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HILL-SACHS DEFORMITY WITH ASSOCIATED BANKART LESION

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: HILL-SACHS DEFORMITY WITH ASSOCIATED BANKART LESION

History: H/O THREE ANTERIOR SHOULDER DISLOCATIONS SINCE AGE 21, ALL PLAYING RUGBY.

Findings: A-P RADIOGRAPHS: SUBCHONDRAL SCLEROSIS IN THE REGION OF THE GLENOID TUBERCLE WITH DEPRESSION OF POSTERO-LATERAL HUMERAL HEAD ON EXTERNAL ROTATION. REMAINDER OF BONES NORMAL; NO BANKART LESION APPRECIATED. TWO FSE PROTON DENSITY W/ FAT SAT. AXIAL MR IMAGES OF RIGHT SHOULDER SHOW: 1. MORE SUPERIOR IMAGE, AT LEVEL OF SUPERIOR GLENOID, FLATTENING OF POSTERIOR-LATERAL ASPECT CONSISTENT WITH HILL-SACHS DEFORMITY. HIGH SIGNAL INTENSITY AROUND HUMERAL HEAD REPRESENTS CARTILAGINOUS/OSSEOUS TISSUE WITH EDEMA/CONTUSION. 2. HIGH SIGNAL INTENSITY IN REGION OF POSTEROLATERAL MARGIN OF HUMERAL HEAD IS MORE EVIDENT, AND IN THE CARTILAGINOUS AND SUBJACENT HUMERUS IS CONSISTENT WITH EDEMA/CONTUSION, CONSISTENT WITH HILL-SACHS DEFORMITY. FSE PROTON DENSITY W/ FAT SAT. CORONAL OBLIQUE MR IMAGE OF RIGHT SHOULDER SHOWS HIGH SIGNAL INTENSITY SEPARATING ANTERIOR LABRUM FROM BONY LABRUM CONSISTENT WITH BANKART LESION.

Ddx: FINDINGS DIAGNOSTIC OF HILL-SACHS DEFORMITY AND BANKART LESION, CORRELATIVE WITH THE PATIENT HISTORY OF RECURRENT ANTERIOR DISLOCATIONS.

Exam: JOINT LAXITY ASSOCIATED WITH OVERHEAD AND CROSS-ARM MOVEMENT DIFFICULTY. OCCASIONAL LOCKING SYMPTOMS.

No MeSH data available.


A-P Radiographs:  Subchondral sclerosis in the region of the glenoid tubercle with depression of posterolateral humeral head on external rotation.  Remainder of bones normal; no Bankart lesion appreciated.
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MPX2043_synpic17059: A-P Radiographs: Subchondral sclerosis in the region of the glenoid tubercle with depression of posterolateral humeral head on external rotation. Remainder of bones normal; no Bankart lesion appreciated.


HILL-SACHS DEFORMITY WITH ASSOCIATED BANKART LESION

USU Teaching File MUTF - MedPix

A-P Radiographs:  Subchondral sclerosis in the region of the glenoid tubercle with depression of posterolateral humeral head on external rotation.  Remainder of bones normal; no Bankart lesion appreciated.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2043&req=5

MPX2043_synpic17059: A-P Radiographs: Subchondral sclerosis in the region of the glenoid tubercle with depression of posterolateral humeral head on external rotation. Remainder of bones normal; no Bankart lesion appreciated.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: HILL-SACHS DEFORMITY WITH ASSOCIATED BANKART LESION

History: H/O THREE ANTERIOR SHOULDER DISLOCATIONS SINCE AGE 21, ALL PLAYING RUGBY.

Findings: A-P RADIOGRAPHS: SUBCHONDRAL SCLEROSIS IN THE REGION OF THE GLENOID TUBERCLE WITH DEPRESSION OF POSTERO-LATERAL HUMERAL HEAD ON EXTERNAL ROTATION. REMAINDER OF BONES NORMAL; NO BANKART LESION APPRECIATED. TWO FSE PROTON DENSITY W/ FAT SAT. AXIAL MR IMAGES OF RIGHT SHOULDER SHOW: 1. MORE SUPERIOR IMAGE, AT LEVEL OF SUPERIOR GLENOID, FLATTENING OF POSTERIOR-LATERAL ASPECT CONSISTENT WITH HILL-SACHS DEFORMITY. HIGH SIGNAL INTENSITY AROUND HUMERAL HEAD REPRESENTS CARTILAGINOUS/OSSEOUS TISSUE WITH EDEMA/CONTUSION. 2. HIGH SIGNAL INTENSITY IN REGION OF POSTEROLATERAL MARGIN OF HUMERAL HEAD IS MORE EVIDENT, AND IN THE CARTILAGINOUS AND SUBJACENT HUMERUS IS CONSISTENT WITH EDEMA/CONTUSION, CONSISTENT WITH HILL-SACHS DEFORMITY. FSE PROTON DENSITY W/ FAT SAT. CORONAL OBLIQUE MR IMAGE OF RIGHT SHOULDER SHOWS HIGH SIGNAL INTENSITY SEPARATING ANTERIOR LABRUM FROM BONY LABRUM CONSISTENT WITH BANKART LESION.

Ddx: FINDINGS DIAGNOSTIC OF HILL-SACHS DEFORMITY AND BANKART LESION, CORRELATIVE WITH THE PATIENT HISTORY OF RECURRENT ANTERIOR DISLOCATIONS.

Exam: JOINT LAXITY ASSOCIATED WITH OVERHEAD AND CROSS-ARM MOVEMENT DIFFICULTY. OCCASIONAL LOCKING SYMPTOMS.

No MeSH data available.