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X-ray shoulder showing light bulb sign (left) in posterior shoulder dislocation. The image on the right was taken after reposition. The light bulb sign is a radiological finding observed on plain radiographs in the context of posterior shoulder dislocation. [1]
Both before and after reduction, with lesions labeled. Vector (.svg) version is available. The bony Bankart lesion is new, as evidenced by lack of cortex on the superior part of the fragment, and is presumed to be caused by glenohumeral ligaments pulling the humerus towards the glenoid as the shoulder dislocates, causing a fracture even without significant external forces.
Anterior shoulder dislocation while carrying a frail elder. A dislocated shoulder is a condition in which the head of the humerus is detached from the glenoid fossa. [2] Symptoms include shoulder pain and instability. [2] Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. [1]
The mechanism which leads to shoulder dislocation is usually traumatic but can vary, especially if there is history of previous dislocations. Sports, falls, seizures, assaults, throwing, reaching, pulling on the arm, or turning over in bed can all be causes of anterior dislocation. [citation needed]
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The shoulder joint has a very loose joint capsule, which can sometimes predispose the shoulder to dislocate. [ citation needed ] The "U shaped" dependent portion of the axillary part of the capsule ,located between the anterior and posterior bands of inferior glenohumeral ligament, is called "axillary pouch".
The standard x-ray views of the shoulder include a true anterior-posterior view, a lateral (Y or outlet) view, and an axillary view. [13] A Velpeau view can be done as an alternative to the axillary view if an examinee is unable to position the shoulder for an appropriate image.
Most closed infra-clavicular injuries due to shoulder dislocation are managed non-operatively initially and data shows that most fail to recover sensory function but recover some motor function. [4] For milder injuries involving buildup of scar tissue and for neurapraxia, the potential for improvement varies, but there is a fair prognosis for ...