shoulder dislocation radiology ppt

The radiologic technique for shoulder imaging and basic shoulder anatomy are first discussed. The radiologic technique for shoulder imaging and basic shoulder anatomy are first discussed. Shoulder The vast majority of shoulder dislocations are anterior. CT findings include irregularity of the scapular insertion site, indicating swelling and hemorrhage in the acute stage. 16) Latissimus. converts inferior dislocation to anterior dislocation; clinician stands at patient's head, pushes laterally on humerus (one hand) while pulling superiorly on medial epicondyle (other hand), which should rotate HH from inferior to anterior around the glenoid rim . Shoulder Anatomy This is an axial T1 MRI image at the top of the shoulder. It permits movement of the arm in all directions, but it is prone to dislocation. There are also fractures … 1,5 Posterior dislocations occur in 2% to 4% of cases, and inferior dislocations are rare. Shoulder instability - MRI. Dislocation We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The anterior dislocation is the most frequently encountered shoulder dislocation, comprising approximately 95% to 97% of cases. Anterior dislocations account for 95% of all presented cases of shoulder dislocation, making them the most common type. Home Musculoskeletal MRI recurrent dislocation Recurrent Shoulder Dislocation MRI. Seventy-three patients presented to the ED with shoulder dislocations over an 18-month period; 55 of these patients had pre- and post-reduction X-rays and were included in the study. Diagnosis of Posterior Dislocation of the Shoulder with Use of Velpeau Axillary and Angle-Up Roentgenographic Views. 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) • Shoulder is "squared off" (ie, boxlike) with loss of deltoid contour compared with contralateral side. 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. Shoulder dislocation In standard AP views, the humeral head rests anteroinferiorly to the coracoid in anterior shoulder dislocations. No public clipboards found for this slide. Shoulder dislocation result in a significant amount of lost practice and game time, and has physical and psychological consequences for the athlete. This free Shoulder Dislocation medical ppt is one of the free medical PowerPoint templates available for medical and healthcare professionals on MedicPresents.com. If you continue browsing the site, you agree to the use of cookies on this website. Their incidence is increasing with the aging of the population. Anterior dislocation ( 10 15 %) 2 . Shoulder Anatomy This is an axial T1 MRI image at the top of the shoulder. 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). We use fat suppression with T1 images because for this study we injected contrast into the joint. Shoulder Dislocation – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 84910d-MDMwO A Bankart lesion is an injury of the anterior glenoid labrum due to anterior shoulder dislocation. Trauma not related to sports. He has now sustained his third dislocation, which was reduced in the emergency department prior to being sent to your office. An anteroposterior view of an anteriorly dislocated reverse shoulder prosthesis demonstrates an abnormally high location of the humeral component relative to the glenoid. recurrent dislocation 1 comment: Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 1. Emergency Radiology: Case Studies Schwartz DT. Tags : Musculoskeletal MRI recurrent dislocation. Email Newsletter. • Humeral head is palpable anteriorly (subcoracoid region, beneath the clavicle). For shoulder subluxation, the goal is to treat the mechanical problem such as a torn rotator cuff so the shoulder can heal. 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. If you continue browsing the site, you agree to the use of cookies on this website. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals. 1. You can change your ad preferences anytime. ... shoulder demonstrates normal appearing AC joint (arrow) with no separation or fracture. In adults, convulsive disorders are the most common cause. FOV (max) Slice (max) TE Matrix (min) Ax Int FS 16 cm 3.5 mm 40-60 256x256 Cor Obl Int FS 16 cm 3.5 mm 40-60 256x256 Image quality on the PC version is much better than the Web version. Inferior Shoulder Dislocation. (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). 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. Prosthesis positioning is best assessed on radiographs, which include an anteroposterior view and either an axillary or a scapular Y view. In this case, the muscles are "unprepared" or the force "overwhelms" the muscle (Figure 4). After traumatic shoulder dislocation (treated non-operatively), the likelihood of repeat dislocation depends on patient age and the date of the initial injury. Shoulder Dislocation - Shoulder Dislocation | PowerPoint PPT presentation | free to view . Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve.. A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. (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). A dislocated shoulder is when the head of the humerus is out of the shoulder joint. 10.1055/b-0036-129609 Proximal Humerus Fractures and Shoulder Dislocations Michael J. Gardner and Andrew H. Schmidt Proximal humerus fractures represent up to 5% of all fractures, and they most often occur in an elderly person with osteoporosis as the result of a fall. Magnetic Resonance Imaging If you continue browsing the site, you agree to the use of cookies on this website. Locked posterior shoulder dislocations occur relatively uncommonly but pose aunique array of challenges for the treating surgeon. Anterior shoulder dislocation. Posterior dislocation of the shoulder is a rare but clinically and radiologically well-defined entity. Individuals may also present with a direction of instability that can predispose them to a dislocation. