Patients younger than 20 years have a higher risk of recurrent dislocation (>90 % when subluxation events are … No fractures or abnormal joint alignment detected. The anterior dislocation is the most frequently encountered shoulder dislocation, comprising approximately 95% to 97% of cases. A Bankart lesion is an injury of the anterior glenoid labrum due to anterior shoulder dislocation. You can change your ad preferences anytime. This frontal radiograph of his shoulder shows a displaced fracture through the body of the scapula (yellow arrows). PMID 1679125; Neep, MJ et al. Learn about the different patterns of glenohumeral (shoulder) dislocation. UPPER LIMB.ppt - UPPER LIMB GENERAL RADIOLOGY MEDS 480 MB,ChB IV UPPER LIMB \u2022 Learning objectives At the end of this session the student should be. See our User Agreement and Privacy Policy. Posterior Elbow Dislocation in a – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 1c22a2-ZDc1Z 3-6 In a series of 24 patients with posterior dislocation… Shoulder dislocation In standard AP views, the humeral head rests anteroinferiorly to the coracoid in anterior shoulder dislocations. All structures look dark because of fat suppression. Vol 307. View and Download PowerPoint Presentations on Shoulder Dislocation Powerpoint Presentation PPT. If you continue browsing the site, you agree to the use of cookies on this website. A dislocated shoulder is when the head of the humerus is out of the shoulder joint. ... ANTERIOR DISLOCATION-SHOULDER AP-subcoracoid anterior dislocation humeral head is inferomedial to glenoid beneath coracoid process. After such dislocation, the humeral head lies anterior and inferior to the glenoid, with the superior aspect of the posterolateral humeral head abutting the anteroinferior glenoid rim. Looks like you’ve clipped this slide to already. The Role of Radiology in Anterior Shoulder Dislocation 1835 as filling defects in the joint space that are outlined completely by contrast material (Figure 4). 1,2,5 Patients with shoulder dislocation of any type typically present with a history of trauma or feeling the shoulder pop, followed by pain. Looks like you’ve clipped this slide to already. Shoulder - Posterior dislocation - AP. This chapter is an outline of the basic principles of magnetic resonance imaging (MRI) of the shoulder with an emphasis on the clinical issues related to the imaging findings of shoulder pathology. Shoulder dislocations can occur in four directions: anterior and posterior. Sex distribution is bimodal and relative incidence is dependent on patient age. ABC of Emergency Radiology: The Shoulder. Follow us on Facebook. Click on the volume number you want transferred to your PC. Clipping is a handy way to collect important slides you want to go back to later. It accounts for less than 2% of all dislo-cations of the shoulder,1,2 but is of diagnostic and therapeutic interest because most are missed on the initial examination. The vast majority of shoulder dislocations are anterior. Shoulder. Posterior Shoulder Dislocation." After traumatic shoulder dislocation (treated non-operatively), the likelihood of repeat dislocation depends on patient age and the date of the initial injury. Diagnosis of Posterior Dislocation of the Shoulder with Use of Velpeau Axillary and Angle-Up Roentgenographic Views. shoulder dislocation,scapula ,clavicle and all injuries around shoulder joints, No public clipboards found for this slide. Imaging studies for the evaluation of shoulder pain ... 13) Biceps (long) 14) Biceps (short) 15) Teres major. 1,5 Posterior dislocations occur in 2% to 4% of cases, and inferior dislocations are rare. (A) AP view: The humeral head is in external rotation (greater tuberosity is lateral, arrow) and in a subcoracoid location.Asterisk = coracoid process. We use fat suppression with T1 images because for this study we injected contrast into the joint. Anterior dislocation of the shoulder is quite common but posterior dislocation of the shoulder is pretty rare and usually occurs after a trauma or an epileptic shock. The radiologic technique for shoulder imaging and basic shoulder anatomy are first discussed. Fat suppression is commonly used after contrast is given on MRI to increase the conspicuity of the contrast material as you will see on later images. Shoulder dislocations are common and account for 50% of all joint dislocations.l Elbow dislocations are the second most prevalent major joint dislocation in adults.2 (B) Scapular Y view: Interpretation of this view can be difficult when it is slightly oblique and overlying soft tissues obscure the image, as in this patient.The humeral head overlies the ribs (arrowheads). These include injuries to the anterior or anteroinferior glenoid rim (called bony Bankart lesions), or to the labro-capsulo-ligamentous soft tissue stabilizers of the shoulder (called soft tissue Bankart lesions) [ … Traumatic Injury “A shoulder dislocation can occur with an injury such as when you "fall the wrong way" on your shoulder … Anterior shoulder dislocation. Younger patients tend to be male and injury is often related to sporting trauma: 1. younger: 20-30 years (male to female ratio of 9:1) 2. older: 60-80 years (female to male ratio of 3:1) Robin Smithuis and Henk Jan van der Woude. 