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Radiology.Academy.Sk

XRAY Shouder dislocation

ANTERIOR SHOULDER DISLOCATION

Comparison: None available.

Findings: AP internal and external rotation views, axillary, scapular Y views, Grashey and West Point views of the right shoulder demonstrate humeral head displacement inferior and medial to glenoid. There is posterolateral humeral head wedge-shaped fracture (Hill-Sachs lesion). Anteroinferior glenoid appears intact (Bankart lesion). Soft tissues are unremarkable. Visualized lung is normal.

Impression: Anterior shoulder dislocation with Hill-Sachs fracture without evidence of bony Bankart lesion.
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POSTERIOR SHOULDER DISLOCATION

Comparison: None available.

Findings: AP internal and external rotation views, axillary, scapular Y views, Grashey and West Point views of the right shoulder demonstrate humeral head displacement SUPERIOR to glenoid. There is compression fracture of the anterior humeral surface (TROUGH sign). There is sharp angle of scapulohumeral arch (Moloney's arch). Posterior glenoid appears intact (Reverse Bankart). Soft tissues are unremarkable. Visualized lung is normal.

Impression: Posterior shoulder dislocation with Trough sign without evidence of Reverse Bankart lesion.