Lesions Of The Shoulder , Hill-Sachs Lesion - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Lesions Of The Shoulder , Hill-Sachs Lesion - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes lesions of the shoulder - Hill-Sachs Lesion. Hill-Sachs lesion is a dent in the posterior aspect of the humeral head, which occurs during anterior shoulder dislocation. The humeral head impacts against the front of the glenoid cavity of the scapula. Hill-Sachs lesion is usually associated with a Bankart lesion. Bankart lesion is the most common lesion of anterior shoulder instability following dislocation. It involves avulsion of the anterior inferior labrum. The Hill-Sachs lesion can range from a small to large indentation and the size of the lesion can affect the treatment given to the patient. The larger the Hill-Sachs lesion, the more likely that the shoulder will be unstable and the more likely to dislocate again (recurrent dislocations). The larger the Hill-Sachs lesion is, the more likely that the glenoid labrum and joint capsule have a significant tear. Treatment: A small Hill-Sachs lesion is less than 20% and is usually treated nonoperatively. A medium sized Hill-Sachs lesion is a defect more than 25% and an arthroscopic or open remplissage procedure may be performed, the defect is “filled in” with the posterior capsule and rotator cuff. Larger sized Hill-Sachs lesions are greater than 40% and are rare, they are usually filled with bone or metal. Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundati...