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Trough lesion after posterior shoulder dislocation

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Posterior shoulder dislocation in a motorcycle accident 2 weeks earlier. Normal x-rays.

Patient Data

Age: 35
Gender: Female

Small osteochondral impression fracture at the antero-supero-medial aspect of the humeral head. There is also haemorhage in the posterior joint capsule, a postero-inferior labroligamentous lesion, and a bone buise in the scapular spine, probably resulting from the impact of the humeral head.

Case Discussion

Typical injury pattern observed after a posterior glenohumeral dislocation.

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