The Physiotherapeutic Approach to Hill-Sachs Injury: A Literature Review
DOI:
https://doi.org/10.36557/2674-8169.2026v8n5p1381-1397Keywords:
Lesão de Hill-Sachs; Fisioterapia; Luxação de ombro.Abstract
Hill-Sachs lesions are frequently associated with glenohumeral instability and recurrent shoulder dislocations, being characterized by symptoms such as pain, functional limitation, crepitus, and a sensation of joint instability, especially during abduction and hyperextension movements. This study aimed to describe the physiotherapeutic approach to Hill-Sachs lesions. A literature review was conducted using the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), and Virtual Health Library (VHL) databases, considering articles published between 2020 and 2026. The analyzed studies demonstrated that physiotherapy plays a fundamental role in both conservative and postoperative treatment, contributing to functional improvement, recovery of range of motion, muscle strengthening, scapular stabilization, and pain reduction. Furthermore, significant impact on the prevention of recurrence was observed, since patients with recurrent instability often present proprioceptive deficits, biomechanical alterations, and residual muscle weakness. The literature also demonstrated that therapeutic success does not depend exclusively on the surgical technique employed, but also on the quality of subsequent physiotherapeutic rehabilitation. It is concluded that physiotherapy plays an essential role in the management of Hill-Sachs lesions, acting directly on functional recovery, joint stability, and prevention of recurrent dislocations.
Downloads
References
Sachs Lesion Patient: A Case Report. Cureus, v. 15, n. 9, e45816, 2023.
HILL, Jeffrey R.; MOTLEY, John; KEENER, Jay D. Rehabilitation after Shoulder Instability Surgery. Physical Medicine and Rehabilitation Clinics of North America, v. 34, n. 2, p. 409-425, 2023.
CALVO, Emilio; DELGADO, Cristina. Management of off-track Hill-Sachs lesions in anterior glenohumeral instability. Journal of Experimental Orthopaedics, v. 10, n. 30, 2023.
GONZÁLEZ RODRÍGUEZ, J. et al. Tríada terrible de hombro: reporte de un caso. Revista Colombiana de Ortopedia y Traumatología, 2023.
SIRAJ, Sidra Ahmad et al. Effect of Physical Therapy Rehabilitation in Individuals with Hill Sach Lesion: A Case Report. Cureus, v. 15, n. 9, 2023.
HAROUN, Haitham K.; SOBHY, Mohamed H.; ABDELRAHMAN, Amr A. Bankart repair with remplissage vs. Latarjet procedure on recurrence, postoperative pain scores, external rotation, and Rowe score in patients with a Hill-Sachs lesion: A systematic review. Journal of Shoulder and Elbow Surgery, v. 29, n. 10, 2020.
RINALDI, S.; FONTANI, V.; CASTAGNA, A. et al. Functional Recovery After 18 Sessions of Radio Electric Asymmetric Conveyor Tissue Optimization Reparative Protocol for Hill-Sachs Lesion in a Post-traumatic Shoulder Dislocation. Journal of Clinical Medicine, 2023.
CASPER, Schrouff L.J.H.et al. Loek. Bankart repair with remplissage vs. Latarjet procedure on recurrence, postoperative pain scores, external rotation, and Rowe score in patients with a Hill-Sachs lesion: a systematic review. [s.l.: s.n.], [s.d.].
NAULA, Víctor et al. Tríada terrible de hombro: reporte de un caso. [s.l.: s.n.], [s.d.].
CASTAGNA, Alessandro et al. Functional Recovery After 18 Sessions of Radio Electric Asymmetric Conveyor Tissue Optimization Reparative Protocol for Hill-Sachs Lesion in a Post-traumatic Shoulder Dislocation. [s.l.: s.n.], [s.d.].
HONOKI, Keigo et al. Arthroscopic Bankart repair with and without remplissage in longer inferior craniocaudal Hill-Sachs extensions: secondary analysis of a randomized clinical trial. Journal of Shoulder and Elbow Surgery, v. 35, n. 2, p. 511–516, 2025.
Abd-Elzaher, Hosam Elsayed et al. Modified Latarjet With or Without Remplissage for Recurrent Anterior Shoulder Instability: A Prospective Randomized Trial. Journal of Shoulder and Elbow Surgery International,v. 10, n. 4, 2026.
LIMAM, Kenza et al. Latarjet vs Bankart Repair With Hill-Sachs Remplissage for Anterior Shoulder Instability in Case of Minimal Glenoid Bone Loss: A Matched Cohort Analysis From the French Arthroscopic Society. Orthopaedic Journal of Sports Medicine, 2026.
GUITY, Mohammad Reza et al. Early versus late physiotherapy following arthroscopic repair of small and medium size rotator cuff tear: a randomized clinical trial. International Orthopaedics, v. 47, p. 2795–2807, 2023.
SIRAJ, Sidra Ahmad et al. Taping Adjunct to Strengthening and Proprioception in a Hill-Sachs Lesion Patient: A Case Report. Cureus, v. 15, n. 9, e45816, 2023.
HILL, Jeffrey R.; MOTLEY, John; KEENER, Jay D. Rehabilitation after Shoulder Instability Surgery. Physical Medicine and Rehabilitation Clinics of North America, v. 34, n. 2, p. 409-425, 2023.
CALVO, Emilio; DELGADO, Cristina. Management of off-track Hill-Sachs lesions in anterior glenohumeral instability. Journal of Experimental Orthopaedics, v. 10, n. 30, 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Danielle Maria de Sousa de Oliveira, Alex Costa Borges, Gustavo José Arouche Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
