What causes a Hill-Sachs deformity?
What causes a Hill-Sachs deformity?
A Hill-Sachs deformity is a compression injury to the posterolateral aspect of the humeral head created by the glenoid rim during dislocation. When driven from the glenohumeral cavity during dislocation, the relatively soft head of the humerus hits against the anterior edge of the glenoid.
How do you treat Hill-Sachs deformity?
For smaller sized Hills-Sachs lesions, in which less than 20% of the humeral head has been affected, physical therapy, or careful observation may be an effective option. For more severe cases and larger lesions, surgery is likely your best option for healing.
Does Hill-Sachs deformity require surgery?
Is Hill-Sachs deformity a fracture?
Definition/Description. A Hill-Sachs lesion is a compression fracture or “dent” of the posterosuperolateral humeral head that occurs in association with anterior instability or dislocation of the glenohumeral joint. It was first described by two radiologists by the name HA Hill and MD Sachs in 1940.
What is Hill-Sachs deformity?
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. This may cause a change loss of range of motion, feelings of instability and pain.
What is Hill Sachs lesion injury and deformity?
Hill-Sachs Lesion Injury and Deformity. In addition to ligament or tendon damage, the bone and cartilage can also be damaged; the most common type of damage is referred to as a Hill-Sachs defect.
What is the best treatment for a Hill Sachs defect?
Shoulder Dislocation Treatment. Especially when a Hill-Sachs injury involves less than 20% of the humeral head, doing nothing is often the best treatment. Capsular Shift: Shifting the shoulder capsule is essentially a surgery to tighten the tissue in the area of the Hill-Sachs defect to prevent excessive rotation of the shoulder.
A Hill-Sachs deformity is a compression injury to the posterolateral aspect of the humeral head created by the glenoid rim during dislocation. A 17 year-old female presented to the ED with the complaint of right shoulder pain.
What are the signs and symptoms of a Hill–Sachs fracture?
Large, engaging Hill-Sachs fractures can contribute to shoulder instability and will often cause painful clicking, catching, or popping. The average depth of Hill–Sachs lesion has been reported as 4.1 mm.