How long does a Hill-Sachs lesion take to heal?
If you have surgery for a dislocated shoulder and Hill-Sachs lesion repair, you may have pain and discomfort for a week or more. Your shoulder will be immobilized in a sling for three to six weeks. To guard against stiffness, that length of time may be shorter if you’re older.
Do Hill-Sachs lesions heal?
Dr. Foreman: The Hill-Sachs lesion is a “divot” made in the bone and cartilage on the back of the ball (humerus) caused when it bangs against the edge of the socket (glenoid) when the shoulder dislocates. It will not heal, but usually doesn’t cause a problem unless it is very large.
Is Hill-Sachs lesion serious?
Bony defects covering under 25% of the humeral head surface are typically insignificant in an isolated situation. However, depending on concomitant glenoid bone loss and the degree of engagement with the glenoid, even a small Hill-Sachs lesion can become clinically significant [5].
Is a Hill-Sachs lesion a fracture?
A Hill-Sachs lesion is a compression fracture or “dent” of the posterosuperolateral humeral head that occurs in association with anterior instability or dislocation of the glenohumeral joint.
Does a Hill-Sachs deformity require surgery?
A Hill-Sachs defect that causes the ball to move abnormally within the socket is said to be “engaging,” and these engaging Hill-Sachs injuries usually require surgical treatment.
What causes reverse Hill-Sachs lesion?
Posterior dislocation of the humeral head may cause a posterior-directed shearing of the labrum or the bony glenoid rim [29, 30] but is primarily characterized by the osteochondral impression fracture of the ventromedial articular surface of the humeral head, the so-called reverse Hill-Sachs lesion [5, 31].
What is McLaughlin procedure?
The original McLaughlin procedure, first described in 1952, consists of detaching the subscapularis tendon from the lesser tuberosity and transferring it to the bony defect by an open approach. Several open and arthroscopic modifications of this technique have been described since this description.
What is a reverse Hill-Sachs lesion?
Reverse Hill-Sachs defect, also called a McLaughlin lesion, is defined as an impaction fracture of anteromedial aspect of the humeral head following posterior dislocation of the humerus. It is of surgical importance to identify this lesion and correct it to prevent avascular necrosis.
What is Latarjet shoulder procedure?
The Latarjet procedure is a technique used to restore stability to the shoulder joint. Developed by a French surgeon in the 1950s, it is commonly performed when there is significant bone loss in the front of the glenoid (the shallow socket in the shoulder blade) from repeat dislocations.
What is a Remplissage?
Remplissage is a French term that means “To Fill the Defect”. Thus in this procedure an additional pair of anchors are placed into the Hill-Sachs lesion and the infraspinatus rotator cuff tendon is repaired into the defect to fill the defect. This serves as a checkrein to prevent any further anterior instability.