Imaging Case of the Week 62

The following shoulder x-ray is from a 24 year old patient who presented with right shoulder pain following a direct fall onto his shoulder. He says his shoulder was dislocated, but after some manipulation, he was able to put it back in place prior to presentation. What can you see?

shoulder x-ray 2

click to enlarge

Answer

 

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2 thoughts on “Imaging Case of the Week 62

  1. Is this considered a bony Bankhart lesion? And am I seeing a Hill Sachs lesion on the humeral head as well?

    Thanks in advance.

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    • Thanks for the comments. Yes, that’s a bony Bankart’s due to avulsion fracture involving the inferior glenohumeral ligament. Also there is a Hill-Sach deformity involving the posterolateral humeral head.

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