Tamaoki Marcel Jun Sugawara, Utino Artur Yudi, Zan Renato Aroca, Matsunaga Fabio Teruo, Archetti Netto Nicola
Discipline of Hand and Upper Limb Surgery, Shoulder and Elbow Group, Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Rev Bras Ortop (Sao Paulo). 2025 Jul 10;60(2):1-8. doi: 10.1055/s-0045-1809339. eCollection 2025 Apr.
A lesão de Hill-Sachs é uma condição frequentemente associada à instabilidade anterior do ombro, que desempenha um papel crucial nos resultados de seu tratamento The Hill-Sachs lesion is a condition frequently associated with anterior shoulder instability, which plays a crucial role in the outcomes of its treatment. It is characterized by a posterior compressive fracture in the humeral head caused by an impingement against the anterior rim of the glenoid cavity during dislocation. A thorough understanding of this lesion is essential to support clinical decisions and choose the most appropriate treatment. Advances in imaging modalities, such as magnetic resonance imaging and computed tomography, enabled lesion identification with greater precision and its classification per depth, location, and volume, resulting in a detailed assessment of its role in shoulder instability. The present article reviews the main classifications, diagnostic methods, and treatment options to provide orthopedists with a comprehensive and updated view of the strategies to promote better functional outcomes and minimize the risk of instability recurrence.
希尔-萨克斯损伤是一种常与肩关节前不稳定相关的病症，它在其治疗结果中起着关键作用。希尔-萨克斯损伤是一种常与肩关节前不稳定相关的病症，它在其治疗结果中起着关键作用。其特征是在脱位过程中，肱骨头因撞击肩胛盂前边缘而导致的后压缩性骨折。深入了解这种损伤对于支持临床决策和选择最合适的治疗方法至关重要。诸如磁共振成像和计算机断层扫描等成像方式的进展，使得能够更精确地识别损伤并根据深度、位置和体积对其进行分类，从而对其在肩关节不稳定中的作用进行详细评估。本文综述了主要的分类、诊断方法和治疗选择，为骨科医生提供关于促进更好功能结果并将不稳定复发风险降至最低的策略的全面且最新的观点。
