Bilateral shoulder injuries on chest x-ray

Case contributed by Mr Andrew Murphy

Presentation

Patient had fall, generalised whole body pain.

Patient Data

Age: 50 years
Gender: Female

Initial imaging

Modality: X-ray

Interstitial lung markings are prominent by sub-optimal inspiration. The left glenohumeral join appears dislocated. The right proximal humerus is fractured. Dedicated shoulder views are recommended.

Right shoulder

Modality: X-ray

There is a fracture of transverse orientation through the surgical neck of the humerus, additionally, this fracture has a posterior component that is longitudinal to the proximal diaphysis.

Modality: X-ray

Anterior dislocation of the right glenohumeral joint

Case Discussion

This case demonstrates the value of scrutinising all elements of the chest radiograph despite any given clinical history. Beware the satisfaction of search.

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Case Information

rID: 50809
Case created: 23rd Jan 2017
Last edited: 5th Apr 2017
Inclusion in quiz mode: Included

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