Right shoulder posterior dislocation with glenoid engagement

Case contributed by Dr Domenico Nicoletti


Pain without trauma in shoulder.

Patient Data

Age: 65
Gender: Male

The humeral head articular surface is projected beyond the glenoid edge. No visible fractures.

Posterior dislocation of the humeral head with reverse Hill Sachs lesion and engagement of the glenoid. Bankart lesion is associated with detachment of the bone fragment at the 6-9 o'clock position.

Circle highlights location of humeral head impaction on the glenoid with resulting reverse Hill-Sachs lesion. 

Case Discussion

Posterior shoulder dislocations can be a difficult diagnosis to make on plain radiographs. 

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Case information

rID: 42613
Published: 30th Jan 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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