Test yourself: X-shoulder

Case Study 1

A young man (18 years) falls from his bicycle and hits the pavement with his left shoulder. He indicates that every shoulder movement hurts. 
A shoulder x-ray is made (fig. 1).

Figure 1. AP image (a) and a Y image (b) of the left shoulder.

Findings?

Diagnosis? 

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Case Study 2

During a rugby game, one of the players says his right shoulder hurts. The symptoms developed following a frontal confrontation with an opponent. Exorotation is particularly painful.
A shoulder x-ray is made (fig. 2).

Figure 2. AP image (a) and a Y image (b) of the left shoulder.

Findings?

Diagnosis?

 

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Case Study 3

A construction worker fell backwards and dropped about 3 m down.
Examination reveals pain of the back of the left shoulder in particular. A shoulder x-ray is made (fig. 3).

Figure 3. AP image in exorotation (a) and a Y image (b) of the left shoulder.

Findings?

Diagnosis?

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Case Study 4

A 13-year-old girl was romping about wildly with friends. She is experiencing severe pain after one of her friends accidentally stepped on her right shoulder.
A shoulder x-ray is made (fig. 4).

Figure 4. AP image in endorotation (a) and in exorotation (b) of the right shoulder.

Findings?

Diagnosis?

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Case Study 5

A 65-year-old woman lost her balance when cleaning the windows. She fell on her left shoulder.
A shoulder x-ray is made (fig. 5).

Figure 5. AP image in exorotation (a) and a Y image (b) of the left shoulder. 

Findings?

Diagnosis?

Show answer