ArticleBMC musculoskeletal disorders2025
Grading system for Hill-Sachs lesion and its association with Bankart lesion: a cross-sectional study.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundBankart lesions and Hill-Sachs lesions can be detected in up to the majority of recurrent dislocations. This study aims to develop a grading system for Hill-Sachs lesions and assess its association with Bankart lesions. The proposed grading system, based on the dimensions of Hill-Sachs lesions, offers a standardized approach for classifying these defects, thereby facilitating the comparison of research findings across studies. Additionally, this study tends to estimate the highly significant association between Hill-Sachs lesions and the presence of Bankart lesions compared to previous studies.
methodsA cross-sectional study, by procuring data from 94 patients, with shoulder dislocation and had been examined through MRI at the radiology department at King Abdul-Aziz University Hospital between 2019 and 2022. The sample was comprised of the patients who were diagnosed with either Hill-Sachs lesion or Bankart lesion, or concurrently with both of the lesions.
resultsThe findings showed that the proposed grading system of Hill-Sachs had a significant association with the presence of Bankart lesions. Grade I in all dimensions, i.e., transverse diameter (P =.000), height (P =.005), and depth (P =.000), had a lower number of cases with Bankart lesions compared to Grade III, and the latter association was significant. Further, independent of the grading system, a statistically significant relationship was found between the width, diameter, and depth of Hill-Sachs lesion defects and the presence of Bankart lesions. Also, the presence of both lesions depicted a high risk for downsloping (P =.007).
conclusionThe proposed grading system for Hill-Sachs lesions is a valid tool to assess the association between Bankart lesions and Hill-Sachs defects. Additionally, a significant relationship exists between Bankart lesion and Hill-Sachs lesions, along with their dimension, with a moderate correlation between maximum depth and volume of Hill-Sachs lesion with Bankart lesion, whereas a weak correlation between maximum transverse diameter and height with Bankart lesion.
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