Hill-Sachs defect and Bankart lesion

Case contributed by Lam Van Le
Diagnosis certain

Presentation

Persistent pain and limited range of motion in the right shoulder joint. History of regular basketball activity.

Patient Data

Age: 15 years
Gender: Male
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Fracture at the inferior aspect of the right glenoid, consistent with a bony Bankart lesion.

This study is a stack
Axial PD
fat sat
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal
T1
This study is a stack
Sagittal
PD fat sat
This study is a stack
Sagittal
T2
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There is right posterolateral humeral head depression fracture with adjacent bone marrow edema (Hill-Sachs defect).

Fracture at the inferior aspect of the right glenoid accompanied by an anterior-inferior labral tear (between the 3 to 5 o’clock positions), consistent with a Bankart lesion.

A small joint effusion is also noted.

Case Discussion

The imaging findings are consistent with a Hill-Sachs defect and a Bankart lesion. These findings are usually occur secondary to anterior glenohumeral dislocation.

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