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Static Image
Slice 6 of 1
Can you make the diagnosis?
Review the images, then reveal
XRMusculoskeletalConfirmedFRCR 2B
Posterior shoulder dislocation
Clinical Presentation
Left shoulder pain after pushing a heavy object.
- 1There is lack of overlap between the glenoid and the humeral head
- 2The shoulder is rotated such that the humeral head has a 'light bulb' appearance
- 3Both the lateral and especially the axillary view clearly demonstrate the relationship between the glenoid and the humeral head, and confirm a posterior dislocation
- 4On both views the acromion (A), clavicle (Cl), coracoid process (Co) and glenoid (G) are identifiable, and the humeral head can be seen lying posterior
- 5Post reduction film demonstrate the anterior rim of the glenoid and humeral articular surfaces appearing congruent
- 6Dislocation film demonstrates no congruency between the glenoid articular suface (blue) and that of the humeral head (yellow)
- 7In addition due to internal rotation the proximal humeral head has a rounded appearance, likened to a light bulb (light green).Post reduction film demonstrate the anterior rim of the glenoid (blue) and humeral (yellow) articular surfaces appearing congruent.