Clinical introduction A 74-year-old woman was brought to the ski clinic shortly after a fall on her left shoulder while skiing. She did not remember the exact fall mechanism. She felt a popping sensation in her left shoulder and was unable to move her left arm due to severe pain. Her medical and social histories were unremarkable. On physical examination, she had a deformity in her left shoulder (figure 1). Her neurovascular examination was intact.
Question What is the most likely diagnosis of the injury?
An acromioclavicular joint (ACJ) sprain (shoulder separation)
A proximal humerus fracture
A distal clavicle fracture
A posterior glenohumeral dislocation
- fractures and dislocations
- accidental falls
Statistics from Altmetric.com
Competing interests None declared.
Patient consent The patient was consented.
Provenance and peer review Not commissioned; internally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.