TY - JOUR T1 - Put your hands up! JF - Emergency Medicine Journal JO - Emerg Med J SP - 300 LP - 342 DO - 10.1136/emermed-2021-211377 VL - 39 IS - 4 AU - Caterina Barberi AU - Francesco Niccolai AU - Lorenzo Di Mento Y1 - 2022/04/01 UR - http://emj.bmj.com/content/39/4/300.abstract N2 - A 91-year-old obese man presented to our ED, having symptoms of severe pain and inability to move the right shoulder after falling against a parked car.Patient’s comorbidities included chronic obstructive pulmonary disease, chronic kidney disease, ischaemic and valvular cardiomyopathy, atrial fibrillation.Vitals were in range, except for marked tachypnoea. On inspection, the arm was held abducted and overhead. A marked protuberance was visible over the axillary area. Range of motion was extremely limited. No neurovascular deficits were apparent. A right shoulder X-ray was performed (figure 1).Figure 1 Right shoulder: X-ray—anteroposterior view.According to findings in figure 1, what is the patient suffering from?Lytic osseous lesions secondary to occult lung cancerPosterior shoulder dislocation with acromio-clavicular diastasisLuxatio erecta humeri with scapular … ER -