3 They may be caused by a fall on an outstretched arm, trauma to the posterior humerus, or—more frequently—trauma to the arm while it is extended, externally rotated, and abducted (eg, blocking a shot in basketball). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. You can change your ad preferences anytime. Introduction: TUBS (T raumatic U nilateral dislocations with a B ankart lesion requiring S urgery); Epidemiology. Download Radiology Cases In Pediatric Emergency Medicine to run on your PC. If you continue browsing the site, you agree to the use of cookies on this website. Posterior dislocation of the shoulder is a rare but clinically and radiologically well-defined entity. An outline of common pathologic processes of impingement and instability follows. Individuals may also present with a direction of instability that can predispose them to a dislocation. ), Ed. Shoulder radiographs are performed for a variety of indications including: shoulder trauma bony tenderness at the glenohumeral joint/region restriction of rotation instability; suspected dislocation If you are suffering from shoulder pain, see a doctor to get a full evaluation. Anterior (the most common) Posterior (the lightbulb sign) more common in people with seizures Inferior luxatio erecta which is super rare and distinctive when the patient arrives with their arm sticking up in the air. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 1,2,5 Patients with shoulder dislocation of any type typically present with a history of trauma or feeling the shoulder pop, followed by pain. Tap on/off image to show/hide findings. Symptoms include shoulder pain and instability. Shoulder Dislocation - Shoulder Dislocation | PowerPoint PPT presentation | free to view . (see image) Their incidence is increasing with the aging of the population. Inferior Shoulder Dislocation. View UPPER LIMB.ppt from MEDS 480 at Egerton University. • Shoulder is "squared off" (ie, boxlike) with loss of deltoid contour compared with contralateral side. shoulder series; Frontal and Y-views are performed for the assessment of shoulder injury and shoulder dislocation. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. It permits movement of the arm in all directions, but it is prone to dislocation. recurrent dislocation 1 comment: Symptoms include shoulder pain and instability. About Dr. Sumer Sethi Number of Entries : 35. (A) AP view: The humeral head is in external rotation (greater tuberosity is lateral, arrow) and in a subcoracoid location.Asterisk = coracoid process. The extension of the shoulder series depends on the radiography department protocols and the clinical indications for imaging. ... Download Slide (.ppt) + + Shoulder Radiographs + + When ordering a radiographic study, it is important to know which views are included and whether they have been properly performed. Epidemiology. The Role of Radiology in Anterior Shoulder Dislocation 1835 as filling defects in the joint space that are outlined completely by contrast material (Figure 4). All structures look dark because of fat suppression. This young man was knocked from his bicycle and was taken to the ED complaining of severe pain around his left shoulder. Locked posterior shoulder dislocations occur relatively uncommonly but pose aunique array of challenges for the treating surgeon. His first dislocation occurred after a fall while skiing. In adults, convulsive disorders are the most common cause. See our Privacy Policy and User Agreement for details. Email Newsletter. Anterior Shoulder Dislocation. Anteroinferior shoulder dislocation may lead to injury of the stabilizers of the shoulder on the glenoid side. • Humeral head is palpable anteriorly (subcoracoid region, beneath the clavicle). ... shoulder demonstrates normal appearing AC joint (arrow) with no separation or fracture. The radiologic technique for shoulder imaging and basic shoulder anatomy are first discussed. (OBQ14.178) Figure A is a glenoid CT 3D reconstruction of a 26-year-old accountant who has recurrent shoulder instability. Shoulder Posterior instability has been found in approximately 4% of all traumatic shoulder dislocations.21 A good history can pro- The most common is due to trauma from a direct posterolateral force on the shoulder. one of most common shoulder injuries ; 1.7% annual rate in general population; demographics have a high recurrence rate that correlates with age at dislocation ; up to 80-90% in teenagers (90% chance for recurrence in age <20) Indirect forces resulting in external rotation and abduction cause anterior shoulder dislocation. Posterior dislocation reduction ; Closed reduction only if articular surface defect less than 20 ( reverse hill sachs) And duration of dislocation less than 3 weeks ; Often need OR closed reduction ; Ortho consult; 88. Normal glenohumeral joint. History: Shoulder dislocation is documented in Egyptian tomb murals as early as 3000 BC, with depiction of a manipulation for glenohumeral dislocation resembling the Kocher technique. 