OCAD MSK

History

36M with chronic pain and limited motion 3 years after work related injury

Figure 1 for case dislocation ( RID4770 ) — Figure 1

Figure 2 for case dislocation ( RID4770 ) — Figure 2

Figure 3 for case dislocation ( RID4770 ) — Figure 3

Figure 4 for case dislocation ( RID4770 ) — Figure 4

Figure 5 for case dislocation ( RID4770 ) — Figure 5

Figure 6 for case dislocation ( RID4770 ) — Figure 6

Discussion

My colleague had to share this with me after a failed attempt at arthrography. He puts the shoulder in Grashey, but it doesnt really look like Grashey. No matter what, he couldnt get in and converted it to a routine MRI. The first set of Cor images look so nice....or do they? The crazy thing is that the injury was 3 years ago. Not all workers comp is bogus. I was taught the posterior shoulder dislocation locks the shoulder in internal rotation, but based on the axial image, it is not. 1) Why is that? 2) I think thats partly why the scout image for the arthrogram was so misleading.

Diagnosis

dislocation ( RID4770 )

Hilary Umans, MD

Courtesy

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