October 23, 2014

Image of the day 39: Assymetrical shoulder tips

This middle age man presented to casualty after alleged fall from height. He complained of disfigured and inability to move his left arm. What is your observation on the pictures and the treatment that you would like to suggest?

There is asymmetrical of this patient shoulder tip. the left shoulder is displaced downward and externally rotated. Patient was asked to tap his right shoulder tip with his left index finger but failed.
There is also bruises at his left shoulder region.otherwise, no open wound.

Chest X ray shows left anterior shoulder dislocation

Closer look of the picture of left anterior shoulder dislocation. This patient need urgent Close manual reduction.

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