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MedPix® Teaching File Case No: 3932

Case Summary: 3932 - || - -
Contributed by: MS-4 USU Teaching File ( Uniformed Services University ) - || - Author Info
DiagnosisAnterior dislocation of the right shoulder
Dx confirmed by* Not Provided by Author *
DemographicAge: 41 - Gender: -
HistoryThe patient is a 41 y/o WF with a past medical history significant for an anterior dislocation of her right shoulder 3 months prior to presentation. The patient stated that she feels like she has “done it again,” complaining of pain and deformity. She denies any specific mechanism of injury.
Exam and Lab* Not Provided by Author *
ImagesDisplay Case Images - Click Here to Display Images
FindingsAP and axillary views (pre-reduction) of the right shoulder show displacement of the humeral head medially and anteriorly, without evidence of fracture. Two internal rotation views and an axillary view of the right shoulder (post-reduction) show successful reduction of an anterior dislocation noted on the previous study. In addition, there is a cleft-like defect of the superolateral aspect of the humeral head suggestive of a Hill-Sacks lesion. No other definite bony fractures are evident.
Differential* Not Provided by Author *


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