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Radiology · MSK imaging: Hill-Sachs and Bankart lesions
Sample itemA young man has recurrent anterior shoulder dislocation. MRI arthrography shows a posterolateral humeral head impaction defect and a detached anteroinferior labrum. What are these lesions?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Hill-Sachs lesion and Bankart lesion
In anterior dislocation, the humeral head impacts against the glenoid rim to produce a Hill-Sachs dent and tears the anteroinferior labrum, a Bankart lesion. These cause instability and recurrence.
Option by option
A. SLAP tear and rotator cuff tear
SLAP involves the superior labrum.
B. Hill-Sachs lesion and Bankart lesion (correct)
Correct. The posterolateral dent and anterior labral tear are the classic pair.
C. Greater tuberosity fracture and adhesive capsulitis
Adhesive capsulitis does not cause these lesions.
D. Calcific tendinitis and bursitis
Calcific tendinitis shows deposits in the cuff.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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