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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.
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 Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in persons with recurrent anterior shoulder instability.
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.
There are several Hill-Sachs lesion surgery options ranging from minimally invasive procedures to restorative surgery. In extreme cases, your physician may recommend a total shoulder replacement. Getting the best Hill-Sachs deformity treatment starts with a visit to the shoulder pain experts at Resurgens Orthopaedics.
26 Οκτ 2013 · Several options exist for the treatment of large Hill-Sachs defects in patients with recurrent shoulder instability. Arthroscopic remplissage is a safe, effective technique for the management of bone loss on the humeral head.
