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Arthroscopic Treatment of Hill-Sachs Lesions

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Shoulder Arthroscopy

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Abstract

The Hill-Sachs lesion is a compression fracture of the posterosuperolateral aspect of the humeral head that occurs in association with anteroinferior instability of the glenohumeral joint and might lead to recurrence. The glenoid track refers to the area of contact between the humeral head and glenoid and is defined as 83% of glenoid width. An Hill-Sachs lesion is considered “On-track” or “Off-track” respectively when is inside or outside the glenoid track. With a method based on CT scan the physician might assess whether a lesion is On-track or Off-track. The treatment algorithm frequently used which aims at reducing the risk of anteroinferior shoulder instability takes into consideration either the percentage of glenoid bone loss (greater or not than 25%) and the width and position of the Hills-Sachs lesion (Glenoid track). Those two cut-off values are useful in determining whether the glenoid, humeral or both sides has to be corrected. The remplissage is a safe procedure with a low postoperative recurrence rate, and it allows the surgeon to address large humeral defects. It seems to be safer than Latarjet procedure, due to the fewer overall postoperative complications.

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Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, San Pietro Fatebenefratelli Hospital, Rome, Italy

    Francesco Franceschi

  2. Department of Orthopaedics and Traumatology, Catholic University, A. Gemelli Hospital, Rome, Italy

    Edoardo Giovannetti de Sanctis

  3. Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italy

    Giovanni Perricone & Edoardo Franceschetti

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  1. Francesco Franceschi
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  2. Edoardo Giovannetti de Sanctis
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  3. Giovanni Perricone
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  4. Edoardo Franceschetti
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Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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© 2023 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature

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Franceschi, F., de Sanctis, E.G., Perricone, G., Franceschetti, E. (2023). Arthroscopic Treatment of Hill-Sachs Lesions. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_22

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_22

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  • Online ISBN: 978-3-662-66868-9

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