Hill-Sachs lesion

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Eight anterior shoulder dislocations during last 8 months.

Patient Data

Age: 25 years
Gender: Male
x-ray

An eccentric lucency and depression is noted at the posterior aspect of the humeral head.

ultrasound

A bone depression is seen on the posterolateral aspect of humeral head.

x-ray

Post-operative magnified view - Bankart repair.

Latarjet procedure was done. Coracoid process is cut from its base and implanted at glenoid rim, fixed with screw.

Case Discussion

MR images are not available. Bankart lesion was present.

The patient was posted for arthroscopic Bankart repair. On table, it was decided that glenoid bone loss is much more. So open surgery (Latarjet procedure) was done. Coracoid process is cut from its base and implanted at glenoid rim, fixed with screw.

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