A Hill-Sachs lesion is a compression fracture at the back of the humeral head, caused when the ball of the shoulder dislocates and grinds against the socket rim. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.
Most patients with hill-sachs lesion improve with conservative care — targeted physical therapy, image-guided injections, bracing or supportive footwear when relevant, and activity modification. When conservative care isn't enough or imaging shows structural injury that won't heal on its own, our specialists offer the next-step procedures discussed below.
Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose hill-sachs lesion, and the full range of treatment options — from the simplest to the most involved.