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DOI: 10.1055/s-2005-873017
Georg Thieme Verlag KG Stuttgart · New York
Ultrasonography: A Highly Efficient Modality for Diagnosis of Hill-Sachs Lesions
Ultrasonographie zur effizienten Diagnostik von Hill-Sachs-LäsionenPublication History
Publication Date:
15 March 2006 (online)
Zusammenfassung
160 Schultergelenke von 80 konsekutiven Patienten (58 Männer, 22 Frauen) wurden innerhalb von 2 Jahren nach Diagnose einer anterioren Schulterluxation sonographisch untersucht. Eine Hill-Sachs-Läsion fand sich in 73 (91 %) der 80 verletzten Schultergelenke. Die durchschnittliche Tiefe der Läsionen betrug 25,21 mm2 (9 bis 110 mm2). Die Sonographie hat sich als effiziente Methode zur Diagnostik von Hill-Sachs-Läsionen erwiesen.
Abstract
Purpose: To assess the usefulness of ultrasound in diagnosing Hill-Sachs lesions. Hill-Sachs lesions are very common findings after anterior gleno-humeral dislocation of the shoulder and especially after recurrent dislocations. The ultrasound examination offers many advantages including low cost, rapidity, repeatability, safety and no radiation exposure. It is an accurate method for diagnosis of Hill-Sachs lesions. We present here our experience with ultrasound usage in the diagnosis of Hill-Sachs lesions. Material and Methods: 160 shoulders of 80 consecutive patients (58 males, 22 females) had ultra-sonograms during two years due to diagnosis of anterior gleno-humeral dislocation of the shoulder. Results: Hill-Sachs lesions were found in 73 (91 %) of the 80 suspicious shoulders that were examined. The average depth of the lesions was 3.08 ± 1.1 mm, range between 2 to 5.2 mm. The average area of the lesions was 25.21 ± 20.66 mm2, range between 9 to 110 mm2. Conclusions: Sonography is a useful and effective tool in the evaluation and diagnosis of Hill-Sachs lesions.
References
- 1 Burkhart S S, De Beer J F. Traumatic glenohumeral bone defects and relationship to failure arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000; 16 677-694
- 2 Calandra J J, Baker C L, Uribe J. The incidence of Hill-Sachs lesions in initial anterior shoulder dislocations. Arthroscopy. 1989; 5 254-257
- 3 Cicak N, Bilic R, Delimar D. Hill-Sachs lesion in recurrent shoulder dislocation: sonographic detection. J Ultrasound Med. 1998; 17 557-560
- 4 Danzig L A, Greenway G, Resnick D. The Hill-Sachs lesion. An experimental study. Am J Sport Med. 1980; 8 328-332
- 5 Farin P U, Kaukanen E, Jaroma H, Harju A, Vaatainen U. Hill-Sachs lesion: sonographic detection. Skeletal Radiol. 1996; 25 559-562
- 6 Hoelen M A, Burgers A M, Rozing P M. Prognosis of primary anterior shoulder dislocation in young adults. Arch Orthop Trauma Surg. 1990; 110 51-54
- 7 Huttrup S J, Cofield R H, Weaver A L. Anterior shoulder reconstruction: prognostic variables. J Shoulder Elbow Surg. 2001; 10 508-513
- 8 Kirkley A, Litchfield R, Thain L, Spouge A. Agreement between magnetic resonance imaging and arthroscopic evaluation of the shoulder joint in primary anterior dislocation of the shoulder. Clin J Sport Med. 2003; 13 148-151
- 9 Pancione L, Gatti G, Mecozzi B. Diagnosis of Hill-Sachs lesion of the shoulder. Comparison between ultrasonography and arthro-CT. Acta Radiol. 1997; 38 523-526
- 10 Rozing P M, de Bakker H M, Obermann W R. Radiographic views in recurrent anterior shoulder dislocation. Comparison of six methods for identificatin of typical lesions. Acta Orthop Scand. 1986; 57 328-330
- 11 Ungersbock A, Michel M, Hertel R. Factors influencing the results of a modified Bankart procedure. J Shoulder Elbow Surg. 1995; 4 365-369
A. Blankstein
Department of Orthopedic Surgery and Diagnostic Imaging
The Chaim Sheba Medical Center
Tel Hashomer 52621
Israel
Fax: + 972/3/549-4269
Email: blankali@zahav.net.il