How is Hill-Sachs lesion treated?
For smaller sized Hills-Sachs lesions, in which less than 20% of the humeral head has been affected, physical therapy, or careful observation may be an effective option. For more severe cases and larger lesions, surgery is likely your best option for healing.
Can Hill-Sachs lesion heal on its own?
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?
The outlook for recovery from a dislocated shoulder and a Hill-Sachs lesion is generally good. But a recurrence of a dislocation is common, especially in younger people.
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 causes a Hill-Sachs fracture?
A Hill–Sachs lesion, or Hill–Sachs fracture, is a cortical depression in the posterolateral head of the humerus. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly.
What is Hill-Sachs Remplissage?
The remplissage technique is a procedure designed to fill a posterosuperior humeral head defect with the infraspinatus tendon and posterior-superior capsule in patients with engaging Hill-Sachs lesions.
How do I code Remplissage?
When a patient reports for an arthroscopic anterior capsulolabral repair with arthroscopic remplissage and rotator cuff repair- report code 29806, and 29999 (for the remplissage).
What should I do if I have a Hill Sachs lesion?
Treatment for a Hill-Sachs lesion depends on the size of the lesion, its placement, the involvement of glenoid socket bone, and how it affects your arm mobility. If the lesion is small, involving less than 20 percent of the head of the humerus, it’s likely your doctor will leave it alone and suggest physical therapy to strengthen the shoulder.
Can a Hill Sachs lesion cause shoulder instability?
Clinical bottom line. This may cause a change loss of range of motion, feelings of instability and pain. A grading system is used based on the amount of bone loss or severity of the humeral head deformity. The incidence of Hill-Sachs lesion in patients with anterior shoulder instability can be as high as 100%.
What does Hill Sachs mean in medical terms?
Hill-Sachs Lesion. A Hill-Sachs lesion is a fracture in the long bone in the upper arm (humerus) that connects to the body at the shoulder. You doctor might have discovered this condition if you’ve experienced a dislocated shoulder.
What kind of surgery is used for Hill Sachs?
Surgical Treatment Options. As a leading hospital for orthopedic surgery, our team offers the full range of innovative and traditional surgical techniques to treat Hills-Sachs lesion. These include: Capsular Shift: Shifts the shoulder capsule to tighten tissue and avoid excessive shoulder rotation.