A young muscular male had been in a car accident. Despite devastating damage to the vehicle, he only complained of left shoulder pain. An x-ray of the shoulder was obtained...
The x-ray shows at least 3 radiographic signs supporting a posterior dislocation: A rim sign (the two red lines), a light bulb sign (outlined by, well, the light bulb), and the "Mouzopoulos sign"(hightlighted by the blue "M".").
Nonetheless, some doubt remained, since posterior shoulder dislocations are infrequent, and we wanted the diagnosis to be certain before breaking out the propofol! So we did an ultrasound of the shoulder.
Ultrasound for the .. Wait, "win" is already taken?
The probe was place in transverse orientation across the posterior aspect of the left shoulder, probe marker pointing laterally, to the patient's left:
normal left shoulder where the humeral head is well-seated in the glenoid:
The next time you have any concern about the shoulder, grab a quick posterior view, even if you are already getting an x-ray.