ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
With the exception of the Hill-Sachs interval, CT and MRI show no significant differences in the diagnostic value of the HSL measurement regardless of the measurement technique.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Accuracy and reliability of imaging modalities for studying bipolar bone loss in anterior shoulder instability: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Unperceived First-Time Anterior Shoulder Subluxation: The Role of MRI in Detection and Characterization of Pathoanatomy.Orthopaedic journal of sports medicine · 2026Article
- Grading system for Hill-Sachs lesion and its association with Bankart lesion: a cross-sectional study.BMC musculoskeletal disorders · 2025Article
- Arthroscopic Bankart repair with or without remplissage: a single-institution cost comparison.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Arthroscopic humeral head defect filling with osteochondral autografts transplantation for near-track Hill-Sachs lesions.JSES international · 2024Article
- McLaughlin technique and humeral grafting provide similar results for treatment of reverse Hill-Sachs lesions: A systematic review.Journal of experimental orthopaedics · 2024Review
- Variability in quantifying the Hill-Sachs lesion: A scoping review.Shoulder & elbow · 2023Article
- Onlay Dynamic Anterior Stabilization With Biceps Transfer for the Treatment of Anterior Glenohumeral Instability Produces Good Clinical Outcomes and Successful Healing at a Minimum 1 Year of Follow-Up.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Evaluation of factors associated with successful 5-year outcomes following arthroscopic Bankart repair in athletes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of the current study was to compare the diagnostic precision and reliability of different methods in measuring Hill-Sachs lesions (HSLs) using MRI and CT.
methodsA total of 80 consecutive patients with a history of anterior shoulder instability were retrospectively included. The preoperative CT and MRI scans of the affected shoulders were analysed. To investigate the ability of the Franceschi grading, Calandra classification, Richards, Hall, and Rowe grading scale, Flatow percentage and "glenoid track" assessment according to Di Giacomo et al. to quantify the extent of humeral bone loss, the results of each measurement method obtained with MRI were compared with those achieved with CT. In addition, the intra- and inter-rater reliabilities of each measurement method using CT and MRI were calculated and compared.
resultsA significant difference was found between CT and MRI in the determination of the Hill-Sachs interval (HSI) (p = 0.016), but not between the results of any of the other measurement techniques. With the exceptions of the Franceschi grade and Calandra classification, all measurement methods showed good or excellent intra- and inter-rater reliabilities for both MRI and CT.
conclusionsWhile the determination of the HSI with MRI was more accurate, all other analysed techniques for measuring the amount of humeral bone loss showed similar diagnostic precision. With regard to the intra- and inter-rater reliabilities, all measurement techniques analysed, with the exception of the Franceschi and Calandra classifications, provided good to very good reliabilities with both CT and MRI. LEVEL OF EVIDENCE: III.
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