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Wheeless' Textbook of Orthopaedics
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Radiographs for Posterior Shoulder Dislocation



- See:
    - Radiographic Studies for the Shoulder:
    - Posterior Shoulder Dislocation:

- Findings Seen on Specific Radiographic Views:
    - Axillary View:
          - reverse hill sachs lesion:
    - AP of the Shoulder:
          - because humerus is internally rotated, the greater tuberosity will not be seen laterally, but
                rather will be seen directly in front of the humeral head;
          - subacromial dislocation:
                - posterior dislocation may leave humeral head in subacromial position so that humeral head lies behind the glenoid;
          - subglenoid:   head is beneath and behind the glenoid;
          - subspinous: in which head is medial to acromion & beneath spine of scapula;
          - loss of elliptical overlap:
                - on the standard AP of the shoulder (perpendicular to the body and not the scapula), the
                      glenoid will be shown to have an oblique profile;
                - normally the humeral head will overlap the posterior portion of the obliquely profiled glenoid, but in
                      the case of posterior dislocation, the normal overlap will not be present;
          - vacant glenoid sign:
                - refers to void seen in anterior half of glenoid fossa in posterior dislocations;
          - 6 mm rim sign:
                - space between anterior rim of glenoid & humeral head > 6 mm is highly
                      suggestive of a posterior dislocation;








Original Text by Clifford R. Wheeless, III, MD.