How to measure a Hill-Sachs lesion: a systematic review

• Autor(a) principal: Maio, M
• Data de Publicação: 2019
• Outros Autores: Sarmento, M, Moura, N, Cartucho, A
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.26/28660
• topic: Instabilidade Articular; Joint Instability

Quantifying bone loss is important to decide the best treatment for patients with recurrent anterior glenohumeral instability. Currently, there is no standard method available to make a precise evaluation of the Hill-Sachs lesion and predict its engagement before the surgical procedure. This literature review was performed in order to identify existing published imaging methods quantifying humeral head bone loss in Hill-Sachs lesions.Searches were undertaken in Scopus and PubMed databases from January 2008 until February 2018. The search terms were "Hill-Sachs" and "measurement" for the initial search and "Hill-Sachs bone loss" for the second, to be present in the keywords, abstracts and title. All articles that presented a method for quantifying measurement of Hill-Sachs lesions were analysed.Several methods are currently available to evaluate Hill-Sachs lesions. The length, width and depth measurements on CT scans show strong inter and intra-observer correlation coefficients. Three-dimensional CT is helpful for evaluation of bony injuries; however, there were no significant differences between 3D CT and 3D MRI measurements. The on-track off-track method using MRI allows a simultaneous evaluation of the Hill-Sachs and glenoid bone loss and also predicts the engaging lesions with good accuracy. Cite this article: EFORT Open Rev 2019;4:151-157. DOI: 10.1302/2058-5241.4.180031.