Hill-Sachs lesion location: does it play a role in engagement?

Gyftopoulos, Soterios; Wang, Annie; Babb, James S.

doi:10.1007/s00256-015-2134-4

Cited by 6 publications

(6 citation statements)

References 22 publications

(29 reference statements)

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“…Of these shoulders, 27 were from studies of cadaveric specimens and 2,533 were from studies of clinical patients with anterior shoulder instability. When the articles were further broken down by the evaluated imaging modalities, there were 4 articles on ultrasound, 10,19,29,37 5 articles on radiographic imaging, 11,34,36,37,44 10 articles on MRI, 17,[21][22][23]30,35,38,[48][49][50] 12 articles on MRA, 15,24,25,[27][28][29][31][32][33]40,42,46 2 articles on 2D CT, 35,41 7 articles on CTA, 14,18,19,20,22,24,26 and 5 articles on 3D CT 16,39,43,45,47 (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…MRI and MRA. Both studies by Gyftopoulos et al 49,50 reported the sensitivity and specificity of MRI. The ranges were 67% to 72.20% and 70% to 87.90%, respectively.…”

Section: Determining Whether Hill-sachs Lesion Is On or Off Trackmentioning

confidence: 99%

“…Shaha et al 48 and Gyftopoulos et al 49 reported a PPV range between 65% and 75% and an NPV range between 91% and 92%. The studies by Gyftopolous et al 49,50 also measured intraobserver reliability (ICC), ranging from 0.77 to 0.79, and interobserver reliability (ICC), ranging from 0.86 to 0.92. MRA was limited to 1 study, that of Metzger et al, 46 which only measured interobserver reliability.…”

Section: Determining Whether Hill-sachs Lesion Is On or Off Trackmentioning

confidence: 99%

See 2 more Smart Citations

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Vopat

Peebles

McBride

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose: To determine the reliability and accuracy of different imaging modalities in assessing Hill-Sachs lesions within the setting of anterior shoulder instability. Methods: A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines using the PubMed, Scopus, Embase, and Cochrane Library databases. The inclusion criteria were clinical trials or cadaveric studies that assessed the accuracy of humeral head bone loss imaging or reliability and English-language articles. The exclusion criteria were animal studies; imaging studies without measures of accuracy, reliability, or clinical predictive power; studies of shoulder injuries without humeral head bone loss; editorials; abstracts; reviews; case reports; and surveys. The search terms included "imaging" OR "radiographic" OR "CT" OR "MRI" AND "Hill-Sachs" OR "humeral head bone loss." Assessment of the methodologic quality of the included studies was performed using the original Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Results: Forty studies (2,560 shoulders) met the inclusion criteria and were assessed. For diagnosing the presence of Hill-Sachs lesions, computed tomography (CT) arthrography had the highest reported accuracy (median, 91%; range, 66%-100%). For the same assessment, CT arthrography also had the greatest reported sensitivity (median, 94%; range, 50%-100%). For the quantification of Hill-Sachs lesion parameters, reported intraobserver reliabilities were highest for 3-dimensional (3D) CT (intraclass correlation coefficient [ICC] range, 0.916-0.999), followed by 2-dimensional CT (ICC range, 0.858-0.861) and magnetic resonance imaging (MRI) (ICC range, 0.28-0.97). For the same quantification parameters, interobserver reliabilities were also reported for 3D CT (ICC range, 0.772-0.996), 2-dimensional CT (ICC range, 0.721-0.879), and MRI (k range, 0.444-0.700). Intraobserver reliabilities for determining glenoid tracking were only reported for 3D CT (k range, 0.730-1.00; ICC range, 0.803-0.901) and MRI (ICC range, 0.770-0.790). Conclusions: This study shows that the current literature supports a variety of different imaging modalities that provide clinically acceptable accuracy in diagnosing and quantifying Hill-Sachs lesions, as well as determining whether they will cause persistent anterior shoulder instability. Furthermore, this systematic review justifies that further research is needed to help develop a treatment algorithm on the proper imaging modalities needed to help treat patients with anterior shoulder instability that is both reliable and financially acceptable. Level of Evidence: Level IV, systematic review of Level I through IV studies.

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Section: Resultsmentioning

confidence: 99%

“…MRI and MRA. Both studies by Gyftopoulos et al 49,50 reported the sensitivity and specificity of MRI. The ranges were 67% to 72.20% and 70% to 87.90%, respectively.…”

Section: Determining Whether Hill-sachs Lesion Is On or Off Trackmentioning

confidence: 99%

Section: Determining Whether Hill-sachs Lesion Is On or Off Trackmentioning

confidence: 99%

See 1 more Smart Citation

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Vopat

Peebles

McBride

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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show abstract

“…Two authors classified HSs on the basis of their position to the bicipital groove: Gyftopoulos et al 13 reported the influence of the biceps angle in MRI and found that diagnostic accuracy was highest for a biceps angle greater than 149°, which resulted in a sensitivity of 70% and specificity of 67%. Workman et al 57 also reported the HS's position to the bicipital groove as a reproducible marker.…”

Section: Discussionmentioning

confidence: 99%

“…To justify the variable recurrence risk between different HS patterns, the concepts of HS ‘engagement’6 and ‘tracking’ were developed 11. The contribution of HSs to glenohumeral instability is hence believed to be dependent on the lesion's size, orientation, location and behaviour in relation to the glenoid rim 12 13…”

Section: Introductionmentioning

confidence: 99%

Hill-Sachs lesion is not a significant prognostic factor for recurrence of shoulder redislocation after arthroscopic Bankart repair

Randelli

Cucchi

Martini³

et al. 2016

Journal of ISAKOS

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Society of Skeletal Radiology 2014 annual meeting summary

Fox

Bancroft

2014

Skeletal Radiol

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Peer-reviewed abstracts presented at the 2014 Society of Skeletal Radiology (SSR) annual meeting were reviewed following oral presentation. Topics felt to be of potential interest to musculoskeletal (MSK) investigators and practicing clinicians are highlighted in this compilation and analysis of the meeting. New concepts regarding MSK imaging and intervention, MSK protocols and techniques, radiology education and quality improvement are included. ePoster highlights are also presented.

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Hill-Sachs lesion location: does it play a role in engagement?

Cited by 6 publications

References 22 publications

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Hill-Sachs lesion is not a significant prognostic factor for recurrence of shoulder redislocation after arthroscopic Bankart repair

Society of Skeletal Radiology 2014 annual meeting summary

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