Trough fracture and reverse Bankart lesion

Case contributed by Dr Roberto Schubert

Presentation

Posterior shoulder dislocation in a cycling accident 2 weeks before. Radiographs not available.

Patient Data

Age: 50
Gender: Male
Modality: MRI

Triangular impression fracture of the anterior superior humeral head. Haemorrhage, probably rupture of the middle glenohomeral ligament. Postero-inferior labroligamentous lesion of the glenoid (reverse Bankart).

Case Discussion

The articular surface of the humeral head is involved in about half of these fractures following posterior shoulder dislocation, also known as reverse Hill-Sachs lesions.

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Case Information

rID: 16709
Case created: 14th Feb 2012
Last edited: 27th Oct 2015
Inclusion in quiz mode: Included

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