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Hill Sachs Lesions

Brett Cascio, M.D.

Hill Sachs Lesions

Hill Sachs Lesions

What are Hill-Sachs Lesions?

In the shoulder, the humerus head meets the glenoid, a shallow cavity in the scapula, and creates the ball-and-socket joint known as the glenohumeral joint. The glenohumeral joint provides most of the movement in the shoulder, and is often referred to as the shoulder joint. A Hills-Sachs lesion is a type of fracture that changes the shape of the humeral head. This change in shape can affect the arm's normal range of motion.

What causes Hill-Sachs Lesions?

This condition usually occurs as a result of a shoulder dislocation. If the humerus is forced against the rim of the glenoid during dislocation, it can dent the head of the humerus. Hill-Sachs lesions may occur in contact sports or in any situation in which the arm may be dislocated.

Symptoms and Diagnosis

Symptoms of Hill-Sachs lesions can include instability and pain. Because this condition may change the shape of the humeral head, there may be a change in range of motion and an increased risk of dislocation.

How are Hill-Sachs Lesion treated?

Conservative methods are often able to treat smaller Hill-Sachs lesions. These methods usually include physical therapy. However, if the condition is very severe or the lesion is large, surgery may be required.

All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2024, All Rights Reserved.

Dr. Cascio, medical director of Sports Medicine at Lake Charles Memorial Hospital, specializes in Orthopedics and Sports Medicine.



Brett Cascio M.D.


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