Hill-Sachs defect with Bankart lesion

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

History of chronic bilateral shoulder dislocation, more than 6 times, a recent one in the left shoulder.

Patient Data

Age: 20 years
Gender: Male

Evidence of bone marrow edema is noted at the superolateral aspect of the head of the left humerus suggestive of Hill-Sachs defect indicates an acute injury associated with avulsion of the anteroinferior labroligamentous complex consistent with a Bankart lesion.

Case Discussion

Known case of chronic bilateral shoulder dislocation and his left shoulder show;

  • Presence of bone marrow edema in the posterolateral humeral head indicates an acute or subacute injury and co-occurrence of bony Bankart lesion.

The presence of that subcortical bone marrow edema-like signal at the posterosuperior humeral head is prompting closer inspection of the glenoid rim for subtle fracture or Bankart lesion.

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