Irreducible anterior shoulder dislocation: the greater tuberosity Hill–Sachs lesion

Mechanism of injury and morphology of the greater tuberosity fracture

“…In these cases, a complete fracture of the greater tuberosity is thought to be an advanced Hill-Sachs lesion. We conclude, in contrast to Jakob et § References 6,8,9,13,15,21,23,30,49,53,54 . # References 3,4,12,14,23,31,50,54,55 .…”

Irreducible acute anterior shoulder dislocation due to rotator cuff tear and associated fracture of the greater tuberosity: A method of open reduction and rotator cuff repair

“…1,3 The reported causes of irreducible dislocation include bowstringing of the subscapularis or bicipital tendon 5,8 ; impaction of the greater tuberosity into a Hill-Sachs lesion 4 ; interposition of a ruptured subscapularis in the glenoid rim. 1,7 76 O.D.…”

“…1,3,10 In this instance, access to the greater tuberosity fracture and subsequent cuff repair would have been very difficult through the standard anterior deltopectoral approach. We found no difficulty in achieving reduction using the deltoid splitting incision in this case.…”

Pseudo-reduction of an acute anterior dislocation of the shoulder—a case report

“…Irreducible anterior dislocations of the shoulder have been well described (Razemon 1961, Lam 1966, Kuhnen and Groves 1979, Vichard et al 1981, Seradge and Orme 1982, Tietjen 1982, Oni 1983, Bridle and Ferris 1990, Inao et al 1990, Ilahi 1998, Davies et al 2000, Mihata et al 2000, with responsible factors including (1) impaction of the humeral head on the glenoid rim (Herbert 1946), (2) held by a tightly stretched subscapularis (Lam 1966, Kuhnen and Groves 1979, Ilahi 1998, and (3) interposition of a surrounding structure including rotator cuff (Vichard et al 1981, Tietjen 1982, Figure 1. Anterior-posterior view and axillary view, immediately following closed reductio biceps tendon (Cubbins et al 1934, Seradge and Orme 1982, Freeland and Higgins 1985, Inao et al 1990), torn labrum (Seradge and Orme 1982), subscapularis (Bridle and Ferris 1990), a fracture fragment of the greater tuberosity (Oni 1983, Davies et al 2000, or a displaced fragment of the anterior glenoid rim (Mihata et al 2000).…”

“…Anterior-posterior view and axillary view, immediately following closed reductio biceps tendon (Cubbins et al 1934, Seradge and Orme 1982, Freeland and Higgins 1985, Inao et al 1990), torn labrum (Seradge and Orme 1982), subscapularis (Bridle and Ferris 1990), a fracture fragment of the greater tuberosity (Oni 1983, Davies et al 2000, or a displaced fragment of the anterior glenoid rim (Mihata et al 2000). However, the entity we have presented has been rarely mentioned in the literature.…”