Hill-Sachs lesion with bony Bankart lesion

Case contributed by Mahmoud Yacout Alabd , 24 Sep 2015
Diagnosis certain
Changed by Tee Yu Jin , 20 Mar 2020

Updates to Study Attributes

Findings was changed:

Evident of a tear of the anterior inferior aspect of the glenoid labrum (linear bright signal/defect) with an osseous component (linear hypointensity). Another defect noted at the posterior aspect of the humeral head.

MRI confirmconfirms the findings seen on X-ray and CT of Hill-Sachs lesion with bony Bankart as a sequelae to recurrent shoulder dislocation. 

Images Changes:

Image MRI (PD fat sat) ( update )

Description was removed:
Evident tear of the anterior inferior aspect of the glenoid labrum (linear bright signal/defect) having an osseous component manifested as separated related glenoid cortex (linear hypointensity).

Image MRI (PD fat sat) ( update )

Description was removed:
The findings are better manifested on the axial images, however on this coronal scan there is ill-definition of the inferior labrum.

Image MRI (PD fat sat) ( update )

Description was removed:
The torn anterior inferior labrum extending to the glenoid bony cortex together with the Hill-Sachs defect at the posterior aspect of the humeral head are clearly seen on this cut.

Updates to Case Attributes

Body was changed:

Hill-Sachsfracture and Bankart lesion are common sequelae to recurrent anterior dislocation of the shoulder joint.Hill Hill-Sachs lesion is a compression fracture of the posterolateral humeral head due to its compression against the anteroinferior part of the glenoid when the humerus is anteriorly dislocated.  A Bankart lesion results results from a detachment of the anterior inferior labrum from the underlying glenoid due to the same mechanism. It may occur as an isolated injury to the labrum, or it can extend to the bony glenoid margin, where it is called a "bony Bankart". In most cases, both findings are associated together.

  • -<p><a href="/articles/hill-sachs-lesion"><strong>Hill-Sachs</strong> </a><strong><a href="/articles/hill-sachs-lesion">fracture</a> </strong>and <a href="/articles/bankart-lesion"><strong>Bankart lesion</strong></a> are common sequelae to recurrent anterior dislocation of the shoulder joint. <strong>Hill-Sachs lesion </strong>is a compression fracture of the posterolateral humeral head due to its compression against the anteroinferior part of the glenoid when the humerus is anteriorly dislocated.  A <strong>Bankart lesion</strong> results from detachment of the anterior inferior labrum from the underlying glenoid due to the same mechanism. It may occur as an isolated injury to the labrum, or it can extend to the bony glenoid margin, where it is called a "bony Bankart". In most cases both findings are associated together.</p>
  • +<p><a href="/articles/hill-sachs-lesion">Hill-Sachs fracture</a> and <a href="/articles/bankart-lesion">Bankart lesion</a> are common sequelae to recurrent anterior dislocation of the shoulder joint. Hill-Sachs lesion is a compression fracture of the posterolateral humeral head due to its compression against the anteroinferior part of the glenoid when the humerus is anteriorly dislocated.  A Bankart lesion results from a detachment of the anterior inferior labrum from the underlying glenoid due to the same mechanism. It may occur as an isolated injury to the labrum, or it can extend to the bony glenoid margin, where it is called a "bony Bankart". In most cases, both findings are associated together.</p>
Diagnostic Certainty was set to .

Systems changed:

  • Trauma

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