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Feb 8 2011, 9:18 PM EST
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Feb 8 2011, 9:17 PM EST
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Change: This 51 year old male presented to the Emergency Department by ambulance after a RTA/MVA. He was examined in the resus room and a variety
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Feb 8 2010, 7:00 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 7:00 AM EST
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Dec 18 2009, 8:07 PM EST
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Change: "Inferior dislocation of the shoulder (luxatio erecta) is rare accounting for an estimated 0.5% of shoulder dislocations. First described by Middeldorpf and Scharm in 1859,
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Dec 18 2009, 7:38 PM EST
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Change: This patient has an anter-inferior dislocation of the glenohumeral joint.This patient has an anter-inferior dislocation of the glenohumeral joint.Fracture Dislocations of the ShoulderIn a shoulder fracture/dislocation, the associated humeral fracture is almost always displacedAnterior dislocations are associated with fractures of
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Nov 23 2009, 8:23 PM EST
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Change: This patient presented in a supine position with very limited movement. The radiographer used a modified lateral scapula technique by positioning the cassette/IR under the affected shoulder and directing the X-ray beam along the blade of the scapula This technique is a somewhat desperate
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Nov 20 2009, 8:36 PM EST
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Change: This indicates the presence of intraarticular injury. A lipohaemarthrosis will only be seen when patients are imaged with a horizontal beam (i.e. erect).Lateral Scapula vs SI Shoulder Some imaging departments have adopted the lateral scapula view as a
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Nov 20 2009, 7:07 PM EST
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Change: epileptic fit.siezure.PseudosubluxationThis patient has fractures of the neck of humerus and greater tuberosity. The humeral head is subluxed inferiorly and this subluxation is likely to be caused by distention of the joint by haemarthrosis. There is a lipohaemarthrosis of the shoulder joint (white arrow).Lateral Scapula
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Nov 20 2009, 10:24 AM EST
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Change: epilecticepileptic fit.PseudosubluxationThis patient has fractures of the neck of humerus and greater tuberosity. The humeral head is subluxed inferiorly and this subluxation is likely to be caused by distention of the joint by haemarthrosis. There is a lipohaemarthrosis of the shoulder joint (white arrow).Lateral Scapula
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(Word count: 2022)
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Nov 20 2009, 2:37 AM EST
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Change: The glenohumeral joint has been likened to a “golf ball on a tee” source: unknownThe Glenoid Labrum -Static stabilizer-contributes 20% to glenohumeral stability -deepens glenoid(50%)-3 purposes:- increases surface contact area- buttress- attachment site for GH ligaments The glenohumeral joint has
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Nov 20 2009, 1:17 AM EST
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Change: The SI view image shows the humeral head to be dislocated slightly anteriorly. Fracture Dislocations of the ShoulderIn a shoulder fracture/dislocation, the associated humeral fracture is almost always displacedAnterior dislocations are associated with fractures of the greater tuberosity
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Nov 19 2009, 11:13 PM EST
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Change: It is worth radiographers learning the distinction between these two appearances. You can receive referrals for shoulder radiography where the referring doctor has confused these two clinical appearances. It is noteworthy that a high grade AC joint dislocation may mimic an anterior dislocation of the GH joint..Radiographic Appearances
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Nov 19 2009, 7:35 AM EST
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Change: Anterior dislocations are associated with fractures of the greater tuberosity and posterior dislocations are associated with fractures of the lesser tuberosityModified Technique 1 for Trauma Patients This patient presented in an erect sitting position with very limited
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Nov 19 2009, 7:32 AM EST
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Change: This possibly a more typical shoulder posterior dislocation AP appearance. The posterior dislocation looks completely different to the other dislocations. One of the important considerations is the increased distance between the glenoid and the articular surface of the humeral head.The humeral head is also
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Nov 19 2009, 7:04 AM EST
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Change: -loss of deltoid muscle contour compared to contra-lateral side-humeral head is sometimes palpable anteriorly beneath the coracoidsource: unknownFollowing a relocation procedure the normal shoulder contour is re-establishedNote the red skin discolouration- this is caused by the
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Nov 19 2009, 6:48 AM EST
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Change: Bilateral shoulder dislocations can also result from an epilectic fit.PseudosubluxationThis patient has fractures of the neck of humerus and greater tuberosity. The humeral head is subluxed inferiorly and this
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Nov 19 2009, 6:20 AM EST
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Change: source: unknownClinical Presentationsource: unknownThe anterior dislocation often presents with a highly characteristic appearance. The shoulder will be 'squared off' (black arrow) and a skin depression will be evident (white arrow). source: unknownFollowing a relocation procedure the normal shoulder contour is re-establishedNote the red
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Nov 18 2009, 6:34 AM EST
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Nov 18 2009, 6:33 AM EST
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Change: producing a correctly positioned AP shoulder view.The lateral view image cofirms the anterior dislocation. The patient is leaninmg too far forward resulting in foreshortening of the scapula. This can be corrected with caudal tube angulation if performed PA and cephalic tube angulation if performed AP (or equivalent patient repositioning).
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(Word count: 1786)
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Nov 18 2009, 6:29 AM EST
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
(Word count: 1773)
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