Anterior shoulder dislocation
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Patient with a history of recurrent anterior glenohumeral dislocations. Presented today after falling from a standing height.
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There is an anterior-inferior dislocation of the glenohumeral joint, Additionally there is an engaged Hill-Sach lesion evident on the Garth's projection.
Large Hill-Sach lesions that are also engaging are correlated to recurrent shoulder instability 1.
The Garth's projection in this instance is an ideal radiographic projection to examine the relationship of the humeral head and the glenoid, the projection requires no abduction and little to no patient discomfort.
- 1. Gyftopoulos S, Yemin A, Beltran L, Babb J, Bencardino J. Engaging Hill-Sachs lesion: is there an association between this lesion and findings on MRI?. (2013) AJR. American journal of roentgenology. 201 (4): W633-8. doi:10.2214/AJR.12.10206 - Pubmed
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