A 17 year-old football player with prior shoulder dislocation presents to the emergency department reporting shoulder pain after fall. You obtain shoulder x-rays and see the following injury (Image courtesy of Richard Hopkins, MD).
What is your diagnosis? Are there any associated lesions you could expect to find? What is your emergency department management?
References:
- Zacchilli M.A., and Owens B.D.: Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010;92:542-549 PMID: 20194311
- Carrazzone, Oreste Lemos et al. Prevalence of lesions associated with traumatic recurrent shoulder dislocation. Revista brasileira de ortopedia 2015;46(3)281-7. PMC: 4799163
- Sugaya H., Moriishi J., Dohi M., Kon Y., and Tsuchiya A.: Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am. 2003;85:878-884. PMID: 12728039
- Horst, K et al. Assessment of coincidence and defect sizes in Bankart and Hill-Sachs lesions after anterior shoulder dislocation: a radiological study. The British journal of radiology 2014;87:20130673. PMC: 4064539
- Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations: Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med 1997;25(3):306-11. PMID: 9167808
- A. Rumian, D. Coffey, S. Fogerty, R. Hackney. Acute first-time shoulder dislocation. Orthop Trauma, 2011;25:363-368 No PMID.
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