Bankart/Hills Sachs Lesion

What is it?

Varying from range of Cartilage damage to Compression fractures in the shoulder caused by one or numerous anterior dislocations of the shoulder. A Hills Sachs Lesion is on the humeral head (arm bone) and a Bankart Lesion is on the glenoid (socket of the shoulder.


What does it feel like?

A Sharp pain initially which is non-localised around the shoulder. It is common to have a feeling of instability around the shoulder, with a concern of re-dislocation.

What Causes Bankart/Hills Sachs?

This is most common in sports that involve overhead movements like tennis, volleyball, netball. It is caused after an anterior shoulder dislocation or repeated shoulder dislocations. Anterior shoulder dislocations most commonly occur through a combination of shoulder abduction, external rotation, and extension/flexion. This is a common movement in overhead athletes.

How is Bankart/Hills Sachs Diagnosed?

Your Physiotherapist can provide a thorough verbal and physical assessment to identify the problem and may recommend an onward referral if they feel it is appropriate. The onward referral may be for an X-Ray or Ultrasound or further assessment from a sports doctor for further assessment if they feel it is beneficial.

How can Back in Action Physiotherapy help?

At Back in Action we will do a thorough assessment to help provide the correct diagnosis. We will also ensure we spend time to listen to how your symptoms are affecting your daily activities as well as your recreational and occupational activities. We will also help guide you to set goals and aims from the treatment sessions regularly reassessing these. We will provide a thorough treatment to ensure you get better, faster and return to your activities, sport and work.