What is small Hill-Sachs deformity?

A Hill-Sachs lesion is a fracture in the long bone in the upper arm (humerus) that connects to the body at the shoulder. You doctor might have discovered this condition if you’ve experienced a dislocated shoulder. In this case, the arm bone slips out of the socket and is compressed against the socket’s rim.

Does a Hill-Sachs deformity require surgery?

This is an injury of the anterior glenoid labrum of the shoulder and often often accompanied by a Hill-Sachs lesion. Conservative treatment is only recommended in cases of small bony defects (<20% Hill-Sachs lesion), in other cases (larger and more significant lesions), surgical treatment is needed.

How do you fix Hill-Sachs deformity?

Large or engaging Hill-Sachs lesions are addressed by either reconstructing (rebuilding) any lost bone on the glenoid side or performing a “Remplissage” procedure which repairs the posterior capsule and rotator cuff tendon to the Hill-Sachs bone defect.

What causes Hill-Sachs?

The Hill-Sachs defect occurs when there is an injury to the bone and cartilage of the humeral head. The shoulder joint is made up of the humeral head and the glenoid bone (the socket). Ligaments, cartilage, and tendons help hold these bones in place.

How do you get a Hill-Sachs lesion?

A Hill-Sachs lesion only occurs when there is forward dislocation of the shoulder. View a detailed BodyMap of the shoulder. A dislocation injury can happen in sports, in a fall, or in reaching or pulling with your arm extended. Shoulders are the most commonly dislocated major joint.

Is Hill-Sachs or Bankart more common?

Bankart lesions are up to 11 times more common in patients with a Hill-Sachs lesion, with increasing incidence with increasing size 8.

How is Hill-Sachs defect measured?

Di Giacomo’s method consists of four evaluation steps: the first measures the diameter (D) of the inferior glenoid using the perfect circle method, the second measures the amount of glenoid anterior bone loss (d), then the third calculates the width of the glenoid track (GT) = 0.83D–d, and the last measures the width …

What is a reverse Hill-Sachs lesion?

Reverse Hill-Sachs lesion, also called a McLaughlin lesion, is defined as an impaction fracture of anteromedial aspect of the humeral head following posterior dislocation of the humerus. It is of surgical importance to identify this lesion and correct it to prevent avascular necrosis.

How long does a hill-Sachs fracture take to heal?

Arthroscopic surgery often has a shorter recovery time than open surgery. If you have surgery for a dislocated shoulder and Hill-Sachs lesion repair, you may have pain and discomfort for a week or more. Your shoulder will be immobilized in a sling for three to six weeks.

How long does a Hill-Sachs lesion take to heal?

Which is the best description of a Hill Sachs defect?

Hill-Sachs defect. A Hill-Sachs defect is a posterolateral humeral head depression fracture, resulting from the impaction with the anterior glenoid rim, therefore indicative of an anterior glenohumeral dislocation. It is often associated with a Bankart lesion of the glenoid.

What causes a Hill Sachs injury to the shoulder?

A Hill-Sachs injury to the shoulder can occur due to a shoulder dislocation, resulting in a Hill-Sachs lesion or a Hill-Sachs deformity of the head of the humerus bone (the upper arm bone)

How is a Hill Sachs lesion treated after surgery?

Post-surgical rehabilitation should be guided by the orthopaedic surgeon, and depends on the procedure that was done. A Hill-Sachs lesion is an injury that occurs secondary to an anterior shoulder dislocation. The humeral head ‘collides’ with the anterior part of the glenoid, causing a lesion, bone loss, defect and deformity of the humeral head.

What happens if a Hill Sachs injury is left untreated?

If the Hill-Sachs defect is large and left untreated, the repair may fail, and recurrent shoulder instability could occur. The usual criteria used to determine if the Hill-Sachs injury requires additional treatment at the time of surgery is the size of the lesion.