Akademik Veri Yönetim Sistemi
NORTHERN CLINICS OF ISTANBUL, cilt.12, sa.6, ss.667-673, 2025 (ESCI, Scopus, TRDizin)
OBJECTIVE: Hill-Sachs lesions are considered as an a priori risk factor for glenohumeral instability. Determination of glenoid and coracoacromial arch morphometric properties of patients with Hill-Sachs lesions may aid in the diagnosis, identification of optimal treatment strategies and prevention of recurrence. METHODS: Computed tomography (CT) images of individuals between the ages of 20-40 were examined and the morphometric characteristics of the 39 patients with Hill-Sachs lesions and 71 control patients with healthy shoulder structures were glenoid inferior width (GWi), glenoid surface (GS), coraco-acromial distance (CAD), coraco-glenoid distance (CGD) and acromio-glenoid distance (AGD) were determined as morphometric features. RESULTS: The average values of the measurements in Hill-Sachs and control groups, respectively, were; glenoid inclination (1.06 +/- 6.61 degrees; 4.33 +/- 6.20 degrees), acromio-humeral distance (6.66 +/- 1.26; 7.67 +/- 1.64 mm), glenoid height (33.90 +/- 2.34; 35.03 +/- 3.29 mm), glenoid superior width (19.89 +/- 5.89; 19.83 +/- 2.37 mm), glenoid inferior width (24.28 +/- 2.53; 26.04 +/- 3.06 mm), glenoid surface (647.93 +/- 91.26; 721.58 +/- 136.86 mm2), coraco-acromial distance (40.24 +/- 3.99; 38.10 +/- 3.80 mm), coraco-glenoid distance (29.39 +/- 3.64; 29.96 +/- 4.44 mm) and acromio-glenoid distance (31.44 +/- 3.45; 31.64-33.56 mm). Glenoid inclination area (p=0.002) and coraco-acromial distance (p=0.008) were significantly different between the groups. CONCLUSION: The glenoid and coracoacromial arch morphometry showed significant differences in patients with Hill-Sachs lesions. Recognizing these differences can reduce recurrence rates by reducing risk factors in the treatment of glenohumeral instability and providing the closest anatomical integrity to normal.