Improving detection of Hill-Sachs fractures on radiographs

Riebe, Blake; Micheas, Lada; Crim, Julia R.

doi:10.1007/s00256-021-03763-2

Cited by 5 publications

(13 citation statements)

References 19 publications

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“…At the study site where the presented case studies were performed, the protocol was either a standard AP or glenoid AP along with the lateral scapula shoulder and MTA projection. The importance of post‐reduction shoulder radiographs in ED has been under debate, along with which fractures are clinically important 8–10 . Gottlieb et al.…”

Section: Discussionmentioning

confidence: 99%

“…The importance of post-reduction shoulder radiographs in ED has been under debate, along with which fractures are clinically important. [8][9][10] none of the fractures identified are clinically important and change ED management. 8 These new fractures mostly consisted of Hill-Sachs and Bankart lesions.…”

Section: Hill-sachs and Bankart Lesionsmentioning

confidence: 99%

“…This is because ED doctors and staff rely on the findings of the pre-and post-reduction radiographs to facilitate appropriate care and follow-up with orthopaedic doctors. 10 In case study 1, the patient had post-reduction imaging while still in ED. The AP and lateral scapula shoulder projections alone did not warrant further follow-up, but the presence of the Hill-Sachs lesion on the MTA projection allowed the patient to be sent for orthopaedic review.…”

Section: Hill-sachs and Bankart Lesionsmentioning

confidence: 99%

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A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

Tam

Awwad

2023

J of Medical Radiation Sci

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Anteroposterior (AP) and lateral shoulder projections are routinely performed as part of a post‐reduction shoulder x‐ray series in the emergency department (ED). Research has shown that these projections alone are insufficient to demonstrate post‐dislocation injuries, particularly Hill‐Sachs and Bankart lesions. These concomitant pathologies are best demonstrated on axial shoulder projections but are difficult to obtain in trauma patients with limited range of motion. The diagnostic quality and the pathology demonstrated by different projections is crucial so that doctors and other ED staff can triage patients appropriately, radiologists can report on the presence or absence of post‐dislocation shoulder injuries, and the orthopaedic team can plan for follow‐up or treatment. Different modified axial views were reported to improve the post‐dislocation pathology sensitivity in the shoulder series. However, all of these shoulder axial views require patient movement. The modified trauma axial (MTA) is an alternative projection that is suitable for trauma patients that does not depend on patient movement. This paper presents several cases where the MTA shoulder projection had clinical importance when used as part of the post‐reduction shoulder series in the ED or radiology department.

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Section: Discussionmentioning

confidence: 99%

Section: Hill-sachs and Bankart Lesionsmentioning

confidence: 99%

Section: Hill-sachs and Bankart Lesionsmentioning

confidence: 99%

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A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

Tam

Awwad

2023

J of Medical Radiation Sci

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“…The diagnosis of a Hill-Sachs lesion on plain radiographs can be significantly increased if there is awareness that the internal rotation view may fail to show the injury, and if all four views are scrutinised. 44 Rozing et al demonstrated the role of a Stryker notch view in detecting Hill-Sachs lesion in their series of 27 cases. 45 A loss of cortical line contour of anteroinferior glenoid on an anteroposterior view is suggestive of anteroinferior glenoid bone loss (Figure 1).…”

Section: Plain Radiographs (X-rays)mentioning

confidence: 99%

Current concepts on the assessment of a patient with a traumatic anterior shoulder dislocation

et al. 2022

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Anterior shoulder dislocation is a common condition that most orthopaedic surgeons will have to deal with in their practice. Nonoperative management of the initial traumatic anterior shoulder dislocation is likely to lead to a recurrent shoulder dislocation in more than 90% of cases in the younger active population. Recurrent anterior shoulder dislocation can persist even after instability surgery in certain cases. A detailed, accurate assessment of the patient is of paramount importance for successful treatment. This review aims to provide insight into key concepts to consider in the assessment of an anterior shoulder dislocation. Predisposing factors, clinical examination and the role of imaging in the assessment of an anterior shoulder dislocation will be reviewed. Level of evidence: Level 5

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“…Diagnosis can be significantly increased if radiologists are aware that the internal rotation view may fail to show the injury, and if all 4 views of a shoulder series are scrutinized. 6 Ultrasonography is a valuable imaging technique in the diagnosis of Hill-Sachs lesion and a useful method to quantify small or medium size (up to 6 mm deep) lesions. 7 Non-surgical management, including focused rehabilitation, is indicated in patients with small bony defects and non-engaging lesions in which the glenohumeral joint remains stable during desired activities.…”

mentioning

confidence: 99%

What lies behind the pain after shoulder dislocation?

Poggiali

Biancalana²

2022

Emer. Care J.

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A 38-year-old man presented to our emergency room with severe pain and inability to mobilize his right shoulder joint after a violent blunt trauma during his work. The humeral head was palpable anteriorly, with the loss of normal contour of the deltoid and acromion prominent posteriorly and laterally, as it occurs in the anterior shoulder dislocation. The shoulder was easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl and 0.5 mg/Kg intravenous midazolam sedation in the emergency room. After the procedure, he complained of pain at the right humeral head, so we performed an X-Ray.

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Improving detection of Hill-Sachs fractures on radiographs

Cited by 5 publications

References 19 publications

A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

Current concepts on the assessment of a patient with a traumatic anterior shoulder dislocation

What lies behind the pain after shoulder dislocation?

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