Right shoulder posterior dislocation with glenoid engagement

Case contributed by Dr Domenico Nicoletti

Presentation

Pain without trauma in shoulder.

Patient Data

Age: 65
Gender: Male

The humeral head articular surface is projected beyond the glenoid edge. No visible fractures.

Posterior dislocation of the humeral head with reverse Hill Sachs lesion and engagement of the glenoid. Bankart lesion is associated with detachment of the bone fragment at the 6-9 o'clock position.

Circle highlights location of humeral head impaction on the glenoid with resulting reverse Hill-Sachs lesion. 

Case Discussion

Posterior shoulder dislocations can be a difficult diagnosis to make on plain radiographs. 

PlayAdd to Share

Case information

rID: 42613
Case created: 30th Jan 2016
Last edited: 26th Mar 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.