Presentation
Elderly woman has accidentally fallen down. She went to ED for humeral diaphyseal pain.
Patient Data
The first radiologist reported this study negative: no fracture.
The patient was admitted to orthopedic evaluation. Considering pain, movement limitation and shoulder dislocation at movement, CT exam was requested.
CT report: Intra-articular anteroinferior scapular glenoid fracture with displacement of several bony fragments. Humeral head is in normal position
Case Discussion
Bankart lesions are a common complication of anterior shoulder dislocation and they are the result of detachment of the anterior inferior labrum from the glenoid
To a second opinion, X-rays weren't normal.
We must look carefully at every bone segment included in the x-ray views, considering sometimes clinical symptoms can create confusion (patient at the moment complained pain at the level of humeral diaphysis).