A Hill-Sachs lesion of the shoulder is an indicator of shoulder instability
. Hip instability is also a well-recognized phenomenon. However, no operati
ve or arthroscopic features have previously been reported that support the
diagnosis of hip instability. We present a case report of a Hill-Sachs type
lesion of the femoral head in a patient with acetabular dysplasia revealed
by arthroscopy of the hip. We suggest that finding a Hill-Sachs type lesio
n of the femoral head may also be regarded as indicative of joint instabili
ty, just as it is in the shoulder.