The Hill-Sachs lesion

Author:

Danzig Larry A.1,Greenway Guerdon1,Resnick Donald2

Affiliation:

1. Division of Orthopaedic Surgery, the Department of Radiology, University Hospital, University of California, San Diego, School of Medicine, and Veterans Administration Medical Center, San Diego, California

2. Division of Orthopaedic Surgery, the Department of Radiology, University Hospital, University of California, San Diego, School of Medicine, and Veterans Administration Medical Center, San Diego, California,

Abstract

The Hill-Sachs lesion is an important indication of previous anterior shoulder dislocation. We created Hill-Sachs lesions by using cadaveric humeri. Roentgenographs of these cadaveric humeri in the standard projections were then taken. Under fluoroscopy, new projections of the cadaveric humeri were obtained. In a clinical study, 15 patients (14 men and 1 woman; age range, 23 to 63 years; mean, 30 years) with known recurrent anterior shoulder dislocations were evaluated by using standard and new roentgenographic projections. On the basis of the cadaveric and clinical studies, the optimal methods for detect ing Hill-Sachs lesions include the following three roentgeno grams : anteroposterior view of the glenohumeral joint with the humerus in 45° internal rotation, the notch (Stryker) view, and the modified Didiee view.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference16 articles.

1. Eve FS: A case of subcoracoid dislocation of the humerus with the formation of an indentation on the posterior surface of the head. Medico-Chir Trans Soc (London) 63: 317-321, 1880

2. Kuster E.: Ueber habituelle schulterluxation. Verh Dtsch Ges Chir 11: 112-114, 1882

3. Cramer M.: Resection des oberarmkopfes wegen habitueller luxation. Berlin Klin Wochenschr 19: 21-25, 1882

4. Caird FM: The shoulder joint in relation to certain dislocations and fractures . Edinburgh Med J 32: 708-714, 1887

5. Broca A., Hartman H.: Contribution à l'étude des luxations de l'épau1e (luxations dites incomplete, décollements periostiques, luxations directes et luxations indirect) . Bull Soc Anat Paris 65: 312-336, 1890

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