scholarly journals Just the Facts: Point-of-care ultrasound in the management of shoulder dislocations

CJEM ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. 287-290
Author(s):  
Ryan Henneberry ◽  
Tara Dahn ◽  
Paul Atkinson
Keyword(s):  
Emergency Department ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Shoulder Dislocation ◽  
Point Of Care ◽  
Left Shoulder ◽  
Point Of Care Ultrasound ◽  
Posterior Shoulder Dislocation ◽  
Posterior Shoulder

A 59-year-old man presents with left shoulder pain after falling while playing with his dog at the park. He drove himself to the emergency department (ED). He reports 5/10 pain and has reduced range of motion of the shoulder. His shoulder looks normal on exam and is not squared off. You wonder if he might have a posterior shoulder dislocation.

Traumatic bilateral posterior dislocation of the shoulder: a case report

Open Medicine ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. 810-813
Author(s):  
C. Garving ◽  
T. Dienstknecht ◽  
K. Horst ◽  
M. Pishnamaz ◽  
P. Kobbe ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Dislocation ◽  
Limited Range ◽  
Clinical Suspicion ◽  
Posterior Dislocation ◽  
X Rays ◽  
Posterior Shoulder Dislocation ◽  
Limited Range Of Motion ◽  
Posterior Shoulder ◽  
Bilateral Posterior Shoulder Dislocation

AbstractIntroduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.

scholarly journals Frozen shoulder or missed posterior dislocation?

2016 ◽  
Vol 27 (2) ◽  
pp. 58
Author(s):  
D Leijnen
Keyword(s):  
Shoulder Pain ◽  
Shoulder Dislocation ◽  
Clinical Presentation ◽  
Frozen Shoulder ◽  
Posterior Dislocation ◽  
Posterior Shoulder Dislocation ◽  
Diagnosis And Management ◽  
Posterior Shoulder

The clinical presentation of a missed posterior shoulder dislocation has similarities with an idiopathic frozen shoulder masking properdiagnosis at the time of injury. We report a case of a 48-year-old woman with shoulder pain which demonstrates the importance of correctinitial diagnosis and management.

scholarly journals Acute Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion of the Epiphyseal Humeral Head

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Luigi Patrizio ◽  
Ettore Sabetta
Keyword(s):  
Activities Of Daily Living ◽  
Humeral Head ◽  
Shoulder Dislocation ◽  
Daily Living ◽  
Articular Surface ◽  
Left Shoulder ◽  
Posterior Shoulder Dislocation ◽  
Lesser Tuberosity ◽  
Direct Trauma ◽  
Posterior Shoulder

Posterior dislocation of the shoulder is an unfrequent event that often occurs as a consequence of a direct trauma or epileptic crisis. Frequently the posterior dislocations are misunderstood, so they become chronic lesions. We reported a case of an acute posterior left shoulder dislocation with lesser tuberosity fracture and reverse Hill-Sachs lesions which involved more than 25% of the articular surface of the humeral head, in a 57-old-year man with right hemiparesis. We performed a synthesis of the lesser tuberosity with a screw, and we restored the shape of the humeral head with allograft. We achieved a good result that allows the patient to be able to do his previous activities of daily living.

Acute massive rotator cuff rupture with posterior shoulder dislocation: arthroscopic novel repair of a rare injury. A case report

2021 ◽  
pp. jisakos-2020-000553
Author(s):  
German Alejandro Jaramillo Quiceno ◽  
Sergio Andres Arroyave Rivera ◽  
Margarita Maria Ortiz
Keyword(s):  
Rotator Cuff ◽  
Shoulder Dislocation ◽  
Road Traffic ◽  
Biceps Tendon ◽  
Rotator Cuff Tears ◽  
Left Shoulder ◽  
Posterior Shoulder Dislocation ◽  
Massive Rotator Cuff Tear ◽  
Double Row ◽  
Posterior Shoulder

Acute massive rotator cuff tears and posterior shoulder dislocations are an extremely rare association, and a vast majority are treated by open surgery. We present a case of a man in his 20s who suffered closed left shoulder trauma after a road traffic accident. He was initially diagnosed with posterior shoulder dislocation and a reduction was successfully performed. However, the patient still complained of persistent weakness during active movements. We found a massive rotator cuff tear involving all the rotator cuff tendons, with significant supraspinatus retraction and persistent posterior shoulder subluxation. He underwent an all-arthroscopic repair of the rotator cuff with a double-row technique in the subscapularis, supraspinatus and infraspinatus muscles. Capsular repair and tenodesis of the biceps tendon were also performed. The patient had good recovery, reaching full preinjury function 3 months after surgery with a successful return to his regular activities.

scholarly journals Posterior Shoulder Dislocation Due to an Atypical Trauma Mechanism

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0019
Author(s):  
Şevket Ergun Güzel ◽  
Özgür Baysal ◽  
Engin Eceviz ◽  
Nurzat Elmalı
Keyword(s):  
Emergency Department ◽  
Shoulder Joint ◽  
Shoulder Dislocation ◽  
High Energy ◽  
Posterior Shoulder Dislocation ◽  
Shoulder Range Of Motion ◽  
Basketball Game ◽  
Posterior Shoulder ◽  
Joint Dislocations ◽  
The Right

Objectives: A 32 year old man who was admitted to the emergency department with serious pain and absent movement of the right upper extremity due to passing the ball in a basketball game. He had no shoulder dislocation in his medical history. The right shoulder position was flexion and adduction. The shoulder range of motion was restricted and the neurovascular examination was intact. Posterior shoulder dislocation was diagnosed in radiographs.The aim of the study is pointed out an unusual mechanism of the posterior shoulder dislocations which is related microtrauma. The main problem in treatment of this kind of dislocation is correct and timely diagnosis. Methods: After diagnosing the posterior shoulder dislocation, we reducted the shoulder joint immediately and immobilized in abduction and external rotation with Velpeau bandage. We took radiographs and computerized tomography to confirm the reduction of the joint and diagnose the additional bone pathology. Reverse Hill Sacks lesion was diagnosed. Two weeks later after diagnosing passive range of movement exercises were applied. Magnetic resonance imaging was done to diagnose the additional pathology. Results: There was no spesific finding in radiographs and reverse Hill Sachs lesion and anterior labral tear were determined in magnetic images finding. Conclusion: Shoulder joint dislocations are the most seen pathology in the emergency department. On the other hand posterior shoulder dislocations are less common than anterior dislocations, but more commonly missed. Posterior shoulder dislocations are caused by high energy trauma, seizures, electric shocks and microtrauma.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

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