The prevalence of a large Hill-Sachs lesion that needs to be treated

Kurokawa, Daisuke; Yamamoto, Nobuyuki; Nagamoto, Hideaki; Omori, Yasuo; Tanaka, Minoru; Sano, Hirotaka; Itoi, Eiji

doi:10.1016/j.jse.2012.12.033

Cited by 131 publications

(105 citation statements)

References 13 publications

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“…0%-25% bone loss: The literature suggests that patients with glenohumeral instability with up to 15% isolated glenoid bone loss can be treated with an arthroscopic soft tissue Bankart repair alone [50] . Initial trials favoured open stabilization over arthroscopic Bankart repair [51,52] .…”

Section: Glenoid Bone Lossmentioning

confidence: 99%

“…If the Hill-Sachs lesion is "off-track" it gives rise to a more unstable shoulder in the context of bipolar bone loss. An updated definition of an engaging humeral bone lesion can be defined as one that lies outside of the glenoid track [50] . The concepts described can help determine the management of bipolar bone loss in shoulder instability.…”

Section: Bipolar Humeral and Glenoid Bone Lossmentioning

confidence: 99%

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Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Ramhamadany

Modi

2016

WJO

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The management of recurrent anterior gleno-humeral joint instability is challenging in the presence of bone loss. It is often seen in young athletic patients and dislocations related to epileptic seizures and may involve glenoid bone deficiency, humeral bone deficiency or combined bipolar lesions. It is critical to accurately identify and assess the amount and position of bone loss in order to select the most appropriate treatment and reduce the risk of recurrent instability after surgery. The current literature suggests that coracoid and iliac crest bone block transfers are reliable for treating glenoid defects. The treatment of humeral defects is more controversial, however, although good early results have been reported after arthroscopic Remplissage for small defects. Larger humeral defects may require complex reconstruction or partial resurfacing. There is currently very limited evidence to support treatment strategies when dealing with bipolar lesions. The aim of this review is to summarise the current evidence regarding the best imaging modalities and treatment strategies in managing this complex problem relating particularly to contact athletes and dislocations related to epileptic seizures.

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Section: Glenoid Bone Lossmentioning

confidence: 99%

Section: Bipolar Humeral and Glenoid Bone Lossmentioning

confidence: 99%

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Ramhamadany

Modi

2016

WJO

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“…Engagement can also be evaluated during arthroscopy after the surgical stabilization has been completed. Engagement in this situation is considered by some as the true definition of an engaging Hill-Sachs lesion [21,23]. Surgeons may be apprehensive performing this examination at this point as it can lead to increased stress on the new repair and early failure [20,21].…”

Section: Discussionmentioning

confidence: 99%

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

2015

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“…These lesions are exceedingly common and have been observed in 65–67% of first-time shoulder dislocators and 84–93% of recurrent shoulder dislocators 57–59. Among a consecutive series of 100 shoulders with recurrent dislocation, Kurokawa et al 60 reported an even higher incidence of HS lesions (97 out of 100 shoulders, 97%). While reverse HS lesions—compression fractures of the anterosuperomedial humeral head—have been described in the setting of posterior glenohumeral instability, these lesions are much less common.…”

Section: Description and Incidence Of Hs Lesionsmentioning

confidence: 97%