case_images: PMC10866628_01
case_images: AP right shoulder, prereduction (case 1). Typical radiographic appearance of an anterior glenohumeral dislocation.
case_images: CRIOR2024-6652622.001.jpg
case_images: PMC10866628_01_CRIOR2024-6652622.001.jpg
case_images: fig1
case_images: Shoulder radiographs demonstrated an anterior glenohumeral dislocation (Figure 1).
case_images: AP right shoulder, postreduction (case 1). There is successful reduction of the glenohumeral joint. Prominent Hill-Sachs lesion of the humeral head is noted. Poorly defined bony fragments are barely visible along the inferior glenoid.
case_images: CRIOR2024-6652622.002.jpg
case_images: PMC10866628_01_CRIOR2024-6652622.002.jpg
case_images: fig2
case_images: Postreduction X-rays showed abnormalities of the inferior glenoid and humeral head, and a dedicated shoulder CT scan was ordered (Figure 2).
case_images: Axial CT scan, right shoulder, postreduction (case 1). The anterior shoulder dislocation has been reduced, and multiple bony fragments measuring up to 5 mm are seen adjacent to the anterior inferior glenoid, representing a bony-Bankart lesion.
case_images: CRIOR2024-6652622.003.jpg
case_images: PMC10866628_01_CRIOR2024-6652622.003.jpg
case_images: fig3
case_images: A CT scan confirmed a Hill-Sachs lesion in the humeral head and a bony-Bankart fracture of the anterior/inferior glenoid (Figures 3 and 4).
case_images: Coronal CT scan, right shoulder, postreduction (case 1). The large Hill-Sachs lesion of the humeral head is clearly seen, with nearly 15 mm of bony impaction.
case_images: CRIOR2024-6652622.004.jpg
case_images: PMC10866628_01_CRIOR2024-6652622.004.jpg
case_images: fig4
case_images: A CT scan confirmed a Hill-Sachs lesion in the humeral head and a bony-Bankart fracture of the anterior/inferior glenoid (Figures 3 and 4).
case_images: PMC10866628_02
case_images: AP left shoulder, preop (case 2). A comminuted fracture deformity of the left humeral neck and greater tuberosity with dislocation of the glenohumeral joint.
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case_images: PMC10866628_02_CRIOR2024-6652622.005.jpg
case_images: fig5
case_images: The left shoulder X-ray was noted to have a significantly displaced fracture of the proximal humerus with dislocation of the glenohumeral joint (Figure 5).
case_images: Axial CT scan, left shoulder (case 2). Comminuted fracture of the proximal humerus with complete anterior dislocation of the glenohumeral joint.
case_images: CRIOR2024-6652622.006.jpg
case_images: PMC10866628_02_CRIOR2024-6652622.006.jpg
case_images: fig6
case_images: The CT shoulder showed a comminuted proximal humerus fracture with anterior dislocation of the glenohumeral joint and a bony-Bankart fracture of the anterior inferior glenoid rim involving about 20% of the articular surface area (Figure 6).
case_images: AP left shoulder, postop (case 2). The proximal humerus fracture has been reduced and repaired using multiple plates and screws. The glenohumeral dislocation has been successfully reduced.
case_images: CRIOR2024-6652622.007.jpg
case_images: PMC10866628_02_CRIOR2024-6652622.007.jpg
case_images: fig7
case_images: The patient underwent open reduction and internal fixation of the proximal humerus fracture as well as open reduction of the glenohumeral joint (Figure 7).
case_images: CT scan left shoulder with 3D reconstruction and humeral subtraction (case 2). A large glenoid rim fracture fragment is seen involving approximately 20% of the articular surface.
case_images: CRIOR2024-6652622.008.jpg
case_images: PMC10866628_02_CRIOR2024-6652622.008.jpg
case_images: fig8
case_images: In this patient, instability resulted from a defect in the anterior/inferior glenoid, so stabilization would focus on restoring bone loss in that region (Figure 8).
case_images: AP left shoulder, post-Latarjet (case 2). The coracoid process has been transferred to the glenoid and stabilized with 2 screws.
case_images: CRIOR2024-6652622.009.jpg
case_images: PMC10866628_02_CRIOR2024-6652622.009.jpg
case_images: fig9
case_images: The patient tolerated the procedure well and, on the most recent follow-up, was recovering and doing well in physical therapy without recurrent dislocation (Figure 9).