EURORAD ESR

Case 15005

Bilateral Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion

Author(s)
Ricardo Correia, Márcio Rodrigues, André Carvalho, Miguel Castro

Hospital Sao Joao; Alameda Professor Hernâni Monteiro 4200-319 Porto, Portugal; Email:ricardogdc@sapo.pt
 
Patient
female, 49 year(s)
 
 
  • Figure 1
    Shoulder Radiographs

    Bilateral frontal shoulder radiographs show a lightbulb appearance (*) of both humerus. There is a fracture and bone fragmentation (arrows) on the medial side of each humeral head and proximal humerus.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
  • Figure 2
    CT
     

    CT shows the posterior position of humeral heads to glenoid and (A) an impaction fracture of the anteromedial aspect of both humeral heads (arrowheads). These represent reverse Hill-Sachs lesions.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    On a lower level (B) there is bone fracture with fragmentation involving the lesser tubercles (arrows). Both glenoids are intact.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
Bilateral frontal shoulder radiographs show a lightbulb appearance (*) of both humerus. There is a fracture and bone fragmentation (arrows) on the medial side of each humeral head and proximal humerus.
 
CT shows the posterior position of humeral heads to glenoid and (A) an impaction fracture of the anteromedial aspect of both humeral heads (arrowheads). These represent reverse Hill-Sachs lesions.
 
On a lower level (B) there is bone fracture with fragmentation involving the lesser tubercles (arrows). Both glenoids are intact.
 
 
 
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