Hill-Sachs lesion

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A Hill-Sachs lesion, also Hill-Sachs fracture, is a cortical depression in the posterior superior head of the humerus bone. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly.

 

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    Agreeing (or Not) on How to Describe Spinal Stenosis: Expanding a Narrow Mindset

    Janna L. Friedly, MD and
    Jeffrey G. Jarvik, MD, MPH

    + Author Affiliations

    From the Comparative Effectiveness, Cost and Outcomes Research Center (J.L.F., J.G.J.), Department of Rehabilitation Medicine (J.L.F.), and Department of Radiology (J.G.J.), University of Washington, 325 Ninth Ave, Seattle, WA 98114.

    Address correspondence to
    J.L.F. (e-mail: friedlyj@uw.edu).

    “What we have is a failure to communicate.” These are the widely quoted words uttered by the guard in Cool Hand Luke, but they apply equally well to the situation often faced by those involved with ordering and interpreting the images of patients with low back pain. Fortunately, during the past 20 years we have traveled far along the path of improving the reliability of reporting findings, although by no means are we at the end of the road. Spinal stenosis continues to be one of the most challenging low back syndromes to define both radiologically (1) and clinically (2), and there is little consensus regarding the correlation among imaging findings, clinical symptoms, and treatment outcomes for people with spinal stenosis (3–6).

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