肩关节前脱位时发生的肱骨头后外侧凹陷性骨折,是经典的 Hill-Sachs 损伤(Hill-Sachs lesion); Bankart 损伤(Bankart lesion)是指盂唇前下方在前下盂肱韧带复合体附着处的撕脱性损伤,是肩关节复发性前脱位最常见的原因和最重要的病理基础。 1.纤...
1. Hill-Sachs 损伤和反 Hill-Sachs 损伤 肩关节脱位时，肱骨头和关节盂发生撞击，肱骨头表面凹陷性骨折。肩关节前脱位时发生的肱骨头后外侧凹陷性骨折，是经典的 Hill-Sachs 损伤（Hill-Sachs lesion）；而肩关节后脱位时发生的肱骨头前内侧凹陷性骨折，是反 Hill-Sachs 损伤（Reverse Hill-Sachs lesion/ ...
Hill Sachs lesionbone lossA Hill-Sachs lesion (HSL) is an impression fracture that is typically located in the posterior superolateral location on the humeral head and is a tell tale sign of anterior shoulder dislocation. Hill-Sach lesions are a common associated pathoanatomic finding in ...
Hill-Sachs Lesion Hill-Sachs损伤 Overview(概述) This condition is a traumatic fracture of the humeral head that leaves an indentation in the bone. This changes the shape of the humeral head and can interfere with normal arm motion. Hill...
上图:Large Hill-Sachs deformity 大Hill-Sachs损伤 Most people recover from a dislocated shoulder that causes a Hill-Sachs lesion in a month or two with a few months of physical therapy. 大多数人在经过几个月的物理治疗后,通常在一到两个月内就能从导致 Hill-Sachs 损伤的肩关节脱位中恢复。
肩关节脱位时,肱骨头和关节盂发生撞击,肱骨头表面凹陷性骨折。肩关节前脱位时发生的肱骨头后外侧凹陷性骨折,是经典的 Hill-Sachs 损伤(Hill-Sachs lesion); Bankart 损伤(Bankart lesion)是指盂唇前下方在前下盂肱韧带复合体附着处的撕脱性损伤,是肩关节复发性前脱位最常见的原因和最重要的病理基础。
诊治肩关节前方不稳定时,除了前方的Bankart lesion 外,肱骨头的Hill-Sachs Lesion 同样重要。 如何更好的评估和诊治呢? Hill-sachs lesions > 20% - 40% are significant enough to warrant surgical treatment. Using dynamic arthroscopy to judge “Engaging & Non-Engaging” or “On- Track& Off-Track” le...
7. Purchase RJ, Wolf EM, Hobgood ER, et al. Hill -Sachs "Remplissage": An arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy, 2008, 24(6): 723-726. 8. 肖鸿鹄, 陈世益, 陈疾忤, 华英汇, 李云霞.关节镜下盂唇修补合并改良Remplissage 术治疗伴Hill-Sachs 损伤肩关节前方不稳...
7.Hill-Sachs损伤 The Hill-Sachs Lesion 表现 在肩关节CT或MRI横断位显示,是肩关节前下脱位的间接征象。急性期:肱骨头后外上部骨皮质向内凹陷,MRI同时可见凹陷周围骨髓水肿,T1WI低信号,T2WI高信号,T2WI STIR高信号。邻近关节囊、关节腔可见少量积液(图1-7-1)。若伴有前下盂唇撕脱和关节盂前下方骨质水肿时,则...
Hill-Sachs Lesion Hill-Sachs损伤 Overview(概述) This condition is a traumatic fracture of the humeral head that leaves an indentation in the bone. This changes the shape of the humeral head and can interfere with normal arm motion. Hill-Sachs损伤是肱骨头外伤骨折使骨头上留下一个凹陷。这导致肱...