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LCH Choroid Plexus
Joseph Junewick, MD FACR
over 10 years ago
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Hill-Sachs Deformity

Case Detail

Anatomy: Musculoskeletal
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 9 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: CR
Adobe32 PDF Imagej32 ImageJA


Young man with shoulder pain; possible dislocation.

Case Images


Hill-Sachs Deformity


CR – Upright AP view demonstrates an impaction fracture with contour deformity of the superolateral humeral head. The glenohumeral relationship is normal. Fat-fluid level in shoulder joint (subacromial space) indicates an acute injury.


Contour deformity of the posterolateral humeral head occurs from impaction of the humerus against the anterior labrum during anterior subcoracoid shoulder dislocation. The presence of a fat-fluid level in a joint indicates leakage of marrow fat as a result of an intra-articular fracture.


Workman TL, Burkhard TK, Resnick D, et al. Hill-Sachs lesion: comparison of detection with MR imaging, radiography, and arthroscopy. Radiology. 1992 Dec;185(3):847-52.

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