Posterior shoulder dislocation with reverse Hill-Sachs

Case contributed by Dr Andrew Dixon

Presentation

Fall

Patient Data

Age: 55 years
Gender: Male
X-ray

Left shoulder

Frontal projection demonstrates loss of normal articulation between the glenoid and humerus, with the humeral head resembling the Light bulb sign suggesting posterior dislocation. 

Associated reverse Hill-Sachs impaction fracture of the anteromedial humeral head and Trough line sign.

Posterior glenohumeral joint dislocation is confirmed on the lateral view.

X-ray

Post reduction

Gleno-humeral joint is enlocated post-reduction. Reverse Hill-Sachs defect remains visible. 

Case Discussion

Posterior shoulder dislocation with reverse Hill-Sachs lesion and post-reduction images. 

 

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Case information

rID: 72716
Published: 26th Feb 2020
Last edited: 27th Feb 2020
Inclusion in quiz mode: Included

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