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Sports Medicine
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Hill-Sachs Lesions - Assessment and Management

Shoulder Instability

A 24-year-old rugby player presents with recurrent anterior shoulder dislocations. He has had 5 documented dislocations over 2 years. CT scan shows a Hill-Sachs lesion involving 25% of the humeral head and a glenoid bone loss of 18%. With the arm in 90 degrees abduction and maximum external rotation, the Hill-Sachs lesion engages with the anterior glenoid rim. Regarding Hill-Sachs lesions and the glenoid track concept:

Mark each as TRUE or FALSE

A

The glenoid track is defined as 83% of the glenoid width minus the width of any glenoid bone loss; a...

B

Hill-Sachs lesions result from compression fracture of the posterolateral humeral head against the a...

C

The glenoid track width is calculated as 100% of the glenoid diameter; Hill-Sachs lesions less than ...

D

Remplissage procedure involves arthroscopic infraspinatus tenodesis into the Hill-Sachs defect conve...

E

For off-track lesions with significant glenoid bone loss greater than 20-25%, Latarjet procedure add...

Answer the questions to see explanations

Click T (True) or F (False) for each option