Hill-Sachs lesion

Case contributed by Dr Francis Fortin

Presentation

Post-reduction of a shoulder dislocation

Patient Data

Age: 35 years
Gender: Male
X-ray

Post-reduction Radiograph

AP internal rotation view best demonstrates a thick vertical sclerotic line projected over the posterolateral humeral head representing an impacted fracture (Hill-Sachs lesion).

Annotated image

Annotated images

On this internal rotation radiograph, the humeral head (green), greater tuberosity (yellow) and lesser tuberosity (red) are outlined. Normally, these should be the only structures creating outlines. In this case, an additional Hill-Sachs lesion (blue) is visible. 

Case Discussion

No pre-reduction radiograph was available, nor was the information specified by the referring physician, but the Hill-Sachs lesion suggests a now-reduced anterior dislocation.

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Case information

rID: 57771
Published: 11th Jan 2018
Last edited: 23rd Jan 2018
Inclusion in quiz mode: Included

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