A Hill-Sachs lesion is a fracture in the long bone in the upper arm (humerus) that connects to the body at the shoulder. You doctor might have discovered this condition if you've experienced a dislocated shoulder. In this case, the arm bone slips out of the socket and is compressed against the socket's rim.
Hill-Sachs fracture and Bankart lesion are common sequelae to recurrent anterior dislocation of the shoulder joint. Hill-Sachs lesion is a compression fracture of the posterolateral humeral head due to its compression against the anteroinferior part of the glenoid when the humerus is anteriorly dislocated.
Anterior dislocation causes a typical impression fracture on the posterior humeral head, known as a Hill–Sachs lesion. The labrum or the glenoid itself may also be damaged; these injuries are known as Bankart lesions.
431A: Superior glenoid labrum lesion of right shoulder, initial encounter.
This lesion is caused by an anterior shoulder dislocation which causes a humeral head impression fracture. The posterolateral aspect of the humeral head impacts on the anterior glenoid in the dislocated position, causing instability at the glenohumeral joint.
A Hill-Sachs lesion, or Hill-Sachs impaction fracture, is an injury to the back portion of the rounded top of your upper arm bone (humerus). This injury occurs when you dislocate your shoulder.
209A 733.89. Hill-Sachs Lesion = Impression fracture of the posterolateral humeral head; produced by contact with the anteroinferior glenoid when dislocated. Present in 90% of anterior dislocations and 25% of anterior subluxations.
Repair of a Bankart lesion can be accomplished by either an open procedure or arthroscopic technique. The CPT codes are as follows: 23455 – Capsulorrhaphy, anterior; with labral repair (Bankart procedure).
490XA. Bankart lesion = avulsion of the anteroinferior capsulolabrum. Bony Bankart = fracture of the anteroinferior glenoid.