Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with left shoulder pain following a documented episode of anterior glenohumeral dislocation. Reports persistent instability, mechanical catching, and localized pain over the posterior aspect of the humeral head. Mechanism of injury consistent with impaction against the glenoid rim.
Clinical Examination Findings
Left shoulder examination reveals tenderness to palpation at the posterolateral humeral head. Range of motion is limited by pain, particularly in abduction and external rotation. Neurovascular status is intact distally. Positive apprehension test noted. Radiographic imaging confirms cortical depression fracture of the posterolateral humeral head consistent with Hill-Sachs lesion.
Treatment Protocol
Initial management includes immobilization in a shoulder sling for comfort, cryotherapy, and non-steroidal anti-inflammatory drugs (NSAIDs). Referral to physical therapy for rotator cuff strengthening and scapular stabilization. Follow-up imaging requested to assess lesion size and stability. Surgical consultation considered if recurrent instability or significant bone loss is present.