updated images for patient with midshaft humerus fracture. t | Figure 1

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.

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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.](https://app.figure1.com/case-detail/035f8165-fd62-404d-9900-5a55005055a3)



AP (image 1) and internal rotation (image 2) radiographs of the shoulder in a baseball pitcher show widening of the proximal humeral physis (arrow), consistent with Little League shoulder. Little League shoulder is an overuse injury affecting overhead throwing athletes and is considered a Salter-Harris type I fracture equivalent. Treatment involves rest.](https://app.figure1.com/case-detail/19fb9448-36a3-4c7b-9c92-455dcea44221)



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](https://app.figure1.com/case-detail/30d8e48a-ebcd-4203-9e37-35a806b7821f)



3d images of firework injury previously posted](https://app.figure1.com/case-detail/36f0538b-ede2-4deb-a53c-533ee820d467)