Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Hand & Upper Limb
intermediate
X-Type

Shoulder Instability Bankart Hill Sachs

Shoulder Instability

A 22-year-old rugby player presents after his fourth anterior shoulder dislocation. The first occurred 2 years ago during a tackle. He has persistent apprehension with external rotation and abduction. MR arthrogram reveals an anteroinferior labral tear and a posterolateral humeral head impression defect involving 25% of the articular surface. CT shows glenoid bone loss of 20%. Regarding anterior shoulder instability:

Mark each as TRUE or FALSE

A

Anterior shoulder instability is the most common direction (95%); it typically results from forced a...

B

The Hill-Sachs lesion is a posterolateral humeral head impression fracture caused by impaction again...

C

Posterior instability is most common; the Bankart lesion involves the posterior labrum; the Hill-Sac...

D

Clinical tests include the apprehension test (supine, 90° abduction, external rotation causes appreh...

E

Treatment depends on bone loss and activity demands: arthroscopic Bankart repair for soft tissue les...

Answer the questions to see explanations

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