Glenoid Track (Hill-Sachs On/Off-Track)

Glenoid track: on-track, near-track or off-track Hill-Sachs lesion from the glenoid width, the defect and the Hill-Sachs interval.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Glenoid width
28 mm
Anterior glenoid defect (d), 0 if none
5 mm
Hill-Sachs lesion width
15 mm
Bone bridge to the cuff footprint
5 mm

Result: Glenoid track 18.2 mm, Hill-Sachs interval 20 mm, distance to dislocation -1.8 mm: off-track, because the Hill-Sachs interval is wider than the glenoid track. Glenoid bone loss 17.9%.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Glenoid width (D)
  • Anterior glenoid defect (d), 0 if none
  • Hill-Sachs lesion width
  • Bone bridge to the cuff footprint
How this is calculated

Citation

Di Giacomo G, Itoi E, Burkhart SS. Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from "engaging/non-engaging" lesion to "on-track/off-track" lesion. Arthroscopy. 2014;30(1):90-98. Read the sources: Di Giacomo 2014 ↗, Int Orthop 2026 ↗, JSES Rev Rep Tech 2026 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.