In the context of shoulder instability, the term 'off-track Hill-Sachs lesion' refers to:

A A Hill-Sachs lesion that is medial to the glenoid track B A Hill-Sachs lesion that engages the glenoid rim during abduction and external rotation C A Hill-Sachs lesion that is lateral to the glenoid track D A Hill-Sachs lesion that is asymptomatic