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The light bulb sign is best observed on an AP radiograph of the shoulder. [5] Key features include: Rounded humeral head: The humeral head appears symmetrically rounded, resembling a light bulb due to internal rotation. Loss of normal glenohumeral overlap: The humeral head is posteriorly displaced, disrupting the alignment with the glenoid cavity.
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior (inferior) glenoid labrum of the shoulder. [ 4 ] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
Hill-Sachs deformities occur in 35–40% of anterior dislocations. They can be seen on a front-facing X-ray when the arm is in internal rotation. [11] Bankart lesions are disruptions of the glenoid labrum with or without an avulsion of bone fragment. [12] Damage to the axillary artery [13] and axillary nerve (C5, C6) may result.
Medial and lateral rotation of the shoulder (also known as internal and external rotation). Medial rotation is carried out by the anterior fibres of the deltoid, teres major, subscapularis, pectoralis major and the latissimus dorsi. Lateral rotation is carried out by the posterior fibres of the deltoid, infraspinatus and the teres minor.
X-ray at right shows same shoulder after reduction and internal rotation, revealing both a Bankart lesion and a Hill-Sachs lesion. Diagnosis can be suspected by history and physical examination which is usually followed by imaging. Because of the mechanism of injury, apprehension of anterior dislocation is common with provocative maneuvers.
The muscles of internal rotation include: of arm/humerus at shoulder. Anterior part of the deltoid muscle [1] Subscapularis [1] Teres major [1] Latissimus dorsi [1] Pectoralis major [1] of thigh/femur at hip [2] Tensor fasciae latae; Gluteus generalis; Anterior fibers of Gluteus meralis; Adductor longus and Adductor brevis; of leg at knee [3 ...
Shoulder anatomy, front view Shoulder anatomy, back view. The rotator cuff is an anatomical term given to the group of four muscles and their tendons that act to stabilize the shoulder. [3] These muscles are the supraspinatus, infraspinatus, teres minor and subscapularis and that hold the head of the humerus in the glenoid cavity during ...
Some physical therapy exercises that can be performed to help rehab the shoulder are: While standing and using a theraband you can perform Y, T, and I’s, Internal shoulder rotation, External shoulder rotation, Shoulder extensions, and Scapula squeezes While lying on your side you can perform internal rotation and external rotation with a ...