Presentation
Control via the ligaments is therefore not present. The ligaments of the shoulder joint are: ligamentum coracohumerale ligamentum coracoglenoidale ligamenta glenohumeralia The ligaments strengthen the thin capsule cranially and ventrally. [flexikon.doccheck.com]
Clinical Presentation[edit | edit source] Shoulder dislocation rarely occur isolated. [physio-pedia.com]
Musculoskeletal
- Fracture
A Hill-Sachs defect is the terminology of preference over other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14. [radiopaedia.org]
This occurs when the round humeral head is forcibly impacted on the edge of the glenoid, which causes compression fractures in the humeral head. [physio-pedia.com]
Modified Double-Row and Double-Pulley Technique for the Treatment of Type Ia Scapular Glenoid Fractures. Wang Y, Li Q, Zhang Q. Wang Y, et al. Orthop Surg. 2022 Jul;14(7):1518-1526. doi: 10.1111/os.13305. Epub 2022 May 31. Orthop Surg. 2022. [pubmed.ncbi.nlm.nih.gov]
- Joint Dislocation
Hill-Sachs Injury: Damage to the shoulder joint as result of dislocation. Orthopedics, 2013. ↑ 18.0 18.1 18.2 18.3 18.4 Radiopedia. [physio-pedia.com]
Treatment
Treatment is dictated by subjective and objective findings of shoulder instability and radiographic findings. [pubmed.ncbi.nlm.nih.gov]
[…] and prognosis The bony defect itself often does not require treatment, however, the associated glenohumeral instability and coexistent anterior labral injuries often do require surgical repair. [radiopaedia.org]
[…] significant lesions), surgical treatment is needed. [physio-pedia.com]
Prognosis
Cited by Anteroinferior Glenoid Rim Fractures Are a Relatively Common Finding in Shoulder Instability Patients Aged 50 Years or Older but May Not Portend a Worse Prognosis. Song BM, Smartt AA, Wilbur RR, Krych AJ, Okoroha KR, Barlow JD, Camp CL. [pubmed.ncbi.nlm.nih.gov]
[…] posterolateral humeral head indicates an acute injury normal flattening of the posterolateral humeral head caudal to the level of coracoid should not be misinterpreted as a Hill-Sachs defect 2,4 (sometimes termed pseudo-Hill-Sachs defect) Treatment and prognosis [radiopaedia.org]
Etiology
For people with a shoulder dislocations history (i.e. shoulder instability) humeral head compression fractures are present in most cases.[9][10] Etiology[edit | edit source] Anterior shoulder instability: Approximately 47% of the lesions are associated [physio-pedia.com]
Epidemiology
[…] anterior glenoid in the dislocated position, causing shoulder instability.[4][5][6] Watch this animated description of Hill-Sachs and Bankart Lesions that can occur with a shoulder dislocation and contribute to further shoulder instability (2 minutes) [7] Epidemiology [physio-pedia.com]
Prevention
Successful in preventing instability over time Negative consequences associated with the Laterjet are shoulder arthrosis and loss of function Autologous bone plugs Size-matched osteo-articular allografts Rotational humeral osteotomy: Osteotomy of the [physio-pedia.com]