title: Treatment of reverse Hill-Sachs lesion by autograft reconstruction.
abstract: Reverse Hill-Sachs lesion is a defect caused by the anterior compression fracture of the humeral head in posterior shoulder dislocation. We present a 34-year-old male patient with pain and limited joint mobility in the right shoulder due to a fall following electric shock 2 days prior to admission. Radiography and CT of the shoulder revealed posterior dislocation of the shoulder with a reverse Hill-Sachs lesion. The patient underwent open reduction of the humeral head, elevation of the depressed osteochondral surface, reconstruction using autograft, and repair of the posterior surface of the glenohumeral joint capsule 5 days following trauma. At the 5th year follow-up, the patient had a perfect outcome when evaluated using the Constant score.
authors.affiliation: Department of Orthopedics and Traumatology, Bornova Türkan Özilhan State Hospital, İzmir, Turkey.
authors.forename: Gökhan
authors.initials: G
authors.lastname: Toker
authors.forename: Fırat
authors.initials: F
authors.lastname: Ozan
authors.forename: Osman Arslan
authors.initials: OA
authors.lastname: Bora
mesh_terms: D000058:Accidental Falls; D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D050815:Fractures, Compression / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D058430:Humeral Head / Q000293:injuries* / Q000601:surgery; D015601:Injury Severity Score; D008297:Male; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014182:Transplantation, Autologous; D016896:Treatment Outcome