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Reading File
X-Ray Interpretation - Left Shoulder (SEEMA, 42F | District Hospital Mavelikara | 12-07-2026)
Patient & Study Details
- Patient: Seema, 42-year-old female
- View: AP (Anteroposterior) of the left shoulder (marked "L")
- Study type: Shoulder Joint, FRN (frontal)
Key Finding: Post-ORIF Proximal Humerus Fracture
This X-ray shows a status post Open Reduction and Internal Fixation (ORIF) of a proximal humerus fracture.
Hardware Identified
| Hardware | Description |
|---|---|
| Proximal humeral locking plate | A metallic locking plate is fixed along the lateral aspect of the proximal humerus - this is a standard PHILOS-type (or equivalent) proximal humerus plate |
| Proximal locking screws | Multiple screws radiating into the humeral head in a "fan" pattern - provides angular stability within the humeral head |
| Distal cortical/locking screws | Several screws securing the plate shaft to the humeral diaphysis |
| Circular metallic loops (medially) | Two circular structures near the coracoid/glenoid region - likely suture anchors, cerclage wires, or buttons used for coracoclavicular ligament reconstruction or soft tissue repair |
Bone & Joint Assessment
- Proximal humerus: Evidence of prior fracture (likely a 2-part, 3-part, or 4-part proximal humeral fracture based on the fixation pattern) - now surgically stabilized
- Glenohumeral joint: No gross dislocation; humeral head is seated in the glenoid fossa
- Fracture alignment: The humeral head-shaft alignment appears anatomically restored
- AC joint: Appears grossly intact
- Clavicle and scapula: Visible portions appear intact without obvious additional fractures
Hardware Integrity Assessment
- No obvious screw back-out or plate breakage visible
- No gross displacement of bone fragments under the hardware
- Callus formation / union status cannot be fully assessed without clinical correlation and serial films
Impression
Post-ORIF proximal humerus fracture (left), with locking plate and screws in situ, with additional medial anchor hardware. The hardware appears intact and the alignment is satisfactory. Clinical correlation with:
- Post-op duration (to assess expected healing timeline)
- Range of motion assessment
- Pain levels
...is recommended to assess fracture union progress and rehabilitation planning.
Disclaimer: This is an image-based interpretation only and does not replace formal radiological reporting or clinical evaluation by the treating orthopedic surgeon.
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