CASE 15 Kevin Rowan, Anthony G. Ryan, Peter L. Munk, and Bruce B. Forster A 53-year-old man was admitted to the emergency department with bilateral shoulder pain following a grand mal seizure. Figure 15A Figure 15B Figure 15C AP radiographs of the right and left shoulders (Figs. 15A, 15B) show bilateral fractures of the medial humeral heads and abnormal glenohumeral articulation, with both humeri noted to be in internal rotation. An image from a subsequent CT scan (Fig. 15C) shows bilateral posterior glenohumeral dislocations with bilateral impaction fractures of the medial humeral heads. Bilateral posterior shoulder dislocations with reverse Hill-Sachs (McLaughlin) fractures. None: this is a pathognomonic appearance.
Bilateral Shoulder Dislocations
Clinical Presentation
Radiologic Findings
Diagnosis
Differential Diagnosis
Discussion
Background
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