S/P Hills Sachs Repair

Definition:
Cortical depression in the posterolateral head of the humerus bone. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly
Symptoms:
  • Pain in the shoulder
  • Loss of ROM in the shoulder
  • Anterior shoulder instability
Causes:
  • Anterior shoulder dislocation:
  • Sports
  • Falls
  • Seizures
  • Assaults
  • Throwing
  • Reaching
  • Pulling on the arm
  • Turning over in bed
Treatment:
  • Period of immobilization in a pillow sling
  • Passive ROM, progress to active ROM
  • Posture program
  • Shoulder stabilization exercises
  • Upper extremity strengthening