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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 10/2009

01-10-2009 | Orthopaedic Surgery

Location of the Hill-Sachs lesion in shoulders with recurrent anterior dislocation

Authors: Hidetomo Saito, Eiji Itoi, Hiroshi Minagawa, Nobuyuki Yamamoto, Yilihamu Tuoheti, Nobutoshi Seki

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2009

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Abstract

Introduction

Computed tomography images of 35 shoulders of 34 patients with recurrent anterior dislocation and 13 shoulders of 13 healthy normal volunteers were used to determine the location of the Hill-Sachs lesion in reference to the location of the bare area using computed tomography.

Method

We measured the location, and size of the Hill-Sachs lesion and the bare area, and described them on a clock face on the humeral head.

Results

The Hill-Sachs lesion was observed in slices between 0–3 and 22–24 mm distal from the top of the humeral head. The bare area was located only in slices 19–21 mm and below.

Conclusion

From these data, we concluded that the Hill-Sachs lesion exists in the area between 0 and 24 mm from the top of the humeral head, and the inferior portion of the Hill-Sachs lesion overlaps the bare area if it extends beyond 19 mm from the top of the humeral head.
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Metadata
Title
Location of the Hill-Sachs lesion in shoulders with recurrent anterior dislocation
Authors
Hidetomo Saito
Eiji Itoi
Hiroshi Minagawa
Nobuyuki Yamamoto
Yilihamu Tuoheti
Nobutoshi Seki
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-009-0854-4

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