Diagnosis and management of humeral head bone loss in shoulder instability

The American Journal of Sports Medicine
Jack G Skendzel, Jon K Sekiya

Abstract

Humeral head bone defects (Hill-Sachs lesions) are caused by anterior shoulder dislocation with impaction of the posterosuperior humeral head onto the anterior glenoid rim. Frequently, these bony lesions are associated with glenohumeral instability, and large lesions may contribute to recurrent instability after failure of a soft tissue repair. To improve outcomes and minimize the risk of persistent instability, a thorough understanding of the biomechanics of humeral bone loss is required. Detection and quantification of clinically relevant humeral head bone loss are performed through an accurate history, physical examination, and interpretation of imaging studies. The diagnosis and treatment options for reverse Hill-Sachs lesions are discussed, and the various treatment options for Hill-Sachs lesions are reviewed, including operative techniques to limit engagement of the deformity by soft tissue transfer, rotational osteotomy, bone grafting, or osteochondral transplantation.

References

Aug 1, 1975·Physical Therapy·M Hughes, C S Neer
Jan 1, 1989·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J J CalandraJ Uribe
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R Norlin
Sep 1, 1995·The American Journal of Sports Medicine·B Hintermann, A Gächter
Aug 1, 1996·Skeletal Radiology·P U FarinU Väätäinen
Jan 1, 1997·Journal of Shoulder and Elbow Surgery·S L ChengR R Richards
Nov 14, 1997·Journal of Shoulder and Elbow Surgery·P M ConnorD F D'Alessandro
Jul 9, 1998·The Journal of Bone and Joint Surgery. American Volume·J AllainC Glorion
Mar 29, 2000·The Orthopedic Clinics of North America·S A Petersen
Oct 12, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S Burkhart, J F De Beer
Oct 12, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S Burkhart, S M Danaceau
Apr 22, 2003·AJR. American Journal of Roentgenology·James F GriffithChan Kai Ming
May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·Hiroyuki SugayaAkihiro Tsuchiya
Feb 22, 2005·Journal of Shoulder and Elbow Surgery·Young W KwonJoseph P Iannotti
Jun 4, 2005·The American Journal of Sports Medicine·Andrew L ChenJoseph D Zuckerman
Aug 10, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Felix Chapovsky, John D Kelly
Dec 27, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael D KazelCharles T Bruker
Jul 20, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Paul ReJohn C Richmond
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Pascal BoileauLionel Neyton
Mar 14, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eric J Kropf, Jon K Sekiya
Jul 7, 2007·The Journal of Bone and Joint Surgery. British Volume·A IvkovicN Cicak
Sep 27, 2007·Journal of Magnetic Resonance Imaging : JMRI·Gregory E AntonioAnil T Ahuja
Oct 6, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen S BurkhartDavid P Richards
Apr 1, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Tai-Yuan ChuangStephen S Burkhart
Jun 3, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert J PurchaseChad C Smalley
Sep 2, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Brandon D BushnellMarion M Herring
Sep 2, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Brandon D BushnellMarion M Herring
Mar 3, 2010·The American Journal of Sports Medicine·Scott G KaarAnthony Miniaci
Jul 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Brett D OwensThomas M DeBerardino
Aug 17, 2010·The American Journal of Sports Medicine·Doo-Sup KimChang Ho Yi
Mar 15, 2011·The American Journal of Sports Medicine·Seung Hyun ChoYong Girl Rhee
Jan 1, 1993·Journal of Shoulder and Elbow Surgery·E L FlatowC S Neer

❮ Previous
Next ❯

Citations

Jan 5, 2014·Clinical Orthopaedics and Related Research·Ryan M DegenGeorge S Athwal
Oct 25, 2013·Radiology·Jenny T BencardinoWilliam E Palmer
Jan 20, 2015·The Physician and Sportsmedicine·Catherine J Fedorka, Mary K Mulcahey
Mar 4, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Lisa Genevra Mandeville FriedmanMorgan H Jones
Oct 2, 2013·Clinics in Sports Medicine·Ryan M DegenGeorge S Athwal
Jul 6, 2014·Journal of Orthopaedic Surgery and Research·Hideaki ShibataNaoto Shiba
Mar 30, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Neil K BakshiJon K Sekiya
May 20, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Neil K BakshiJon K Sekiya
May 7, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Elmar HerbstChristian Fink
May 15, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Charles M ChanIlya Voloshin
Mar 1, 2016·Acta Radiologica·Jorge Henrique AssunçãoArnaldo Amado Ferreira Neto
May 28, 2016·Orthopaedic Journal of Sports Medicine·Neil K BakshiJon K Sekiya
Jul 17, 2018·The American Journal of Sports Medicine·Neil K BakshiAsheesh Bedi
Sep 28, 2018·Revista Brasileira De Ortopedia·Flávio de Oliveira FrançaBruno Brum Barreto
Nov 9, 2017·The Open Orthopaedics Journal·Paolo BaudiFabio Catani
Jan 2, 2018·The Open Orthopaedics Journal·Jonathan Brian YatesMohammad Waseem
Aug 5, 2017·Sports Medicine and Arthroscopy Review·Adam Pickett, Steven Svoboda

❮ Previous
Next ❯

Methods Mentioned

BETA
total shoulder
total shoulder arthroplasty
sedation

Related Concepts

Related Feeds

Biomechanics

Biomechanics examines the generation of internal forces within the body and investigates the effects and control of forces that act on or are produced on tissues. Here are the latest discoveries.

© 2022 Meta ULC. All rights reserved