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Arthroscopic Hill Sachs Lesion Management

Source: What’s New in Orthopedics (Arthrex)

Disclaimer: The information in this video is intended for patient education and general awareness. It is not a substitute for professional medical consultation. For personal medical advice, please speak with your physician.

Precision in Motion: Arthroscopic Hill-Sachs Lesion Management by Dr. Rohit Sane

A Hill-Sachs lesion occurs when the head of the humerus impacts the edge of the shoulder socket during a dislocation. A depression is created in the bone surface, which may lock into the socket rim during movement. Gradually, the damage can lead to a cycle of dislocations, instability, and pain. Left untreated, it may also lead to early joint degeneration.

Dr. Rohit Sane provides arthroscopic surgical treatment for Hill-Sachs lesions. As a shoulder-focused orthopaedic surgeon with international training, he approaches each case with attention to both structure and function. His treatment plans combine minimally invasive procedures with a long-term view of joint preservation.

Who Benefits From Surgical Management of Hill-Sachs Lesions

Not every case of Hill-Sachs damage leads to recurrent dislocation. In some patients, the defect is small or does not engage with the glenoid. In others, the damage is large enough to disrupt normal shoulder movement. Surgical treatment is considered when:

  • The shoulder dislocates more than once following the initial injury
  • There is a visible defect in the humeral head seen on imaging
  • The patient experiences instability during sport or routine activity
  • There is associated damage to the labrum or joint capsule

Dr. Sane evaluates patients with detailed clinical testing and confirms the diagnosis using CT and MRI. His focus is on identifying the risk of engagement and choosing a method that restores stability without compromising motion.

Minimally Invasive Techniques for Hill-Sachs Lesion

Arthroscopy allows surgeons to access the shoulder joint through small incisions. This approach reduces soft tissue disruption and shortens recovery time. Dr. Sane uses arthroscopic tools to visualise and treat both the humeral defect and any related joint injury.

Remplissage Procedure

This involves suturing the posterior capsule and rotator cuff tendon into the defect. This fills the area and prevents the lesion from engaging the socket.

Bankart Repair and Remplissage

When anterior instability is also present, both the labrum and the Hill-Sachs defect are addressed during the same procedure.

Combined Bony Procedures

In cases of bipolar bone loss, Dr. Sane evaluates the need for glenoid augmentation using bone grafts or coracoid transfer.

Rehabilitation Support

After surgery, a structured plan begins with protection, followed by controlled mobility and progressive loading.

Each plan is adapted to the patient’s physical demands, sport participation, and previous history of injury.

What Sets Dr. Rohit Sane Apart in Hill-Sachs Management

  • Focused Shoulder Experience
    Trained in two high-volume centres where he worked closely with senior surgeons on joint preservation.
  • Advanced Surgical Technique
    Experienced in arthroscopic remplissage and other minimally invasive solutions for bony defects.
  • Multi-Layered Medical Knowledge
    Holds additional training in pharmacology, which helps in managing inflammation and recovery.
  • Team-Based Recovery Model
    Works closely with physical therapists and radiologists to support patients through each stage.
  • Reputation for Professional Integrity
    Endorsed by mentors in both India and Australia for clinical skill, decision-making, and respectful patient care.

Living with shoulder instability caused by a Hill-Sachs lesion affects more than just physical movement. Collaborate with Dr. Rohit Sane to enhance your confidence and improve daily activity.

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