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
X-ray

Initial imaging

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.

X-ray

Right shoulder

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.

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: 3rd Jul 2017
Inclusion in quiz mode: Included

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