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OrthoVellum

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Sports Medicine
intermediate
X-Type

Reverse Hill-Sachs Lesions - Posterior Instability Management

Shoulder Instability

A 35-year-old male presents to the emergency department following a seizure. He has shoulder pain and cannot externally rotate his arm. The arm is held in internal rotation and adduction. Standard AP radiograph shows a "lightbulb sign." CT scan confirms posterior shoulder dislocation with a reverse Hill-Sachs lesion involving 25% of the articular surface. Regarding reverse Hill-Sachs lesions and posterior shoulder dislocation:

Mark each as TRUE or FALSE

A

A reverse Hill-Sachs lesion is an impaction fracture of the anteromedial humeral head caused by impi...

B

Posterior shoulder dislocations are commonly missed (up to 50% initially); the "lightbulb sign" on A...

C

Reverse Hill-Sachs lesions always require surgical treatment regardless of size; the lesion is locat...

D

Treatment depends on lesion size: less than 20% articular involvement may be treated with closed red...

E

The McLaughlin procedure involves transfer of the subscapularis tendon with or without the lesser tu...

Answer the questions to see explanations

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