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Evaluation of unstable shoulders by computed tomography

A preliminary study

Division of Orthopaedic Surgery, the Department of Surgery, University Hospital, University of California School of Medicine, San Diego, California, Division of Orthopaedic Surgery, the Department of Surgery, University Hospital, University of California School of Medicine, San Diego, California

Donald Resnick, MD

Department of Radiology, Veterans Administration Medical Center, San Diego, California, and the Department of Radiology, University of California School of Medicine, San Diego

Guerdon Greenway, MD

Department of Radiology, Baylor University Medical Center, Dallas, Texas

Three patients who had various types of glenohumeral joint instability, and in whom computed tomography (CT) was utilized as an additional diagnostic modality, are presented. In two of the three patients, routine radiography supplemented with special views docu mented the presence of a Hill-Sachs lesion; in the third, an equivocal abnormality was apparent. In all three individuals, CT verified the presence of a Hill- Sachs lesion; in one patient, there was also a Bankart deformity. CT represents a new and important modal ity that may be applied to the diagnostic evaluation of patients with unstable shoulders.

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