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Anterior Glenohumeral Dislocation
Michael J. Tuite, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Shoulder dislocation
        • Definitions

          • Anterior displacement of humeral head with loss of articulation with glenoid

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    • Reporting Tips

                                      Selected References

                                      1. Gyftopoulos S et al: Hill-Sachs lesion location: does it play a role in engagement? Skeletal Radiol. 44(8):1129-34, 2015
                                      2. Jordan RW et al: A comparison of magnetic resonance arthrography and arthroscopic findings in the assessment of anterior shoulder dislocations. Skeletal Radiol. 44(5):653-7, 2015
                                      3. van Grinsven S et al: Are radiologists superior to orthopaedic surgeons in diagnosing instability-related shoulder lesions on magnetic resonance arthrography? A multicenter reproducibility and accuracy study. J Shoulder Elbow Surg. 24(9):1405-12, 2015
                                      4. Gyftopoulos S et al: Osseous injuries associated with anterior shoulder instability: what the radiologist should know. AJR Am J Roentgenol. 202(6):W541-50, 2014
                                      5. Ozaki R et al: Hill-sachs lesions in shoulders with traumatic anterior instability: evaluation using computed tomography with 3-dimensional reconstruction. Am J Sports Med. 42(11):2597-605, 2014
                                      6. Browe DP et al: Injury to the anteroinferior glenohumeral capsule during anterior dislocation. Clin Biomech (Bristol, Avon). 28(2):140-5, 2013
                                      7. Griesser MJ et al: Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg. 22(2):286-92, 2013
                                      8. Lee RK et al: Glenoid bone loss: assessment with MR imaging. Radiology. 267(2):496-502, 2013
                                      9. Longo UG et al: Glenoid and humeral head bone loss in traumatic anterior glenohumeral instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. Epub ahead of print, 2013
                                      10. McMahon PJ et al: Anterior shoulder dislocation increases the propensity for recurrence: a cadaveric study of the number of dislocations and type of capsulolabral lesion. J Shoulder Elbow Surg. 22(8):1046-52, 2013
                                      11. Smith GC et al: First time traumatic anterior shoulder dislocation: A review of current management. Injury. 44(4):406-8, 2013
                                      12. Connolly S et al: Irreducible anterior dislocation of the shoulder due to soft tissue interposition of subscapularis tendon. Skeletal Radiol. 37(1):63-5, 2008
                                      13. Diederichs G et al: CT-based patient-specific modeling of glenoid rim defects: a feasibility study. AJR Am J Roentgenol. 191(5):1406-11, 2008
                                      14. Griffith JF et al: Prevalence, pattern, and spectrum of glenoid bone loss in anterior shoulder dislocation: CT analysis of 218 patients. AJR Am J Roentgenol. 190(5):1247-54, 2008
                                      15. Antonio GE et al: First-time shoulder dislocation: High prevalence of labral injury and age-related differences revealed by MR arthrography. J Magn Reson Imaging. 26(4):983-91, 2007
                                      16. Griffith JF et al: CT compared with arthroscopy in quantifying glenoid bone loss. AJR Am J Roentgenol. 189(6):1490-3, 2007
                                      17. Widjaja AB et al: Correlation between Bankart and Hill-Sachs lesions in anterior shoulder dislocation. ANZ J Surg. 76(6):436-8, 2006
                                      18. Griffith JF et al: Anterior shoulder dislocation: quantification of glenoid bone loss with CT. AJR Am J Roentgenol. 180(5):1423-30, 2003
                                      19. Ito H et al: Radiographic evaluation of the Hill-Sachs lesion in patients with recurrent anterior shoulder instability. J Shoulder Elbow Surg. 9(6):495-7, 2000
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Imaging

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Synonyms

                                              • Shoulder dislocation
                                            • Definitions

                                              • Anterior displacement of humeral head with loss of articulation with glenoid

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      • Image Interpretation Pearls

                                                                        • Reporting Tips

                                                                          Selected References

                                                                          1. Gyftopoulos S et al: Hill-Sachs lesion location: does it play a role in engagement? Skeletal Radiol. 44(8):1129-34, 2015
                                                                          2. Jordan RW et al: A comparison of magnetic resonance arthrography and arthroscopic findings in the assessment of anterior shoulder dislocations. Skeletal Radiol. 44(5):653-7, 2015
                                                                          3. van Grinsven S et al: Are radiologists superior to orthopaedic surgeons in diagnosing instability-related shoulder lesions on magnetic resonance arthrography? A multicenter reproducibility and accuracy study. J Shoulder Elbow Surg. 24(9):1405-12, 2015
                                                                          4. Gyftopoulos S et al: Osseous injuries associated with anterior shoulder instability: what the radiologist should know. AJR Am J Roentgenol. 202(6):W541-50, 2014
                                                                          5. Ozaki R et al: Hill-sachs lesions in shoulders with traumatic anterior instability: evaluation using computed tomography with 3-dimensional reconstruction. Am J Sports Med. 42(11):2597-605, 2014
                                                                          6. Browe DP et al: Injury to the anteroinferior glenohumeral capsule during anterior dislocation. Clin Biomech (Bristol, Avon). 28(2):140-5, 2013
                                                                          7. Griesser MJ et al: Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg. 22(2):286-92, 2013
                                                                          8. Lee RK et al: Glenoid bone loss: assessment with MR imaging. Radiology. 267(2):496-502, 2013
                                                                          9. Longo UG et al: Glenoid and humeral head bone loss in traumatic anterior glenohumeral instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. Epub ahead of print, 2013
                                                                          10. McMahon PJ et al: Anterior shoulder dislocation increases the propensity for recurrence: a cadaveric study of the number of dislocations and type of capsulolabral lesion. J Shoulder Elbow Surg. 22(8):1046-52, 2013
                                                                          11. Smith GC et al: First time traumatic anterior shoulder dislocation: A review of current management. Injury. 44(4):406-8, 2013
                                                                          12. Connolly S et al: Irreducible anterior dislocation of the shoulder due to soft tissue interposition of subscapularis tendon. Skeletal Radiol. 37(1):63-5, 2008
                                                                          13. Diederichs G et al: CT-based patient-specific modeling of glenoid rim defects: a feasibility study. AJR Am J Roentgenol. 191(5):1406-11, 2008
                                                                          14. Griffith JF et al: Prevalence, pattern, and spectrum of glenoid bone loss in anterior shoulder dislocation: CT analysis of 218 patients. AJR Am J Roentgenol. 190(5):1247-54, 2008
                                                                          15. Antonio GE et al: First-time shoulder dislocation: High prevalence of labral injury and age-related differences revealed by MR arthrography. J Magn Reson Imaging. 26(4):983-91, 2007
                                                                          16. Griffith JF et al: CT compared with arthroscopy in quantifying glenoid bone loss. AJR Am J Roentgenol. 189(6):1490-3, 2007
                                                                          17. Widjaja AB et al: Correlation between Bankart and Hill-Sachs lesions in anterior shoulder dislocation. ANZ J Surg. 76(6):436-8, 2006
                                                                          18. Griffith JF et al: Anterior shoulder dislocation: quantification of glenoid bone loss with CT. AJR Am J Roentgenol. 180(5):1423-30, 2003
                                                                          19. Ito H et al: Radiographic evaluation of the Hill-Sachs lesion in patients with recurrent anterior shoulder instability. J Shoulder Elbow Surg. 9(6):495-7, 2000