Radiograph of the shoulder in external rotation (image 1) an | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Radiograph of the shoulder in external rotation (image 1) and zoomed image of the acromial apophysis (image 2) in an adolescent with shoulder pain shows widening and irregularity of the acromial physis (arrow). Acromial apophysitis is an uncommon chronic repetitive physeal injury occurring in pitchers who throw more than 100 pitches per week. Patients present with superior shoulder pain. #MSKMonday #MusculoskeletalMonday

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AP (image 1) and axial (image 2) radiograph of the shoulder shows anteroinferior dislocation of the glenohumeral joint. Shoulder dislocations most commonly occur in the anterior direction. Radiologist should evaluate for associated injuries such as a Hill-Sachs deformity which is caused by impaction of the humeral head upon the glenoid.

AP (image 1) and scapular Y (image 2) images of the shoulder show an anterior shoulder dislocation with Hill-Sachs deformity (arrowhead on image 1 and arrow on image 2). A Hill-Sachs deformity is an impaction fracture caused by the anteroinferior glenoid impacting upon the posterolateral humeral head.

petition says rule out sub acromial impingement... Ideas?

updated images for patient with midshaft humerus fracture. these images are 5 years post injury and treatment with sarmiento brace (see previous posts). patient complains of continued posterior shoulder and biceps pain since injury. will attempt to upload MRI of shoulder and connect case.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?