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Background <p>Bankart 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.</p> Methods <p>A 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.</p> Results <p>The 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 (<i>P</i> =.000), height (<i>P</i> =.005), and depth (<i>P</i> =.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 (<i>P</i> =.007).</p> Conclusion <p>The 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.</p>

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Grading system for Hill-Sachs lesion and its association with Bankart lesion: a cross-sectional study

  • 期刊论文

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  • 发表日期：

    2025年7月4日

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  • Rani Ahmad

摘要

Background

Bankart 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.

Methods

A 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.

Results

The 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).

Conclusion

The 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.