Right shoulder posterior dislocation with glenoid engagement

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Pain without trauma in shoulder.

Patient Data

Age: 65
Gender: Male
Frontal
Oblique
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Info

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

This study is a stack
Axial bone
window
This study is a stack
Coronal
bone window
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Info

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.

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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. 

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