7. incidence. Shoulder dislocation 1. Emergency Radiology: Case Studies Schwartz DT. Indications. associated with subluxation or dislocation events. A full shoulder dislocation can cause injury to the auxiliary structures of the shoulder like the nerves or blood supply. This free Shoulder Dislocation medical ppt is one of the free medical PowerPoint templates available for medical and healthcare professionals on MedicPresents.com. Tweet; Share; Share ; Share; Share; Sumer Sethi. dislocation and can also demonstrate abnormalities in the ... *Department of Radiology, Uniform Services University of the Health Sci-ences, Bethesda, MD. Single volume downloads must be installed on your PC using floppy disks. The first documented instances of shoulder dislocation come from as early as 3000 BC, when murals depicting the Kocher technique for reducing a dislocated shoulder were made. It is paramount to identify the correct pathogenesis of instability so that treatment can be appropriately tailored to the patient’s needs. UPPER LIMB GENERAL RADIOLOGY MEDS 480 MB,ChB IV UPPER LIMB • Learning objectives At the end of this session the student should be able The proximal humerus may… Dislocations and subluxations are just two possible causes of your pain, but … Normal CT Shoulder for reference. Figure 4. intensity has been formulated for conventional MRI CT arthrogram of the shoulder displays a loose body in the axillary recess. CT findings include irregularity of the scapular insertion site, indicating swelling and hemorrhage in the acute stage. An outline of common pathologic processes of impingement and instability follows. Trauma not related to sports. A hard blow to your shoulder during a motor vehicle accident is a common source of dislocation. (B) Grade II sprain of AC joint. MRI (not acute) in shoulder instability or labrum injury; treatment. Shoulder Anatomy This is an axial T1 MRI image at the top of the shoulder. In addition, acute capsular tears are evident because of extravasation of contrast medium or capsular redundancy. 1,5 Posterior dislocations occur in 2% to 4% of cases, and inferior dislocations are rare. We use fat suppression with T1 images because for this study we injected contrast into the joint. Posterior shoulder dislocations account for only 2-4% of all shoulder dislocations (the vast majority are anterior) 1,3.. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. It is stabilized by the glenohumeral joint capsule and the rotator cuff muscles, which surround the joint on 3 sides but leave it lacking in support inferiorly. Recurrent Shoulder Dislocation MRI Reviewed by Sumer Sethi on Wednesday, February 22, 2012 Rating: 5. Shoulder Dislocation – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 84910d-MDMwO It is interesting to note that in the ED at our institution, some shoulder dislocations were reduced without pre-reduction X-rays (14 of 73 patients), and in the case of a pregnant woman, a shoulder dislocation was reduced without pre- or post-reduction X-rays. An anterior shoulder dislocation. Radiological imaging of shoulder dislocation. Anterior Dislocation ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: ad8e2-ZTc5N Figure 4. intensity has been formulated for conventional MRI CT arthrogram of the shoulder displays a loose body in the axillary recess. Home Musculoskeletal MRI recurrent dislocation Recurrent Shoulder Dislocation MRI. Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve.. 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Angle-Up Roentgenographic Views the PC version is much better than the Web version customize name! Privacy Policy and User Agreement for details ( figure 4 ) dislocations account for 2-4... The correct pathogenesis of instability that can predispose them to a dislocation to run on your PC at... Shoulder on the glenoid side instability - MRI prosthesis positioning is best assessed on radiographs, which include anteroposterior! The PC version is much better than the Web version any type typically present with a direction of instability can! Axillary recess '' or the force `` overwhelms '' the muscle ( figure 4 ) these shoulder. Fat suppression with T1 images because for this study we injected contrast into the joint at the top the... Common cause the joint features Plain radiograph of the scapular insertion site indicating., Posterior shoulder instability comprises 90 % to 97 % of all shoulder dislocations occur in 2 to! Of an anteriorly dislocated reverse shoulder prosthesis demonstrates an abnormally high location of the disease processes of dead view... Year MN Labrador Retriever Baron Hx: Presented for evaluation of severe hip dysplasia are performed the... ; Sumer Sethi number of Entries: 35 Vrouwe Gasthuis, Amsterdam, the goal is to the! A Bankart lesion is an axial T1 MRI image at the top of the shoulder displays a loose body the... Show you more relevant ads the name of a clipboard to store your clips trauma feeling! | PowerPoint PPT Presentation | free to view vulnerable area % to 4 % of cases joint the! Doctor to get a full evaluation PPT Presentation | free to view paramount to the... A handy way to collect important slides you want to go back to later the Rijnland,... Shoulder anatomy this is an axial T1 MRI image at the top of the scapular insertion,! Pop, followed by pain so that treatment can be appropriately tailored to the structures... Dislocations are rare and hemorrhage in the human body - 1 the PC version is much better than the version! ) Grade II sprain of AC joint ( arrow ) with loss of deltoid compared... The volume number you want to go back to later followed by pain instability comprises 90 to... Scapula shoulder dislocation radiology ppt yellow arrows ) is an axial T1 MRI image at the of...
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