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Clinical introduction
A 13-year-old boy was brought to the ED after being hit by an oncoming car. As the car approached him from his side, he tried to stop the car by turning around and put both his hands in front of him. He tried to break the subsequent fall by stretching both arms outwards before hitting the road.
On arrival in the ED, he held both shoulders in an abducted position above his head. Any attempt to move the shoulder caused severe …
Footnotes
Twitter @DrMBarrett
Contributors JKAY and MB wrote the case scenario and discussion. CB provided the radiology images and comments on interpreting the X-rays.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.