|Patient: 71 year old female|
|History: 71 y/o female with traumatic shoulder dislocation (reduced at outside hospital) from MVA with car rollover.|
| Findings: |
Scout and multiplanar CT images demonstrate an impaction type fracture of the posterior and superior humeral head consistent with a Hill-Sachs Fx.
|Diagnosis: Hill-Sachs Lesion|
| Discussion: |
A Hill-Sachs lesion is defined as an impression or impaction fracture of the posterosuperior humeral head which is caused by trauma against the inferior glenoid rim.
The Hill-Sachs lesion is considered a pathognomonic sign of shoulder instability that can be demonstrated with appropriate imaging. Arthroscopy may pick up subtle Hill Sachs lesions that aremissed on imaging.
| References: |
1. Koval, K. Zuckerman, J. Handbook of Fractures. 2nd Edition. Lippincott; Philadelphia, 2002.
Submitted by Craig Johnson, DO PGY-4 Radiology Resident and William Wallace, MD Attending Physician Aultman Hospital
| Comments: |
No comments posted.
| Additional Details:|
Case Number: 5345277Last Updated: 07-18-2006 The reader is fully responsible for confirming the accuracy of this content.
The reader is fully responsible for confirming the accuracy of this content.