Irreducible right shoulder dislocation

Case contributed by Townsville radiology training
Diagnosis certain

Presentation

Shoulder pain after being assaulted. Not reducible in ED. CT requested by orthopedic team.

Patient Data

Age: 35 years
Gender: Male

NCCT Rt shoulder with...

ct

NCCT Rt shoulder with multiplanar bony reformats.

Impacted subcoracoid anteroinferior dislocation right shoulder. Associated bony Bankart lesion displaced medially. Large Hill-Sachs lesion of the superolateral aspect of the humeral head. 

Case Discussion

Irreducible subcoracoid anteroinferior shoulder dislocation, requiring orthopedic surgical team closed reduction in theater. CT performed to assess the degree of impaction and bony glenoid injury prior to attempted reduction.

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