PMC6537276_01
AP X-ray of the shoulder illustrating anterior shoulder dislocation.
10.1177_2324709619844289-fig1.jpg
PMC6537276_01_10.1177_2324709619844289-fig1.jpg
fig1-2324709619844289
A plain AP X-ray and axillary view confirmed the diagnosis of anterior shoulder dislocation (Figure 1).
Post-reduction X-ray with restoration of the normal position of the humeral
head in the glenoid.
10.1177_2324709619844289-fig2.jpg
PMC6537276_01_10.1177_2324709619844289-fig2.jpg
fig2-2324709619844289
The dislocation was reducted under sedation using Kocher technique and post-reduction radiographs affirmed the right position of the humeral head in the glenoid, but sensory paresthesia and drop hand remained (Figures 2 and 3).
Photo illustrating drop hand of the patient when arrived in the emergency
department.
10.1177_2324709619844289-fig3.jpg
PMC6537276_01_10.1177_2324709619844289-fig3.jpg
fig3-2324709619844289
The dislocation was reducted under sedation using Kocher technique and post-reduction radiographs affirmed the right position of the humeral head in the glenoid, but sensory paresthesia and drop hand remained (Figures 2 and 3).
Magnetic resonance image of the shoulder demonstrates a rupture of the
rotator cuff.
10.1177_2324709619844289-fig4.jpg
PMC6537276_01_10.1177_2324709619844289-fig4.jpg
fig4-2324709619844289
In the follow-up, a few days later a shoulder magnetic resonance imaging (MRI) revealed a rotator cuff tear (Figure 4), and 3 weeks after the injury, EMG and nerve conduction studies showed no response in latency and conduction velocities (1.6 ms, 4.7 mV) in the radial motor nerve distribution, which indicated a complete radial nerve palsy.