Final answer:
A '25% Hill-Sachs' lesion, which is a compressive humeral head fracture due to shoulder dislocation, generally requires non-surgical treatment like physical therapy or, for more significant symptoms, surgical intervention.
Step-by-step explanation:
The term '25% Hill-Sachs' likely refers to a Hill-Sachs lesion, which is a compression fracture of the posterolateral aspect of the humeral head, typically resulting from anterior shoulder dislocation. When treating a Hill-Sachs lesion, the size and impact on shoulder function will guide the treatment strategy. For a lesion that involves 25% or less of the humeral head, non-surgical treatment modalities such as physical therapy for strengthening surrounding muscles and improving the range of motion are commonly recommended.
If the patient experiences pain, instability, or reduced function, and in cases where conservative management is unsuccessful, surgical options may be considered. The type of surgery would depend on the specifics of the lesion, but could involve procedures like a Remplissage, which fills the defect with surrounding soft tissue, or even shoulder stabilization surgeries.