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Inferior shoulder dislocation

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Shoulder pain.

Patient Data

Age: 30
Gender: Female
x-ray

Humeral head is inferiorly dislocated. No fracture identified. Note humeral alignment parallel to the chest wall. 

Post reduction

x-ray

Normal glenohumeral joint alignment on post reduction x-rays. Small Hill-Sachs lesion anteriorly. 

Case Discussion

Inferior shoulder dislocations are rare when compared to anterior, and even posterior shoulder dislocations. 

This case is a little unusual in that it lacks the classic overhead fixed abduction deformity, although this appearance has been reported in the literature 1

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