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Posterior shoulder dislocation: it's worth another look
David Alao1, Suzy Emily Connor2
1Emergency Department, Plymouth NHS Trust, Plymouth, UK.
BMJ Case Reports
|August 1, 2018
Summary
A mountain bike fall led to a fractured clavicle, initially treated with a sling. Subsequent examination revealed a posterior shoulder dislocation, necessitating closed reduction under general anesthesia.
Area of Science:
- Orthopedics
- Trauma Surgery
- Sports Medicine
Background:
- A 40-year-old female mountain biker sustained a left shoulder injury after a fall.
- Initial presentation to the emergency department suggested a clavicle fracture.
Observation:
- Conservative sling treatment for the clavicle fracture was initiated.
- Persistent pain and limited shoulder joint mobility were noted on day 3.
- Repeat shoulder radiography was performed due to ongoing symptoms.
Findings:
- The repeat radiograph confirmed a posterior shoulder dislocation.
- The clavicle fracture diagnosis was accurate, but the dislocation was an overlooked or secondary injury.
Implications:
- This case highlights the importance of thorough shoulder assessment after trauma, even with initial fracture diagnosis.
- Delayed diagnosis of shoulder dislocation can lead to prolonged recovery and potential complications.
- Appropriate management, including closed reduction, is crucial for restoring shoulder function after dislocation.