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Case Reports
. 2025 Feb 4;17(2):e78495.
doi: 10.7759/cureus.78495. eCollection 2025 Feb.

Functional Recovery After 18 Sessions of Radio Electric Asymmetric Conveyor Tissue Optimization Reparative Protocol for Hill-Sachs Lesion in a Post-traumatic Shoulder Dislocation

Alessandro Castagna  1 , Enrico Castagna  2 , Vania Fontani  1   3 , Salvatore Rinaldi  1   3
Affiliations
Case Reports

Functional Recovery After 18 Sessions of Radio Electric Asymmetric Conveyor Tissue Optimization Reparative Protocol for Hill-Sachs Lesion in a Post-traumatic Shoulder Dislocation

Alessandro Castagna et al. Cureus. .

Abstract

This case report describes the clinical progress of a 22-year-old male patient diagnosed with a consolidating Hill-Sachs lesion, treated with 18 sessions of Tissue Optimization Reparative (TO-Rpr) protocol, specific to Radio Electric Asymmetric Conveyor (REAC) technology. At baseline, the patient reported persistent pain with a numeric rating scale (NRS) score of 7 out of 10 and significant functional limitations of the shoulder (flexion 90°, abduction 70°, external rotation 20°), accompanied by bone marrow edema, tendinous alterations, and significant inflammation. The therapeutic protocol aimed to modulate tissue bioelectric activity to promote reparative processes and reduce inflammation. Follow-up MRI, performed four months after treatment, revealed complete resolution of bone marrow edema, normalization of tendinous structures, and reduced cortical irregularities. Clinically, flexion improved to 160°, abduction to 150°, and external rotation to 70°, with muscle strength restored to 5/5 and pain reduced to 0/10 on the NRS. This case highlights the role of REAC TO-Rpr treatment in managing complex joint lesions, showcasing its potential to significantly improve clinical and radiological parameters within a short timeframe.

Keywords: functional motor recovery; hill-sachs lesion; radio electric asymmetric conveyor; reparative medicine; shoulder anterior dislocation.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: Salvatore Rinaldi and Vania Fontani declare(s) a patent from Rinaldi Fontani Institute. Intellectual property info: Salvatore Rinaldi and Vania Fontani are the owners of the REAC Patent. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Pretreatment magnetic resonance imaging (MRI) of the shoulder.
The initial scan reveals a consolidating Hill-Sachs lesion on the posterolateral surface of the humeral head, indicative of structural damage and associated inflammation.
Figure 2
Figure 2. Comparison of pre and post-treatment outcomes.
The observed improvements were consistent with the patient’s reported return to normal daily and sports activities without restrictions or residual symptoms, highlighting the comprehensive recovery achieved through the TO-Rpr protocol.
Figure 3
Figure 3. Post treatment magnetic resonance imaging (MRI) of the shoulder.
The follow-up scan demonstrates evidence of healing, with reduced inflammation and signs of progressive bone remodeling.
See this image and copyright information in PMC

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