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usually a result of direct trauma or seizure. 51 In this case, an anterior-superior impaction fracture (‘reverse Hill–Sachs lesion’ or RHSL, first described by McLaughlin) is created by the postero-inferior glenoid rim and can be present in about 86
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0.6 in 100 000. 4 , 5 Impression fracture of the anteromedial humeral head (also called ‘reverse Hill-Sachs lesion’ [RHL]) is reported to occur in 40% to 90% of patients with an initial dislocation. 6 , 7 In addition to their rarity, what
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the glenoid concavity and the posterior bumper effect, with or without reverse remplissage to address reverse Hill-Sachs lesions, having good clinical results in the absence of glenoid defects ( 8 , 9 ). The presence of traumatic or erosive glenoid
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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posterior instability, the McLaughlin procedure 56 using the detached subscapularis tendon has been described for locked posterior instability in presence of a reverse Malgaigne (Hill–Sachs) lesion. This technique has been subsequently modified as
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to analyse the location and the percentage of bone loss in both the humeral head and glenoid in addition to the associated fractures. These factors help determining the treatment strategies for each patient. Reverse Hill Sachs lesion, posterior
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for Reverse Hill-Sachs lesions after posterior locked shoulder dislocation fracture: a case series of six patients . Archives of Orthopaedic and Trauma Surgery 2007 127 543 – 548 . ( https://doi.org/10.1007/s00402-007-0359-y ) 12 Moroder P
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FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System), Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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(A) Anteroposterior plain radiograph showing Hill–Sachs and reverse Hill–Sachs lesions. (B) Axial CT arthrogram of the right shoulder showing the presence of a Hill–Sachs and reverse Hill–Sachs lesion. Physical examination: There will be
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School of Surgery, University of Western Australia, Perth, Australia
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-risk position ( Fig. 2 ). The presence of significant glenoid bone loss (> 10% of the anterior glenoid rim) or a large Hill–Sachs lesion (Calandra type 3) ( 23 ) constitute contraindications for the Trillat procedure and would instead be effectively addressed
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instability of the shoulder with an associated reverse Hill-Sachs lesion . Knee Surg Sports Traumatol Arthrosc 2013 ; 21 : 1642 - 6 . 15 Postacchini F , Gumina S , De Santis P , Albo F . Epidemiology of clavicle
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for planning the surgical correction of a forearm deformity. 20 Fig. 2 3DP model of a right shoulder in external rotation with the Hill-Sachs lesion fully engaged. 22 The availability of a 3D printed model can also be a
