Ultrasonography: A Highly Efficient Modality for Diagnosis of Hill-Sachs Lesions

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

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