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Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect Volume 1(1):e1 July 13, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

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Page 1: Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete

by Aaron J. Bois, and Anne K. Dzus

JBJS Case ConnectVolume 1(1):e1July 13, 2011

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

Clinical photograph of the left shoulder shows ecchymosis and swelling within the axillary region (head at top, hand to the right of image).

Aaron J. Bois, and Anne K. Dzus JBJS Case Connect 2011;1:e1

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

Anteroposterior radiograph of the left shoulder reveals a soft-tissue radiodensity in the axillary region (arrows).

Aaron J. Bois, and Anne K. Dzus JBJS Case Connect 2011;1:e1

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

Three-dimensional CT angiogram reveals a flow defect in the third part of the axillary artery (long arrow).

Aaron J. Bois, and Anne K. Dzus JBJS Case Connect 2011;1:e1

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

Intraoperative photograph of the left axillary region (head at top, hand to the right of image).

Aaron J. Bois, and Anne K. Dzus JBJS Case Connect 2011;1:e1

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Neurovascular Injury Following Traumatic Posterior Shoulder Dislocation in an Adolescent Contact Athlete by Aaron J. Bois, and Anne K. Dzus JBJS Case Connect

Axial MRI (1.5-T, T2-weighted MEDIC) shows tears involving the subscapularis muscle origin (long arrows) and the posterior aspect of the labrum (short arrow).

Aaron J. Bois, and Anne K. Dzus JBJS Case Connect 2011;1:e1

©2011 by The Journal of Bone and Joint Surgery, Inc.