Hill-Sachs lesion

Case contributed by Eduardo Picolli Gomes
Diagnosis almost certain

Presentation

30 years old patient with recent shoulder dislocation.

Patient Data

Age: 30
Gender: Male

Hil-sachs lesion MRI

mri

Humeral head and glenoid cavity with preserved alignment. Supero-posterior impaction at the supero-posterior margin of the humeral head (Hill-Sachs). Hill-Sachs interval estimated is about 17 mm.

ct

Loss of normal circular shape in the postero-lateral region of the superior humeral head, with irregularity of the cortical margin.

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