Posterior shoulder dislocation with reverse Hill-Sachs

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Fall

Patient Data

Age: 55 years
Gender: Male

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.

Post reduction

x-ray

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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