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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.
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 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.
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]
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.
Trauma such as a fall [2] Risk factors: Contact sports [3] Diagnostic method: Examination, X-rays [2] Differential diagnosis: Dislocated shoulder, clavicle fracture [4] Treatment: Type I and II: Sling and pain medication [2] Type III: Conservative management and surgery if still symptoms [2] Type IV, V, VI: Surgery [2] Frequency: Relatively ...
Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. It is designed for true anterior/subcoracoid glenohumeral dislocations in patients who can fully adduct their humerus. [2]
Animation of shoulder joint showing the supraspinatus muscle. The rotator cuff muscles of the shoulder produce a high tensile force, and help to pull the head of the humerus into the glenoid cavity. The glenoid cavity is shallow and contains the glenoid labrum which deepens it and aids stability. With 120 degrees of unassisted flexion, the ...