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How are Hill-Sachs lesions treated? Which treatment you’ll need for a Hill-Sachs lesion depends on how big it is. If the lesion is 20% or less of your humeral head, you’ll probably only need the usual treatment for a dislocated shoulder.
A Hill-Sachs lesion is an injury that occurs secondary to an anterior shoulder dislocation. The humeral head ‘collides’ with the anterior part of the glenoid, causing a lesion, bone loss, defect and deformity of the humeral head.
25 Οκτ 2018 · Treatment for a Hill-Sachs lesion depends on the size of the lesion, its placement, the involvement of glenoid socket bone, and how it affects your arm mobility.
Non-Surgical Hill-Sachs Lesion Treatment. If your Hill-Sachs lesion affects less than 20% of the humeral head, your doctor may recommend physical therapy to strengthen the muscles that support the shoulder joint. Anti-inflammatory medication and avoiding activities that irritate the injury may also be recommended. Surgical Hill-Sachs Lesion ...
Hill-Sachs lesions most commonly occur during an anterior glenohu-meral instability injury, typically with the shoulder in abduction and external rotation. As the humeral head is forced anteriorly, the cap-sulolabral structures of the shoulder are stretched and often torn.
The purpose of this study is to provide an update to the orthopedic field in regard to treatment of the Hill-Sachs lesion and anterior shoulder instability. The review highlights the most current knowledge of epidemiology, clinical evaluation, and surgical methods used to treat Hill-Sachs lesions.
The lesion is a bipolar injury, and identification of concomitant glenoid bone loss is essential to optimize clinical outcome. Other pathology (eg, Bankart tear, labral or capsular injuries) must be identified, as well. Treatment is dictated by subjective and objective findings of shoulder instability and radiographic findings.
