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Location of the Hill-Sachs lesion in shoulders with recurrent anterior dislocation

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Computed tomography images of 35 shoulders of 34 patients with recurrent anterior dislocation and 13 shoulders of 13 healthy normal volunteers were used to determine the location of the Hill-Sachs lesion in reference to the location of the bare area using computed tomography.

Method

We measured the location, and size of the Hill-Sachs lesion and the bare area, and described them on a clock face on the humeral head.

Results

The Hill-Sachs lesion was observed in slices between 0–3 and 22–24 mm distal from the top of the humeral head. The bare area was located only in slices 19–21 mm and below.

Conclusion

From these data, we concluded that the Hill-Sachs lesion exists in the area between 0 and 24 mm from the top of the humeral head, and the inferior portion of the Hill-Sachs lesion overlaps the bare area if it extends beyond 19 mm from the top of the humeral head.

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References

  1. Brav EA (1960) Recurrent dislocation of the shoulder. Ten years’ experience with the Putti–Platt reconstruction procedure. Am J Surg 100:423–430

    Article  PubMed  CAS  Google Scholar 

  2. Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 7:677–694

    Google Scholar 

  3. Calandra JJ, Baker CL, Uribe J (1989) The incidence of Hill-Sachs lesions in initial anterior shoulder dislocations. Arthroscopy 5:254–257

    PubMed  CAS  Google Scholar 

  4. Cicak N, Bilic R, Delimar D (1998) Hill-Sachs lesion in recurrent shoulder dislocation: sonographic detection. J Ultrasound Med 9:557–560

    Google Scholar 

  5. DePalma AF, Callery G, Bennett GA (1949) Variational anatomy and degenerative lesions of the shoulder joint. Instr Course Lect 6:255–280

    Google Scholar 

  6. Dickson JW, Devas MB (1957) Bankart’s operation for recurrent dislocation of the shoulder. J Bone Joint Surg Br 39:114–119

    PubMed  Google Scholar 

  7. Edwards TB, Boulahia A, Walch G (2003) Radiographic Analysis of Bone Defects in Chronic Anterior Shoulder Instability. Arthroscopy 7:732–739

    Google Scholar 

  8. Eyre-Brook AL (1971) Recurrent dislocation of the shoulder. Physiotherapy 1:7–13

    Google Scholar 

  9. Hill HA, Sachs MD (1940) The grooved defect of the humeral head. A frequently unrecognized complication of dislocations of the shoulder joint. Radiology 35:690–700

    Google Scholar 

  10. Hovelius L, Thorling J, Fredin H (1979) Recurrent anterior dislocation of the shoulder. Results after the Bankart and Putti–Platt operations. J Bone Joint Surg-A 61:566–569

    CAS  Google Scholar 

  11. Hovelius L, Eriksson K, Fredin H et al (1983) Recurrence after Initial Dislocation of the Shoulder. Results of a prospective study of treatment. J Bone Joint Surg A 65:343–349

    CAS  Google Scholar 

  12. Hovelius L, Sandstrom B, Sundgren K et al (2004) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study I-clinical results. J Shoulder Elbow Surg 13:509–516

    Article  PubMed  Google Scholar 

  13. Ito H, Takayama A, Shirai Y (2000) Radiographic evaluation of the Hill-Sachs lesion in patients with recurrent anterior shoulder instability. J Shoulder Elbow Surg 9:495–497

    Article  PubMed  CAS  Google Scholar 

  14. Kralinger FS, Golser K, Wischatta R et al (2002) Predicting Recurrence after Primary Anterior Shoulder Dislocation. Am J Sports Med 30:116–120

    PubMed  Google Scholar 

  15. Kenneth PB (1998) The scapula. In: Rockwood CA Jr, Matsen FA 3rd, Wirth MA, Harryman DT 2nd (eds) The shoulder. W.B.Saunders, Philadelphia, pp 391–427

    Google Scholar 

  16. Matsen FA 3rd, Titelman RM, Lippitt SB (1998) Glenohumeral instability. In: Rockwood CA Jr, Matsen FA 3rd, Wirth MA, Harryman DT 2nd (eds) The shoulder. W.B.Saunders, Philadelphia, pp 655–794

    Google Scholar 

  17. Minagawa H, Itoi E, Konno N et al (1998) Humeral attachment of the supraspinatus and infraspinatus tendons: an anatomic study. Arthroscopy 14:302–306

    PubMed  CAS  Google Scholar 

  18. Niskanen RO, Lehtonen JY, Kaukonen JP (1991) Alvik’s glenoplasty for humeroscapular dislocation. 6-Year follow-up of 52 shoulders. Acta Orthop Scand 62:279–283

    Article  PubMed  CAS  Google Scholar 

  19. Palmer I, Widen A (1948) The bone block method for recurrent dislocation of the shoulder joint. J Bone Joint Surg B 30:53

    Google Scholar 

  20. Rowe CR, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg A 60:1–16

    CAS  Google Scholar 

  21. Wahl CJ, Warren RF, Altchek DW (1998) Shoulder arthroscopy. In: Rockwood CA Jr, Matsen FA 3rd, Wirth MA, Harryman DT 2nd (eds) The shoulder. W.B.Saunders, Philadelphia, pp 283–353

    Google Scholar 

  22. Weber BG, Simpson LA, Hardegger F (1984) Rotational humeral osteotomy for recurrent anterior dislocation of the shoulder associated with a large Hill-Sachs lesion. J Bone Joint Surg A 66:1443–1450

    CAS  Google Scholar 

  23. Wintzell G, Larsson H, Larsson S (1998) Indirect MR arthrography of anterior shoulder instability in the ABER and the apprehension test positions: a prospective comparative study of two different shoulder positions during MRI using intravenous gadodiamide contrast for enhancement of the joint fluid. Skeletal Radiol 27:488–494

    Article  PubMed  CAS  Google Scholar 

  24. Yamamoto N, Itoi E, Abe H et al (2007) Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of “glenoid track”. J Shoulder Elbow Surg 16:649–656

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Akita University, School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan

    Hidetomo Saito, Hiroshi Minagawa, Nobuyuki Yamamoto, Yilihamu Tuoheti & Nobutoshi Seki

  2. Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

    Eiji Itoi

Authors
  1. Hidetomo Saito
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  2. Eiji Itoi
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  3. Hiroshi Minagawa
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  4. Nobuyuki Yamamoto
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  5. Yilihamu Tuoheti
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  6. Nobutoshi Seki
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Correspondence to Eiji Itoi.

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Saito, H., Itoi, E., Minagawa, H. et al. Location of the Hill-Sachs lesion in shoulders with recurrent anterior dislocation. Arch Orthop Trauma Surg 129, 1327–1334 (2009). https://doi.org/10.1007/s00402-009-0854-4

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  • DOI: https://doi.org/10.1007/s00402-009-0854-4

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