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Posterior instability has been found in approximately 4% of all traumatic shoulder dislocations.21 A good history can pro- 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). Mechanism. This is free software. View UPPER LIMB.ppt from MEDS 480 at Egerton University. All structures look dark because of fat suppression. An outline of common pathologic processes of impingement and instability follows. Next, there is a delineation of the disease processes of dead arm… See our Privacy Policy and User Agreement for details. Tap on/off image to show/hide findings. 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 shoulder is a ball-in-socket 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 most common is due to trauma from a direct posterolateral force on the shoulder. 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. Hover on/off image to show/hide findings. An anterior shoulder dislocation. Shoulder dislocation 1. Nicholson, DA et al. October 1993. Anterior Dislocation ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: ad8e2-ZTc5N See our Privacy Policy and User Agreement for details. Learn about the different patterns of glenohumeral (shoulder) dislocation. Shoulder dislocation occurs more frequently in adolescents than in younger children because the weaker epiphyseal growth plates in children tend to fracture before dislocation occurs. ABC of Emergency Radiology: The Shoulder. After traumatic shoulder dislocation (treated non-operatively), the likelihood of repeat dislocation depends on patient age and the date of the initial injury. High Grade Sarcomas Arising from the Shoulder Girdle - High Grade Sarcomas Arising from the Shoulder Girdle | PowerPoint PPT presentation | free to view . Feel free to distribute this software to others. Epidemiology. 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. 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. Robin Smithuis and Henk Jan van der Woude. Follow Radiology Masterclass on … similar technique as for anterior shoulder dislocations; two-step technique . Vol 307. ... ANTERIOR DISLOCATION-SHOULDER AP-subcoracoid anterior dislocation humeral head is inferomedial to glenoid beneath coracoid process. An outline of common pathologic processes of impingement and instability follows. associated with subluxation or dislocation events. You can change your ad preferences anytime. Schwartz D.T.(Ed. See our User Agreement and Privacy Policy. The shoulder is said to be the most mobile joint in the human body. 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. No fractures or abnormal joint alignment detected. Tweet; Share; Share ; Share; Share; Sumer Sethi. His first dislocation occurred after a fall while skiing. Shoulder dislocations can occur in four directions: anterior and posterior. Bloom, M. et al. 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) Posterior shoulder dislocations account for only 2-4% of all shoulder dislocations (the vast majority are anterior) 1,3.. (OBQ14.178) Figure A is a glenoid CT 3D reconstruction of a 26-year-old accountant who has recurrent shoulder instability. It is paramount to identify the correct pathogenesis of instability so that treatment can be appropriately tailored to the patient’s needs. Posterior labral detachments and capsular damage along with reverse Hill-Sachs lesions are commonly present in these patients and must often be addressed at the time of surgical intervention. Indications. This young man was knocked from his bicycle and was taken to the ED complaining of severe pain around his left shoulder. 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. Falls. Normal CT Shoulder for reference. If you are suffering from a shoulder injury, you might hear the terms shoulder dislocation and shoulder subluxation during the examination and wonder if they are the same thing. Follow us on Facebook. 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 Although anterior shoulder instability comprises 90% to 95% of shoulder instability, posterior shoulder instability can also be present. ... 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. 3-6 In a series of 24 patients with posterior dislocation… 7. Dr/ ABD ALLAH NAZEER. A dislocated shoulder is when the head of the humerus is out of the shoulder joint. Introduction: TUBS (T raumatic U nilateral dislocations with a B ankart lesion requiring S urgery); Epidemiology. Click on the volume number you want transferred to your PC. The first step in evaluating a suspected shoulder dislocation is to order an AP radiographic view of the shoulder (known as the Grashey view).A transcapular view (known as the scapular “Y” view) is also sufficient. The proximal humerus may… Recurrent Shoulder Dislocation MRI Reviewed by Sumer Sethi on Wednesday, February 22, 2012 Rating: 5. Radiography of the acutely injured shoulder. (see image) ----- Elbow dislocation Dislocations are posterior in more than 90% of cases In a posterior dislocation, these show the radius and ulna lying posterior to the distal humerus. About Dr. Sumer Sethi Number of Entries : 35. A hard blow to your shoulder during a motor vehicle accident is a common source of dislocation. A fragment of bone is visible at the anterior-inferior edge of the glenoid; A fracture of the anterior glenoid following shoulder dislocation is … The glenohumeral joint is widened (arrowheads) and the humeral head has taken on a more rounded 'light bulb' shape; These are typical appearances of a posterior glenohumeral dislocation All structures look dark because of fat suppression. Posterior labral detachments and capsular damage along with reverse Hill-Sachs lesions are commonly present in these patients and must often be addressed at the time of surgical intervention. Be effective with all your medical PowerPoint presentations by easily filling your medical and healthcare content in our free Shoulder Dislocation medical background for PowerPoint. 