Hill-Sachs Lesion Physiotherapy in Indirapuram

How it forms

In an anterior dislocation, the back of the humeral head rams into the front edge of the socket as it pops out. The impact compresses bone and leaves a groove. It often comes with a Bankart lesion, a tear of the labrum at the front of the socket.

The size and position of the dent matter. If it's large and sits where it can catch on the socket rim as you raise and rotate your arm, the shoulder can lever out more easily. Surgeons sometimes describe this as an engaging lesion.

What rehabilitation can achieve

For small lesions, rehab is the same as after any shoulder dislocation: restore movement, build rotator cuff and shoulder blade strength, retrain control in the risky end positions and return to sport through graded testing.

Physiotherapy can't fill the bony defect. What it can do is improve dynamic stability so the muscles keep the ball centred through positions where it would otherwise catch.

When surgery is advised

For large or engaging lesions, especially in young athletes with repeated dislocations, stabilisation surgery is often recommended. Procedures may repair the labrum and address the bone defect, for example with a remplissage procedure that fills the dent with tendon. Rehab afterwards follows a careful staged protocol over roughly four to six months before return to contact sport.

Exercises often used for Hill-Sachs Lesion

These are exercises our physiotherapists commonly include. Which ones suit you, how many and in what order depends on your assessment and stage of recovery.

All shoulder exercises

Frequently asked questions