Hill-Sachs defect with ALPSA lesion

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Traumatic right shoulder dislocation followed by pain and limitation of movement.

Patient Data

Age: 16 years
Gender: Male
  • joint effusion

  • anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion

  • Hill Sach's defect as bony impression along with posterolateral humeral head with subjacent bone marrow edema/bruise

  • subacromion - subdeltoid bursa

  • acromion type II

Case Discussion

Hill-Sachs defect and ALPSA lesion in the setting of an anterior shoulder dislocation.

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