Presentation
Post-reduction of a shoulder dislocation
Patient Data
Age: 35 years
Gender: Male
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AP internal rotation
AP internal rotation view best demonstrates a thick vertical sclerotic line projected over the posterolateral humeral head representing an impacted fracture (Hill-Sachs lesion).
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Internal rotation
On this internal rotation radiograph, the humeral head (green), greater tuberosity (yellow) and lesser tuberosity (red) are outlined. Normally, these should be the only structures creating outlines. In this case, an additional Hill-Sachs lesion (blue) is visible.
Case Discussion
No pre-reduction radiograph was available, nor was the information specified by the referring physician, but the Hill-Sachs lesion suggests a now-reduced anterior dislocation.
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