Affiliations 

  • 1 Lee D J K, BScMed. Faculty of Medicine, Universiti Putra Malaysia, Jalan Masjid, 50586 Kuala Lumpur
  • 2 Yeap J S, MScOrth (UCL). Department of Orthopaedics, International Medical University, Jalan Rasah, Seremban 70300, Negeri Sembilan
  • 3 Fazir M, MS (Ortho). Institute of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur
  • 4 Muhd Borhan, FRCS. Institute of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur
  • 5 Kareem B A, MS (Ortho). Department of Orthopaedics, International Medical University, Jalan Rasah, Seremban 70300, Negeri Sembilan
Med. J. Malaysia, 2005 Mar;60(1):15-20.
PMID: 16250275

Abstract

The radiographs of 115 anterior shoulder dislocations (100 patients; 74 males, 26 female were reviewed to assess the radiographic views used in the management of this dislocation. Eighty-eight patients (88%) had only the anteroposterior (AP) view, 10 patients had 2 radiographic views taken and only 2 patients had three radiographic views. Hill-Sachs lesions were found in 18%, and glenoid rim fractures in 3% of the patients. A greater tuberosity fracture was found in 18% of the patients. Therefore, the current practice in the management of an acute anterior shoulder dislocation appears to be to perform a single view (AP) pre-reduction radiograph to confirm the diagnosis and a single view (AP) post reduction radiograph to confirm reduction after a close manipulative reduction has been performed. This practice is likely to result in an underestimate of associated Hill Sachs lesion and glenoid rim fractures, but not greater tuberosity fractures.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.