IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Bankart lesion and Hill Sachs fracture

Case contributed by Mostafa Elfeky
Diagnosis certain

Presentation

Recurrent dislocation of the right shoulder

Patient Data

Age: 40 years
Gender: Male

Right shoulder

x-ray

Roughness of anterior-inferior glenoid labrum.

Right shoulder

mri

Irregular antero-inferior labrum with fracture of the corresponding bony glenoid.

A bony defect is noted at the postero-superior aspect of the humeral head.

Moderate joint effusion.

Right shoulder

ct

CT confirms the presence of bony Bankart and Hill Sachs lesions.

Case Discussion

Hill Sachs deformity is a posterolateral humeral head impaction fracture due to impaction against the antero-inferior labrum in the setting of antero-inferior dislocation, which is the commonest type of shoulder dislocation. This is associated with a Bankart lesion, which is a cartilaginous and/or bony defect of the antero-inferior labrum.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.