This 2012 JAAOS review by Provencher et al. covers the diagnosis, classification systems, and full treatment spectrum for Hill-Sachs lesions — the posterosuperolateral humeral head compression fractures that result from anterior glenohumeral dislocation. It addresses how to determine clinical significance and when and how to intervene surgically.
When you see recurrent anterior instability, assume a Hill-Sachs lesion is present and immediately ask whether it falls inside or outside the glenoid track — that single determination, combined with the degree of glenoid bone loss, drives the entire surgical algorithm from soft-tissue-only repair to remplissage to Latarjet to humeral head allograft.
This 2012 JAAOS review by Provencher et al. covers the diagnosis, classification systems, and full treatment spectrum for Hill-Sachs lesions — the posterosuperolateral humeral head compression fractures that result from anterior glenohumeral dislocation. It addresses how to determine clinical significance and when and how to intervene surgically.
When you see recurrent anterior instability, assume a Hill-Sachs lesion is present and immediately ask whether it falls inside or outside the glenoid track — that single determination, combined with the degree of glenoid bone loss, drives the entire surgical algorithm from soft-tissue-only repair to remplissage to Latarjet to humeral head allograft.