Spontaneous Healing Of Hill-sachs Lesion After Arthroscopic Bony Bankart Repair
Kim, J. Y., Lee, J. S., & Choi, K. W. (2012). spontaneous healing of Hill-Sachs lesion after arthroscopic bony BankART repair. Journal of shoulder and elbow surgery, 21(6), e18–e21. https://doi.org/10.1016/j.jse.2011.11.013
View Original Source →Case Details
Disease Location
Left shoulder
Personal Characteristics
20-year old male; feel down the stairs
Clinical Characteristics
Anterior dislocation of left shoulder; 1x2cm bony fragment found in front of glenoid using radiographs; hill-sachs lesion noted
Remission Characteristics
CT scan taken 3 months after surgery showed a bony bankart incorporated into the original anteroinferior glenoid and resolution of the hill-sachs lesion; defect was filled with new bone; patient reported no pain and showed full range of motion 1 year after surgery
Treatment & Mechanisms
Proposed Remission Mechanisms
Immediate repair of bankart lesion and very early restoration of shoulder stability eliminated problems caused by unstable joint, which is thought to contribute to repeated injuries and non-healing lesions; relatively small size of lesion
Clinical Treatment
Arthroscopic bony bankart repair with 3 absorbable suture anchors; immobilization maintained with abdominaluction brace for 6 weeks; shoulder shrugging, active elbow flexion/extension, active forearm supination/pronation and active hand/wrist motion encouraged immediately after surgery; muscle strengthening initiated at 9-12 weeks after surgery