Hill-Sachs defect

Case contributed by Yahya Baba
Diagnosis certain

Presentation

Shoulder trauma.

Patient Data

Age: 50 years
Gender: Male

Initial trauma

x-ray

Subcoracoid anterior shoulder dislocation.

Post-reducition radiograph

  • the anterior dislocation was reduced

  • there is a mild depression at the posterior aspect of the humeral head

mri
  • posterolateral humeral head depression fracture with bone marrow edema in keeping with Hill Sachs defect

  • mild joint effusion and in the subacromial bursa

  • full-thickness supraspinatus tendon tear

  • superior glenohumeral ligament tear

Case Discussion

Features of anterior dislocation of the shoulder with a Hill Sachs defect, rotator cuff tear, and superior glenohumeral ligament tear.

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