SHOULDER - Radiology Checklist

1. Is the humeral head directly below coracoid? (Y - Anterior Dislocation)
2. Is the humeral head in a 'walking stick' configuration vs 'lightbulb' shape - if lightbulb = ?posterior dislocation
3. Humeral head parallel to glenoid rim? (if N - check lateral for posterior dislocation)
4. Check for Hill Sachs deformity or glenoid rim #-bankart lesion
5. Acromio clavicular abn?
6. Coraco-clavicular distance >1.5cm? = ?coracoclavicular ligament injury
7. Fractured neck or head of humerus?
8. Axillary view - find the clavicle to orient anterior vs posterior
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CASES FOR PRACTICE

Case 1:

​Answer:
Humeral head below coracoid
Walking stick appearance
Likely bank art lesion present
No humeral head #
Axillary View confirms anterior dislocation
Case 2:

​Answer:
Humeral head not below coracoid
?Light bulb appearance
Not clearly parallel to glenoid - humerus overlaps glenoid
Fragment of bone ? fracture humerus
Axillary view confirms posterior dislocation
​Also note fracture lesser tuberosity of humeral head
AFEM Revision Course
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