PMC4241333_01
AP chest (a) and right shoulder AP (b) and Y-view (c) radiographs in A&E.
CRIOR2014-164632.001.jpg
PMC4241333_01_CRIOR2014-164632.001.jpg
fig1
She had a head CT, which excluded acute intracranial pathology, and chest and right shoulder radiographs (Figure 1) which identified a fracture dislocation of the shoulder.
AP X-ray pelvis showing bilateral displaced intracapsular neck of femur fractures.
CRIOR2014-164632.002.jpg
PMC4241333_01_CRIOR2014-164632.002.jpg
fig2
On this basis, further pelvic and hip radiographs were requested (Figure 2).
Postoperative radiographs demonstrating (a) bilateral hemiarthoplasties and (b) K-wire stabilisation of the right shoulder.
CRIOR2014-164632.003.jpg
PMC4241333_01_CRIOR2014-164632.003.jpg
fig3
Pelvic radiographs clearly identified bilateral intracapsular neck of femur fractures, and the patient was taken to theatre the following day for bilateral hemiarthroplasties and manipulation and K-wire stabilisation of her right dislocated shoulder (Figure 3).
AP radiographs of the left shoulder showing a proximal humeral fracture (a, b).
CRIOR2014-164632.004.jpg
PMC4241333_01_CRIOR2014-164632.004.jpg
fig4
She also developed bruising around the left shoulder and upper arm over the next few days, and this prompted further imaging, which revealed a left proximal humerus fracture (Figure 4).