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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.
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.
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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.
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]
Lateral view demonstrating the articular surface of the right scapula is shown. Symptoms: Shoulder instability and widespread shoulder discomfort, and catching, locking, or popping feelings in shoulders. [1] Risk factors: Anterior shoulder dislocation and/or repeated anterior shoulder subluxations. [2] Diagnostic method: X-ray and MRI ...
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