case_images: PMC9903109_01
case_images: Preoperative computed tomography scan (axial
  views) showing posteriorly locked dislocation with a reverse
  Hill-Sachs lesion in 32% of the left shoulder and 36% of the
  right shoulder.
case_images: JDRS-2023-34-1-226-233-F1.jpg
case_images: PMC9903109_01_JDRS-2023-34-1-226-233-F1.jpg
case_images: F1
case_images: The CT scan revealed a posteriorly locked dislocation with a reverse Hill-Sachs lesion in 32% of the left shoulder and 36% of the right shoulder (Figure 1). However, when we evaluated the available CT axial sections, we diagnosed bilateral LPSD with a reverse Hill-Sachs lesion in 32% of the left shoulder and 36% of the right shoulder (Figure 1).
case_images: With the patient in beach chair position the
  intraoperative photograph was taken to demonstrate the
  anterior aspect of the humeral head. Note the wedgeshaped impression fracture (black arrow) on the anterior
  aspect of the humeral head.
case_images: JDRS-2023-34-1-226-233-F2.jpg
case_images: PMC9903109_01_JDRS-2023-34-1-226-233-F2.jpg
case_images: F2
case_images: After the glenohumeral joint was reduced, the arm was rotated outward to visualize the wedgeshaped Hill-Sachs lesion at the humeral head (Figure 2).
case_images: The intraoperative photograph was obtained with the patient in a beach chair position to show the
  anterior side of the humeral head. Take note of the headless screws that run from the anterior to the posterior
  of the humeral head to fix the transferred lesser tubercle to the remainder of the head, (a) two for the right and
  (b)three for the left.
case_images: JDRS-2023-34-1-226-233-F3.jpg
case_images: PMC9903109_01_JDRS-2023-34-1-226-233-F3.jpg
case_images: F3
case_images: Under fluoroscopy, fixation was performed with headless screws (two for the right shoulder and three for the left shoulder; Figure 3a, b).
case_images: Postoperative anteroposterior radiograph of the shoulder showing that the shoulder is reduced and
  the head has the expected hemispheric appearance. (a) Right, (b) Left.
case_images: JDRS-2023-34-1-226-233-F4.jpg
case_images: PMC9903109_01_JDRS-2023-34-1-226-233-F4.jpg
case_images: F4
case_images: Postoperative radiographs revealed a reduced shoulder and the expected hemispheric appearance of the head (Figure 4a, b).
case_images: Postoperative computed tomography scan (axial views) showing that the reverse Hill-Sachs lesion has completely filled and disappeared. (a) Right, (b) Left.
case_images: JDRS-2023-34-1-226-233-F5.jpg
case_images: PMC9903109_01_JDRS-2023-34-1-226-233-F5.jpg
case_images: F5
case_images: Postoperatively, the axial CT view indicated that the reverse Hill-Sachs lesion was entirely filled and disappeared (Figure 5a, b).
case_images: Postoperative follow-up photographs were taken from back, front and side views (at one-year follow-up
  visit) showing shoulder function. From top to the bottom notice the internal rotation, forward elevation, abduction,
  external rotation and forward elevation with external rotation.
case_images: JDRS-2023-34-1-226-233-F6.jpg
case_images: PMC9903109_01_JDRS-2023-34-1-226-233-F6.jpg
case_images: F6
case_images: The pre- and postoperative Constant-Murley Scores (CMS) for the right and left shoulder were 30/52 and 11/48, respectively (Figure 6).