Many of the common pathology outlined above can cause concomitant injuries. Be sure to check for pneumothoraces and rib fractures when visible on the obtained films, and the dreaded incidental finding of the Pancoast Tumor, Osteonecrosis of humeral head (Hass Disease). If the patient reports no trauma, or minimal trauma that does not explain their level of pain or disability, consider septic joints.
Want a basic approach to traumatic shoulder imaging? Check out EMRad’s Approach to the traumatic shoulder.