Hill-Sachs deformity and labral tear

Case contributed by Dr Andrew Lawson

Presentation

Recurrent dislocations.

Patient Data

Age: 25
Gender: Male
Modality: MRI

A shallow Hill-Sachs deformity is present measuring 15 mm x 11 mm. No oedema. The glenoid rim is intact. The anterior inferior labrum is grossly deficient. There is anterior periosteal stripping of the capsule (or type III insertion) MGHL is torn or grossly deficient. Anterior band IGHL is intact. Humeral capsular insertion is mildly stripped only. The rotator cuff tendons are intact. The biceps tendon is not subluxed. Biceps anchor is normal - No suspicion of a SLAP tear. The glenohumeral ligaments are intact. Normal bone marrow signal. The acromioclavicular joint is normal.

Case Discussion

Isolated Hill-Sachs deformity with no glenoid deficiency. Deficient anteroinferior labrum.

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Case Information

rID: 26106
Case created: 29th Nov 2013
Last edited: 29th Sep 2015
Inclusion in quiz mode: Included

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