Images in Emergency

What lies behind the pain after shoulder dislocation?

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 21 June 2022
Published: 27 September 2022
568
Views
401
Downloads

Authors

A 38-year-old man presented to our emergency room with severe pain and inability to mobilize his right shoulder joint after a violent blunt trauma during his work. The humeral head was palpable anteriorly, with the loss of normal contour of the deltoid and acromion prominent posteriorly and laterally, as it occurs in the anterior shoulder dislocation. The shoulder was easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl and 0.5 mg/Kg intravenous midazolam sedation in the emergency room. After the procedure, he complained of pain at the right humeral head, so we performed an X-Ray.

Downloads

Download data is not yet available.

Provencher MT, Frank RM, Leclere LE, et al. The Hill-Sachs lesion: diagnosis, classification, and management. J Am Acad Orthop Surg 2012;20:242-52. DOI: https://doi.org/10.5435/JAAOS-20-04-242

Goudie EB, Murray IR, Robinson CM. Instability of the shoulder following seizures. J Bone Joint Surg [Br] 2012;94:721-8. DOI: https://doi.org/10.1302/0301-620X.94B6.28259

Herring A, Davis DL. Mimickers of Hill-Sachs Lesions [Formula: see text]. Can Assoc Radiol J 2021;72:258-70. DOI: https://doi.org/10.1177/0846537119895751

Kawakami J, Yamamoto N, Hatta T, et al. In which arm position is a Hill-Sachs lesion created? Am J Sports Med 2019;47:2464-8. DOI: https://doi.org/10.1177/0363546519858418

Fox JA, Sanchez A, Zajac TJ, Provencher MT. Understanding the Hill-Sachs lesion in its role in patients with recurrent anterior shoulder instability. Curr Rev Musculoskelet Med 2017;10:469-79. DOI: https://doi.org/10.1007/s12178-017-9437-0

Riebe B, Micheas L, Crim J. Improving detection of Hill-Sachs fractures on radiographs. Skeletal Radiol 2021;50:1889-97. DOI: https://doi.org/10.1007/s00256-021-03763-2

Cicak N, Bilić R, Delimar D. Hill-Sachs lesion in recurrent shoulder dislocation: Sonographic detection. J Ultrasound Med 1998;17:557-60. DOI: https://doi.org/10.7863/jum.1998.17.9.557

How to Cite



What lies behind the pain after shoulder dislocation?. (2022). Emergency Care Journal, 18(3). https://doi.org/10.4081/ecj.2022.10691