Skip to Document Content Experiencing Coronavirus (COVID-19) symptoms? Complete a virtual visit today. >> COVID-19 vaccines are on the way. Learn more about the vaccine rollout. >> × Home / Services / Orthopedics / Shoulder & Upper Extremity / Hill-Sachs Lesion 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. In this case, the arm bone slips out of the socket and is compressed against the socket’s rim. This creates a dent in the head of the humerus, causing debilitating pain and limited arm movement. If you’ve been diagnosed with Hill-Sachs lesion, or have pain in your shoulder that just won’t go away, SSM Health Orthopedics can help you. Our highly-skilled physicians comprehensively evaluate injuries and can develop the most e ective approach to relieve your pain and get you back on track. Our team of surgeons, nurses, and therapists o er both surgical and non-surgical options, including physical therapy to help heal and strengthen your shoulder. Signs & Symptoms of Hill-Sachs Lesion The most common sign of Hill-Sachs lesion is severe pain in the shoulder, especially during movement. Other symptoms you may notice include: Nausea, lightheadedness and weakness Recurring shoulder dislocations Squared o appearance of the shoulder, sometimes with a bulge in the front of the joint Talk to your doctor if you’re experiencing any of these symptoms. An MRI of your shoulder is the best way to understand the extent of your shoulder injury and develop the right care plan to treat your pain. Treatment for Hill-Sachs Lesion SSM Health Orthopedics is at the forefront of treating Hill-Sachs lesion in the region. As we carefully tailor each treatment to a patient’s speci c needs, our patients continually experience excellent outcomes, including increased comfort and exibility, reduced pain and quicker recovery. If you’re considering shoulder surgery, it’s important your doctor rules out a HillsSachs lesion before performing a repair. If the lesion is large and untreated, the separate shoulder repair many not be successful. With our expertise, you’ll understand what the best options are for you. For smaller sized Hills-Sachs lesions, in which less than 20% of the humeral head has been a ected, physical therapy, or careful observation may be an e ective option. For more severe cases and larger lesions, surgery is likely your best option for healing. Surgical Treatment Options As a leading hospital for orthopedic surgery, our team o ers 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 Bone Grafting/Tissue Filling: Uses either bone (often from the pelvis) or soft tissue to ll the defects in the humeral head Disimpaction: Lifts the compressed bone to restore the shape of the humeral head FIND AN ORTHOPEDIC SPECIALIST Shoulder & Upper Extremity Total Shoulder Replacement Rotator Cu Injuries Hill-Sachs Lesion Remplissage: This is an arthroscopic technique in which the rotator cu and capsule is sewn into the bony defect to reduce the risk of recurrent dislocation Shoulder Replacement: This surgery is reserved as the last resort and is generally used for large defects in older patients At SSM Health Orthopedics, we understand that shoulder pain can keep you from doing the things you love. Take the next step in your care and schedule an appointment with our team today. After a thorough evaluation, we will create a treatment plan to meet your speci c needs and get you back on track.
