case_images: PMC9820790_01
case_images: Anteroposterior (A) and lateral (B) radiographs demonstrating a posterior fracture-dislocation of the right shoulder (note red arrow showing a large humeral head fragment).
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case_images: PMC9820790_01_jagrr-7-e20.00255-g001.jpg
case_images: F1
case_images: Emergency department radiographs demonstrated bilateral posterior fracture-dislocation of the shoulders (Figures 1 and 2).
case_images: Anteroposterior (A) and lateral (B) radiographs demonstrating a posterior fracture-dislocation of the left shoulder.
case_images: jagrr-7-e20.00255-g002.jpg
case_images: PMC9820790_01_jagrr-7-e20.00255-g002.jpg
case_images: F2
case_images: Emergency department radiographs demonstrated bilateral posterior fracture-dislocation of the shoulders (Figures 1 and 2).
case_images: Axial noncontrast CT of the brain showing no abnormalities. CT = computed tomography
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case_images: PMC9820790_01_jagrr-7-e20.00255-g003.jpg
case_images: F3
case_images: Computed tomography (CT) scan of his brain revealed no space-occupying lesions, which led his physicians to believe that the seizures were secondary to UE Figure 3.
case_images: T2-axial (A) and T1-coronal (B) MRI of the left shoulder joint showing a displaced posterior fracture-dislocation.
case_images: jagrr-7-e20.00255-g004.jpg
case_images: PMC9820790_01_jagrr-7-e20.00255-g004.jpg
case_images: F4
case_images: During this period, we requested a preoperative surgical planning CT scan of both shoulders; unfortunately, the CT scanner was inoperable, and the patient was referred for MRI Figure 4.
case_images: Anteroposterior (A) and lateral (B) radiographs showing a good reduction of the right shoulder using a 4-hole humeral locking plate
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case_images: PMC9820790_01_jagrr-7-e20.00255-g005.jpg
case_images: F5
case_images: The left side showed significant inferior subluxation from the weight of his upper limb, but the humeral head remained reduced on the lateral view (Figures 5 and 6).
case_images: Anteroposterior (A) and lateral (B) radiographs of the left shoulder illustrating a satisfactory reduction of the fracture-dislocation but with significant inferior subluxation of the humeral head.
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case_images: F6
case_images: The left side showed significant inferior subluxation from the weight of his upper limb, but the humeral head remained reduced on the lateral view (Figures 5 and 6).
case_images: Anteroposterior (A) and lateral (B) radiographs of the right shoulder showing early degenerative changes at the glenohumeral joint.
case_images: jagrr-7-e20.00255-g007.jpg
case_images: PMC9820790_01_jagrr-7-e20.00255-g007.jpg
case_images: F7
case_images: The patient was followed up regularly in the clinic with annual radiographs. (Figures 7 and 8).
case_images: Anteroposterior (A) and lateral (B) radiographs of the left shoulder illustrating humeral head collapse with subluxation and advanced degeneration at the glenohumeral joint.
case_images: jagrr-7-e20.00255-g008.jpg
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case_images: F8
case_images: The patient was followed up regularly in the clinic with annual radiographs. (Figures 7 and 8).
case_images: Clinical photograph demonstrating limited abduction
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case_images: PMC9820790_01_jagrr-7-e20.00255-g009.jpg
case_images: F9
case_images: Three years after his injury, he reports only mild shoulder discomfort with limited movement, particularly on the left and is now able to work part time while having twice weekly hemodialysis (Figures 9-11).
case_images: Clinical photograph demonstrating limited internal rotation, more obvious on the left
case_images: jagrr-7-e20.00255-g010.jpg
case_images: PMC9820790_01_jagrr-7-e20.00255-g010.jpg
case_images: F10
case_images: Three years after his injury, he reports only mild shoulder discomfort with limited movement, particularly on the left and is now able to work part time while having twice weekly hemodialysis (Figures 9-11).
case_images: Clinical photograph demonstrating limited abduction and external rotation
case_images: jagrr-7-e20.00255-g011.jpg
case_images: PMC9820790_01_jagrr-7-e20.00255-g011.jpg
case_images: F11
case_images: Three years after his injury, he reports only mild shoulder discomfort with limited movement, particularly on the left and is now able to work part time while having twice weekly hemodialysis (Figures 9-11).