Dimple on the shoulder after a ski injury

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Traumatology

Background:

• A 74-year-old female skier sustained a left shoulder injury after a fall.
• The patient reported a popping sensation and severe pain, with inability to move her arm.
• Physical examination revealed a visible deformity of the left shoulder, described as an anterior 'dimple'.

Observation:

• Physical examination revealed a deformity in the left shoulder.
• A photograph (Figure 1) showed an anterior 'dimple' on the affected shoulder.

Findings:

• The clinical presentation and physical findings suggest a specific shoulder injury.
• Differential diagnoses include acromioclavicular joint sprain, proximal humerus fracture, distal clavicle fracture, and posterior glenohumeral dislocation.

Implications:

• Accurate diagnosis is crucial for appropriate management of shoulder injuries in skiers.
• Prompt evaluation can prevent long-term complications and ensure optimal recovery.
• Understanding common ski-related injuries aids in timely and effective treatment.