Hill-Sachs Lesion

What is a Hill-Sachs Lesion?

A Hill-Sachs lesion is a fracture in the upper and posterior part of your upper arm where it connects to the shoulder. It commonly occurs during forward dislocation injury of your shoulder.

Symptoms of a Hill-Sachs Lesion

Common symptoms of a Hill-Sachs Lesion include:

  • Anterior shoulder deformity
  • Arm and shoulder weakness
  • Severe pain
  • Loss of mobility

Causes of a Hill-Sachs Lesion

Common causes for a Hill-Sachs Lesion include:

  • Sports injuries
  • Falls
  • Motor vehicle accidents

Diagnosis of a Hill-Sachs Lesion

A diagnosis may be made by your doctor based on

  • Physical examination
  • X-rays of the shoulder
  • Ultrasound scan
  • MRI scan

Treatment of a Hill-Sachs Lesion

If the Hill-Sachs Lesion is very small, just physical therapy to strengthen the shoulder may be enough. In case of larger lesions, arthroscopic treatments such as bone augmentation, remplissage, disimpaction, or resurfacing may be recommended.

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