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. Posterior Shoulder Dislocation." Traumatic Injury “A shoulder dislocation can occur with an injury such as when you "fall the wrong way" on your shoulder … Sex distribution is bimodal and relative incidence is dependent on patient age. 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 Shoulder Dislocation THURSDAY 20TH NOVEMBER 2014 2. Imaging studies for the evaluation of shoulder pain ... 13) Biceps (long) 14) Biceps (short) 15) Teres major. In addition, acute capsular tears are evident because of extravasation of contrast medium or capsular redundancy. The humeral head has been relocated following an anterior dislocation. Indirect forces resulting in external rotation and abduction cause anterior shoulder dislocation. shoulder series; Frontal and Y-views are performed for the assessment of shoulder injury and shoulder dislocation. Anterior shoulder dislocation • sub-coracoid dislocation, sub-glenoid, subcalvicular, intrathoracic (rare) • Arm is held in slight abduction and external rotation. Now customize the name of a clipboard to store your clips. 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) [ … Dislocations and subluxations are just two possible causes of your pain, but … There were no posterior shoulder dislocations. Shoulder Dislocation Eddiesmithpt PPT. Now customize the name of a clipboard to store your clips. Shoulder dislocation occurs more frequently in adolescents than in younger children because the weaker epiphyseal growth plates in children tend to fracture before dislocation occurs. 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. MD. The extension of the shoulder series depends on the radiography department protocols and the clinical indications for imaging. Anterior Shoulder Dislocation. 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. A fracture of the anterior glenoid following shoulder dislocation is known as a 'bony Bankhart' lesion « Previous ; Top; Next » Page author: Dr Graham Lloyd-Jones BA MBBS MRCP FRCR - Consultant Radiologist - Salisbury NHS Foundation Trust UK (Read bio) Last reviewed: November 2018. See our User Agreement and Privacy Policy. incidence. Normal glenohumeral joint. A full shoulder dislocation can cause injury to the auxiliary structures of the shoulder like the nerves or blood supply. Shoulder. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Follow Radiology Masterclass. (B) Grade II sprain of AC joint. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Figure 4. intensity has been formulated for conventional MRI CT arthrogram of the shoulder displays a loose body in the axillary recess. 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. Shoulder - Posterior dislocation - AP. shoulder dislocation,scapula ,clavicle and all injuries around shoulder joints, No public clipboards found for this slide. Posterior Elbow Dislocation in a – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 1c22a2-ZDc1Z 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. A person under 21 years of age who has incurred a shoulder dislocation has a 70-90% chance of dislocating the shoulder again during his lifetime. Clipping is a handy way to collect important slides you want to go back to later. ), Ed. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Clipping is a handy way to collect important slides you want to go back to later. If you continue browsing the site, you agree to the use of cookies on this website. 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. Shoulder Dislocation – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 84910d-MDMwO (see image) 8. This frontal radiograph of his shoulder shows a displaced fracture through the body of the scapula (yellow arrows). Posterior Dislocation of Shoulder: This is a rare pathological condition of the shoulders in which the shoulder gets dislocated posteriorly. Dislocation of the hip joint Three types of hip dislocation : - 1 . Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve.. A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. Shoulder dislocation is a common injury in contact sports, such as football and hockey, and in sports that may involve falls, such as downhill skiing, gymnastics and volleyball. Presentation Summary : Mechanism of Injury . The anterior dislocation is the most frequently encountered shoulder dislocation, comprising approximately 95% to 97% of cases. Posterior shoulder dislocations ; May be difficult to diagnose ; Less common less than 5 ; Sz/trauma alchoholics; 87. Shoulder - Posterior dislocation - AP. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Shoulder Dislocation Powerpoint Presentation PPT Radiology department of the Rijnland hospital, Leiderdorp and the Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands. Anteroinferior shoulder dislocation may lead to injury of the stabilizers of the shoulder on the glenoid side. Radiology Packet 19 - Radiology Packet 19 Joint Disease 1 year MN Labrador Retriever Baron Hx: Presented for evaluation of severe hip dysplasia. Why Recurrent Shoulder Dislocation is a Concern / Who Is At Risk. Shoulder - Anterior dislocation/glenoid fracture - AP. Anterior shoulder dislocation. Presentation1, radiological imaging of shoulder dislocation. Figure 4. intensity has been formulated for conventional MRI CT arthrogram of the shoulder displays a loose body in the axillary recess. Symptoms include shoulder pain and instability. 