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?[peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”]
The shoulder x-ray shown is not a proper AP view. The AP and lateral views showed no dislocation. However, there is an irregular bony fragment lying below the humeral head with irregularity on the inferior aspect of the glenoid, suggesting an avulsion fracture of the glenoid.
This patient needs his shoulder immobilised in a sling and a referral to an orthopaedic outpatient clinic.[/peekaboo_content]