Hill-Sachs lesion

Case contributed by Francis Fortin
Diagnosis certain


Post-reduction of a shoulder dislocation

Patient Data

Age: 35 years
Gender: Male

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 images

Annotated image

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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