematoma around the scapula.

Case Discussion

Recurrent anterior dislocations can lead to the formation of a large Hill-Sachs lesion, as seen here.

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