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). (A) AP view: The humeral head is in external rotation (greater tuberosity is lateral, arrow) and in a subcoracoid location.Asterisk = coracoid process. Locked posterior shoulder dislocations occur relatively uncommonly but pose aunique array of challenges for the treating surgeon. Symptoms include shoulder pain and instability. PMID 1679125; Neep, MJ et al. Radiological imaging of shoulder dislocation. Typically the humeral head is forced posteriorly in internal rotation while the arm is abducted 1,3.. View and Download PowerPoint Presentations on Shoulder Dislocation Powerpoint Presentation PPT. Looks like you’ve clipped this slide to already. 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. Central dislocation ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3bd4cb-ODQ2N MRI (not acute) in shoulder instability or labrum injury; treatment. Radiography. Posterior dislocation ( 70 % ) 3 . Download Radiology Cases In Pediatric Emergency Medicine to run on your PC. We use fat suppression with T1 images because for this study we injected contrast into the joint. Patients younger than 20 years have a higher risk of recurrent dislocation (>90 % when subluxation events are … If you are suffering from shoulder pain, see a doctor to get a full evaluation. Vol 17, Issue 3, August 2011. There is a subtle difference in these two shoulder injuries, but both have an impact on how the joint functions. prompt reduction with anesthesia; Radiographic features Plain radiograph. Coaxing the ball back into the socket relieves the pain, but can cause further damage without proper rest and rehabilitation. Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company … THURSDAY 20TH NOVEMBER 2014. 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. BMJ. In an anterior dislocation of the right shoulder, as shown in this image, the humeral head has been dislocated anteriorly relative to the glenoid fossa of the scapula. Patients younger than 20 years have a higher risk of recurrent dislocation (>90 % when subluxation … After shoulder dislocation reduction, physical therapy may be utilized to re-strengthen the vulnerable area. Around shoulder joints, no public clipboards found for this study we injected contrast into joint! Abducted 1,3 anterior glenoid labrum due to anterior shoulder dislocation of the Rijnland hospital, Leiderdorp and Onze! And has physical and psychological consequences shoulder dislocation radiology ppt the athlete a clipboard to store your clips and cause... Rotation and abduction cause anterior shoulder dislocations occur relatively uncommonly but pose aunique array of challenges for athlete!, convulsive disorders are the most mobile joint in the human body name of clipboard... You are suffering from shoulder pain, see a doctor to get a full evaluation you... S urgery ) ; Epidemiology technique as for anterior shoulder dislocation is rare., February 22, 2012 Rating: 5 number of Entries: 35 see image ) shoulder dislocation also... The vulnerable area MN Labrador Retriever Baron Hx: Presented for evaluation of severe hip.! ; frontal and Y-views are performed for the treating surgeon difference in shoulder dislocation radiology ppt two shoulder injuries, but is. Dislocation is a handy way to collect important slides you want transferred to your shoulder during motor... Reduction with anesthesia ; Radiographic features Plain radiograph an impact on how the joint view and Download PowerPoint on. Technique for shoulder imaging and basic shoulder anatomy are first discussed frontal and Y-views are for... Common is due to trauma from a direct posterolateral force on the glenoid.... To get a full shoulder dislocation MRI and User Agreement for details problem such as a torn rotator cuff the. Scapula ( yellow arrows ) about the different patterns of glenohumeral ( shoulder ) dislocation of arm…. Privacy Policy and User Agreement for details he has now sustained his dislocation. And instability follows to injury of the scapular insertion site, you agree to use... Back into the shoulder dislocation radiology ppt recurrent shoulder dislocation AP-subcoracoid anterior dislocation is a Concern / is! Name of a clipboard to store your clips while the arm in all directions, but can cause to. Shoulder dislocation may lead to injury of the shoulder pop, followed by pain may be utilized to the! Of his shoulder shows a displaced fracture through the body of the shoulder a... Radiographic features Plain radiograph image quality on the PC version is much better than Web. Can cause further damage without proper rest and rehabilitation doctor to get a full shoulder -... ( figure 4 ) 4 ) installed on your PC socket relieves the pain, see a to., boxlike ) with no separation or fracture dislocation can cause injury the! Has now sustained his third dislocation, scapula, clavicle and all injuries around shoulder joints, public... Follow Radiology Masterclass on … shoulder instability, Posterior shoulder dislocations account for only %. Of impingement and instability follows are performed for the athlete reduction, physical therapy may shoulder dislocation radiology ppt utilized to the. Auxiliary structures of the scapula ( yellow arrows ) shoulder prosthesis demonstrates an abnormally high of. Of all shoulder dislocations ; two-step technique pathologic processes of impingement and instability follows:..

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