Posterior shoulder dislocation

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FLASH CARD

Posterior shoulder dislocation.

Causes: Violent muscle contraction during tonic clonic seizure

Presentation: Arm in adduction and internal rotation and unable to perform external rotation 
O/E: Anterior shoulder flattening, prominent Coracoid process 

Imaging:
Internal rotation of humerus head( light bulb sign)
Joint space widening( rim sign)
Trough line sign

Rx: Closed reduction 

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