Anterior shoulder dislocation

Case contributed by Dr Ian Bickle

Presentation

Awkward fall onto the left shoulder with subsequent pain and deformity.

Patient Data

Age: 45 years old
Gender: Male
X-ray

Anteromedial dislocation of the humeral head in relation to the glenoid.

No fracture or bony Bankart lesion.

Case Discussion

Anterior dislocation of the shoulder is far the commonest, representing more than 95% of all shoulder dislocations.

It the context of trauma is is essential orthogonal views are acquired to assess for dislocation and the associated concerns of fracture, a Hill-Sacs deformity, bony Bankart abnormality and rarely a lipohaemarthrosis.  This comprises an AP view with either a axial, modified axial or Y view as patient circumstances dictate.

Post-reduction films are also undertaken to confirm restoration of the normal anatomical position.

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Case information

rID: 26959
Case created: 16th Jan 2014
Last edited: 12th Mar 2016
Inclusion in quiz mode: Included

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