Anteroposterior (AP) radiograph of the right shoulder and humerus demonstrating post-surgical management of a complex upper limb injury. The image shows the glenohumeral joint, acromion, and clavicle. The proximal humerus is reduced within the glenoid fossa, indicating successful management of a prior anterior dislocation. Along the mid-diaphyseal region of the humerus, an orthopedic internal fixation device is visible, consisting of a metallic compression plate secured with multiple cortical screws across a transverse fracture site. The hardware provides stabilization and alignment of the humeral shaft. Key anatomical landmarks include the humeral head, scapular glenoid, and humeral diaphysis. This imaging serves as an educational example of managing ipsilateral shoulder dislocation and humeral shaft fracture using open reduction and internal fixation (ORIF).

Postoperative axial radiograph of the left shoulder demonstrating complex orthopedic internal fixation for a multi-part fracture involving the proximal humerus, glenoid, and coracoid process. A large, contoured proximal humeral locking plate (PHILOS) is visible on the lateral humerus, secured with multiple divergent locking screws into the humeral head in a fan-like configuration and several bicortical screws along the humeral shaft. On the scapular side, at least two cannulated screws are visible traversing the anterior glenoid rim to stabilize an anterior glenoid fragment. Additional fixation is noted near the coracoid process with screws and washers. The image shows evidence of successful fracture union at 14 months post-surgery, with the glenohumeral joint maintaining a concentric, reduced position. This radiograph illustrates surgical management for high-energy shoulder trauma involving complex fracture-dislocation or 'floating shoulder' variants.

A multi-modal series of six images (A-F) documenting the clinical progression of complex orthopedic trauma. Panel A: Plain radiograph of the left shoulder and humerus showing an anterior glenohumeral dislocation associated with a fracture of the greater tuberosity and a displaced transverse fracture of the proximal-to-mid humeral shaft. Panel B: A 3D CT reconstruction demonstrating the humeral shaft fracture following successful reduction of the shoulder joint. Panels C and D: Immediate postoperative anteroposterior (AP) and lateral X-rays showing internal fixation. The shaft fracture is stabilized with a long locking compression plate (LCP) and multiple cortical/locking screws. The greater tuberosity is secured with cannulated compression screws, and radiopaque suture anchors are visible in the proximal humerus, indicating rotator cuff repair. Panels E and F: Follow-up radiographs at four months demonstrate anatomical alignment, successful maintenance of shoulder reduction, and progressive bony union (callus formation) at both fracture sites. This series serves as an educational example of managing combined shoulder dislocation-fractures through open reduction and internal fixation (ORIF).

A standing anteroposterior (AP) radiograph of the right shoulder and upper thoracic region. Anatomical structures include the proximal humerus, scapula, clavicle, and the upper rib cage. The image demonstrates two distinct traumatic injuries. First, a white bounding box labeled 'DISLOK' highlights a dislocation at the acromioclavicular (AC) joint. Second, a white arrow points to a displaced fracture of the proximal clavicle near the sternoclavicular region, characterized by cortical disruption and bony overriding. The radiograph also contains an 'R' marker indicating the right side. This image is used in medical education to illustrate the clinical presentation of multiple injuries in the shoulder girdle and the utility/limitations of AI-assisted fracture and dislocation detection in a diagnostic imaging workflow.