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Reverse Total Shoulder Arthroplasty

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Published on: July 5, 2011

Posterior Shoulder Dislocation During Morning PT: A Case Report.

Stefanie E Williams¹, Anthony J Hackett², Christian Jensen³

¹Department of Internal Medicine, Madigan Army Medical Center, 9040A Jackson Ave, JBLM, Tacoma, WA.

Military Medicine

|June 15, 2018

Summary

Posterior shoulder dislocation is a rare injury often missed on initial evaluation, leading to complications. Early recognition and appropriate imaging, like the scapular Y view, are crucial for timely treatment.

Keywords:

athletic injury dislocation reduction operational medicine posterior dislocation shoulder dislocation sports medicine

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Area of Science:

Orthopedics
Traumatology
Radiology

Background:

Posterior shoulder dislocation is an uncommon injury often overlooked in acute shoulder pain cases.
It is associated with significant comorbidities due to delayed diagnosis, with 79% missed initially.
Mechanisms vary, but a 'vulnerable position' (flexed, adducted, internally rotated arm) is a key indicator.

Observation:

This case report details a posterior shoulder dislocation sustained during pushups.
The diagnosis can be complex due to varied injury mechanisms.
Plain film scapular Y views are critical for diagnosis, often supplemented by MRI.

Findings:

Seventy-nine percent of posterior shoulder dislocations are missed initially.
High rates of comorbidity are associated with this injury.
Various reduction techniques exist for diagnosed posterior shoulder dislocations.

Implications:

Emphasizes the importance of considering posterior shoulder dislocation in acute shoulder trauma.
Highlights the diagnostic utility of the scapular Y view.
Underscores the need for prompt recognition and management to mitigate complications.