RT Journal Article
SR Electronic
T1 Painful shoulder post fall
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP emermed-2017-207003
DO 10.1136/emermed-2017-207003
A1 Alistair IW Mayne
A1 Arpit Jariwala
YR 2018
UL http://emj.bmj.com/content/early/2018/03/03/emermed-2017-207003.abstract
AB Clinical introduction A 32-year-old man presented to the ED after a heavy fall on his left shoulder. He presented the following day with pain and gross limitation of movement in the left shoulder. There was no history of previous injury to the left shoulder. This was his non-dominant limb and he worked in a manual occupation. He was neurovascularly intact. His initial radiographs are shown in figures 1 and 2.Figure 1 Anteroposterior radiograph (AP) radiograph of left shoulder.Figure 2 Lateral radiograph of left shoulder. Question Management options:Anterior shoulder dislocation —closed reductionAnterior shoulder dislocation—CT scanPosterior shoulder dislocation—closed reductionPosterior shoulder dislocation—CT scanQuestion