Hill sachs lesion repair

Can a Hill Sachs lesion be repaired? What is a Hill Sachs lesion? Can you repair a shoulder lesion? This injury occurs when you dislocate your shoulder.

A Hill–Sachs lesion , or Hill–Sachs fracture, is a cortical depression in the posterolateral head of the humerus.

It from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly. If the Hill-Sachs defect is large and left untreate the repair may fail, and recurrent shoulder instability could occur. The usual criteria used to determine if the Hill-Sachs injury requires additional treatment at the time of surgery is the size of the lesion. You doctor might have discovered this condition if you’ve experienced a dislocated shoulder.

Thus the development of the remplissage technique. This lesion is caused by an anterior shoulder dislocation which causes a humeral head. The lesion is a bipolar injury, and identification of concomitant glenoid bone loss is essential to optimize clinical outcome.

When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.

Bankart tear, labral or. A Hill Sachs Lesion or Hill Sachs Fracture is a dent or a compression injury to the posterolateral part of the humeral head created by the glenoid rim during dislocation. It occurs when the humeral bone pops out of the socket, its relatively soft head impacts against the anterior edge of the glenoid.

This is made worse in the setting of ligamentous disruption such as a posterior humeral avulsion of the glenohumeral ligaments (HAGL) lesions. The dislocation of the shoulder joint (anterior) can damage the connective tissue ring around the glenoid labrum. It can also bring damage to the connection between the labrum and capsule. Usually it has to do with none or poorly. The procedure: Surgeons perform McLaughlin procedures to treat posterior dislocating shoulders.

During the operation, the surgeon performs a tendon transfer by moving the subscapularis tendon from its location on the lesser tuberosity into the reverse Hill-Sachs defect. Hill-Sachs : cortical depression on the posterior lateral aspect of the humeral head from impaction against the anteroinferior glenoid rim with an anterior shoulder dislocation. This lesion has been reported in as many as of traumatic anterior dislocations and in recurrent dislocations1. Such lesions may engage in the nonfunctional position of shoulder extension, or in low ranges (70°) of shoulder abduction, but will not engage during functional activities.

A 36-year-old male asked:. Weight loss is helpful but not required for SLAP lesion repair. Analogous to restoring the rotator cuff footprint during repair , a primary goal of the remplissage is to have the infra-spinatus cover the Hill-Sachs lesion.

The labrum entirely torn.

Shaver was introduced and the anterior portion of the glenoid was roughened up. It was shifted superiorly and medially. This can be done surgically with an arthroscopic technique or an open technique. The open technique involves a small incision in the front of the shoulder. The torn tissue is identified then suture anchors or bio-absorbable tacks are used to repair the torn tissue back to its anatomic location (Figure 4).

Hill-Sachs lesion with the infraspinatus tendon, preventing the margins of the lesion from engaging with the glenoid.