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7. Traumatisk instabilitet Ortopedidagen - Alfresco

Definition/Description A Hill-Sachs lesion is a compression fracture or "dent" of the posterosuperolateral humeral head that occurs in association with anterior instability or dislocation of the glenohumeral joint. It was first described by two radiologists by the name HA Hill and MD Sachs in 1940. A Hill–Sachs lesion, or Hill–Sachs fracture, is a cortical depression in the posterolateral head of the humerus.It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly. Eine Hill-Sachs-Läsion (auch Hill-Sachs-Delle) ist eine Impression im Oberarmkopf durch die Schultergelenkspfanne, die den Knorpel oder aber Knochen und Knorpel betreffen kann. Es handelt sich bei dieser Verletzung um eine Folge von meist häufig wiederholter Schulterluxationen (Schulterausrenkungen). A Hill-Sachs defect is a posterolateral humeral head depression fracture, resulting from the impaction with the anterior glenoid rim, therefore indicative of an anterior glenohumeral dislocation.

Hill sachs impressionsfraktur

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The authors retrospectively analyzed the diagnostic interpretations at plain film radiography, arthroscopy, and MR imaging in 76 patients. 2021-03-08 Hill–Sachs lesions was found to be 84.00% (n592), and the prevalence of a Bankart lesionwas measured at 73.00% (n580). The co-occurrence of these injuries is 11.47 times (OR511.47, 95% CI53.60–36.52, p,0.001) more frequent than the oc-currence of only one of these lesions in patients with anterior 2016-02-26 Hill Sachs-fraktur (Hermodssons fraktur) Innebär en impressionsfraktur i posterosuperiora delen av caput humeri vilken uppstår vid luxationen när caput slår i glenoidkanten. En Hill Sachs-skada föreligger i olika grad vid > 90 % av recidivernde traumatiska luxationer (10) och inte bara storleken på skadan men också läget har betydelse för prognosen.

Skadan uppkommer på grund av att ledhuvudet kraftfullt dras tillbaka mot den främre kanten av cavitas glenoidalis till följd av tonus i skuldermuskulaturen. Posterior dislocation fractures of the humerus occur as impression fractures of the humeral head (reverse Hill–Sachs fracture) and posteriorly dislocated proximal humeral (PH) fractures with a subcapital component. This study evaluated fracture patterns, current treatment, and revision rates.

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However, there are few reports describing the prevalence of Hill-Sachs lesions that engage with the glenoid. The purpose of this study was to clarify the prevalence of engaging Hill-Sachs lesions using the concept of the glenoid track. 2014-01-13 Although Hill–Sachs lesions can be found in 47–100% of all patients with first-time or recurrent shoulder dislocation, a distinction must be drawn between cartilaginous and bony Bankart lesions. 8–13 Cartilaginous lesions occur more often than bony ones.

Hill sachs impressionsfraktur

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Es handelt sich bei dieser Verletzung um eine Folge von meist häufig wiederholter Schulterluxationen (Schulterausrenkungen). Terminology. A Hill-Sachs defect is the terminology of preference over other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14.. Repeat dislocations lead to larger defects, which can result in an "engaging" Hill-Sachs defect , which engages the anterior glenoid when the shoulder is abducted and externally rotated 4.

Beskriv Definition: Skada på kapseln vid främre luxation. Impressionsfraktur på Caput Humeri. Hill-Sachs fraktur - Impressionsfraktur baktill i caput humeri; Tuberculum majus fraktur; Bankart-fraktur - Främre nedre cavitasrandfraktur.
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Die bildgebende Diagnostik beinhaltete neben der konventionellen radiologischen Untersuchung stets eine 2014-01-01 · Although the engaging Hill-Sachs lesion has been recognized as a risk factor for recurrent anterior instability, there has been no generally accepted method for quantifying the Hill-Sachs lesion and then integrating that quantification into treatment recommendations, taking into account the geometric interplay of various sizes and various orientations of bipolar (humeral-sided plus glenoid Mer information om impressionsfraktur. Andra sätt att lära sig mer kring vad impressionsfraktur betyder kan vara att göra slagningar på särskilda nyckelord relaterat till ordet. Exempelvis kan man söka efter andra ord för impressionsfraktur samt även hur man stavar till ordet. Hill Sachs Impressionsfraktur des Humeruskopfes an typischer Stelle cranio-posterior mit noch geringem Spongiosaödem, Bankart-Läsion, dadurch ausgeprägte Labrumschädigung, knöcherig, kleine Einrisse der Supraspinatussehne, synovialer Reizzustand des Schultergelenkes und aktivierte Arthrose. Ein Knochenbruch oder eine Fraktur (lateinisch fractura, „Bruch“, von lateinisch frangere „brechen“), veraltet auch Beinbruch, ist eine Unterbrechung der Kontinuität eines Knochens unter Bildung zweier oder mehrerer Bruchstücke mit oder ohne Verschiebung (Dislokation).

Ses även omvänd Hill-Sachs-skada (impressionsfraktur ventralt på caput), denna kan kräva operation.
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7. Traumatisk instabilitet Ortopedidagen - Alfresco

Hill-Sachs-Defekt. Klinik. Eine anteriore traumatische Schultergelenkluxation kann eine charakteristische osteochondrale Impressionsfraktur der dorsalen Humeruskopfoberfläche bewirken.


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The protocol involved testing 2 unrepaired HSD (30% and 45%), which were then treated with remplissage, humeral head allograft (HHA), and partial resurfacing 2017-02-01 Background: A large Hill-Sachs lesion has been considered a risk factor for postoperative recurrence of shoulder instability. However, there are few reports describing the prevalence of Hill-Sachs lesions that engage with the glenoid. The purpose of this study was to clarify the prevalence of engaging Hill-Sachs lesions using the concept of the glenoid track. 2014-01-13 Although Hill–Sachs lesions can be found in 47–100% of all patients with first-time or recurrent shoulder dislocation, a distinction must be drawn between cartilaginous and bony Bankart lesions. 8–13 Cartilaginous lesions occur more often than bony ones. 14 However, Bankart and Hill–Sachs lesions do not necessarily occur simultaneously.