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Subjects/Orthopedics/Shoulder Dislocation
Shoulder Dislocation
medium
bone Orthopedics

A 22-year-old male presents with his third episode of anterior shoulder dislocation in two years. He is a competitive swimmer. MRI reveals an avulsion of the anterior-inferior labrum from the glenoid rim. This specific lesion is known as:

A. A. Hill-Sachs lesion
B. B. Bankart lesion
C. C. SLAP lesion
D. D. Reverse Hill-Sachs lesion

Explanation

A Bankart lesion is an injury to the anterior-inferior glenoid labrum, often with an associated tear of the anterior capsule. It is a common finding in recurrent anterior shoulder dislocations, as the avulsed labrum creates an unstable anterior glenoid rim, predisposing to further dislocations. A Hill-Sachs lesion is a compression fracture of the posterior-superior humeral head, occurring when the humeral head impacts the anterior glenoid rim during dislocation. A SLAP (Superior Labrum Anterior to Posterior) lesion involves the superior labrum and is often seen in overhead athletes. A reverse Hill-Sachs lesion is a compression fracture on the anterior aspect of the humeral head, associated with posterior dislocations.

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