Presentation
Patient with a history of recurrent anterior glenohumeral dislocations. Presented today after falling from a standing height.
Patient Data
Age: 60 years
Gender: Male
From the case:
Anterior shoulder dislocation
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Frontal

There is an anterior-inferior dislocation of the glenohumeral joint, Additionally there is an engaged Hill-Sach lesion evident on the Garth's projection.
Case Discussion
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.