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[Hill-Sachs Lesion: Diagnosis, Classification, and Treatment]
Marcel Jun Sugawara Tamaoki1, Artur Yudi Utino1, Renato Aroca Zan1
1Disciplina de Cirurgia da Mão e Membro Superior, Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Revista Brasileira De Ortopedia
|July 14, 2025
Summary
The Hill-Sachs lesion, a fracture of the humeral head, is key to treating shoulder instability. Understanding its classification and imaging aids in selecting optimal treatments for better outcomes.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Context:
- Hill-Sachs lesions frequently accompany anterior shoulder instability.
- These lesions impact treatment outcomes and recurrence risk.
- Accurate diagnosis is vital for effective management.
Purpose:
- To review Hill-Sachs lesion classifications.
- To discuss diagnostic imaging modalities.
- To outline current treatment strategies.
Summary:
- The Hill-Sachs lesion is a posterior humeral head fracture from anterior shoulder dislocation.
- Advanced imaging (MRI, CT) allows precise classification by depth, location, and volume.
- This review provides orthopedists with updated knowledge on diagnosis and treatment.
Impact:
- Improved understanding aids clinical decision-making for shoulder instability.
- Tailored treatment based on lesion characteristics can minimize recurrence.
- Enhanced functional outcomes are expected with precise management strategies.
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